脑氧饱和度监测对腹腔镜手术术后苏醒质量的预测价值:前瞻性队列研究

注册号:

Registration number:

ChiCTR2600117682 

最近更新日期:

Date of Last Refreshed on:

2026-01-27 17:25:13 

注册时间:

Date of Registration:

2026-01-27 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

脑氧饱和度监测对腹腔镜手术术后苏醒质量的预测价值:前瞻性队列研究

Public title:

The Predictive Value of Cerebral Oxygen Saturation Monitoring on Postoperative Awakening Quality in Laparoscopic Surgery:A Prospective Cohort Study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

脑氧饱和度监测对腹腔镜手术术后苏醒质量的预测价值:前瞻性队列研究

Scientific title:

The Predictive Value of Cerebral Oxygen Saturation Monitoring on Postoperative Awakening Quality in Laparoscopic Surgery:A Prospective Cohort Study

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:

孙浩楠 

研究负责人:

张二飞 

Applicant:

Sun Haonan 

Study leader:

Zhang Erfei 

申请注册联系人电话:

Applicant telephone:

+86 186 2866 2520

研究负责人电话:

Study leader's
telephone:

+86 138 9117 0975

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:

1439273801@qq.com

研究负责人电子邮件:

Study leader's E-mail:

zhangerfei09@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

延安大学附属医院

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:

陕西省延安市宝塔区圣地路580

研究负责人通讯地址:

陕西省延安市北关街43号

Applicant address:

43 North Street, Baota District, Yan 'an City, Shaanxi Province

Study leader's address:

No.43,Beiguan Street,Yan'an,Shaanxi 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:

延安大学附属医院

Applicant's institution:

Affiliated Hospital of Yan 'an University

研究负责人所在单位:

延安大学附属医院

Affiliation of the Leader:

Affiliated Hospital of Yan 'an 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:

IIT-202503016

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:

延安大学附属医院伦理委员会

Name of the ethic committee:

The Ethics Committee of Yan'an University Affiliated Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-03-28 00:00:00

伦理委员会联系人:

王莉

Contact Name of the ethic committee:

Wang Li

伦理委员会联系地址:

陕西省延安市北关街43号

Contact Address of the ethic committee:

No.43,Beiguan Street,Yan'an,Shaanxi Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 189 9219 0712

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:

延安大学附属医院麻醉与围术期医学科

Primary sponsor:

Department of Anesthesiology and Perioperative Medicine,Yan'an University Affiliated Hospital

研究实施负责(组长)单位地址:

延安大学附属医院

Primary sponsor's address:

Affiliated Hospital of Yan 'an University

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

陕西省

市(区县):

Country:

China

Province:

Shaanxi Province

City:

单位(医院):

延安大学附属医院

具体地址:

陕西省延安市北关街43号

Institution
hospital:

Affiliated Hospital of Yan 'an University

Address:

No.43,Beiguan Street,Yan'an,Shaanxi Province

经费或物资来源:

自筹

Source(s) of funding:

Self-raised

研究疾病:

认知功能障碍  

Target disease:

Cognitive dysfunction

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:

本研究旨在探讨腹腔镜手术引起术后苏醒质量问题的危险因素,并观察脑氧饱和度监测与术后苏醒质量的关系。  

Objectives of Study:

This study aims to investigate the risk factors for postoperative awakening quality issues caused by laparoscopic surgery and to observe the relationship between cerebral oxygen saturation monitoring and postoperative awakening quality.

药物成份或治疗方案详述:

本试验根据纳排标准筛选患者进入研究并获取书面知情同意,研究者于术前一天访视患者并完成MMSE量表评分,在手术当天患者进入手术室后,由研究者用乙醇棉球轻轻擦拭前额皮肤,将 rSO2检测仪传感电极置于患者双侧眉弓上方并覆以手术贴膜避光处理。并在入室五分钟后记录脑氧饱和度、生命体征与并进行血气分析。所有患者均实施全身麻醉,并在麻醉结束之后使用Riker评分、苏醒时间(麻醉停药到患者呼之可以睁眼并可以自动眨眼为的时间)、PACU停留时间判断患者在PACU的苏醒质量 

Description for medicine or protocol of treatment in detail:

Patients were screened for eligibility based on the inclusion and exclusion criteria and were enrolled in the study after obtaining written informed consent.The investigator visited the patients the day before surgery and completed the MMSE scale assessment.On the day of surgery,after the patients entered the operating room,the investigator gently wiped the forehead skin with an ethanol swab and placed the rSO₂ monitoring sensor electrodes above the bilateral supraorbital ridges of the patients,which were then covered with surgical film for light protection.The cerebral oxygen saturation,vital signs,and blood gas analysis were recorded five minutes after the patients entered the operating room.All patients underwent general anesthesia.The awakening quality of patients in the PACU was assessed using the Riker Sedation-Agitation Scale,time to awakening(defined as the time from discontinuation of anesthesia to the patient's ability to open their eyes on command and blink spontaneously),and duration of stay in the PACU. 

纳入标准:

Inclusion criteria

排除标准:

1.术前存在认知功能障碍或合并影响认知功能疾病,如癫痫、痴呆、帕金森病; 2.术前有酗酒史、药物滥用史 ; 3.近六个月内发生过脑出血、脑卒中患者; 4.术前有颅脑手术与心血管手术史; 5.改为开腹手术的患者; 6.术后因各种原因转入ICU的患者。

Exclusion criteria:

1.Patients with preoperative cognitive dysfunction or those who have diseases that affect cognitive function,such as epilepsy,dementia,and Parkinson's disease; 2.Patients with a history of alcohol abuse or drug misuse before surgery; 3.Patients who have had a cerebral hemorrhage or stroke within the past six months; 4.Patients with a history of craniocerebral or cardiovascular surgery before surgery; 5.Patients whose surgical procedure was changed to open surgery; 6.Patients who were transferred to the ICU for various reasons after surgery.

研究实施时间:

Study execute time:

From 2025-03-01 00:00:00 To 2026-03-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-03-01 00:00:00 To 2026-03-01 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

92

Group:

Observation Group

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):

陕西省 

市(区县):

 

Country:

China

Province:

Shaanxi Province

City:

单位(医院):

延安大学附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Yan 'an University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

rSO2%max

指标类型:

主要指标

Outcome:

rSO2%max

Type:

Primary indicator

测量时间点:

手术期间

测量方法:

使用rSO2监测(EGOS-600系列脑氧监测仪进行脑氧饱和度数据的采集。

Measure time point of outcome:

During operation

Measure method:

Cerebral oxygen saturation data were collected using rSO2 monitoring with the EGOS-600 series cerebral oximeter.

指标中文名:

rSO2基础值、 rSO2min 、 rSO2mean

指标类型:

主要指标

Outcome:

baseline value of rSO?,rSO?min,and rSO?mean

Type:

Primary indicator

测量时间点:

手术期间

测量方法:

使用rSO2监测(EGOS-600系列脑氧监测仪进行脑氧饱和度数据的采集。

Measure time point of outcome:

During operation

Measure method:

Cerebral oxygen saturation data were collected using rSO2 monitoring with the EGOS-600 series cerebral oximeter.

指标中文名:

PACU停留时间

指标类型:

次要指标

Outcome:

Duration of stay in the PACU

Type:

Secondary indicator

测量时间点:

术后PACU停留期间

测量方法:

复苏记录单

Measure time point of outcome:

During the postoperative stay in the PACU

Measure method:

Resuscitation record sheet

指标中文名:

苏醒时间

指标类型:

次要指标

Outcome:

Awakening time

Type:

Secondary indicator

测量时间点:

术后PACU停留期间

测量方法:

复苏记录单

Measure time point of outcome:

During the postoperative stay in the PACU

Measure method:

Resuscitation record sheet

指标中文名:

苏醒期Riker评分

指标类型:

次要指标

Outcome:

Riker Sedation-Agitation Scale(SAS)score during the emergence period

Type:

Secondary indicator

测量时间点:

术后PACU停留期间

测量方法:

调查问卷

Measure time point of outcome:

During the postoperative stay in the PACU

Measure method:

Questionnaire

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 18 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):

None

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:

None

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):

试验完成6个月后上传原始数据至国家生物信息中心 https://ngdc.cncb.ac.cn/gsub/

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

Uploading the original data to China National center for Bioinformation (https://ngdc.cncb.ac.cn/gsub/) after test completed 6 months 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:

1.伦理需要的CRF表 2.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:

Data collection and Management:1. CRF table for ethical needs 2. Electronic acquisition and management system

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-01-27 17:25:09