慢性阻塞性肺病患者肺康复治疗疗效与急性加重发生率的临床研究

注册号:

Registration number:

ChiCTR-ONC-17013966 

最近更新日期:

Date of Last Refreshed on:

2017-12-15 16:42:28 

注册时间:

Date of Registration:

2017-12-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

慢性阻塞性肺病患者肺康复治疗疗效与急性加重发生率的临床研究

Public title:

Clinical study of therapeutic efficacy and acute exacerbation of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

注册题目简写:

English Acronym:

研究课题的正式科学名称:

慢性阻塞性肺病患者肺康复治疗疗效与急性加重发生率的临床研究

Scientific title:

Clinical study of therapeutic efficacy and acute exacerbation of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

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:

蒋登蓉 

研究负责人:

江德鹏 

Applicant:

Dengrong Jiang 

Study leader:

Depeng Jiang 

申请注册联系人电话:

Applicant telephone:

+86 15923563457

研究负责人电话:

Study leader's
telephone:

+86 15922666878

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:

1101027799@qq.com

研究负责人电子邮件:

Study leader's E-mail:

896846903@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:

中国重庆市渝中区临江路76号

研究负责人通讯地址:

中国重庆市渝中区临江路76号

Applicant address:

76 Linjiang Road, Yuzhong District, Chongqing, China

Study leader's address:

76 Linjiang Road, Yuzhong District, Chongqing, 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:

重庆医科大学附属第二医院

Applicant's institution:

The Second Affiliated Hospital of Chongqing Medical University

研究负责人所在单位:

重庆医科大学附属第二医院

Affiliation of the Leader:

The Second Affiliated Hospital of Chongqing Medical University

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:

重庆医科大学附属第二医院

Primary sponsor:

The Second Affiliated Hospital of Chongqing Medical University

研究实施负责(组长)单位地址:

中国重庆市渝中区临江路76号

Primary sponsor's address:

76 Linjiang Road, Yuzhong District, Chongqing, 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):

重庆市

市(区县):

渝中区

Country:

China

Province:

Chongqing

City:

Yuzhong District

单位(医院):

重庆医科大学附属第二医院

具体地址:

中国重庆市渝中区临江路76号

Institution
hospital:

The Second Affiliated Hospital of Chongqing Medical University

Address:

76 Linjiang Road, Yuzhong District, Chongqing, China

经费或物资来源:

Source(s) of funding:

no funding

研究疾病:

慢性阻塞性肺疾病  

Target disease:

Chronic obstructive pulmonary disease

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational 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:

队列研究 

Study design:

Cohort study 

研究目的:

本研究旨在通过针对不同严重程度的COPD 患者采用个体化的呼吸生理治疗、肌肉训练等肺康复干预手段,进一步深入研究肺康复治疗是否能降低COPD患者急性发作频率、再入院率及死亡率,并探究更好的肺康复综合治疗方案。  

Objectives of Study:

In this study, we are going to conduct a pulmonary rehabilitation programme that included breathing retraining, exercise training and other pulmonary rehabilitation interventions on patients with different severity of COPD and to further investigate whether it can reduce the frequency of acute seizures, readmission rates and mortality in patients with COPD. And explore better integrated rehabilitation programs for pulmonary rehabilitation.

药物成份或治疗方案详述:

(1) 缩唇联合腹式呼吸锻炼,(2) 行走或踏车,(3) 全身性呼吸体操锻炼: 包括扩胸、弯腰、下蹲等动作结合在一起。按照由慢到快,由易到难,循序渐进的原则进行( 锻炼期间测定患者指脉氧饱和度,必要时可给与吸氧以保证SPO2 > 90%) ,锻炼前有专职医护人员演示指导,掌握以上规则后进行家庭训练。每周3 次,每次30 min。 

Description for medicine or protocol of treatment in detail:

(1)pursed-lip and abdominal breathing training; (2) walking or cycling;(3) systemic breathing exercises include: chest expansion, bending, squatting and other exercises. In accordance with the principle of slow to fast, easy to difficult and step by step(oxygen saturation was measured continuously during the walk, if necessary, supplemental oxygen was permitted to ensure SPO2> 90%), before the training professional medical staff will demonstrate and guide, then subjects will conduct the family training. 3 times a week for 30 minutes each time. 

纳入标准:

Inclusion criteria

排除标准:

目前合并有其他严重的心肺疾病的,如哮喘、支气管扩张、肺癌、不稳定性心脏疾病等患者,(2) 处于慢性阻塞性肺疾病、肺间质纤维化的急性加重期,如合并肺部感染,严重的呼吸衰竭等,(3)合并其他肌肉神经性功能缺陷,(4)不能完成肺康复训练及6 分钟步行试验、肺功能检查的,(5)过去12 个月参加过肺康复训练的。

Exclusion criteria:

(1) Patients with other serious cardiopulmonary disease including asthma, bronchiectasis, lung cancer, unstable cardiac disease;
(2) Patients in state of acute exacerbations of chronic obstructive pulmonary disease or interstitial pulmonary fibrosis that associate pulmonary infection, severe respiratory failure;
(3) Patients combined with other muscle neurological deficiencies;
(4) Patients unable to complete a pulmonary rehabilitation program, 6MWD and pulmonary function test;
(5) Patients previous participated in a pulmonary rehabilitation program.

研究实施时间:

Study execute time:

From 2018-03-01 00:00:00 To 2018-09-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-01-01 00:00:00 To 2018-02-28 00:00:00

干预措施:

Interventions:

组别:

COPD低危组

样本量:

30

Group:

COPD low-risk group

Sample size:

干预措施:

肺康复

干预措施代码:

Intervention:

Pulmonary rehabilitation

Intervention code:

组别:

COPD中危组

样本量:

30

Group:

COPD medium-risk group

Sample size:

干预措施:

肺康复

干预措施代码:

Intervention:

Pulmonary rehabilitation

Intervention code:

组别:

COPD高危组

样本量:

30

Group:

COPD high-risk group

Sample size:

干预措施:

肺康复

干预措施代码:

Intervention:

Pulmonary rehabilitation

Intervention code:

组别:

COPD极高危组

样本量:

30

Group:

COPD very high-risk group

Sample size:

干预措施:

肺康复

干预措施代码:

Intervention:

Pulmonary rehabilitation

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

重庆市 

市(区县):

渝中区 

Country:

China

Province:

Chongqing

City:

Yuzhong District

单位(医院):

重庆医科大学附属第二医院 

单位级别:

3级甲等医院 

Institution
hospital:

The Second Affiliated Hospital of Chongqing Medical University

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

六分钟步行距离测试

指标类型:

主要指标

Outcome:

Six-minute walk distance

Type:

Primary indicator

测量时间点:

肺康复治疗前后

测量方法:

Measure time point of outcome:

Before and after pulmonary rehabilitation

Measure method:

指标中文名:

圣乔治医院呼吸调查问卷

指标类型:

主要指标

Outcome:

St George Hospital Respiratory Questionnaire

Type:

Primary indicator

测量时间点:

肺康复治疗前后

测量方法:

Measure time point of outcome:

Before and after pulmonary rehabilitation

Measure method:

指标中文名:

慢性呼吸疾病调查问卷

指标类型:

主要指标

Outcome:

Chronic respiratory disease questionnaire

Type:

Primary indicator

测量时间点:

肺康复治疗前后

测量方法:

Measure time point of outcome:

Before and after pulmonary rehabilitation

Measure method:

指标中文名:

改良呼吸困难评分

指标类型:

主要指标

Outcome:

modified medical research council dyspnea scale

Type:

Primary indicator

测量时间点:

肺康复治疗前后

测量方法:

Measure time point of outcome:

Before and after pulmonary rehabilitation

Measure method:

指标中文名:

FEV1占预计值的百分比

指标类型:

主要指标

Outcome:

FEV1%pred

Type:

Primary indicator

测量时间点:

肺康复治疗前后

测量方法:

Measure time point of outcome:

Before and after pulmonary rehabilitation

Measure method:

指标中文名:

急性加重次数

指标类型:

主要指标

Outcome:

Acute exacerbations

Type:

Primary indicator

测量时间点:

肺康复治疗前后

测量方法:

Measure time point of outcome:

Before and after pulmonary rehabilitation

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

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 years
最大 Max age 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):

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

NIL

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:

Blinding:

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):

暂未确定

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

Not yet

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:

暂未确定

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

Not yet

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:

 2017-12-15 16:42:28