椎旁神经阻滞应用于儿童胸腔镜纵隔肿瘤手术的安全有效性及对术后恢复质量的研究

注册号:

Registration number:

ChiCTR2400083377 

最近更新日期:

Date of Last Refreshed on:

2025-08-15 17:46:26 

注册时间:

Date of Registration:

2024-04-23 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

椎旁神经阻滞应用于儿童胸腔镜纵隔肿瘤手术的安全有效性及对术后恢复质量的研究

Public title:

Study on the safety and effectiveness of paravertebral nerve block in thoracoscopic mediastinal tumor surgery in children and the quality of postoperative recovery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

椎旁神经阻滞应用于儿童胸腔镜纵隔肿瘤手术的安全有效性及对术后恢复质量的研究

Scientific title:

Study on the safety and effectiveness of paravertebral nerve block in thoracoscopic mediastinal tumor surgery in children and the quality of postoperative recovery

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:

孙岚 

研究负责人:

张建敏 

Applicant:

Sun Lan 

Study leader:

Zhang Jianmin 

申请注册联系人电话:

Applicant telephone:

+86 152 1037 7512

研究负责人电话:

Study leader's
telephone:

+86 133 7011 5019

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:

sunlan@mail.ccmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

sunlan@mail.ccmu.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:

北京市西城区南礼士路56号

研究负责人通讯地址:

北京市西城区南礼士路56号

Applicant address:

56 Nanlishi Road, Xicheng District, Beijing

Study leader's address:

56 Nanlishi Road, Xicheng District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100045

研究负责人邮政编码:

Study leader's postcode:

100045

申请人所在单位:

首都医科大学附属北京儿童医院

Applicant's institution:

Beijing Children's Hospital, Capital Medical University

研究负责人所在单位:

首都医科大学附属北京儿童医院

Affiliation of the Leader:

Beijing Children's Hospital, Capital Medical 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:

[2024]-Y-072-D

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:

首都医科大学附属北京儿童医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Beijing Children's Hospital Affiliated to Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-26 00:00:00

伦理委员会联系人:

张怡

Contact Name of the ethic committee:

Zhang Yi

伦理委员会联系地址:

北京市西城区南礼士路56号

Contact Address of the ethic committee:

56 Nanlishi Road, Xicheng District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 5961 6083

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:

首都医科大学附属北京儿童医院

Primary sponsor:

Beijing Children's Hospital, Capital Medical University

研究实施负责(组长)单位地址:

北京市西城区南礼士路56号

Primary sponsor's address:

56 Nanlishi Road, Xicheng District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市/西城区

市(区县):

北京市/西城区

Country:

China

Province:

Beijing

City:

/

单位(医院):

首都医科大学附属北京儿童医院

具体地址:

北京市西城区南礼士路56号

Institution
hospital:

Beijing Children's Hospital, Capital Medical University

Address:

56 Nanlishi Road, Xicheng District, Beijing

经费或物资来源:

Source(s) of funding:

None

研究疾病:

纵隔肿瘤  

Target disease:

Mediastinal tumor

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:

探究全麻联合椎旁神经阻滞在小儿胸腔镜下纵隔肿瘤切除术中的应用价值。 (1) 分析椎旁神经阻滞在小儿胸腔镜纵隔肿瘤手术中应用的安全有效性 (2) 分析椎旁神经阻滞对小儿纵隔肿瘤术后恢复质量的影响  

Objectives of Study:

To explore the application value of general anesthesia combined with paravertebral nerve block in thoracoscopic mediastinal tumor resection in children Be worth. (1) To analyze the safety and effectiveness of paravertebral nerve block in thoracoscopic mediastinal tumor surgery in children (2) To analyze the effect of paravertebral nerve block on postoperative recovery quality of mediastinal tumors in children

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法定监护人拒绝参与此项研究; ②术后带管返回 PICU 的患儿; ③中转开胸患儿; ④胸廓畸形患儿; ⑤经历过多次手术的患儿; ⑥发育迟缓的、无法进行语言交流的患儿; ⑦穿刺部位有感染或破溃的患儿; ⑧凝血功能异常的患儿。

Exclusion criteria:

1 The legal guardian refuses to participate in the study; 2 Children who returned to PICU with tube after operation; 3 Children with thoracotomy; 4 Children with thoracic malformations; 5 Children who have undergone multiple operations; 6 children who are developmentally delayed and unable to communicate with language; 7 Children with infection or rupture at the puncture site; 8 Children with abnormal coagulation function.

研究实施时间:

Study execute time:

From 2024-04-23 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-05-21 00:00:00 To 2025-12-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

60

Group:

TPVB group

Sample size:

干预措施:

椎旁阻滞

干预措施代码:

Intervention:

Thoracic paravertebral block

Intervention code:

组别:

对照组

样本量:

60

Group:

GA group

Sample size:

干预措施:

干预措施代码:

Intervention:

none

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京市/西城区 

市(区县):

北京市/西城区 

Country:

China

Province:

Beijing

City:

/

单位(医院):

首都医科大学附属北京儿童医院 

单位级别:

三甲 

Institution
hospital:

Beijing Children's Hospital, Capital Medical University

Level of the institution:

Class A tertiary hospital

测量指标:

Outcomes:

指标中文名:

术后24h疼痛评分

指标类型:

主要指标

Outcome:

24h pain intensity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后各时间点疼痛评分

指标类型:

次要指标

Outcome:

Postoperative pain scores at each time point

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中瑞芬太尼用量

指标类型:

次要指标

Outcome:

Intraoperative remifentanil dosage

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后按压镇痛泵总量

指标类型:

次要指标

Outcome:

Total amount of analgesic pump pressed after surgery

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

追加舒芬太尼次数及用量

指标类型:

次要指标

Outcome:

The number and dosage of additional sufentanyl

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

恢复质量QoR-15

指标类型:

次要指标

Outcome:

Recovery quality QoR-15

Type:

Secondary indicator

测量时间点:

术后24h、48h、72h

测量方法:

Measure time point of outcome:

24h, 48h, 72h after surgery

Measure method:

指标中文名:

苏醒时间

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:

术中血流动力学指标

指标类型:

副作用指标

Outcome:

Intraoperative hemodynamic indexes

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后拔管时间

指标类型:

次要指标

Outcome:

Postoperative extubation 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:

PACU 停留时间

指标类型:

次要指标

Outcome:

PACU stay 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:

苏醒评分

指标类型:

次要指标

Outcome:

Wake score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

谵妄评分

指标类型:

次要指标

Outcome:

Delirium score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后护理满意度评分

指标类型:

附加指标

Outcome:

Postoperative nursing satisfaction score

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后活动时间

指标类型:

附加指标

Outcome:

Postoperative activity time

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后进食时间

指标类型:

附加指标

Outcome:

Postoperative feeding time

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

拔除胸引管时间

指标类型:

次要指标

Outcome:

Time to remove the chest drain

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后住院时间

指标类型:

附加指标

Outcome:

Postoperative hospital stay

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院费用

指标类型:

附加指标

Outcome:

Hospitalization expenses

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阻滞并发症::穿刺部位出血或血肿、椎旁间隙出血、气 胸、局麻药中毒

指标类型:

副作用指标

Outcome:

Block complications: puncture site bleeding or hematoma, paravertebral space bleeding, pneumothorax, local anesthetic poisoning

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

药物并发症:恶心呕吐等

指标类型:

副作用指标

Outcome:

Drug complications: nausea and vomiting

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

其他并发症指标: PACU 低氧血症(SpO2≤95%)发生率、术后谵妄发生率、术后肺不张 等肺部并发症情况

指标类型:

副作用指标

Outcome:

Other complication indicators: PACU hypoxemia (SpO2≤95%) incidence, postoperative delirium incidence, postoperative pulmonary complications such as atriotasis

Type:

Adverse events

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:

不采集标本

组织:

Sample Name:

none

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 4 years
最大 Max age 12 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):

有电脑产生随机数字进行分组

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

A computer generates random numbers to group them

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:

未说明

Blinding:

Not stated

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):

原始数据采用纸质版记录并存入首都医科大学附属北京儿童医院麻醉科

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

The original data were recorded in paper version and stored in Department of Anesthesiology, Beijing Children's Hospital Affiliated to Capital Medical 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:

原始数据采集使用CRF表,数据管理归研究者进行管理

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

CRF table was used for original data collection, and data management was managed by researchers

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2024-04-23 11:54:28