苯磺酸瑞马唑仑用于全麻诱导时有效剂量的研究

注册号:

Registration number:

ChiCTR2400079842 

最近更新日期:

Date of Last Refreshed on:

2024-01-15 09:33:08 

注册时间:

Date of Registration:

2024-01-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

苯磺酸瑞马唑仑用于全麻诱导时有效剂量的研究

Public title:

Effective dose for intravenous remimazolam-induced in general anesthesia

注册题目简写:

English Acronym:

研究课题的正式科学名称:

苯磺酸瑞马唑仑用于全麻诱导时有效剂量的研究

Scientific title:

Effective dose for intravenous remimazolam-induced in general anesthesia

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:

黄晓东 

研究负责人:

黄晓东 

Applicant:

Xiaodong Huang 

Study leader:

Xiaodong Huang 

申请注册联系人电话:

Applicant telephone:

+86 15068790428

研究负责人电话:

Study leader's
telephone:

+86 15068790428

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:

15068790428@163.com

研究负责人电子邮件:

Study leader's E-mail:

350236963@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:

浙江省杭州市上城区鲲鹏路369号

研究负责人通讯地址:

鲲鹏路369号

Applicant address:

369 Kunpeng Road, Shangcheng District, Hangzhou, Zhejiang, China

Study leader's address:

369 Kunpeng Road, Shangcheng District, Hangzhou, Zhejiang Province, 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:

杭州市妇产科医院

Applicant's institution:

Hangzhou Women's Hospital

研究负责人所在单位:

杭州市妇产科医院

Affiliation of the Leader:

Hangzhou Women's Hospital

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:

【2023】医伦审A第(155)号

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:

杭州市妇产科医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Hangzhou Obstetrics and Gynecology Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2023-11-24 00:00:00

伦理委员会联系人:

黄飞

Contact Name of the ethic committee:

Huang Fei

伦理委员会联系地址:

鲲鹏路369号

Contact Address of the ethic committee:

369 Kunpeng Road, Shangcheng District, Hangzhou, Zhejiang Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 571 56005074

伦理委员会联系人邮箱:

Contact email of the ethic committee:

601506529@qq.com

研究实施负责(组长)单位:

杭州市妇产科医院

Primary sponsor:

Hangzhou Women's Hospital

研究实施负责(组长)单位地址:

鲲鹏路369号

Primary sponsor's address:

369 Kunpeng Road, Shangcheng District, Hangzhou, Zhejiang Province, 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):

浙江

市(区县):

Country:

China

Province:

Zhejiang

City:

单位(医院):

杭州市妇产科医院

具体地址:

鲲鹏路369号

Institution
hospital:

Hangzhou Women's Hospital

Address:

369 Kunpeng Road, Shangcheng District, Hangzhou, Zhejiang Province, China

经费或物资来源:

自选课题(自筹)

Source(s) of funding:

self-raised

研究疾病:

宫腔镜手术  

Target disease:

hysteroscopic surgery

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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究拟在测定瑞马唑仑在全麻诱导时的半数有效剂量及95%有效剂量,瑞马唑仑的ED50、ED95可为临床提供精准用药依据。瑞马唑仑用于全麻诱导对患者MOAA/S评分,脑电双频指数(bispectral index,BIS)及血流动力学指标的影响,为瑞马唑仑更好的应用于临床提供理论依据。  

Objectives of Study:

In this study, we propose to determine the half effective dose and 95% effective dose of remimazolam during induction of general anesthesia, and the ED50 and ED95 of remimazolam can provide a precise basis for clinical use. The effects of rimazolam on MOAA/S score,patients' bispectral index (BIS) and hemodynamic indices during induction of general anesthesia will provide a theoretical basis for the better clinical application of remimazolam.

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.严重高血压或糖尿病或冠心病 ;
2合并中枢神经系统疾病 ;
3困难气道
4不能或不愿意给予知情同意
5 BMI值≥30
6在术前2h内接受镇静类药物;
7对苯二氮卓类类药物过敏的任何禁忌症。
8精神分裂症患者,严重抑郁患者,重症肌无力患者。

Exclusion criteria:

1. Severe hypertension or diabetes or coronary heart disease
2 combined with central nervous system disease
3. Difficult airway
4. Inability or unwillingness to give informed consent
5 BMI ≥30
6 Received sedative drugs within 2 hours before surgery
7 Any contraindications to allergy to benzodiazepines
8 Patients with schizophrenia, severe depression, and myasthenia gravis.

研究实施时间:

Study execute time:

From 2024-02-01 00:00:00 To 2024-03-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-02-01 00:00:00 To 2024-03-31 00:00:00

干预措施:

Interventions:

组别:

瑞马唑仑0.1mg/kg组

样本量:

25

Group:

Group R(Remimazolam 0.1mg/kg)

Sample size:

干预措施:

全麻诱导时静脉给予瑞马唑仑0.1mg/kg

干预措施代码:

Intervention:

Remazolam was administered intravenously at 0.1mg/kg during induction of general anesthesia

Intervention code:

组别:

瑞马唑仑0.2mg/kg组

样本量:

25

Group:

Group R(Remimazolam 0.2mg/kg)

Sample size:

干预措施:

全麻诱导时静脉给予瑞马唑仑0.2mg/kg

干预措施代码:

Intervention:

Remazolam was administered intravenously at 0.2mg/kg during induction of general anesthesia

Intervention code:

组别:

瑞马唑仑0.3mg/kg组

样本量:

25

Group:

Group R(Remimazolam 0.3mg/kg)

Sample size:

干预措施:

全麻诱导时静脉给予瑞马唑仑0.3mg/kg

干预措施代码:

Intervention:

Remazolam was administered intravenously at 0.3mg/kg during induction of general anesthesia

Intervention code:

组别:

瑞马唑仑0.4mg/kg组

样本量:

25

Group:

Group R(Remimazolam 0.4mg/kg)

Sample size:

干预措施:

全麻诱导时静脉给予瑞马唑仑0.4mg/kg

干预措施代码:

Intervention:

Remazolam was administered intravenously at 0.4mg/kg during induction of general anesthesia

Intervention code:

组别:

芬太尼1ug/kg+瑞马唑仑0.1mg/kg组

样本量:

25

Group:

Group F+R(Fentanyl 1ug/kg+ remazolam 0.1mg/kg)

Sample size:

干预措施:

全麻诱导时先静脉给芬太尼1ug/kg,再给予瑞马唑仑0.1mg/kg

干预措施代码:

Intervention:

General anesthesia was induced by intravenous fentanyl 1ug/kg, followed by remazolam 0.1mg/kg

Intervention code:

组别:

芬太尼1ug/kg+瑞马唑仑0.2mg/kg组

样本量:

25

Group:

Group F+R(Fentanyl 1ug/kg+ remazolam 0.2mg/kg)

Sample size:

干预措施:

全麻诱导时先静脉给芬太尼1ug/kg,再给予瑞马唑仑0.2mg/kg

干预措施代码:

Intervention:

General anesthesia was induced by intravenous fentanyl 1ug/kg, followed by remazolam 0.2mg/kg

Intervention code:

组别:

芬太尼1ug/kg+瑞马唑仑0.3mg/kg组

样本量:

25

Group:

Group F+R(Fentanyl 1ug/kg+ remazolam 0.3mg/kg)

Sample size:

干预措施:

全麻诱导时先静脉给芬太尼1ug/kg,再给予瑞马唑仑0.3mg/kg

干预措施代码:

Intervention:

General anesthesia was induced by intravenous fentanyl 1ug/kg, followed by remazolam 0.3mg/kg

Intervention code:

组别:

芬太尼1ug/kg+瑞马唑仑0.4mg/kg组

样本量:

25

Group:

Group F+R(Fentanyl 1ug/kg+ remazolam 0.4mg/kg)

Sample size:

干预措施:

全麻诱导时先静脉给芬太尼1ug/kg,再给予瑞马唑仑0.4mg/kg

干预措施代码:

Intervention:

General anesthesia was induced by intravenous fentanyl 1ug/kg, followed by remazolam 0.4mg/kg

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

杭州市妇产科医院 

单位级别:

三级甲等 

Institution
hospital:

Hangzhou Women's Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

改良镇静评分 (MOAA/S)

指标类型:

主要指标

Outcome:

Modified Observer's Assessment of Alertness/Sedation (MOAA/S)

Type:

Primary indicator

测量时间点:

全麻诱导开始后5分钟内

测量方法:

评估改良镇静评分 (MOAA/S)

Measure time point of outcome:

within the initial 5 minutes following intravenous remimazolam

Measure method:

Assessment of Improved Sedation Score (MOAA/S)

指标中文名:

BIS脑电双频指数

指标类型:

主要指标

Outcome:

BIS: bispectral index

Type:

Primary indicator

测量时间点:

全麻诱导开始后5分钟内

测量方法:

测量BIS

Measure time point of outcome:

within the initial 5 minutes following intravenous remimazolam

Measure method:

Measuring bispectral index

指标中文名:

血压

指标类型:

次要指标

Outcome:

Blood pressure

Type:

Secondary indicator

测量时间点:

全麻诱导开始后5分钟内

测量方法:

测量血压

Measure time point of outcome:

within the initial 5 minutes following intravenous remimazolam

Measure method:

Take blood pressure

指标中文名:

呼吸抑制

指标类型:

次要指标

Outcome:

respiratory depression

Type:

Secondary indicator

测量时间点:

全麻诱导开始后5分钟内

测量方法:

当观察到呼吸频率低于每分钟10次呼吸超过1分钟或SpO2下降至90%以下时,符合呼吸抑制的标准

Measure time point of outcome:

within the initial 5 minutes following intravenous remimazolam

Measure method:

The criteria for identifying respiratory depression were met when the respiratory rate fell below 10 breaths per minute for more than 1 minute and/or a decrease in SpO2 to less than 90% was observed

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 60 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

利用计算机生成的随机数软件(Microsoft Excel, Redmond, Washington)进行了随机化过程。

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

using a computationally-generated random number sheet

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:

双盲(对受试者和研究者均隐藏分组)

Blinding:

Double blind

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):

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

no

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:

Excel表格

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

Exce table

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2024-01-15 09:32:30