不同通气方式在头低足高位腹腔镜手术中的比较

注册号:

Registration number:

ChiCTR2400094228 

最近更新日期:

Date of Last Refreshed on:

2024-12-19 08:33:11 

注册时间:

Date of Registration:

2024-12-19 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

不同通气方式在头低足高位腹腔镜手术中的比较

Public title:

Comparison of different ventilation modes in laparoscopic surgery in Trendelenburg position

注册题目简写:

English Acronym:

研究课题的正式科学名称:

不同通气方式在头低足高位腹腔镜手术中的比较

Scientific title:

Comparison of different ventilation modes in laparoscopic surgery in Trendelenburg position

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:

刘小茜 

研究负责人:

王彬 

Applicant:

Liu Xiaoxi 

Study leader:

Wang Bin 

申请注册联系人电话:

Applicant telephone:

+86 183 9272 3799

研究负责人电话:

Study leader's
telephone:

+86 136 3781 5096

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:

1793409327@qq.com

研究负责人电子邮件:

Study leader's E-mail:

774935778@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:

重庆市渝中区袁家岗友谊路1号

研究负责人通讯地址:

重庆市渝中区袁家岗友谊路1号

Applicant address:

No. 1, Yuanjiagang Youyi Road, Yuzhong District, Chongqing

Study leader's address:

No. 1, Yuanjiagang Youyi Road, Yuzhong District, Chongqing

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一医院

Applicant's institution:

The First Affiliated Hospital of Chongqing Medical University

研究负责人所在单位:

重庆医科大学附属第一医院

Affiliation of the Leader:

The First Affiliated Hospital of Chongqing 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年科研伦审 (CY2024-217-02)

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:

重庆医科大学附属第一医院伦理委员会

Name of the ethic committee:

Ethics Committee of the First Affiliated Hospital of Chongqing Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-10-25 00:00:00

伦理委员会联系人:

严青

Contact Name of the ethic committee:

Yan Qing

伦理委员会联系地址:

重庆市渝中区袁家岗友谊路1号

Contact Address of the ethic committee:

No. 1, Yuanjiagang Youyi Road, Yuzhong District, Chongqing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 182 1561 0292

伦理委员会联系人邮箱:

Contact email of the ethic committee:

838361606@qq.com

研究实施负责(组长)单位:

重庆医科大学附属第一医院

Primary sponsor:

The First Affiliated Hospital of Chongqing Medical University

研究实施负责(组长)单位地址:

重庆市渝中区袁家岗友谊路1号

Primary sponsor's address:

No. 1, Yuanjiagang Youyi Road, Yuzhong District, Chongqing

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(区县):

重庆

Country:

China

Province:

Chongqing

City:

Chongqing

单位(医院):

重庆医科大学附属第一医院

具体地址:

重庆市渝中区袁家岗友谊路1号

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Address:

No. 1, Yuanjiagang Youyi Road, Yuzhong District, Chongqing

经费或物资来源:

研究生培养基金

Source(s) of funding:

Postgraduate Training Fund

研究疾病:

术后肺部并发症  

Target disease:

Postoperative pulmonary complications

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:

本试验拟讨论不同通气方式对头低足高位腹腔镜手术患者术后肺部并发症的影响,以期寻找适宜的通气方式。  

Objectives of Study:

This trial aims to discuss the effects of different ventilation modalities on postoperative pulmonary complications in patients undergoing laparoscopic surgery in Trendelenburg position, with a view to finding appropriate ventilation modalities.

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)急诊手术,非计划内的再次手术 (2)动脉置管禁忌 (3)严重心、肺、肝、肾功能不全 (4)术前合并明显呼吸系统疾病,如严重肺部感染等 (5)术前呼吸空气时SpO2≤90%或PaO2≤60mmHg,术前血红蛋白<90g/L (6)预计存在困难气道者

Exclusion criteria:

(1) emergency surgery, unplanned reoperation (2) contraindication of arterial catheterization (3) Severe heart, lung, liver and renal insufficiency (4) Preoperative complicated with obvious respiratory diseases, such as serious pulmonary infection, etc (5) Preoperative SpO2 ≤ 90% or PaO2 ≤ 60mmHg when breathing air, preoperative hemoglobin < 90g / L (6) It is expected that there is a difficult airway

研究实施时间:

Study execute time:

From 2024-12-20 00:00:00 To 2025-12-20 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-12-20 00:00:00 To 2025-12-20 00:00:00

干预措施:

Interventions:

组别:

容量控制通气组

样本量:

45

Group:

Volume-controlled ventilation group

Sample size:

干预措施:

容量控制通气模式

干预措施代码:

Intervention:

Volume-controlled ventilation mode

Intervention code:

组别:

压力控制通气组

样本量:

45

Group:

Pressure controlled ventilation group

Sample size:

干预措施:

压力控制通气模式

干预措施代码:

Intervention:

Pressure-controlled ventilation mode

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(区县):

重庆 

Country:

China

Province:

Chongqing

City:

Chongqing

单位(医院):

重庆医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后肺部并发症发生率

指标类型:

主要指标

Outcome:

Pulmonary complication rate at 3 days postoperatively

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

气道峰压

指标类型:

次要指标

Outcome:

Ppeak

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

气道平台压

指标类型:

次要指标

Outcome:

Pplat

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

动脉血氧分压

指标类型:

次要指标

Outcome:

PaO2

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

动脉血二氧化碳分压

指标类型:

次要指标

Outcome:

PaCO2

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

氧合指数

指标类型:

次要指标

Outcome:

Oxygenation 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:

心率

指标类型:

次要指标

Outcome:

Heart rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

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:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺动态顺应性

指标类型:

次要指标

Outcome:

Cdyn

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

死腔率

指标类型:

次要指标

Outcome:

VD/VT

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺泡动脉氧分压差

指标类型:

次要指标

Outcome:

AaDO2

Type:

Secondary 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 60 years
最大 Max age 80 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):

由一名未参与本研究的助理执行随机化,采用Microsoft Excel生成的随机数字按1:1的比例将参与者随机分至V组、P组

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

Randomization was performed by an assistant who was not involved in the study, and random numbers generated by Microsoft Excel were used to randomly divide participants into group V and group P in a ratio of 1:1

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:

单盲(对受试者隐藏分组),对评估者隐藏分组

Blinding:

Single-blind (groups are hidden from subjects), groups are hidden from evaluators

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

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):

临床试验公共管理平台 IPD(http://www.medresman.org.cn)

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

ResMan IPD (http://www.medresman.org.cn)

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表格及SPSS软件

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

Excel tables and SPSS software

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:

 2024-12-19 08:33:03