围术期经皮穴位电刺激对腹腔镜胃癌根治术患者术后疲劳综合征和免疫功能的影响

注册号:

Registration number:

ChiCTR2400092117 

最近更新日期:

Date of Last Refreshed on:

2024-11-11 10:20:08 

注册时间:

Date of Registration:

2024-11-11 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

围术期经皮穴位电刺激对腹腔镜胃癌根治术患者术后疲劳综合征和免疫功能的影响

Public title:

The effect of perioperative percutaneous acupoint electrical stimulation on postoperative fatigue syndrome and immune function in patients undergoing laparoscopic radical gastrectomy for gastric cancer

注册题目简写:

English Acronym:

研究课题的正式科学名称:

围术期经皮穴位电刺激对腹腔镜胃癌根治术患者术后疲劳综合征和免疫功能的影响

Scientific title:

The effect of perioperative percutaneous acupoint electrical stimulation on postoperative fatigue syndrome and immune function in patients undergoing laparoscopic radical gastrectomy for gastric cancer

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:

程静 

研究负责人:

王义桥 

Applicant:

Cheng Jing 

Study leader:

Wang Yiqiao 

申请注册联系人电话:

Applicant telephone:

+86 177 7548 5233

研究负责人电话:

Study leader's
telephone:

+86 158 5694 0528

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:

397629440@qq.com

研究负责人电子邮件:

Study leader's E-mail:

309734607@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:

合肥市砀山路1868号

研究负责人通讯地址:

合肥市砀山路1868号

Applicant address:

1868 Dangshan Road, Hefei

Study leader's address:

1868 Dangshan Road, Hefei

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:

安徽省第二人民医院

Applicant's institution:

The Second People's Hospital of Anhui Province

研究负责人所在单位:

安徽省第二人民医院

Affiliation of the Leader:

The Second People's Hospital of Anhui Province

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:

(R)2024-023

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:

安徽省第二人民医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Anhui No.2 Provincial People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-11 00:00:00

伦理委员会联系人:

余润泽

Contact Name of the ethic committee:

Yu Runze

伦理委员会联系地址:

安徽省合肥市砀山路1868号

Contact Address of the ethic committee:

1868 Dangshan Road, Hefei, Anhui

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 137 0551 8192

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:

安徽省第二人民医院

Primary sponsor:

Anhui NO.2 Provincial People’s Hospital

研究实施负责(组长)单位地址:

安徽省第二人民医院

Primary sponsor's address:

Anhui NO.2 Provincial People’s Hospital

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

安徽

市(区县):

Country:

China

Province:

AnHui

City:

单位(医院):

安徽省第二人民医院

具体地址:

砀山路1868号

Institution
hospital:

Anhui NO.2 Provincial People’s Hospital

Address:

1868 Dangshan Road

经费或物资来源:

2022年度安徽省高校科学研究重点项目(2022AH052338);安徽省高等学校科学研究项目(2023AH053373);蚌埠医科大学2023年度研究生科研创新计划立项项目(Byycx23134)

Source(s) of funding:

2022 Anhui Province Key Project for Scientific Research in Universities (2022AH052338); Anhui Province Higher Education Science Research Project (2023AH053373);Bengbu Medical University 2023 Graduate Research Innovation Program Project Approval (Byycx23134)

研究疾病:

术后疲劳综合征  

Target disease:

postoperative fatigue syndrome

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:

1.主要目的:探讨经皮穴位电刺激对腹腔镜胃癌根治术患者术后疲劳焦虑、睡眠情况、免疫功能的影响以及作用机制。 2.次要目的:探讨经皮穴位电刺激对腹腔镜胃癌根治术患者术中一般情况、麻醉药使用情况,以及术后镇痛情况、术后首次排便、下床时间、术后并发症的影响。  

Objectives of Study:

1. Main objective: To explore the effects and mechanisms of transcutaneous acupoint electrical stimulation on postoperative fatigue, anxiety, sleep, and immune function in patients undergoing laparoscopic radical gastrectomy for gastric cancer. 2. Secondary objective: To investigate the effects of percutaneous acupoint electrical stimulation on the general condition of patients undergoing laparoscopic radical gastrectomy, the use of anesthetics, postoperative analgesia, the first postoperative bowel movement, the time to get out of bed, and postoperative complications.

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.胃恶性肿瘤并远处转移的患者; 2.操作部位皮肤过敏、破损、感染者; 3.合并严重心脑血管疾病、糖尿病和肝肾疾病者; 4.生命体征不稳,意识不清的患者; 5.伴有精神异常及语言交流障碍者; 6.神经肌肉相关疾病;病理性疲劳(如多发性硬化症、帕金森病、创伤性脑损伤)。

Exclusion criteria:

1. Patients with gastric malignant tumors and distant metastasis; 2. Individuals with skin allergies, damages, or infections at the operating site; 3. Patients with severe cardiovascular and cerebrovascular diseases, diabetes, liver and kidney diseases; 4. Patients with unstable vital signs and unclear consciousness; 5. Individuals with mental disorders and language communication barriers; 6. Neuromuscular related diseases; Pathological fatigue (such as multiple sclerosis, Parkinson's disease, traumatic brain injury).

研究实施时间:

Study execute time:

From 2024-03-12 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-03-18 00:00:00 To 2024-07-15 00:00:00

干预措施:

Interventions:

组别:

TEAS刺激组

样本量:

40

Group:

TEAS stimulation group

Sample size:

干预措施:

分别于麻醉诱导前30min、手术开始至术毕、术后第1、2、3天18:00(每次30min)进行TEAS刺激

干预措施代码:

Intervention:

TEAS stimulation was performed 30 minutes before anesthesia induction, from the start of surgery to the end of surgery, and on postoperative days 1, 2, and 3 at 18:00 (30 minutes each time)

Intervention code:

组别:

假TEAS刺激组

样本量:

40

Group:

Sham TEAS stimulation group

Sample size:

干预措施:

分别于相同时间连接装置但并不接通电流

干预措施代码:

Intervention:

Connect the devices at the same time but do not turn on the current

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

安徽 

市(区县):

合肥 

Country:

China

Province:

AnHui

City:

Hefei

单位(医院):

安徽省第二人民医院 

单位级别:

三甲 

Institution
hospital:

Anhui NO.2 Provincial People’s Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

简明围术期疲劳评定量表

指标类型:

主要指标

Outcome:

indentity consequence fatigue scale,ICFS-10

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

焦虑抑郁情绪测量表

指标类型:

次要指标

Outcome:

Hospital Anxiety And Depression Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

睡眠严重程度指数量表

指标类型:

次要指标

Outcome:

Insomnia Severity Index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疼痛评估

指标类型:

次要指标

Outcome:

Pain assessment

Type:

Secondary indicator

测量时间点:

测量方法:

视觉模拟量表

Measure time point of outcome:

Measure method:

visual analogue scale, VAS

指标中文名:

术中丙泊酚用量、瑞芬太尼使用量

指标类型:

次要指标

Outcome:

Intraoperative use of propofol and remifentanil

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后镇痛泵按压次数、术后恶心呕吐、呼吸抑制、瘙痒发生率

指标类型:

次要指标

Outcome:

Postoperative analgesia pump compression frequency, incidence of postoperative nausea and vomiting, respiratory depression, and itching

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

T淋巴细胞亚群

指标类型:

主要指标

Outcome:

T lymphocyte subpopulation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症因子

指标类型:

主要指标

Outcome:

Inflammatory factors

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

氧化应激指标

指标类型:

主要指标

Outcome:

Oxidative stress index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

β-内啡肽

指标类型:

主要指标

Outcome:

β-endorphin β-EP

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:

血浆

组织:

Sample Name:

Plamsa

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:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 60 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):

实验设计者通过计算机生成随机数字的方法将研究对象分为两组:TEAS组和假TEAS组。

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

The experimental designer divided the research subjects into two groups using computer-generated random numbers: TEAS group and fake TEAS group.

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:

采用随机数字表法分为TEAS组和假TEAS组,每组40例。组别和分组处理信息被预先密封在1-80序号的信封中。患者入室后,TEAS操作者按照序号打开信封,并根据分组情况和指定方案,在麻醉前30min开始治疗。除TEAS操作者外,麻醉医生、外科医生、术后随访人员和数据分析者均不参与实验设计且不知晓分组情况。

Blinding:

Random number table method was used to divide patients into TEAS group and sham TEAS group, with 40 cases in each group. The group and grouping processing information are pre sealed in envelopes numbered 1-80. After the patient enters the room, the TEAS operator opens the envelope according to the sequence number and starts treatment 30 minutes before anesthesia based on the grouping situation and designated protocol. Except for TEAS operators, anesthesiologists, surgeons, postoperative follow-up personnel, and data analysts did not participate in the experimental design and were unaware of the grouping situation.

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):

N/A

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:

在符合伦理原则的前提并获得患者知情同意后,研究实施人员通过直接观察、电子调查问卷、电话随访等方式,收集患者术后恢复的相关信息,记录在病例报告表中,并由研究人员进行汇总。

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

After complying with ethical principles and obtaining informed consent from the patients, the study implementers collected information about the patient's postoperative recovery through direct observation, questionnaires, and telephone follow-ups, which were recorded in an electronic case report form.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2024-11-11 10:19:28