优化单肺通气时非通气侧肺萎陷方式的研究

注册号:

Registration number:

ChiCTR2200055186 

最近更新日期:

Date of Last Refreshed on:

2023-01-15 22:54:48 

注册时间:

Date of Registration:

2022-01-02 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

优化单肺通气时非通气侧肺萎陷方式的研究

Public title:

A study on optimizing the collapse of the non-ventilated lung during one-lung ventilation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

优化单肺通气时非通气侧肺萎陷方式的研究

Scientific title:

A study on optimizing the collapse of the non-ventilated lung during one-lung ventilation

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:

陈雪姿 

研究负责人:

王彬 

Applicant:

Chen Xuezi 

Study leader:

Wang Bin 

申请注册联系人电话:

Applicant telephone:

+86 15723433935

研究负责人电话:

Study leader's
telephone:

+86 13637815096

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:

740926135@qq.com

研究负责人电子邮件:

Study leader's E-mail:

774935778@qq.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:

重庆市渝中区袁家岗友谊路1号

研究负责人通讯地址:

重庆市渝中区袁家岗友谊路1号

Applicant address:

1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing

Study leader's address:

1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing

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:

重庆医科大学附属第一医院

Applicant's institution:

The First Affiliated Hospital of Chongqing Medical University

研究负责人所在单位:

重庆医科大学附属第一医院

Affiliation of the Leader:

The First Affiliated Hospital of Chongqing 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:

2021年科研伦理(2021-323)

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:

重庆医科大学附属第一医院伦理委员会

Name of the ethic committee:

The First Affiliated Hospital of Chongqing Medical University Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2021-06-23 00:00:00

伦理委员会联系人:

重庆医科大学附属第一医院伦理委员会

Contact Name of the ethic committee:

The First Affiliated Hospital of Chongqing Medical University Ethics Committee

伦理委员会联系地址:

重庆市渝中区友谊路1号

Contact Address of the ethic committee:

1 Youyi Road, Yuzhong District, Chongqing

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:

重庆医科大学附属第一医院麻醉科

Primary sponsor:

The First Affiliated Hospital of Chongqing Medical University

研究实施负责(组长)单位地址:

重庆市渝中区袁家岗友谊路1号

Primary sponsor's address:

1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

重庆

市(区县):

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆医科大学附属第一医院

具体地址:

渝中区袁家岗友谊路1号

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Address:

1 Youyi Road, Yuanjiagang, Yuzhong District

经费或物资来源:

研究生培养经费

Source(s) of funding:

Funds for postgraduate training

研究疾病:

N/A  

Target disease:

N/A

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:

通过比较不同方法的有效性,遴选出最佳肺萎陷方式。  

Objectives of Study:

By comparing the effectiveness of different methods, the optimal lung collapse method was selected.

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.预期插管困难(Mallampatti评分≥3);
2.FEV1<预测值的70%;
3.慢性阻塞性肺疾病(COPD);
4.气胸;
5.肺大泡;
6.胸膜粘连;
7.严重哮喘;
8.胸部手术史;
9.纽约心脏协会(NYHA)心力衰竭III-IV级;
10.脑血管疾病。

Exclusion criteria:

1. Expected difficulty in intubation (Mallampatti score >= 3);
2. FEV1<70% of the predicted value;
3. Chronic obstructive pulmonary disease (COPD);
4. Pneumothorax;
5. Bullae;
6. Pleural adhesions;
7. Severe asthma;
8. History of chest surgery;
9. New York Heart Association (NYHA) heart failure class III-IV;
10. Cerebrovascular disease.

研究实施时间:

Study execute time:

From 2021-12-24 00:00:00 To 2022-08-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-12-24 00:00:00 To 2022-08-31 00:00:00

干预措施:

Interventions:

组别:

C组

样本量:

30

Group:

Group C

Sample size:

干预措施:

DLT通向非通气肺的管腔在患者转侧卧位后立即夹闭,开始单肺通气,而DLT管腔的远端直到胸膜开放后才向大气开放。

干预措施代码:

Intervention:

The lumen leading to the non-ventilated lung of the DLT is clamped immediately after the patient is transferred to lateral decubitus to initiate single-lung ventilation, while the distal end of the DLT lumen is not open to the atmosphere until the pleura is opened.

Intervention code:

组别:

N1组

样本量:

30

Group:

Group N1

Sample size:

干预措施:

患者改为侧卧位,纯氧双肺通气,直至切开胸膜。在切开胸膜时断开DLT 1min后开始单肺通气。

干预措施代码:

Intervention:

The patient was changed to a lateral decubitus position, and pure oxygen was used for double-lung ventilation until the pleura was incised. One-lung ventilation was started 1 min after the DLT was disconnected at the time of pleural incision.

Intervention code:

组别:

N2组

样本量:

30

Group:

Group N2

Sample size:

干预措施:

DLT断开呼吸2min后启动OLV,启动时间从外科医生进行皮肤切开开始。

干预措施代码:

Intervention:

The OLV was started 2 minutes after the DLT was disconnected from breathing, and the start time began when the surgeon performed the skin incision.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

重庆 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆医科大学附属第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Level of the institution:

Teritary A

测量指标:

Outcomes:

指标中文名:

肺萎陷评分

指标类型:

主要指标

Outcome:

Lung collapse 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:

动脉血

指标类型:

次要指标

Outcome:

Arterial blood

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 18 years
最大 Max age 65 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):

由一名对试验不知情的人员在术前采用随机数字表法进行分组。

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

A random number table method was used before surgery by a person who was unaware of the trial

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

否No

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):

由研究人员于2030年1月1日公开

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

Published by researchers on January 1, 2030

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:

数据采集用病例记录表,数据管理由研究人员自行管理

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

Case Record Form for data collection and data management by researchers themselves

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-01-02 06:54:10