全麻吸入氧浓度对老年手术患者围术期神经认知障碍的影响

注册号:

Registration number:

ChiCTR2200059025 

最近更新日期:

Date of Last Refreshed on:

2023-01-04 10:51:45 

注册时间:

Date of Registration:

2022-04-23 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

全麻吸入氧浓度对老年手术患者围术期神经认知障碍的影响

Public title:

Effects of inspired oxygen concentration during general anesthesia on peri-operative neurocognitive disorders in elderly patients undergoing surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

全麻吸入氧浓度对老年手术患者围术期神经认知障碍的影响:一项随机对照试验

Scientific title:

Effects of inspired oxygen concentration during general anesthesia on peri-operative neurocognitive disorders in elderly patients undergoing surgery: a randomized controlled trial

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:

吉顺攀 

研究负责人:

陶天柱 

Applicant:

Shunpan Ji 

Study leader:

Tianzhu Tao 

申请注册联系人电话:

Applicant telephone:

+86 13842623031

研究负责人电话:

Study leader's
telephone:

+86 18511664103

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:

Jesen_P@163.com

研究负责人电子邮件:

Study leader's E-mail:

ttz887@126.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:

北京市海淀区阜成路30号

研究负责人通讯地址:

北京市海淀区阜成路30号

Applicant address:

30 Fucheng Road, Haidian District, Beijing

Study leader's address:

30 Fucheng Road, Haidian District, Beijing

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:

中国人民解放军空军特色医学中心

Applicant's institution:

Air Force Medical Center, PLA

研究负责人所在单位:

中国人民解放军空军特色医学中心

Affiliation of the Leader:

Air Force Medical Center, PLA

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:

2022-02-PJ01

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:

中国人民解放军空军特色医学中心伦理委员会

Name of the ethic committee:

Ethics Committee of Air Force Medical Center, PLA

伦理委员会批准日期:

Date of approved by ethic committee:

2022-02-14 00:00:00

伦理委员会联系人:

王威

Contact Name of the ethic committee:

Wei Wang

伦理委员会联系地址:

北京市海淀区阜成路30号

Contact Address of the ethic committee:

30 Fucheng Road, Haidian District, Beijing

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:

中国人民解放军空军特色医学中心

Primary sponsor:

Air Force Medical Center, PLA

研究实施负责(组长)单位地址:

北京市海淀区阜成路30号

Primary sponsor's address:

30 Fucheng Road, Haidian District, Beijing

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):

海淀

Country:

China

Province:

Beijing

City:

Haidian

单位(医院):

中国人民解放军空军特色医学中心

具体地址:

北京市海淀区阜成路30号

Institution
hospital:

Air Force Medical Center, PLA

Address:

30 Fucheng Road, Haidian District, Beijing

经费或物资来源:

海淀区卫健委

Source(s) of funding:

Healthcare commission of Haidian District

研究疾病:

围术期神经认知障碍  

Target disease:

Peri-operative neurocognitive disorder

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:

比较不同吸入氧浓度对老年患者术后谵妄和术后认知功能障碍等并发症的影响,并评估神经损伤标志物和氧化应激指标对POD的预测和诊断价值  

Objectives of Study:

The objective of this study is to evaluate the effects of inspired oxygen concentration on the incidence of the post-operative delirium and cognitive dysfunction and determine the predictive and diagnostic value of neural injury biomarkers and oxidative stress parameters in POD.

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. 神经系统疾患如急性脑卒中、阿尔兹海默症、神经外科手术史、帕金森等;
2. 严重心功能不全(NYHA分级III级或IV级);
3. 严重呼吸功能不全如重度COPD或氧合指数<300;
4. BMI大于35;
5. 2周内接受过手术或机械通气治疗;
6. 长期服用镇静药、抗抑郁药、酗酒、药物依赖等;
7. 术中需使用阿托品等抗胆碱药物。

Exclusion criteria:

1. Neural system diseases such as acute stroke, Alzheimer's disease, history of neurosurgery, Parkinson's disease; 2. Severe cardiac insufficiency (NYHA III or IV);
3. Severe respiratory insufficiency e.g. severe COPD or oxygenation index <300
4. BMI>35;
5. Surgery and mechanical ventilation treatment in the last 2 weeks;
6. Long-term use of sedatives, antidepressants, alcohol or drug abuse, etc.
7. Intraoperative anticholinergic agents such as atropine.

研究实施时间:

Study execute time:

From 2022-04-30 00:00:00 To 2023-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-04-30 00:00:00 To 2023-04-30 00:00:00

干预措施:

Interventions:

组别:

1组

样本量:

80

Group:

Group one

Sample size:

干预措施:

100%吸入氧浓度

干预措施代码:

Intervention:

100% inhalation oxygen concentration

Intervention code:

组别:

2组

样本量:

80

Group:

Group two

Sample size:

干预措施:

40%吸入氧浓度

干预措施代码:

Intervention:

40% inhalation oxygen concentration

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):

海淀 

Country:

China

Province:

Beijing

City:

Haidian

单位(医院):

中国人民解放军空军特色医学中心 

单位级别:

三甲 

Institution
hospital:

Air Force Medical Center, PLA

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后谵妄的发生率

指标类型:

主要指标

Outcome:

Incidence of post-operative delirium

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

呼吸系统并发症

指标类型:

次要指标

Outcome:

Complications of respiratory system

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后认知功能障碍的发生率

指标类型:

次要指标

Outcome:

Incidence of postoperative cognitive dysfunction

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经损伤标志物和炎症指标

指标类型:

次要指标

Outcome:

Neural injury biomarkers and inflammatory parameters

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:

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:

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):

电脑产生随机数字序列

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

random number sequence generated by computer

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:

Blinding:

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):

试验结束半年内,公开于临床原始数据共享平台

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

within 6 months since the end of the study;data will be shared on Resman

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:

数据由课题组专人负责录入,统计分析,完成后公开与共享平台

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

We have one person responsible for the data collection and analysis in our team, and at the end of the trials, data will be shared on platform.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-04-23 11:28:48