艾司氯胺酮与右美托咪定在降低小儿扁桃体切除术后躁动发生的比较

注册号:

Registration number:

ChiCTR2100045409 

最近更新日期:

Date of Last Refreshed on:

2021-11-28 23:36:48 

注册时间:

Date of Registration:

2021-04-14 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

艾司氯胺酮与右美托咪定在降低小儿扁桃体切除术后躁动发生的比较

Public title:

Comparison of Esketamine and Dexmedetomidine in Reducing Agitation after Tonsillectomy in Children

注册题目简写:

English Acronym:

研究课题的正式科学名称:

艾司氯胺酮与右美托咪定在降低小儿扁桃体切除术后躁动发生的比较

Scientific title:

Comparison of Esketamine and Dexmedetomidine in Reducing Agitation after Tonsillectomy in Children

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

赵志发 

研究负责人:

马星钢 

Applicant:

Zhao Zhifa 

Study leader:

Ma Xingang 

申请注册联系人电话:

Applicant telephone:

+86 18582411558

研究负责人电话:

Study leader's
telephone:

+86 18938690935

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zhaozhifa2016@163.com

研究负责人电子邮件:

Study leader's E-mail:

gdszmxg@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省深圳市福田区益田路7019号

研究负责人通讯地址:

广东省深圳市福田区益田路7019号

Applicant address:

7019 Yitian Road, Futian District, Shenzhen, Guangdong

Study leader's address:

7019 Yitian Road, Futian District, Shenzhen, Guangdong

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

广东省深圳市儿童医院

Applicant's institution:

Shenzhen Children's Hospital

研究负责人所在单位:

广东省深圳市儿童医院

Affiliation of the Leader:

Shenzhen Children's Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

深儿医伦审(科研)批件202007302号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

深圳市儿童医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Shenzhen Children's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2020-12-31 00:00:00

伦理委员会联系人:

齐心

Contact Name of the ethic committee:

Qi Xin

伦理委员会联系地址:

广东省深圳市福田区益田路7019号

Contact Address of the ethic committee:

7019 Yitian Road, Futian District, Shenzhen, Guangdong

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

广东省深圳市儿童医院麻醉科

Primary sponsor:

Department of Anesthesiology, Shenzhen Children's Hospital

研究实施负责(组长)单位地址:

广东省深圳市福田区益田路7019号

Primary sponsor's address:

7019 Yitian Road, Futian District, Shenzhen, Guangdong

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

深圳

Country:

China

Province:

Guangdong

City:

Shenzhen

单位(医院):

广东省深圳市儿童医院

具体地址:

福田区益田路7019号

Institution
hospital:

Shenzhen Children's Hospital

Address:

7019 Yitian Road, Futian District

经费或物资来源:

自筹

Source(s) of funding:

Self-funded

研究疾病:

阻塞性睡眠呼吸暂停低通气综合征  

Target disease:

Obstructive Sleep Apnea Hypopnea Syndrome

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究旨在探究艾司氯胺酮与右美托咪定在降低小儿扁桃体切除术后躁动发生的比较,以期为临床提供用药依据,降低小儿术后躁动发生率,使患儿术后复苏更平稳,减少术后并发症,降低自伤和意外移除手术敷料、静脉导管和导尿管的风险,降低患儿的不适感,加速术后康复。  

Objectives of Study:

The purpose of this study was to explore the comparison of esketamine and dexmedetomidine in reducing the incidence of restlessness after tonsillectomy in children, in order to provide clinical evidence for medication, reducing the incidence of restlessness in children after surgery, and making the postoperative recovery of children more stable.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.有血压或颅内压升高严重风险的患者;
2.控制不佳的或未经治疗的高血压患者(动脉高血压,静息收缩压/舒张压超过180/100mmHg);
3.未经治疗或者治疗不足的甲状腺功能亢进患者;
4.自闭症患儿;
5.合并心脏传导阻滞者;
6.心功能不全者。

Exclusion criteria:

1. Patients at serious risk of increased blood pressure or intracranial pressure;
2. Patients with poorly controlled or untreated hypertension (arterial hypertension, resting systolic/diastolic blood pressure exceeding 180/100mmHg);
3. Untreated or undertreated patients with hyperthyroidism;
4. Children with autism;
5. Patients with heart block;
6. People with cardiac insufficiency.

研究实施时间:

Study execute time:

From 2021-05-01 00:00:00 To 2021-08-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-05-01 00:00:00 To 2021-08-31 00:00:00

干预措施:

Interventions:

组别:

D组

样本量:

50

Group:

Group D

Sample size:

干预措施:

艾司氯胺酮0.25mg/kg

干预措施代码:

Intervention:

Esketamine 0.25mg/kg

Intervention code:

组别:

E组

样本量:

50

Group:

Group E

Sample size:

干预措施:

右美托咪定0.5ug/kg

干预措施代码:

Intervention:

Dexmedetomidine 0.5ug/kg

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

深圳 

Country:

China

Province:

Gongdong

City:

Shenzhen

单位(医院):

深圳市儿童医院 

单位级别:

三级甲等 

Institution
hospital:

Shenzhen Children's Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

小儿麻醉前行为(PAB)

指标类型:

主要指标

Outcome:

Pediatric Anesthesia Behavior

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

拔管后躁动评分

指标类型:

主要指标

Outcome:

Pediatric Anesthesia Emergence Delirium score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

镇静评分

指标类型:

主要指标

Outcome:

Ramsay sedation score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疼痛视觉模拟评分

指标类型:

主要指标

Outcome:

Visual Analogue scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血压

指标类型:

附加指标

Outcome:

Blood pressure

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心率

指标类型:

附加指标

Outcome:

Heart rate

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脉搏氧饱和度

指标类型:

附加指标

Outcome:

Transcutaneous Pulse Oxygen Saturation

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体温

指标类型:

附加指标

Outcome:

Temperature

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

统计不良事件次数(恶心呕吐)

指标类型:

副作用指标

Outcome:

Number of adverse events (nausea and vomiting)

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

拔管时间(停药至拔出气管导管的时间)

指标类型:

次要指标

Outcome:

Extubation time (the time from drug withdrawal to removal of the tracheal tube)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

麻醉恢复室(PACU)停留时间

指标类型:

次要指标

Outcome:

Post-Anesthesia Care Unit stay time

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

统计给予丙泊酚次数

指标类型:

副作用指标

Outcome:

Number of times propofol given

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

Null

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 3 years
最大 Max age 7 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

随机序列由赵志发采用随机数表法产生

Randomization Procedure (please state who generates the random number sequence and by what method):

The experimenter uses the random number table method

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

双盲。一名独立研究者负责麻醉实施过程,另外一名负责数据收集。研究药物由负责分组的麻醉医师配置,所有的手术相关人员包括病人、护士、外科医生以及独立研究者对于所用的药物和分组均不知情。

Blinding:

Double blind. An independent researcher is responsible for the anesthesia implementation process, and the other is responsible for data collection. The study drugs are configured by the anesthesiologist in charge of the grouping, and all the operation-related personnel including patients, nurses, surgeons, and independent investigators are not aware of the drugs used and the grouping.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

邮件发送 请阅读网页注册指南中关于 原始数据共享 的内容。

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Email

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表和Excel表

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

CRF and Excel

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2021-04-14 07:46:55