俯卧位对老年患者术中、术后生理功能的影响

注册号:

Registration number:

ChiCTR2100051786 

最近更新日期:

Date of Last Refreshed on:

2022-06-20 06:37:31 

注册时间:

Date of Registration:

2021-10-04 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

俯卧位对老年患者术中、术后生理功能的影响

Public title:

The effect of prone position on intro-and post-operation physiological function in geriattics

注册题目简写:

English Acronym:

研究课题的正式科学名称:

俯卧位对老年患者术中、术后生理功能的影响

Scientific title:

The effect of prone position on intro-and post-operation physiological function in geriattics

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:

郑康 

研究负责人:

郑康 

Applicant:

Zheng Kang 

Study leader:

Zheng Kang 

申请注册联系人电话:

Applicant telephone:

+86 13327819101

研究负责人电话:

Study leader's
telephone:

+86 13327819101

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:

13327819101@163.com

研究负责人电子邮件:

Study leader's E-mail:

13327819101@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:

江苏省南京市鼓楼区丁家桥87号

研究负责人通讯地址:

江苏省南京市鼓楼区丁家桥87号

Applicant address:

87 Dingjiaqiao, Gulou District, Nanjing, Jiangsu

Study leader's address:

87 Dingjiaqiao, Gulou District, Nanjing, Jiangsu

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:

东南大学附属中大医院

Applicant's institution:

Zhongda Hospital, Southeast University

研究负责人所在单位:

东南大学附属中大医院

Affiliation of the Leader:

Zhongda Hospital, Southeast 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:

2021ZDSYLL234-P01

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:

东南大学附属中大医院临床研究伦理委员会

Name of the ethic committee:

Clinical Research Ethics Committee of Zhongda Hospital Affiliated to Southeast University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-09-09 00:00:00

伦理委员会联系人:

王慧萍

Contact Name of the ethic committee:

Wang Huiping

伦理委员会联系地址:

江苏省南京市鼓楼区丁家桥87号

Contact Address of the ethic committee:

87 Dingjiaqiao, Gulou District, Nanjing, Jiangsu

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:

东南大学附属中大医院

Primary sponsor:

Zhongda Hospital, Southeast University

研究实施负责(组长)单位地址:

江苏省南京市鼓楼区丁家桥87号

Primary sponsor's address:

87 Dingjiaqiao, Gulou District, Nanjing, Jiangsu

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江苏

市(区县):

南京

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

东南大学附属中大医院

具体地址:

鼓楼区丁家桥87号

Institution
hospital:

Zhongda Hospital, Southeast University

Address:

87 Dingjiaqiao, Gulou District

经费或物资来源:

自筹

Source(s) of funding:

Self-raised

研究疾病:

全麻手术老年病人  

Target disease:

Geriatric patients under ceneral anesthesia

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

析因分组(即根据危险因素或暴露因素分组) 

Study design:

Factorial 

研究目的:

明确俯卧位对老年手术患者脑血氧饱和度的影响,定量描述俯卧位时老年手术患者的心脏功能变化程度、呼吸动力学指标,探讨俯卧位与老年患者术后呼吸系统并发症发病率间的关系。  

Objectives of Study:

To clarify the effect of prone position on cerebral blood oxygen saturation in elderly surgical patients, quantitatively describe the changes of cardiac function and respiratory dynamics in elderly surgical patients in prone position, and to explore the relationship between prone position and the incidence of postoperative respiratory complications in elderly patients.

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. 有俯卧位相关禁忌症;
2. 无法使用常规Wilson体位床摆放俯卧位的患者;
3. 患者两周内有肺部感染史;
4. 患有未经控制的高血压、糖尿病、冠心病、COPD急性发作期等疾病的患者;
5. 既往颅脑手术史的患者;
6. 既往心脏外科手术史的患者;
7. 既往大血管手术史的患者;
8. 既往胸科手术史的患者;
9. 既往肾脏手术史的患者,慢性肾脏功能不全的患者;
10. 既往肠道肿瘤患者;
11. 低体重患者BMI<18.5,过度肥胖患者BMI>35;
12. 已纳入其他临床研究的患者。

Exclusion criteria:

1. There are contraindications related to prone position;
2. Patients who cannot able to perform prone position on Wilson bed;
3. A history of pulmonary infection within two weeks;
4. Patients with uncontrolled hypertension, diabetes, coronary heart disease, acute exacerbation of COPD and other diseases;
5. A history of craniocerebral surgery;
6. A history of cardiac surgery;
7. A history of major vascular surgery;
8. A history of thoracic surgery;
9. A history of renal surgery and chronic renal insufficiency;
10. Patients with previous intestinal tumor;
11. BMI < 18.5 or > 35;
12. Patients who have been included in other clinical studies.

研究实施时间:

Study execute time:

From 2021-11-01 00:00:00 To 2023-10-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-11-01 00:00:00 To 2022-05-31 00:00:00

干预措施:

Interventions:

组别:

仰卧位组

样本量:

2000

Group:

Supine position group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

俯卧位组

样本量:

2000

Group:

Prone position group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏 

市(区县):

南京 

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

东南大学附属中大医院 

单位级别:

三级甲等 

Institution
hospital:

Zhongda Hospital, Southeast University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后肺部并发症

指标类型:

主要指标

Outcome:

Postoperative pulmonary complications

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

腹腔内压力

指标类型:

主要指标

Outcome:

Intra-abdominal pressure

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脑氧饱和度

指标类型:

主要指标

Outcome:

Cerebral regional oxygen saturation

Type:

Primary 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:

主要指标

Outcome:

Urine volume

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ASA 分级

指标类型:

次要指标

Outcome:

ASA (American Society of Anesthesiologists) scale

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:

主要指标

Outcome:

Blood pressure

Type:

Primary 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

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心排指数

指标类型:

主要指标

Outcome:

Cardic index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肠黏膜厚度

指标类型:

主要指标

Outcome:

Intestinal mucosal thickness

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后恶心

指标类型:

主要指标

Outcome:

Postoperative nasea

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后呕吐

指标类型:

主要指标

Outcome:

Postoperative vomit

Type:

Primary 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:

粪便

组织:

Sample Name:

Stool

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 18 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):

本研究为队列研究,据年龄将患者分为老年组与对照组,根据手术体位将入组患者分为两亚组,即:仰卧位组,俯卧位组。

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

N/A

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:

N/A

Blinding:

N/A

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):

试验结束后通过与研究负责人邮件联系获取原始数据

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

IPD will be shared via email requestment after the trial completement

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:

1.通过病历记录表收集数据; 2.通过Excel及SPSS管理和保存数据

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

1. Collect data through medical records 2. Manage and save data through Excel and SPSS

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:

 2021-10-04 12:18:35