机器人辅助妇科肿瘤手术等比通气联合个体化PEEP对肺功能的影响

注册号:

Registration number:

ChiCTR2100050364 

最近更新日期:

Date of Last Refreshed on:

2022-04-28 22:58:46 

注册时间:

Date of Registration:

2021-08-26 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

机器人辅助妇科肿瘤手术等比通气联合个体化PEEP对肺功能的影响

Public title:

Effect of equal ventilation combined with individual PEEP on lung function in robot-assisted laparoscopic gynecological tumor surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

机器人辅助妇科肿瘤手术等比通气联合个体化PEEP对肺功能的影响

Scientific title:

Effect of equal ventilation combined with individual PEEP on lung function in robot-assisted laparoscopic gynecological tumor surgery

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:

孙聪 

研究负责人:

单热爱 

Applicant:

Sun Cong 

Study leader:

Reai Shan 

申请注册联系人电话:

Applicant telephone:

+86 15844423256

研究负责人电话:

Study leader's
telephone:

+86 13803587468

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:

1035442721@qq.com

研究负责人电子邮件:

Study leader's E-mail:

shanreai@163.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:

江西省赣州市章贡区金岭路128号

研究负责人通讯地址:

江西省赣州市章贡区金岭路128号

Applicant address:

128 Jinling Road, Zhanggong District, Ganzhou, Jiangxi

Study leader's address:

128 Jinling Road, Zhanggong District, Ganzhou, Jiangxi

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:

赣南医学院

Applicant's institution:

Gan'nan Medical University

研究负责人所在单位:

赣南医学院

Affiliation of the Leader:

Gan'nan 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:

LLSC-2021082501

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:

赣南医学院第一附属医院伦理委员会

Name of the ethic committee:

Ethics Committee of the First Affiliated Hospital of Gan'nan Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-08-25 00:00:00

伦理委员会联系人:

陈勇莲

Contact Name of the ethic committee:

Chen Yonglian

伦理委员会联系地址:

江西省赣州市章贡区金岭路128号

Contact Address of the ethic committee:

128 Jinling Road, Zhanggong District, Ganzhou, Jiangxi

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:

赣南医学院第一附属医院

Primary sponsor:

The First Affiliated Hospital of Gan'nan Medical University

研究实施负责(组长)单位地址:

江西省赣州市章贡区金岭路128号

Primary sponsor's address:

128 Jinling Road, Zhanggong District, Ganzhou, Jiangxi

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江西

市(区县):

赣州

Country:

China

Province:

Jiangxi

City:

Ganzhou

单位(医院):

赣南医学院第一附属医院

具体地址:

章贡区金岭路128号

Institution
hospital:

The First Affiliated Hospital of Gan'nan Medical University

Address:

128 Jinling Road, Zhanggong District

经费或物资来源:

其他

Source(s) of funding:

others

研究疾病:

妇科肿瘤手术  

Target disease:

Gynecological tumor surgery

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:

本实验的目的是探讨在机器人辅助腹腔镜妇科肿瘤手术中等比通气联合个体化PEEP对肺功能的影响,评估是否可以减少术中肺损伤的发生,达到肺保护策略,为临床工作提供更好的麻醉管理。  

Objectives of Study:

The purpose of this experiment is to explore the effects of medium specific ventilation combined with individualized PEEP on lung function in robot-assisted laparoscopic gynecological tumor surgery, and to evaluate whether it can reduce the occurrence of intraoperative lung injury, achieve lung protection strategies, and provide better anesthesia management for clinical work.

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. 术前合并明显肺部疾病,如COPD 3级、肺部感染等;
2. 既往有肺部手术史;
3. 呼吸空气SpO2<95%;
4. 无法配合肺功能检查;
5. 术毕转入ICU;
6. 严重心功能不全、肝肾功能不全患者等。

Exclusion criteria:

1. Preoperative complicated with obvious pulmonary diseases, such as COPD grade 3, pulmonary infection, etc.;
2. Previous pulmonary surgery;
3. Breathing air SpO2 < 95%;
4. Unable to cooperate with lung function tests;
5. Transfer to ICU after surgery;
6. Patients with severe cardiac insufficiency, liver and kidney insufficiency, etc.

研究实施时间:

Study execute time:

From 2021-09-01 00:00:00 To 2022-09-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-09-01 00:00:00 To 2022-09-30 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

20

Group:

Control group

Sample size:

干预措施:

空白对照

干预措施代码:

Intervention:

blank control

Intervention code:

组别:

实验组

样本量:

20

Group:

P group

Sample size:

干预措施:

等比通气联合个体化PEEP

干预措施代码:

Intervention:

Equal ventilation combined with individualized PEEP

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江西省 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

赣南医学院第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Gan'nan Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

肺分级

指标类型:

主要指标

Outcome:

Lung classification

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

氧分压

指标类型:

次要指标

Outcome:

PaO2

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

二氧化碳分压

指标类型:

次要指标

Outcome:

PaCO2

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

酸碱度

指标类型:

次要指标

Outcome:

PH

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

乳酸

指标类型:

次要指标

Outcome:

Lactic acid

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

氧合指数

指标类型:

次要指标

Outcome:

PaO2/FiO2

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

死腔气与潮气量之比

指标类型:

次要指标

Outcome:

Vdalveolar/Tivalvolume (VD/VT)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

葡萄糖

指标类型:

次要指标

Outcome:

Giu

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

渗透压

指标类型:

次要指标

Outcome:

Osmotic pressure

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血细胞比容

指标类型:

次要指标

Outcome:

Hematocrit (HCT)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血红蛋白

指标类型:

次要指标

Outcome:

Thbc

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

气道平台压

指标类型:

次要指标

Outcome:

Pmean

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

气道峰压

指标类型:

次要指标

Outcome:

Ppeak

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

驱动压

指标类型:

次要指标

Outcome:

Driving pressure

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺顺应性

指标类型:

次要指标

Outcome:

Cdyn

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺弹性系数

指标类型:

次要指标

Outcome:

Coefficient of lung elasticity

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血压

指标类型:

次要指标

Outcome:

Blood pressure

Type:

Secondary 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:

次要指标

Outcome:

Heart rate (HR)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血氧饱和度

指标类型:

次要指标

Outcome:

SpO2

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脉压变异率

指标类型:

次要指标

Outcome:

Pulsepressurevariation (PPV)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

失血量

指标类型:

附加指标

Outcome:

Bleeding volume

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

补液量

指标类型:

附加指标

Outcome:

Rehydration fluids

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿量

指标类型:

附加指标

Outcome:

Urine volume

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血管活性药使用量

指标类型:

附加指标

Outcome:

Use of vasoactive drugs

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清CC16水平

指标类型:

附加指标

Outcome:

CC16

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清IL-6水平

指标类型:

附加指标

Outcome:

IL-6

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心肌损伤指标

指标类型:

副作用指标

Outcome:

Indicators of myocardial injury

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肾功能损伤指标

指标类型:

副作用指标

Outcome:

Indicators of renal impairment

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:

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age years
最大 Max age years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

随机化由计算机生成随机数分配,并将分配密封在一个不透明的信封中。一名参加每个参与者手术的麻醉师打开信封,按照分组分配的程序进行操作。通讯作者和合作作者收集并分析了所有数据。

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

Randomization is a computer-generated assignment of random numbers, sealed in an opaque envelope.An anesthesiologist who attended each participant's surgery opened the envelope and followed the procedures assigned to the groups. All data were collected and analyzed by the corresponding authors and co-authors.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Not stated

Blinding:

Not stated

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):

网络平台ResMan(www.medresman.org.cn)

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

web-based public database ResMan (www.medresman.org.cn)

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:

纸质的病例记录表、电子数据采集和管理系统

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

Case Record Form,Electronic Date Capture

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:

 2021-08-26 22:13:16