甲强龙抑制肥大细胞脱颗粒对老年患者术后认知功能障碍的影响

注册号:

Registration number:

ChiCTR-IPR-17013049 

最近更新日期:

Date of Last Refreshed on:

2017-10-19 23:33:23 

注册时间:

Date of Registration:

2017-10-19 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

甲强龙抑制肥大细胞脱颗粒对老年患者术后认知功能障碍的影响

Public title:

Effects of via methylprednisolone inhibits mast cell degranulation on postoperative cognitive dysfunction in elderly patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

甲强龙抑制肥大细胞脱颗粒对老年患者术后认知功能障碍的影响

Scientific title:

Effects of via methylprednisolone inhibits mast cell degranulation on postoperative cognitive dysfunction in elderly patients

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:

李安超 

研究负责人:

刘文捷 

Applicant:

Li Anchao 

Study leader:

Liu Wenjie 

申请注册联系人电话:

Applicant telephone:

+86 15096011866

研究负责人电话:

Study leader's
telephone:

+86 13037344744

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:

908691674@qq.com

研究负责人电子邮件:

Study leader's E-mail:

149144040@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:

湖南省衡阳市石鼓区船山路69号

研究负责人通讯地址:

湖南省衡阳市石鼓区船山路69号

Applicant address:

69 Chuanshan Road, Shigu District, Hengyang, Hu'nan, China

Study leader's address:

69 Chuanshan Road, Shigu District, Hengyang, Hu'nan, 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:

南华大学附属第一医院

Applicant's institution:

The First Affiliated Hospital,University of South China

研究负责人所在单位:

南华大学附属第一医院

Affiliation of the Leader:

The First Affiliated Hospital,University of South China

是否获伦理委员会批准:

Approved by ethic committee:

No

伦理委员会批件文号:

Approved No. of ethic committee:

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

Name of the ethic committee:

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 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:

南华大学附属第一医院

Primary sponsor:

The First Affiliated Hospital, University of South China

研究实施负责(组长)单位地址:

湖南省衡阳市石鼓区船山路69号

Primary sponsor's address:

69 Chuanshan Road, Shigu District, Hengyang, Hu'nan, 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):

湖南

市(区县):

衡阳

Country:

China

Province:

Hu'nan

City:

Hengyang

单位(医院):

南华大学附属第一医院

具体地址:

湖南省衡阳市石鼓区船山路69号

Institution
hospital:

The First Affiliated Hospital, University of South China

Address:

69 Chuanshan Road, Shigu District, Hengyang, Hu'nan, China

经费或物资来源:

自费

Source(s) of funding:

Private expenses

研究疾病:

术后认知功能障碍  

Target disease:

postoperative cognitive dysfunction

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:

上市后药物 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

观察甲强龙对择期行结直肠癌根治术老年患者的影响,探索其对肥大细胞脱颗粒可能的影响机制,为POCD辅助治疗提供了新的独特治疗靶点。  

Objectives of Study:

To observe the effect of methylprednisolone on the elderly patients undergoing elective radical resection for colorectal cancer, and to explore the possible mechanism of mast cell degranulation, and provide a new and unique target for the treatment of POCD.

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)肺、肝、肾重要器官功能不全者;
2)既往有甲强龙或者配方中的任何成分过敏的患者;
3)近三个月有麻醉手术史;
4)既往有精神疾病史,长期服用抗焦虑、抗抑郁药者;
5)术前MoCA检查证实存在认知功能障碍者;
6)文盲,听说读写能力障碍者;
7)有明显症状的某些感染性疾病,或有明显症状的某些病毒性疾病;
8)无法与患者及法定代理人交流或者进行术后随访。

Exclusion criteria:

1) Lung, liver, kidney vital organs dysfunction;
2) Patients who have had allergy in the case of a strong dragon or formula;
3) The history of anesthesia surgery in the past three months;
4) Previous history of mental illness, long-term use of anti-anxiety, antidepressants;
5) Preoperative MoCA examination confirmed the existence of cognitive dysfunction;
6) Illiteracy, hearing and speaking disabilities;
7) Certain infectious diseases with obvious symptoms, or certain viral diseases with obvious symptoms;
8) Can not communicate with patients and legal agents or follow-up after surgery.

研究实施时间:

Study execute time:

From 2017-11-13 00:00:00 To 2018-03-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-11-13 00:00:00 To 2018-03-31 00:00:00

干预措施:

Interventions:

组别:

M组

样本量:

50

Group:

M group

Sample size:

干预措施:

术前静脉注射甲强龙

干预措施代码:

Intervention:

Preoperative intravenous injection of methylprednisolone

Intervention code:

组别:

C组

样本量:

50

Group:

C group

Sample size:

干预措施:

术前静脉注射等量生理盐水

干预措施代码:

Intervention:

Preoperative intravenous injection of the same amount of saline

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖南 

市(区县):

衡阳 

Country:

China

Province:

Hu'nan

City:

Hengyang

单位(医院):

南华大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital,University of South China

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

湖南 

市(区县):

衡阳 

Country:

China

Province:

Hu'nan

City:

Hengyang

单位(医院):

南华大学附属第二医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital,University of South China

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

术后认知功能障碍发生率

指标类型:

主要指标

Outcome:

Incidence of postoperative cognitive dysfunction

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

MoCA评分

指标类型:

主要指标

Outcome:

MoCA 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:

MMSE评分

指标类型:

主要指标

Outcome:

MMSE 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:

Cog-12评分

指标类型:

主要指标

Outcome:

Cog-12 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:

WAIS评分

指标类型:

主要指标

Outcome:

WAIS 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:

补体C3

指标类型:

主要指标

Outcome:

Complement C3

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

补体C5

指标类型:

主要指标

Outcome:

Complement C5

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

5-羟色胺

指标类型:

主要指标

Outcome:

5-HT

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肿瘤坏死因子-α

指标类型:

主要指标

Outcome:

TNF-α

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

S100β

指标类型:

主要指标

Outcome:

S100β

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经元特异性烯醇化酶

指标类型:

主要指标

Outcome:

NSE

Type:

Primary 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 65 years
最大 Max age 75 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):

计算机软件生成随机数字表

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

computer-generated sequence of numbers

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

1.评估人员与分析人员不知道患者接受何种方案;2.患者及其法定代理人不知道具体分组情况。

Blinding:

1.Neurocognitive evaluators and data analyzers are blind to the treatment plan;2.Patiens and their legal representative are blind to the grouping.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

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):

ResMan临床试验公共管理平台

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

Clinical Trial Management Public Platform

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:

ResMan临床试验公共管理平台

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

Clinical Trial Management Public Platform

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2017-10-19 23:33:23