简易鼻塞式 CPAP在预防先心病患儿撤机后二次插管中的应用研究

注册号:

Registration number:

ChiCTR2500109322 

最近更新日期:

Date of Last Refreshed on:

2025-09-16 17:32:25 

注册时间:

Date of Registration:

2025-09-16 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

简易鼻塞式 CPAP在预防先心病患儿撤机后二次插管中的应用研究

Public title:

the Application of Simple Nasal CPAP in Preventing Reintubation after Extubation in Children with Congenital Heart Disease

注册题目简写:

English Acronym:

研究课题的正式科学名称:

简易鼻塞式 CPAP在预防先心病患儿撤机后二次插管中的应用研究

Scientific title:

the Application of Simple Nasal CPAP in Preventing Reintubation after Extubation in Children with Congenital Heart Disease

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:

李明兄 

研究负责人:

史爱国 

Applicant:

Mingxiong Li 

Study leader:

Aiguo Shi 

申请注册联系人电话:

Applicant telephone:

+86 152 6180 2677

研究负责人电话:

Study leader's
telephone:

+86 152 6180 2677

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:

1101151240@qq.com

研究负责人电子邮件:

Study leader's E-mail:

Sacuo1006@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:

江苏省南京市建邺区江东南路8号

研究负责人通讯地址:

江苏省南京市建邺区江东南路8号

Applicant address:

No. 8, Jiangdong South Road, Jianye District, Nanjing City, Jiangsu Province

Study leader's address:

No. 8, Jiangdong South Road, Jianye District, Nanjing City, Jiangsu 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:

南京医科大学附属儿童医院

Applicant's institution:

Children’s Hospital Of Nanjing Medical University

研究负责人所在单位:

南京医科大学附属儿童医院

Affiliation of the Leader:

Children’s Hospital Of Nanjing 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:

202504004-1

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:

南京医科大学附属儿童医院医学伦理委员会

Name of the ethic committee:

Ethics Committee Of Children’s Hospital Of Nanjing Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-04-27 00:00:00

伦理委员会联系人:

蒋维维

Contact Name of the ethic committee:

Weiwei Jiang

伦理委员会联系地址:

江苏省南京市建邺区江东南路8号

Contact Address of the ethic committee:

No. 8, Jiangdong South Road, Jianye District, Nanjing City, Jiangsu Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 25 5286 2937

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:

南京医科大学附属儿童医院

Primary sponsor:

Children’s Hospital Of Nanjing Medical University

研究实施负责(组长)单位地址:

江苏省南京市建邺区江东南路8号

Primary sponsor's address:

No. 8, Jiangdong South Road, Jianye District, Nanjing City, Jiangsu 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):

江苏

市(区县):

南京

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

南京医科大学附属儿童医院

具体地址:

江苏省南京市建邺区江东南路8号

Institution
hospital:

Children’s Hospital Of Nanjing Medical University

Address:

No. 8, Jiangdong South Road, Jianye District, Nanjing City, Jiangsu Province

经费或物资来源:

南京医科大学科技发展基金

Source(s) of funding:

Nanjing Medical University Science and Technology Development Fund

研究疾病:

先天性心脏病  

Target disease:

Congenital Heart Disease

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:

探讨在先性心脏病患儿撤机后早期应用简易鼻塞式CPAP预防二次气管插管及并发症发生的有效性,以完善鼻塞式CPAP护理常规,同时为鼻塞式CPAP在先心患儿撤机后的应用提供可靠理论依据和实践支持。  

Objectives of Study:

This study explores the effectiveness of early application of simple nasal CPAP after extubation in children with congenital heart disease to prevent secondary intubation and complications, aiming to improve the routine care for nasal CPAP and provide reliable theoretical basis and practical support for its use in these patients post-extubation.

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)血流动力学不稳的患者; (2)存在气道病变的患者; (3)合并严重气胸、胸腔积液的患者

Exclusion criteria:

(1)patients with hemodynamic instability; (2)patients with airway lesions; (3)patients with severe pneumothorax or pleural effusion

研究实施时间:

Study execute time:

From 2022-09-01 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-01-01 00:00:00 To 2023-12-31 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

132

Group:

Control group

Sample size:

干预措施:

对照组先天性心脏病患儿撤机后采用鼻导管吸氧,氧流量 5L/min,吸入氧浓度约为 40%。

干预措施代码:

Intervention:

In the control group, children with congenital heart disease were given nasal cannula oxygen after weaning from the ventilator, with an oxygen flow rate of 5 liters per minute and an inhaled oxygen concentration of approximately 40%.

Intervention code:

组别:

观察组

样本量:

132

Group:

Observation group

Sample size:

干预措施:

观察组在先天性心脏病患儿撤机后早期应用简易鼻塞式 CPAP 氧流量 5L/min,吸入氧浓度约为 40%。

干预措施代码:

Intervention:

In the observation group, simple nasal cannula CPAP with an oxygen flow rate of 5 liters per minute was used early after weaning from mechanical ventilation in children with congenital heart disease, providing an inspired oxygen concentration of approximately 40%.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏 

市(区县):

南京 

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

南京医科大学附属儿童医院 

单位级别:

三甲 

Institution
hospital:

Children’s Hospital Of Nanjing Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

二次插管率

指标类型:

主要指标

Outcome:

Rate of reintubation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心率、动脉血氧分压(PaO2)、动脉二氧化碳分压 (PaCO2)、血氧饱和度(SpO2)

指标类型:

次要指标

Outcome:

Heart rate, arterial partial pressure of oxygen (PaO2), and arterial partial pressure of carbon dioxide

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

并发症发生率

指标类型:

次要指标

Outcome:

Incidence of complications

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:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 0.1 years
最大 Max age 2.6 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):

使用计算机生成的序列进行随机化,采用区组随机化(区组大小为4),并将结果密封在按顺序编号的不透明信封中。

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

Randomization was performed using a computer-generated sequence with block randomization (block size=4), concealed in sequentially numbered opaque envelopes.

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):

国家生物信息中心 China National center for Bioinformation (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):

China National center for Bioinformation (https://ngdc.cncb.ac.cn/gsub/)

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:

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)

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

Data collection and management consist of two parts: one is the Case Record Form (CRF), and the other is the Electronic Data Capture (EDC) system.

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:

 2025-09-16 17:32:18