多模态循环灌注监测在指导感染性休克复苏脱偶联治疗中的价值

注册号:

Registration number:

ChiCTR2600122911 

最近更新日期:

Date of Last Refreshed on:

2026-04-20 11:15:23 

注册时间:

Date of Registration:

2026-04-20 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

多模态循环灌注监测在指导感染性休克复苏脱偶联治疗中的价值

Public title:

The Value of Multimodal Circulatory Monitoring in Guiding Decoupled Treatment for Sepsis-Induced Shock Resuscitation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

多模态循环灌注监测在指导感染性休克复苏脱偶联治疗中的价值

Scientific title:

The Value of Multimodal Circulatory Monitoring in Guiding Decoupled Treatment for Sepsis-Induced Shock Resuscitation

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:

潘传亮 

研究负责人:

潘传亮 

Applicant:

Chuanliang Pan 

Study leader:

Chuanliang Pan 

申请注册联系人电话:

Applicant telephone:

+86 181 1158 6553

研究负责人电话:

Study leader's
telephone:

+86 181 1158 6553

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:

cl.pan@foxmail.com

研究负责人电子邮件:

Study leader's E-mail:

cl.pan@foxmail.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:

四川省成都市青羊区青龙街82号

研究负责人通讯地址:

四川省成都市青羊区青龙街82号

Applicant address:

No. 82, Qinglong Street, Qingyang District, Chengdu City, Sichuan Province, China

Study leader's address:

No. 82, Qinglong Street, Qingyang District, Chengdu City, Sichuan Province

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:

成都市第三人民医院

Applicant's institution:

The Third People’s Hospital of Chengdu

研究负责人所在单位:

成都市第三人民医院

Affiliation of the Leader:

The Third People’s Hospital of Chengdu

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:

成都三院伦 [2023] S–14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:

成都市第三人民医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of The Third People's Hospital of Chengdu

伦理委员会批准日期:

Date of approved by ethic committee:

2023-04-06 00:00:00

伦理委员会联系人:

徐俊波

Contact Name of the ethic committee:

Junbo Xu

伦理委员会联系地址:

四川省成都市青羊区青龙街82号

Contact Address of the ethic committee:

No. 82, Qinglong Street, Qingyang District, Chengdu City, Sichuan Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 28 6131 7686

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:

成都市第三人民医院

Primary sponsor:

The Third People’s Hospital of Chengdu

研究实施负责(组长)单位地址:

四川省成都市青羊区青龙街82号

Primary sponsor's address:

No. 82, Qinglong Street, Qingyang District, Chengdu City, Sichuan Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

四川省

市(区县):

成都市

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

成都市第三人民医院

具体地址:

四川省成都市青羊区青龙街82号

Institution
hospital:

The Third People’s Hospital of Chengdu

Address:

No. 82, Qinglong Street, Qingyang District, Chengdu City, Sichuan Province

经费或物资来源:

Source(s) of funding:

no funding

研究疾病:

脓毒性休克  

Target disease:

Septic shock

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:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

本研究旨在探讨Cv-aCO2/Ca-vO2联合Pv-aCO2与感染性休克患者预后之间的关系。此外,次要目标是探索这两个参数与舌下微循环参数之间的关系,以全面评估宏观和微观血流动力学之间的关联,最终指导更有效和个性化的感染性休克患者复苏策略。  

Objectives of Study:

This study aims to investigate the relationship between Cv-aCO2/Ca-vO2 combined with Pv-aCO2 and the outcomes of patients with septic shock. Additionally, a secondary objective is to explore the relationship between these two parameters and sublingual microcirculation parameters to comprehensively evaluate the association between macro- and micro-hemodynamics, ultimately guiding more effective and individualized resuscitation strategies for septic shock patients.

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.孕妇; 2.合并有严重慢性阻塞性肺疾病者; 3.限制治疗努力者; 4.既往3个月内发生过脓毒症或感染性休克者; 5.合并有恶性肿瘤者; 6.合并有严重肝硬化(Child-Pugh C型)者。

Exclusion criteria:

1. Pregnant women; 2. Patients complicated with severe chronic obstructive pulmonary disease (COPD); 3. Patients with restricted treatment efforts; 4. Patients with a history of sepsis or septic shock within the previous 3 months; 5. Patients complicated with malignant tumors; 6. Patients complicated with severe liver cirrhosis (Child-Pugh Class C).

研究实施时间:

Study execute time:

From 2023-04-03 00:00:00 To 2024-09-17 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-05-01 00:00:00 To 2024-08-28 00:00:00

干预措施:

Interventions:

组别:

Cv-aCO2/Ca-vO2≤1Pv-aCO2<6mmHg组

样本量:

24

Group:

Group A:Cv-aCO2/Ca-vO2<=1Pv-aCO2<6mmHg

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

B:Cv-aCO2/Ca-vO2≤1Pv-aCO2≥6mmHg组

样本量:

21

Group:

Group B:Cv-aCO2/Ca-vO2<=1Pv-aCO2>=6mmHg

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

Cv-aCO2/Ca-vO2>1Pv-aCO2<6mmHg组

样本量:

30

Group:

Group C:Cv-aCO2/Ca-vO2>1Pv-aCO2<6mmHg

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

Cv-aCO2/Ca-vO2>1Pv-aCO2≥6mmHg组

样本量:

30

Group:

Group D:Cv-aCO2/Ca-vO2>1Pv-aCO2>=6mmHg

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):

四川省 

市(区县):

成都市 

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

成都市第三人民医院 

单位级别:

三甲 

Institution
hospital:

The Third People’s Hospital of Chengdu

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

入ICU6小时的动静脉血气分析

指标类型:

主要指标

Outcome:

Arterial and Venous Blood Gas Analysis at 6 Hours Post ICU Admission

Type:

Primary indicator

测量时间点:

入ICU6小时

测量方法:

Measure time point of outcome:

Admitted to ICU for 6 hours

Measure method:

指标中文名:

入ICU6小时的舌下微循环

指标类型:

主要指标

Outcome:

Sublingual Microcirculation at 6 Hours Post ICU Admission

Type:

Primary indicator

测量时间点:

入ICU6小时

测量方法:

Measure time point of outcome:

Admitted to ICU for 6 hours

Measure method:

指标中文名:

乳酸

指标类型:

附加指标

Outcome:

Lactate

Type:

Additional indicator

测量时间点:

入ICU后6、24、48、72小时

测量方法:

Measure time point of outcome:

6, 24, 48, 72 hours after ICU admission

Measure method:

指标中文名:

气管插管时间

指标类型:

次要指标

Outcome:

Duration of endotracheal intubation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

升压药物剂量

指标类型:

附加指标

Outcome:

Vasoactive-inotropic score

Type:

Additional indicator

测量时间点:

入ICU6小时

测量方法:

Measure time point of outcome:

Admitted to ICU for 6 hours

Measure method:

指标中文名:

呼吸机参数

指标类型:

附加指标

Outcome:

Ventilator Parameters

Type:

Additional indicator

测量时间点:

入ICU6小时

测量方法:

Measure time point of outcome:

Admitted to ICU for 6 hours

Measure method:

指标中文名:

平均动脉压

指标类型:

附加指标

Outcome:

Mean arterial pressure

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中心静脉压

指标类型:

附加指标

Outcome:

Central venous pressure

Type:

Additional 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:

附加指标

Outcome:

Heart rate

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体温

指标类型:

附加指标

Outcome:

Body Temperature

Type:

Additional 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:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 85 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):

NO

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):

文章发表后6个月,临床研究电子管理公共平台,http://www.medresman.org.cn/login.aspx

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

Six months after the article is published, the Clinical Research Electronic Management Public Platform, http://www.medresman.org.cn/login.aspx

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:

电子采集和管理系统

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

Electronic Data Capture, EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-04-20 11:15:23