优化通气模式对行腹部手术的老年患者术后肺部及肺外并发症的影响

注册号:

Registration number:

ChiCTR-IOR-16008696 

最近更新日期:

Date of Last Refreshed on:

2016-06-23 23:06:32 

注册时间:

Date of Registration:

2016-06-20 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

优化通气模式对行腹部手术的老年患者术后肺部及肺外并发症的影响

Public title:

Effect of protective ventilation on postoperative pulmonary and extrapulmonary complications in patients undergoing general anaesthesia for abdominal surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

优化通气模式对行腹部手术的老年患者术后肺部及肺外并发症的影响

Scientific title:

Effect of protective ventilation on postoperative pulmonary and extrapulmonary complications in patients undergoing general anaesthesia for abdominal 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:

赵亚杰 

研究负责人:

米卫东 

Applicant:

Yajie Zhao 

Study leader:

Weidong Mi 

申请注册联系人电话:

Applicant telephone:

+86 17801035226

研究负责人电话:

Study leader's
telephone:

+86 010-66938151

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:

double9z@163.com

研究负责人电子邮件:

Study leader's E-mail:

mwd1962@sina.cn

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:

北京市海淀区复兴路28号301医院麻醉手术中心

研究负责人通讯地址:

北京市海淀区复兴路28号301医院麻醉手术中心

Applicant address:

28 Fuxing Road, Haidian District, Beijing

Study leader's address:

28 Fuxing Road, Haidian District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100853

研究负责人邮政编码:

Study leader's postcode:

100853

申请人所在单位:

中国人民解放军总医院

Applicant's institution:

Chinese PLA General Hospital

研究负责人所在单位:

中国人民解放军总医院

Affiliation of the Leader:

Chinese PLA General 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:

S2016-033-02

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:

中国人民解放军总医院医学伦理委员会

Name of the ethic committee:

Medical ethics committee of Chinese PLA General Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2016-06-08 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

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:

中国人民解放军总医院

Primary sponsor:

Chinese PLA General Hospital

研究实施负责(组长)单位地址:

北京市海淀区复兴路28号301医院麻醉手术中心

Primary sponsor's address:

28 Fuxing Road, Haidian District, Beijing, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军总医院

具体地址:

北京市海淀区复兴路28号301医院麻醉手术中心

Institution
hospital:

Chinese PLA General Hospital

Address:

28 Fuxing Road, Beijing, China

经费或物资来源:

自筹

Source(s) of funding:

self-financing

研究疾病:

术后并发症  

Target disease:

Postoperative complications

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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

探讨老年患者(age≥65,ASAⅠ-Ⅲ)腹部手术中,不同的机械通气策略(容量控制通气,压力控制通气)对全麻预后的影响,为临床老年患者优化通气管理提供参考。  

Objectives of Study:

The objectives of this study is to research two kinds of different protective ventilation modes (Volume-controlled ventilation VCV, pressure-controlled ventilation PCV) on postoperative pulmonary and extrapulmonary complications in elderly patients undergoing general anaesthesia for abdominal surgery. The primary endpoints was a composite of major pulmonary and extrapulmonary complications occurring within the first 7 days after surgery. The secondary endpoints were pulmonary and extrepulmonary complications in the postoperative period.

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.严重的心功能不全,左室射血分数<50%,恶性心律失常 2.急诊手术 3.术前2周有机械通气>1h 4.急性呼吸衰竭 (肺炎, ALI 或ARDS) 5.进展性神经肌肉疾病 6.败血症或感染性休克

Exclusion criteria:

1. Serious cardiac insufficiency, left ventricular ejection fraction < 50%, malignant arrhythmia;
2. Emergency;
3. Mechanical ventilation of >1 hour within the last 2 weeks before surgery;
4. Acute respiratory failure (pneumonia, acute lung injury or acute respiratory distress
syndrome);
5. Progressive neuromuscular illness;
6. Sepsis or septic shock.

研究实施时间:

Study execute time:

From 2016-02-01 00:00:00 To 2017-06-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2016-06-01 00:00:00 To 2017-06-01 00:00:00

干预措施:

Interventions:

组别:

容量控制通气组

样本量:

50

Group:

Volume-controlled ventilation VCV

Sample size:

干预措施:

容量控制通气

干预措施代码:

Intervention:

Volume-controlled ventilation

Intervention code:

组别:

压力控制通气组

样本量:

50

Group:

Pressure-controlled ventilation PCV

Sample size:

干预措施:

压力控制通气

干预措施代码:

Intervention:

Pressure-controlled ventilation

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中国人民解放军总医院 

单位级别:

三级甲等 

Institution
hospital:

Chinese PLA General Hospital

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

术后7天肺部及肺外并发症

指标类型:

主要指标

Outcome:

major pulmonary and extrapulmonary complications occurring within the first 7 days after surgery

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院期间或术后30 天肺部及肺外并发症

指标类型:

次要指标

Outcome:

pulmonary and extrapulmonary complications occurring at the time of hospitalization or during the 30 days after surgery.

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血气分析

指标类型:

次要指标

Outcome:

Blood gas analysis

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 100 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):

用随机数字表法产生随机数字

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

Simple randomisation is carried out using a random number table generator

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:

Blinding:

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):

文章发表后公布原始数据

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

the data will be open after the paper published

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:

专人负责收集数据,Excel记录储存数据

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

excel

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2016-06-23 23:06:32