艾司氯胺酮静脉麻醉在老年短小手术中的应用研究

注册号:

Registration number:

ChiCTR2300069175 

最近更新日期:

Date of Last Refreshed on:

2023-07-05 17:47:36 

注册时间:

Date of Registration:

2023-03-08 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

艾司氯胺酮静脉麻醉在老年短小手术中的应用研究

Public title:

Application of Esketamine intravenous anesthesia in elderly patients undergoing minor surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

艾司氯胺酮静脉麻醉减少老年短小手术低氧血症的发生

Scientific title:

Esketamine intravenous anesthesia reduces the incidence of hypoxemia in elderly patients undergoing minor 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:

殷欣 

研究负责人:

殷欣 

Applicant:

YIN Xin 

Study leader:

YIN Xin 

申请注册联系人电话:

Applicant telephone:

+86 133 9111 3529

研究负责人电话:

Study leader's
telephone:

+86 133 9111 3529

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:

yinxin__2007@126.com

研究负责人电子邮件:

Study leader's E-mail:

yinxin__2007@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:

中国上海静安延安西路221号复旦大学附属华东医院麻醉科

研究负责人通讯地址:

中国上海静安延安西路221号

Applicant address:

221 West Yan'an Road, Jing'an, Shanghai, China

Study leader's address:

221 West Yan'an Road, Jing'an, Shanghai, 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:

复旦大学附属华东医院

Applicant's institution:

Huadong Hospital Affiliated to Fudan University

研究负责人所在单位:

复旦大学附属华东医院

Affiliation of the Leader:

Huadong Hospital Affiliated to Fudan 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:

2022K236

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:

复旦大学附属华东医院伦理委员会

Name of the ethic committee:

Ethics Committee of East China Hospital Affiliated to Fudan University

伦理委员会批准日期:

Date of approved by ethic committee:

2022-11-15 00:00:00

伦理委员会联系人:

沙颖豪

Contact Name of the ethic committee:

SHA Yinghao

伦理委员会联系地址:

中国上海静安延安西路168号 309室

Contact Address of the ethic committee:

Room 309, 168 west Yan'an road, Jing'an, Shanghai, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 62483180 720322

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:

复旦大学附属华东医院

Primary sponsor:

Huadong Hospital Affiliated to Fudan University

研究实施负责(组长)单位地址:

中国上海静安延安西路221号

Primary sponsor's address:

221 West Yan'an Road, Jing'an, Shanghai, 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):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属华东医院

具体地址:

静安延安西路221号

Institution
hospital:

Huadong Hospital Affiliated to Fudan University

Address:

221 West Yan'an Road, Jing'an, Shanghai, China

经费或物资来源:

中国红十字基金会医学赋能公益专项基金 “医学赋能及人才培养计划”临床科研项目

Source(s) of funding:

China Red Cross Foundation Medical Empowerment Public Welfare Special Fund ' Medical Empowerment and Talent Training Program ' Clinical Research Project

研究疾病:

术中低氧血症  

Target disease:

Intraoperative hypoxemia

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:

本研究将艾司氯胺酮应用于老年患者的静脉麻醉,观察呼吸抑制和低氧血症的发生情况,比较艾司氯胺酮与阿片类药物对呼吸的影响,从而进一步寻求可靠有效而又安全的静脉麻醉方式,为提高老年患者围术期安全提供新方法。  

Objectives of Study:

In this study, Esketamine was applied to the intravenous anesthesia of elderly patients, to observe the occurrence of respiratory depression and hypoxemia, and to compare the effects of Esketamine and opioid drugs on respiration, so as to further seek reliable, effective and safe intravenous anesthesia, and provide a new method to improve the perioperative safety of 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)过去6个月内有心肌梗死和不稳定型心绞痛病史;
(2)有严重心律失常、急性咽炎和扁桃体炎病史;
(3)肺炎或不吸氧脉搏血氧饱和度(SPO2)<90%;
(4)严重阻塞性睡眠呼吸暂停综合征;
(5)对异丙酚、鸡蛋、大豆或白蛋白过敏;
(6)不同意签署知情同意书。

Exclusion criteria:

(1) Have a history of myocardial infarction and unstable angina pectoris in the past 6 months;
(2) Have a history of severe arrhythmia, acute pharyngitis and tonsillitis;
(3) Pneumonia or non-oxygen pulse blood oxygen saturation (SPO2)<90%;
(4) Severe obstructive sleep apnea syndrome;
(5) Allergies to propofol, eggs, soy or albumin;
(6) Do not agree to sign the informed consent form.

研究实施时间:

Study execute time:

From 2023-01-01 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-03-01 00:00:00 To 2024-06-30 00:00:00

干预措施:

Interventions:

组别:

艾司氯胺酮组

样本量:

45

Group:

Esketamine group

Sample size:

干预措施:

艾司氯胺酮

干预措施代码:

Intervention:

Esketamine

Intervention code:

组别:

对照组

样本量:

45

Group:

Control group

Sample size:

干预措施:

静脉注射舒芬太尼(5-10μg)、异丙酚(1-1.5 mg/kg)诱导麻醉。

干预措施代码:

Intervention:

Intravenous sufentanil (5-10 μ g) Propofol (1-1.5 mg/kg) induced anesthesia.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属华东医院 

单位级别:

三级甲等 

Institution
hospital:

Huadong Hospital Affiliated to Fudan University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

血氧饱和度

指标类型:

主要指标

Outcome:

Blood 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:

严重低氧血症的发生率

指标类型:

次要指标

Outcome:

Incidence of severe hypoxemia

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低氧血症持续时间

指标类型:

次要指标

Outcome:

Duration of hypoxemia

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

最低血氧饱和度

指标类型:

次要指标

Outcome:

lowest oxygen saturation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

紧急气道管理的比例

指标类型:

次要指标

Outcome:

Proportion of emergency airway management

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

手术时间

指标类型:

次要指标

Outcome:

Operation time

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

恢复时间

指标类型:

次要指标

Outcome:

recovery time

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

麻醉师和手术医生的满意度

指标类型:

次要指标

Outcome:

Satisfaction of anesthesiologists and surgeons

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良事件

指标类型:

次要指标

Outcome:

adverse event

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:

组织:

Sample Name:

No specimen

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 65 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):

本研究采用随机对照试验方法,按照随机原则对所有受试者进行分组,每组45名患者,共90名患者。随机数由不知晓分组情况的统计人员通过计算机生成随机数分配列表,以1:1的比例,将纳入患者随机分配到研究组(艾司氯胺酮组)或对照组(常规麻醉组),完成对参加研究患者的分组。随机化的结果由不参与本研究的人员密封入不透明信封中。

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

In this study, all subjects were randomly divided into 45 patients in each group, with a total of 90 patients. The random number was generated by a computer by a statistician who did not know the grouping situation. The random number distribution list was generated by a computer. In a 1 : 1 ratio, the included patients were randomly assigned to the study group ( esketamine group ) or the control group ( conventional anesthesia group ) to complete the grouping of patients participating in the study. The results of randomization were sealed into opaque envelopes by people who were not involved in this study.

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:

NA

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):

复旦大学附属华东医院

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

Huadong Hospital Affiliated to Fudan University

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:

复旦大学附属华东医院

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

Huadong Hospital Affiliated to Fudan University

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-03-08 16:54:06