氨甲环酸联合使用卡络磺钠对行直接前路(DAA)的全髋关节置换术止血疗效评估的随机对照研究

注册号:

Registration number:

ChiCTR1800015834 

最近更新日期:

Date of Last Refreshed on:

2019-01-03 13:27:01 

注册时间:

Date of Registration:

2018-04-24 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

氨甲环酸联合使用卡络磺钠对行直接前路(DAA)的全髋关节置换术止血疗效评估的随机对照研究

Public title:

Efficacy of Tranexamic Acid combined with Carbazochrome Sodium Sulfonate on blood loss in primary total hip arthroplasty using a direct anterior approach: a prospective randomized controlled trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

全髋关节置换术患者的失血管理及快速康复

Scientific title:

Blood loss management and fast rehabilitation for patients undergoing total hip arthroplaty

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:

罗月 

研究负责人:

康鹏德 

Applicant:

Luo Yue 

Study leader:

Kang Pengde 

申请注册联系人电话:

Applicant telephone:

+86 18308312835

研究负责人电话:

Study leader's
telephone:

+86 18980601953

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

+86 28 85423438

申请注册联系人电子邮件:

Applicant E-mail:

760455936@qq.com

研究负责人电子邮件:

Study leader's E-mail:

kangpd@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:

四川省成都市武侯区国学巷37号华西医院骨科

研究负责人通讯地址:

四川省成都市武侯区国学巷37号华西医院骨科

Applicant address:

37 Guoxuexiang, Chengdu, Sichuan, China

Study leader's address:

37 Guoxuexiang, Chengdu, Sichuan, China

申请注册联系人邮政编码:

Applicant postcode:

610041

研究负责人邮政编码:

Study leader's postcode:

610041

申请人所在单位:

四川大学华西医院骨科

Applicant's institution:

Department of Orthopedics, West China Hospital, Sichuan University

研究负责人所在单位:

四川大学华西医院骨科

Affiliation of the Leader:

Department of Orthopedics, West China Hospital, Sichuan 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:

2012-268

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:

四川大学华西医院临床试验与生物医学伦理专委会

Name of the ethic committee:

West China Hospital of Sichuan University Biomedical Research Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2018-01-07 00:00:00

伦理委员会联系人:

曾智

Contact Name of the ethic committee:

Zen Zhi

伦理委员会联系地址:

四川省成都市武侯区国学巷37号四川大学华西医院老八教四楼412室

Contact Address of the ethic committee:

Room 412, Old 8th Teaching Building, West China Hospital, Sichuan University, 37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, China

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:

四川大学华西医院骨科

Primary sponsor:

Department of Orthopedics, West China Hospital, Sichuan University

研究实施负责(组长)单位地址:

四川省成都市武侯区国学巷37号华西医院骨科

Primary sponsor's address:

37 Guoxuexiang, Chengdu, Sichuan, 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):

四川

市(区县):

成都

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

华西医院

具体地址:

四川省成都市武侯区国学巷37号华西医院骨科

Institution
hospital:

West China Hospital

Address:

37 Guoxuexiang, Chengdu, Sichuan, China

经费或物资来源:

国家自然基金

Source(s) of funding:

national funding of the sciece

研究疾病:

骨关节炎或 股骨头坏死  

Target disease:

osteoarthritis or Osteonecrosis of femoral head

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:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

探讨有效的术后止血以及快速康复的方案,降低患者术后失血及输血率,提高生活质量。  

Objectives of Study:

To study the effective measures of hemostasis methold for patients undergoing total knee arthroplasty and fast the rehabilitation progress.

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对氨甲环酸、卡络磺钠、麻醉药物过敏者 ②存在术侧髋关节僵直,股骨畸形严重;③髋臼后壁缺损,以前髋部后路有手术史,存留内固定物;④DDH继发骨关节炎(Crowe型3或4型),股骨头坏死;⑤血栓栓塞疾病史(即深静脉血栓形成(DVT),或肺栓塞(PE)), 凝血病,近期动脉血栓栓塞事件(如心肌梗塞或中风),高凝状态,血友病;⑥严重的心血管和呼吸系统疾病; 肾和肝功能衰竭,肾移植史;⑦拒绝参与或拒绝接受血液制品者。⑧患者有双侧髋关节置换术史, 在手术前5天使用抗凝药物或避孕药.

Exclusion criteria:

1. The patients with anaphylactic acid, sodium carboxylic acid, anaesthesia drug allergy;
2. have a rigid hip joint, severe femoral deformity;
3. The posterior wall of the acetabulum was removed, and there was a history of surgery in the posterior hip;
4. The osteoarthritis (Crowe type 3 or 4) of DDH and femoral head necrosis;
5. The history of thromboembolic disease (DVT), pulmonary embolism (PE), coagulopathy, recent arterial thromboembolic events (such as myocardial infarction or stroke), hypercoagulability, hemophilia;
6. Severe cardiovascular and respiratory diseases; Kidney and liver failure, kidney transplantation history;
7. Persons who refuse to participate in or refuse to accept blood products;
8. The patient had a history of bilateral hip arthroplasty, using anticoagulants or contraceptives five days before surgery.

研究实施时间:

Study execute time:

From 2018-05-03 00:00:00 To 2018-09-03 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-05-03 00:00:00 To 2018-09-03 00:00:00

干预措施:

Interventions:

组别:

1

样本量:

30

Group:

Group 1

Sample size:

干预措施:

氨甲环酸(静脉)+卡络磺钠(关节囊周围浸润+静脉注射)

干预措施代码:

Intervention:

Tranexamic acid ( intravenous injection) + Carbazochrome Sodium Sulfonate (Infiltration of the surrounding tissue of the capsule + intravenous injection)

Intervention code:

组别:

2

样本量:

30

Group:

Group 2

Sample size:

干预措施:

氨甲环酸(静脉)+卡络磺钠(关节囊周围浸润)

干预措施代码:

Intervention:

Tranexamic acid ( intravenous injection) + Carbazochrome Sodium Sulfonate (Infiltration of the surrounding tissue of the capsule)

Intervention code:

组别:

3

样本量:

30

Group:

Group 3

Sample size:

干预措施:

氨甲环酸(静脉)+卡络磺钠(静脉注射)

干预措施代码:

Intervention:

Tranexamic acid ( intravenous injection) + Carbazochrome Sodium Sulfonate ( intravenous injection)

Intervention code:

组别:

4

样本量:

30

Group:

Group 4

Sample size:

干预措施:

氨甲环酸(静脉)

干预措施代码:

Intervention:

Tranexamic acid (intravenous injection)

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):

成都 

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

华西医院 

单位级别:

三甲医院 

Institution
hospital:

West China Hospital

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

总失血量

指标类型:

主要指标

Outcome:

total blood loss

Type:

Primary indicator

测量时间点:

测量方法:

用最低血红蛋白(HB)值计算

Measure time point of outcome:

Measure method:

指标中文名:

血红蛋白

指标类型:

主要指标

Outcome:

haemoglobin (HB)

Type:

Primary indicator

测量时间点:

术前及术后1,2,3天

测量方法:

血常规

Measure time point of outcome:

Measure method:

指标中文名:

红细胞压积

指标类型:

主要指标

Outcome:

haematocrit

Type:

Primary indicator

测量时间点:

术前及术后1,2,3天

测量方法:

血常规

Measure time point of outcome:

Measure method:

指标中文名:

血红蛋白下降值

指标类型:

主要指标

Outcome:

reduction in haemoglobin concentration

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

D-二聚体

指标类型:

主要指标

Outcome:

D-dimer

Type:

Primary indicator

测量时间点:

术前及术后1,2,3天

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中失血量

指标类型:

次要指标

Outcome:

intra-operative blood loss

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

输血率

指标类型:

次要指标

Outcome:

transfusion rates

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血栓弹力图

指标类型:

次要指标

Outcome:

Thromboelastographic

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症因子

指标类型:

次要指标

Outcome:

inflammatory cytokines

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

髋关节活动度

指标类型:

次要指标

Outcome:

range of motion of the hip

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后住院时间

指标类型:

次要指标

Outcome:

Length of postoperative hospital stay

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 90 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):

由本研究人员采用电脑数字随机序列分组

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

Patients were randomized into four group by computer digital random sequence

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

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):

实验结果发表后

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

provide the url): after the results publication

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:

暂无

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

none

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:

 2018-04-24 09:35:20