术前口服碳水化合物对老年患者术后认知功能的影响及机制研究

注册号:

Registration number:

ChiCTR2100046402 

最近更新日期:

Date of Last Refreshed on:

2021-12-22 21:36:30 

注册时间:

Date of Registration:

2021-05-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

术前口服碳水化合物对老年患者术后认知功能的影响及机制研究

Public title:

Effect and mechanism of preoperative oral carbohydrates on postoperative cognitive function of elderly patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

术前口服碳水化合物对老年患者术后认知功能的影响及机制研究

Scientific title:

Effect and mechanism of preoperative oral carbohydrates on postoperative cognitive function of elderly patients

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:

汪欢 

研究负责人:

刘学胜 

Applicant:

Wang Huan 

Study leader:

Liu Xuesheng 

申请注册联系人电话:

Applicant telephone:

+86 18326659686

研究负责人电话:

Study leader's
telephone:

+86 18655193385

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:

wanghuan0621@126.com

研究负责人电子邮件:

Study leader's E-mail:

liu711029@hotmail.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:

安徽省合肥市蜀山区绩溪路218号

研究负责人通讯地址:

安徽省合肥市蜀山区绩溪路218号

Applicant address:

218 Jixi Road, Shushan District, Hefei, Anhui

Study leader's address:

218 Jixi Road, Shushan District, Hefei, Anhui

申请注册联系人邮政编码:

Applicant postcode:

230022

研究负责人邮政编码:

Study leader's postcode:

230022

申请人所在单位:

安徽医科大学第一附属医院

Applicant's institution:

The First Affiliated Hospital of Anhui Medical University

研究负责人所在单位:

安徽医科大学第一附属医院

Affiliation of the Leader:

The First Affiliated Hospital of Anhui Medical University

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:

PJ2021-02-33

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:

安徽医科大学第一附属医院伦理委员会

Name of the ethic committee:

Ethics Committee of the First Affiliated Hospital of Anhui Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-02-04 00:00:00

伦理委员会联系人:

周涛

Contact Name of the ethic committee:

Zhou Tao

伦理委员会联系地址:

安徽省合肥市蜀山区绩溪路218号

Contact Address of the ethic committee:

218 Jixi Road, Shushan District, Hefei, Anhui

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 551 62923537

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:

安徽医科大学第一附属医院

Primary sponsor:

First Affiliated Hospital of Anhui Medical University

研究实施负责(组长)单位地址:

安徽省合肥市蜀山区绩溪路218号

Primary sponsor's address:

218 Jixi Road, Shushan District, Hefei, Anhui

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

安徽

市(区县):

合肥

Country:

China

Province:

Anhui

City:

Hefei

单位(医院):

安徽医科大学第一附属医院

具体地址:

蜀山区绩溪路218号

Institution
hospital:

First Affiliated Hospital of Anhui Medical University

Address:

218 Jixi Road, Shushan District

经费或物资来源:

国家自然科学基金

Source(s) of funding:

National Natural Science Foundation of China

研究疾病:

术后认知功能障碍  

Target disease:

Postoperative cognitive dysfunction

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:

上市后药物 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究拟通过ANT程序及CAM量表来观察术前口服碳水化合物对老年患者术后认知功能的影响,进一步探究其发生机制,为临床提供参考。  

Objectives of Study:

This study intends to observe the effect of preoperative oral carbohydrates on postoperative cognitive function of elderly patients through the ANT program and the CAM scale, and to further explore its mechanism to provide clinical reference.

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.术前认知功能评价为认知功能损害的患者(改良MMSE <26或MMSE<24且患者的受教育程度在高中以下)。
2.急诊手术患者。
3.既往有胃肠道手术史。胃排空障碍(如胃食道反流、慢性误吸史、胃排空延迟)、消化道梗阻、无法使用肠内制剂的患者。
4.伴随重度心肾功能不全等高危,影响试验安全性评价的患者。
5.精神紊乱、酒精依赖、有药物滥用史人群。
6.过敏体质或既往对多种药物过敏者,对本研究需要的相关制剂过敏者。

Exclusion criteria:

1. Patients whose preoperative cognitive function is assessed as cognitive impairment (modified MMSE <26 or MMSE <24 and the patient's education level is below high school).
2. Emergency surgery patients.
3. Past history of gastrointestinal surgery, and patients with gastric emptying disorders (such as gastroesophageal reflux, history of chronic aspiration, delayed gastric emptying), gastrointestinal obstruction, and patients who cannot use enteral preparations.
4. Patients with high risk of severe cardiorenal insufficiency that affect the safety evaluation of the trial.
5. Patients with mental disorders, alcohol dependence, and drug abuse history.
6. Patients who have allergies or have been allergic to multiple drugs in the past, and those who are allergic to the relevant preparations needed in this study.

研究实施时间:

Study execute time:

From 2021-05-17 00:00:00 To 2022-05-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-05-12 00:00:00 To 2022-05-23 00:00:00

干预措施:

Interventions:

组别:

1组

样本量:

51

Group:

Group 1

Sample size:

干预措施:

术前常规禁食水

干预措施代码:

Intervention:

Routine fasting before surgery

Intervention code:

组别:

2组

样本量:

51

Group:

Group 2

Sample size:

干预措施:

术前2h口服 4ml/kg碳水化合物

干预措施代码:

Intervention:

Oral 4ml/kg carbohydrate 2h before operation

Intervention code:

组别:

3组

样本量:

51

Group:

Group 3

Sample size:

干预措施:

术前2h口服 4ml/kg调味蒸馏水

干预措施代码:

Intervention:

Oral 4ml/kg flavored distilled water 2h before operation

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

安徽 

市(区县):

合肥 

Country:

China

Province:

Anhui

City:

Hefei

单位(医院):

安徽医科大学第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

First Affiliated Hospital of Anhui Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

患者的认知功能

指标类型:

主要指标

Outcome:

Patient's cognitive function

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血糖

指标类型:

次要指标

Outcome:

Blood sugar

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低血压发生率

指标类型:

次要指标

Outcome:

Incidence of hypotension

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清炎症因子含量

指标类型:

次要指标

Outcome:

Serum inflammatory factor content

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者主观感受VAS评分

指标类型:

次要指标

Outcome:

Patient's subjective perception of VAS score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良反应发生率

指标类型:

次要指标

Outcome:

Adverse reaction rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者总体满意度评分

指标类型:

次要指标

Outcome:

Overall patient satisfaction score

Type:

Secondary indicator

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:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

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 65 years
最大 Max age 80 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):

电脑随机数字法 (1) 事先拟定153个研究对象序号; (2) 电脑产生随机数字; (3) 随机数字能被3整除的研究对象分到TF组,余数为1分到POC组,余数为2分到OR组。

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

Computer random number method (1) Preliminarily draw up 153 research object serial numbers; (2) Computer generated random numbers; (3) Research objects whose random numbers can be divisible by 3 are divided into TF group, the remainder is 1 to the POC group, and the remainder is 2 points to OR

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:

未说明

Blinding:

Not stated

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):

未说明 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):

Not stated

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:

采用病例记录表采集研究数据,采用SPSS软件分析数据

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

Data was collected with CRF and managed by SPSS

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2021-05-15 08:52:20