基础护理操作对高血压脑出血患者颅内压及脑灌注压影响的变化趋势

注册号:

Registration number:

ChiCTR2300068391 

最近更新日期:

Date of Last Refreshed on:

2023-08-13 10:35:52 

注册时间:

Date of Registration:

2023-02-17 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

基础护理操作对高血压脑出血患者颅内压及脑灌注压影响的变化趋势

Public title:

Influence of basic nursing operation on intracranial pressure and cerebral perfusion pressure in patients with hypertensive cerebral hemorrhage

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基础护理操作对高血压脑出血患者颅内压及脑灌注压影响的变化趋势

Scientific title:

Influence of basic nursing operation on intracranial pressure and cerebral perfusion pressure in patients with hypertensive cerebral hemorrhage

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:

成杰 

研究负责人:

王钰涵;成杰 

Applicant:

Cheng Jie 

Study leader:

Wang Yuhan; Cheng Jie 

申请注册联系人电话:

Applicant telephone:

+86 153 8305 5059

研究负责人电话:

Study leader's
telephone:

+86 153 8305 5059

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:

chengjie9655@126.com

研究负责人电子邮件:

Study leader's E-mail:

chengjie9655@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:

河北省唐山市路北区建设南路73号

研究负责人通讯地址:

河北省唐山市路北区建设南路73号

Applicant address:

73 Jianshe Road South, Lubei District, Tangshan, Hebei, China

Study leader's address:

73 Jianshe Road South, Lubei District, Tangshan, Hebei, China

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:

华北理工大学附属医院

Applicant's institution:

Affiliated Hospital of North China University of Science and Technology

研究负责人所在单位:

华北理工大学;华北理工大学附属医院

Affiliation of the Leader:

North China University of Science and Technology; Affiliated Hospital of North China University of Science and Technology

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:

2021092

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:

华北理工大学医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of North China University of Science and Technology

伦理委员会批准日期:

Date of approved by ethic committee:

2021-07-08 00:00:00

伦理委员会联系人:

张福成

Contact Name of the ethic committee:

Zhang Fucheng

伦理委员会联系地址:

河北省唐山市曹妃甸新城渤海大道21号

Contact Address of the ethic committee:

21 Bohai Avenue, New Town, Caofeidian District, Tangshan, Hebei

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:

华北理工大学

Primary sponsor:

North China University of Science and Technology

研究实施负责(组长)单位地址:

河北省唐山市曹妃甸区新城渤海大道21号

Primary sponsor's address:

21 Bohai Avenue, New Town, Caofeidian District, Tangshan, Hebei

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

河北省

市(区县):

唐山市

Country:

China

Province:

Hebei

City:

Tangshan

单位(医院):

华北理工大学

具体地址:

曹妃甸区新城渤海大道21号

Institution
hospital:

North China University of Science and Technology

Address:

21 Bohai Avenue, New Town, Caofeidian District

经费或物资来源:

华北理工大学

Source(s) of funding:

North China University of Science and Technology

研究疾病:

出血性脑卒中  

Target disease:

Hemorrhagic stroke

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:

1.探讨不同护理操作对高血压脑出血患者的颅内压、脑灌注压、血压、心率、呼吸及血氧饱和度的影响。 2.分析高血压脑出血患者在进行不同护理操作前、中、后颅内压、脑灌注压、血压、心率、呼吸及血氧饱和度的变化趋势。 3.研究床头抬高不同角度翻身拍背对患者颅内压、脑灌注压及生命体征的影响。  

Objectives of Study:

1. To explore the effects of different nursing operations on intracranial pressure, cerebral perfusion pressure, blood pressure, heart rate, respiration and blood oxygen saturation of patients with hypertensive intracerebral hemorrhage. 2. The changes of intracranial pressure, cerebral perfusion pressure, blood pressure, heart rate, respiration and blood oxygen saturation in patients with hypertensive intracerebral hemorrhage before, during and after different nursing operations were analyzed. 3. To study the effects of raising the head of a bed at different angles on patients' intracranial pressure, cerebral perfusion pressure and vital signs.

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.有严重的心肺功能障碍; 2.病情出现恶化,实施抢救。

Exclusion criteria:

1. Severe cardiopulmonary dysfunction; 2. The condition deteriorated and rescue was implemented.

研究实施时间:

Study execute time:

From 2021-09-01 00:00:00 To 2023-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-09-01 00:00:00 To 2023-04-30 00:00:00

干预措施:

Interventions:

组别:

吸痰操作组

样本量:

69

Group:

Sputum suction operation Group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

翻身拍背组

样本量:

65

Group:

Turn back patting Group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

穿刺次数(动脉采血)

样本量:

65

Group:

The number of punctures (Arterial blood sampling)

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

穿刺次数(静脉采血)

样本量:

65

Group:

The number of punctures (Venous blood collection)

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

床上擦浴组

样本量:

65

Group:

Bathing in bed Group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

口腔护理组

样本量:

65

Group:

Oral care Group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

会阴部护理组

样本量:

65

Group:

Perineal care Group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

膀胱冲洗组

样本量:

65

Group:

Bladder irrigation Group

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

翻身和床头抬高组

样本量:

36

Group:

Turning over operation and elevating the head of the bed 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):

河北省 

市(区县):

唐山市 

Country:

China

Province:

Hebei

City:

Tangshan

单位(医院):

华北理工大学附属医院 

单位级别:

三级甲等 

Institution
hospital:

North China University of Science and Technology Affiliated Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

颅内压(ICP)

指标类型:

主要指标

Outcome:

intracranial pressure, ICP

Type:

Primary indicator

测量时间点:

测量方法:

应用法国索菲萨公司生产的ICP监护仪(型号:PSO-4000)记录患者ICP,其主体装置包括脑室型颅内压监测探头和颅内压监护仪,探头的尖端含有一个矽制压力测压传感器。手术中医生将脑室型颅内压监测探头置入侧脑室调零。回监护病房后将颅内压探头外露端与ICP监护仪相连接,通过探头连接线将压力信号传输至ICP监护仪,打开ICP监护仪,读取ICP监护仪屏幕显示数值,即ICP实时数据。

Measure time point of outcome:

Measure method:

ICP was recorded by ICP monitor (model: PSO-4000) produced by Sofissa, France. The main device included a ventricular intracranial pressure monitoring probe and intracranial pressure monitor, the tip of which contained a silicon pressure transducer. During the operation, the doctor placed the intraventricular intracranial

指标中文名:

脑灌注压(CPP)

指标类型:

主要指标

Outcome:

Cerebral perfusion pressure, CPP

Type:

Primary indicator

测量时间点:

测量方法:

CPP=MAP-ICP

Measure time point of outcome:

Measure method:

CPP=MAP-ICP

指标中文名:

平均动脉压(MAP)

指标类型:

次要指标

Outcome:

Mean arterial pressure, MAP

Type:

Secondary indicator

测量时间点:

测量方法:

应用深圳迈瑞生物医疗电子股份有限公司生产的心电监护仪(型号:CM-33130218)记录患者的MAP。

Measure time point of outcome:

Measure method:

The MAP of patients was recorded by the ECG monitor (model: CM-33130218) produced by Shenzhen Mindray Biomedical Electronics Co., LTD.

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:

应用深圳迈瑞生物医疗电子股份有限公司生产的心电监护仪(型号:CM-33130218)记录患者的HR。具体操作方法:护士取酒精棉球擦拭患者相应部位待干后安装电极,具体位置如下:RA极—右锁骨中线第二肋间,LA电极—左锁骨中线第二肋间,LL电极-左锁骨中线第五、六肋间,RL电极-右锁骨中线第五、六肋间。连接心电监护仪,读取心电监护仪屏幕HR显示的数值,即HR实时数据。

Measure time point of outcome:

Measure method:

The HR of patients was recorded by the ECG monitor (model: CM-33130218) produced by Shenzhen Mindray Biomedical Electronics Co., LTD. Specific operation method: the nurse took alcohol cotton ball to wipe the corresponding part of the patient and installed the electrode after drying

指标中文名:

血氧饱和度

指标类型:

次要指标

Outcome:

Oxygen saturation

Type:

Secondary indicator

测量时间点:

测量方法:

应用深圳迈瑞生物医疗电子股份有限公司生产的心电监护仪(型号:CM-33130218)记录患者的SpO2。具体操作方法:将SPO2传感器置于患者食指上,红外线光源对准指甲(常选食、中指;红外线光源对准指甲);连接心电监护仪,读取心电监护仪屏幕SpO2显示的数值,即SpO2实时数据。

Measure time point of outcome:

Measure method:

The SpO2 of patients was recorded by the ECG monitor (model: CM-33130218) produced by Shenzhen Mindray Biomedical Electronics Co., LTD. The SPO2 sensor was placed on the index finger of the patient, and the infrared light source was directed at the nail (usually selected food, middle finger.

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

No

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

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 78 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):

不适用

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

Not applicable

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:

none

Blinding:

none

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):

临床试验公共管理平台 http://www.medresman.org.cn

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

Clinical Trial Management Public Platform http://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:

采集数据用excle表录入保存,自数据收集完毕之日起保存3年

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

The collected data was recorded and saved in EXCle table for 3 years from the date of data collection.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-02-17 08:41:06