神经阻滞量化模型的建立及临床应用研究

注册号:

Registration number:

ChiCTR-INR-17011708 

最近更新日期:

Date of Last Refreshed on:

2017-06-20 12:43:58 

注册时间:

Date of Registration:

2017-06-20 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

神经阻滞量化模型的建立及临床应用研究

Public title:

clinical application and establishment of the quantitative model of nerve block

注册题目简写:

English Acronym:

研究课题的正式科学名称:

神经阻滞量化模型的建立及临床应用研究

Scientific title:

clinical application and establishment of the quantitative model of nerve block

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:

蔡光玉 

研究负责人:

余斌 

Applicant:

Guangyu Cai 

Study leader:

Bin Yu 

申请注册联系人电话:

Applicant telephone:

+86 18801790738

研究负责人电话:

Study leader's
telephone:

+86 13918108880

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:

cgyygc1992@163.com

研究负责人电子邮件:

Study leader's E-mail:

yubin@tongji.edu.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:

中国上海市普陀区新村路389号

研究负责人通讯地址:

中国上海市普陀区新村路389号

Applicant address:

389 Xincun Road, Putuo District, Shanghai, China

Study leader's address:

389 Xincun Road, Putuo District, 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:

上海市同济医院

Applicant's institution:

Tongji Hospital of Shanghai

研究负责人所在单位:

上海市同济医院

Affiliation of the Leader:

Tongji Hospital of Shanghai

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:

394

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:

上海市同济医院伦理委员会

Name of the ethic committee:

Tongji Hospital of Shanghai Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2017-05-03 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:

上海市同济医院

Primary sponsor:

Tongji Hospital of Shanghai

研究实施负责(组长)单位地址:

中国上海市普陀区新村路389号

Primary sponsor's address:

389 Xincun Road, Putuo District, 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):

普陀区

Country:

China

Province:

Shanghai

City:

Putuo District

单位(医院):

上海市同济医院

具体地址:

中国上海市普陀区新村路389号

Institution
hospital:

Tongji Hospital of Shanghai

Address:

389 Xincun Road, Putuo District, Shanghai, China

经费或物资来源:

上海市科学技术委员会

Source(s) of funding:

Science and Technology Commission of Shanghai Municipality

研究疾病:

疼痛  

Target disease:

Pain

研究疾病代码:

M79.681

Target disease code:

M79.681

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

面对逐渐增多的四肢手术患者,针对临床骨科常见的髋膝关节置换术、足踝手术等所采用的连续神经阻滞,我们提出建立全新的符合局麻药药效和药代学的最优化、个体化的神经阻滞量化输注模型,将极大减少局麻药物用量和相关并发症,使神经阻滞向精确化、可控化方向发展。  

Objectives of Study:

With the increase of limb surgery patients, for continuous nerve block of the clinical orthopedic common hip and knee arthroplasty, ankle surgery, we propose to establish a optimized and individualized quantitative infusion model of nerve block corresponding pharmacodynamics and pharmacokinetics of local anesthetics, to greatly reduce the amount of local anesthetic drugs and related complications, so that the nerve block could be accurate and controlled.

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)拒绝参与该试验的病人; (2)有医疗纠纷的病人; (3)有严重心肺疾患的病人; (4)对局部麻醉药物过敏者; (5)心电图有择期手术禁忌; (6)血常规、凝血常规、大便常规、尿常规、肝功能、肾功能、术前病原学等实验室检查有明显异常者; (7)甲肝、乙肝、艾滋病、结核等传染性疾病处于活动期者; (8)病人麻醉穿刺部位皮肤有感染; (9)病人有严重肢体畸形; (10)术前情绪过度紧张者; (11)不能配合麻醉医生和外科医生的要求,有精神疾病者; (12)对疼痛特别敏感的病人; (13)研究者认为不宜参加本临床试验的疾病研究者。

Exclusion criteria:

(1) refused to participate in the test patients;
(2) patients with medical disputes;
(3) with severe heart and lung diseases patients;
(4) to local anesthetic drug allergy;
(5) had elective operation contraindication of ecg;
(6) blood coagulation, urine routine, stool routine, liver function, renal function, preoperative etiology, laboratory examination are obviously abnormal;
(7) hepatitis A, hepatitis B, AIDS, tuberculosis and other infectious diseases in the active stage;
(8) patients anesthesia puncture site skin infection;
(9) patients with severe limb deformities;
(10) preoperative excessive emotional stress;
(11) does not fit the anesthesiologist and surgeon's request, the mentally ill;
(12) are especially sensitive to pain;
(13) researchers think disease research should not participate in the clinical trial.

研究实施时间:

Study execute time:

From 2017-06-01 00:00:00 To 2018-06-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-06-01 00:00:00 To 2018-06-01 00:00:00

干预措施:

Interventions:

组别:

神经鞘膜下注药组

样本量:

10

Group:

subparaneural injection group

Sample size:

干预措施:

神经鞘膜下注药

干预措施代码:

Intervention:

subparaneural injection

Intervention code:

组别:

神经鞘膜外注药组

样本量:

10

Group:

extraparaneural injection group

Sample size:

干预措施:

神经鞘膜外注药

干预措施代码:

Intervention:

extraparaneural injection

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):

普陀区 

Country:

China

Province:

Shanghai

City:

Putuo District

单位(医院):

上海市同济医院 

单位级别:

三级甲等医院 

Institution
hospital:

Tongji Hospital of Shanghai

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

神经阻滞时局麻药用量

指标类型:

主要指标

Outcome:

local anesthetics dosage of neve block

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经阻滞耗时

指标类型:

次要指标

Outcome:

time of motor nerve block

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后镇痛局麻药

指标类型:

次要指标

Outcome:

local anesthetic dosage of postoperative analgesia

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

自控镇痛次数

指标类型:

次要指标

Outcome:

times of patient controlled analgesia

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后静止运动疼痛评分

指标类型:

次要指标

Outcome:

postoperative pain scores of stationary and activity

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

病人满意度评分

指标类型:

次要指标

Outcome:

patient satisfaction scores

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

围术期神经损伤并发症

指标类型:

次要指标

Outcome:

peri-cathetering complications and postoperative nerve injury complications

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 80 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):

计算机软件完全随机分组

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

Completely randomized grouping by Computer software

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):

试验结束后,通过论文形式公开,通过文献索引搜索

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

terminal of this study, pubication by the form of articles, access the data through the paper index

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:

建立临床试验数据库

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

build the clinic trial database

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2017-06-20 12:43:58