老年综合征背景下高压氧治疗对髋部骨折患者术后谵妄、炎症反应及肌肉损伤的疗效研究

注册号:

Registration number:

ChiCTR2500105837 

最近更新日期:

Date of Last Refreshed on:

2025-07-11 15:51:54 

注册时间:

Date of Registration:

2025-07-11 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

老年综合征背景下高压氧治疗对髋部骨折患者术后谵妄、炎症反应及肌肉损伤的疗效研究

Public title:

Efficacy of hyperbaric oxygen therapy in the context of geriatric syndromes on postoperative delirium, inflammatory response and muscle damage in hip fracture patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

老年综合征背景下高压氧治疗对髋部骨折患者术后谵妄、炎症反应及肌肉损伤的疗效研究

Scientific title:

Efficacy of hyperbaric oxygen therapy in the context of geriatric syndromes on postoperative delirium, inflammatory response and muscle damage in hip fracture patients

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:

王明友 

研究负责人:

王明友 

Applicant:

Mingyou Wang 

Study leader:

Mingyou Wang 

申请注册联系人电话:

Applicant telephone:

+86 18096300807

研究负责人电话:

Study leader's
telephone:

+86 812 2238097

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:

wmy1241317@163.com

研究负责人电子邮件:

Study leader's E-mail:

wmy1241317@163.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:

四川省攀枝花市东区攀枝花大道益康街34号

研究负责人通讯地址:

四川省攀枝花市东区攀枝花大道中段益康街34号

Applicant address:

No.34, Yikang Street, Panzhihua Avenue, East District, Panzhihua City, Sichuan Province, China

Study leader's address:

No. 34, Yikang Street, middle section of Panzhihua Avenue, East District, Panzhihua 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:

攀枝花市中心医院

Applicant's institution:

Panzhihua Central Hospital

研究负责人所在单位:

攀枝花市中心医院

Affiliation of the Leader:

Panzhihua Central Hospital

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:

攀科伦审字第[2024-034]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:

攀枝花市中心医院科研伦理委员会

Name of the ethic committee:

Research Ethics Committee of Panzhihua Central Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2024-06-14 00:00:00

伦理委员会联系人:

田芸芸

Contact Name of the ethic committee:

Tian Yunyun

伦理委员会联系地址:

四川省攀枝花市东区攀枝花大道中段益康街34号

Contact Address of the ethic committee:

No. 34, Yikang Street, middle section of Panzhihua Avenue, East District, Panzhihua City, Sichuan Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 812 2224265

伦理委员会联系人邮箱:

Contact email of the ethic committee:

1161078226@qq.com

研究实施负责(组长)单位:

攀枝花市中心医院

Primary sponsor:

Panzhihua Central Hospital

研究实施负责(组长)单位地址:

四川省攀枝花市东区攀枝花大道中段益康街34号

Primary sponsor's address:

No. 34, Yikang Street, middle section of Panzhihua Avenue, East District, Panzhihua 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):

Country:

China

Province:

Sichuan

City:

单位(医院):

攀枝花市中心医院

具体地址:

四川省攀枝花市东区攀枝花大道中段益康街34号

Institution
hospital:

Panzhihua Central Hospital

Address:

No. 34, Yikang Street, middle section of Panzhihua Avenue, East District, Panzhihua City, Sichuan Province

经费或物资来源:

四川省老年学学会2024年度课题

Source(s) of funding:

Sichuan Society of Gerontology 2024 Project

研究疾病:

股骨转子间骨折 股骨颈骨折  

Target disease:

Intertrochanteric femur fracture Femoral neck fracture

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:

1.提高术后康复质量:老年髋部骨折手术后常伴随谵妄、关节炎症反应和肌肉损伤等问题,这些并发症可能影响患者的康复进程和生活质量。通过研究高压氧治疗对这些问题的有效性,可以为提高患者的术后康复质量提供新的治疗策略。 2.推动老年病医学的发展:本研究有助于拓展高压氧治疗在老年医学领域的应用,为老年病的治疗和康复提供新的途径,促进老年病医学的进一步发展。 3.探索治疗新途径:高压氧治疗在其他领域已显示出一定的疗效,如促进伤口愈合和减轻炎症反应。研究其在老年髋部骨折手术患者中的应用,有助于探索治疗术后并发症的新途径,为临床实践提供更多选择。 4.改善预后:有效地控制老年患者术后谵妄、关节炎症反应和肌肉损伤,有助于减少并发症的发生,缩短住院时间,降低死亡率,从而改善患者的整体预后。 5.学术价值:该研究有助于拓展高压氧治疗在老年髋部骨折及术后认知功能障碍领域的应用,丰富相关领域的学术知识,为后续研究提供基础和参考。 6.增强对老年人群健康问题的认识:通过对老年髋部骨折患者的研究,提高社会对老年人群健康问题的关注,为制定相关政策和提供更好的医疗服务提供科学依据。 7.促进多学科合作:老年病医学研究需要跨学科的合作,包括医学、护理学、康复医学等。本研究有助于促进不同学科之间的交流与合作,推动老年病医学领域的综合研究。  

Objectives of Study:

1. Improve the quality of postoperative rehabilitation: elderly hip fracture surgery is often accompanied by problems such as delirium, joint inflammation and muscle damage, which may affect the patient's rehabilitation process and quality of life. By studying the effectiveness of hyperbaric oxygen therapy for these problems, new treatment strategies can be provided to improve the quality of postoperative rehabilitation of patients. 2. Promote the development of geriatric medicine: This study will help to expand the application of hyperbaric oxygen therapy in the field of geriatrics, provide a new way for the treatment and rehabilitation of geriatric diseases, and promote the further development of geriatric medicine. 3. Exploring new ways of treatment: Hyperbaric oxygen therapy has shown some efficacy in other areas, such as promoting wound healing and reducing inflammation. Studying its application in elderly patients with hip fracture surgery will help explore new ways to treat postoperative complications and provide more options for clinical practice. 4. Improve prognosis: Effectively control postoperative delirium, joint inflammation and muscle damage in elderly patients, help reduce the occurrence of complications, shorten the length of hospital stay, reduce mortality, and thus improve the overall prognosis of patients. 5. Academic value: This study will help expand the application of hyperbaric oxygen therapy in the field of elderly hip fracture and postoperative cognitive dysfunction, enrich the academic knowledge in related fields, and provide a basis and reference for follow-up research. 6. Enhance the understanding of the health problems of the elderly: through the study of elderly hip fracture patients, improve the society's attention to the health problems of the elderly, and provide a scientific basis for formulating relevant policies and providing better medical services. 7. Promote multidisciplinary collaboration: Geriatric medicine research requires interdisciplinary collaboration, including medicine, nursing, rehabilitation medicine, etc. This study will help to promote communication and cooperation between different disciplines and promote comprehensive research in the field of geriatric medicine.

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.存在严重的心脏、肺部、肾脏等系统性疾病,影响高压氧治疗安全性的患者; 2.有高压氧治疗禁忌证的患者,如未经治疗的气胸、中耳疾病等; 3.患有严重的精神疾病或认知障碍,无法配合研究的患者; 4.正在接受其他可能影响研究结果的治疗,如免疫抑制剂、激素等; 5.合并髋关节骨关节炎、其他部位骨折和损伤患者; 6.术后出现严重并发症,如急性肾功能衰竭、严重感染等,可能影响研究评估的患者。

Exclusion criteria:

1. Patients with serious cardiac, lung, kidney and other systemic diseases that affect the safety of hyperbaric oxygen therapy; 2. Patients with contraindications to hyperbaric oxygen therapy, such as untreated pneumothorax, middle ear disease, etc.; 3. Patients with severe mental illness or cognitive impairment who are unable to cooperate with the study; 4. Receiving other treatments that may affect the results of the study, such as immunosuppressants, hormones, etc.; 5. Patients with hip osteoarthritis, fractures and injuries at other sites; 6. Patients with serious complications after surgery, such as acute renal failure, serious infection, etc., which may affect the study evaluation.

研究实施时间:

Study execute time:

From 2024-05-01 00:00:00 To 2025-12-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-06-05 00:00:00 To 2025-11-30 00:00:00

干预措施:

Interventions:

组别:

B组

样本量:

90

Group:

B group

Sample size:

干预措施:

常规治疗

干预措施代码:

Intervention:

Conventional treatment

Intervention code:

组别:

A组

样本量:

90

Group:

A group

Sample size:

干预措施:

高压氧治疗

干预措施代码:

Intervention:

Hyperbaric oxygen therapy

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

攀枝花市中心医院 

单位级别:

三级甲等 

Institution
hospital:

Panzhihua Central Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

成本效益分析

指标类型:

主要指标

Outcome:

Cost-benefit analysis

Type:

Primary indicator

测量时间点:

出院时

测量方法:

Measure time point of outcome:

time of discharge

Measure method:

指标中文名:

血液流变学指标

指标类型:

主要指标

Outcome:

Blood rheological indices

Type:

Primary indicator

测量时间点:

术前1d、术后1m

测量方法:

Measure time point of outcome:

1d preoperative, 1m postoperative

Measure method:

指标中文名:

炎性指标变化

指标类型:

主要指标

Outcome:

Changes in inflammatory indicators

Type:

Primary indicator

测量时间点:

术前1d、术后1/3/5d、1m

测量方法:

Measure time point of outcome:

1d preoperatively, 1/3/5d postoperatively, 1m

Measure method:

指标中文名:

并发症发生率

指标类型:

次要指标

Outcome:

Complication rate

Type:

Secondary indicator

测量时间点:

住院期间

测量方法:

Measure time point of outcome:

hospitalisation

Measure method:

指标中文名:

髋关节疼痛、功能及生活质量评分情况

指标类型:

主要指标

Outcome:

Hip pain, function, and quality of life scores

Type:

Primary indicator

测量时间点:

术前1d、术后1/3/5d、1/3/6m

测量方法:

Measure time point of outcome:

1d preoperative, 1/3/5d postoperative, 1/3/6m

Measure method:

指标中文名:

肌肉损伤指标

指标类型:

主要指标

Outcome:

Indicators of muscle damage

Type:

Primary indicator

测量时间点:

术前1d、术后1/3/5d、1m

测量方法:

Measure time point of outcome:

1d preoperatively, 1/3/5d postoperatively, 1m

Measure method:

指标中文名:

围手术期谵妄相关指标

指标类型:

主要指标

Outcome:

Indicators related to perioperative delirium

Type:

Primary indicator

测量时间点:

术前1d、术后1-7d、1m

测量方法:

Measure time point of outcome:

1d preoperatively, 1-7d postoperatively, 1m

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

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 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):

使用Rand A1.0软件将患者随机分为分为A组、B组

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

The patients were randomly divided into group A and group B using Rand A1.0 software

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:

对研究者和受试者设盲

Blinding:

Blinding of investigators and subjects

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):

试验结束发表文章后1年,向研究负责人发送邮件申请使用原始数据

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

One year after the publication of the trial results, send an email to the principal investigator to request access to the raw data

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:

本研究采用病历记录表(Case Record Form, CRF)记录患者原始数据

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

In this study, the original data of patients were recorded by medical record table (Case Record Form, CRF).

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-07-11 15:51:41