基于“肠-肝-脑”轴TIPS对门静脉高压食管胃底静脉曲张破裂出血患者肠道微生态及脑功能影响及粪菌移植治疗

注册号:

Registration number:

ChiCTR2500106053 

最近更新日期:

Date of Last Refreshed on:

2025-07-16 16:00:59 

注册时间:

Date of Registration:

2025-07-16 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

基于“肠-肝-脑”轴TIPS对门静脉高压食管胃底静脉曲张破裂出血患者肠道微生态及脑功能影响及粪菌移植治疗

Public title:

Impact of TIPS on Gut Microbiota and Brain Function in Cirrhotic Patients with Esophagogastric Variceal Bleeding: A Study Based on the Gut-Liver-Brain Axis and Fecal Microbiota Transplantation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于“肠-肝-脑”轴TIPS对门静脉高压食管胃底静脉曲张破裂出血患者肠道微生态及脑功能影响及粪菌移植治疗

Scientific title:

Impact of TIPS on Gut Microbiota and Brain Function in Cirrhotic Patients with Esophagogastric Variceal Bleeding: A Study Based on the Gut-Liver-Brain Axis and Fecal Microbiota Transplantation

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:

陈莉 

研究负责人:

李东良 

Applicant:

Li Chen 

Study leader:

Dongliang Li 

申请注册联系人电话:

Applicant telephone:

+86 159 8022 4319

研究负责人电话:

Study leader's
telephone:

+86 136 6505 2006

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:

lichen971003@163.com

研究负责人电子邮件:

Study leader's E-mail:

dongliangli93@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:

福建省福州市鼓楼区西二环北路156号

研究负责人通讯地址:

福建省福州市鼓楼区西二环北路156号

Applicant address:

156 North West Second Ring Road, Gulou District, Fuzhou, Fujian, China

Study leader's address:

156 North West Second Ring Road, Gulou District, Fuzhou, Fujian, China

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:

中国人民解放军联勤保障部队第九〇〇医院

Applicant's institution:

900th Hospital of PLA Joint Logistic Support Force

研究负责人所在单位:

中国人民解放军联勤保障部队第九〇〇医院

Affiliation of the Leader:

900th Hospital of PLA Joint Logistic Support Force

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:

伦审科第2023-001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:

联勤保障部队第九OO医院生物医学伦理委员会

Name of the ethic committee:

Biomedical Ethics Committee of the 900th Hospital of PLA Joint Logistic Support Force

伦理委员会批准日期:

Date of approved by ethic committee:

2023-01-18 00:00:00

伦理委员会联系人:

林叶青

Contact Name of the ethic committee:

Yeqing Lin

伦理委员会联系地址:

福建省福州市鼓楼区西二环北路156号

Contact Address of the ethic committee:

156 North West Second Ring Road, Gulou District, Fuzhou, Fujian, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 591 2285 9650

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:

中国人民解放军联勤保障部队第九〇〇医院

Primary sponsor:

900th Hospital of PLA Joint Logistic Support Force

研究实施负责(组长)单位地址:

福建省福州市鼓楼区西二环北路156号

Primary sponsor's address:

156 North West Second Ring Road, Gulou District, Fuzhou, Fujian, 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):

福建

市(区县):

Country:

China

Province:

Fujian

City:

单位(医院):

中国人民解放军联勤保障部队第九〇〇医院

具体地址:

福建省福州市鼓楼区西二环北路156号

Institution
hospital:

900th Hospital of PLA Joint Logistic Support Force

Address:

156 North West Second Ring Road, Gulou District, Fuzhou, Fujian, China

经费或物资来源:

福建省社会发展引导性(重点)项目(2021Y0062)

Source(s) of funding:

Fujian Provincial Key Social Development Guidance Project (2021Y0062)

研究疾病:

肝硬化  

Target disease:

Liver Cirrhosis

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:

析因分组(即根据危险因素或暴露因素分组) 

Study design:

Factorial 

研究目的:

本研究旨在基于“肠-肝-脑”轴理论,系统评估TIPS术后肝硬化门静脉高压患者肠道屏障功能、肠道菌群变化,揭示TIPS术后打破病态循环后引发一系列病理生理改变的机制。  

Objectives of Study:

This study aims to comprehensively investigate, within the framework of the gut-liver-brain axis, the alterations in intestinal barrier integrity and gut microbiota composition in patients with liver cirrhosis and portal hypertension following transjugular intrahepatic portosystemic shunt (TIPS). Furthermore, the study seeks to uncover the underlying pathophysiological mechanisms triggered by the disruption of the pathological hemodynamic equilibrium induced by TIPS.

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:

病例组排除标准: (1)非硬化性门脉高压症所致EGVB、顽固性腹水、胸水等门脉高压表现的患者; (2)仍有活动性消化道出血的患者; (3)全身或肠道活动性感染,腹膜和腹腔感染的患者; (4)合并恶性肿瘤的患者; (5)近期(4周内)使用抗生素、益生元、益生菌或质子泵抑制剂的患者; (6)伴有溃疡性结肠炎,克罗恩病、腹泻、便秘等胃肠道疾病的患者; (7)具有TIPS的禁忌症的患者; (8)不愿意签署知情同意书患者。 对照组排除标准: 患有肝硬化门静脉高压、高血压、糖尿病、炎症性肠病、急性胃肠炎等急慢性疾病,近4周内使用过抗生素及益生菌、益生元等药物以及其它可能影响肠道功能和微生态的药物。

Exclusion criteria:

Exclusion Criteria for the Case Group: (1) Patients with portal hypertension manifestations such as EGVB, refractory ascites, or pleural effusion caused by non-cirrhotic portal hypertension; (2) Patients with ongoing active gastrointestinal bleeding; (3) Patients with active systemic or intestinal infections, including peritonitis or intra-abdominal infections; (4) Patients with concurrent malignant tumors; (5) Patients who have used antibiotics, prebiotics, probiotics, or proton pump inhibitors within the past 4 weeks; (6) Patients with gastrointestinal diseases such as ulcerative colitis, Crohn’s disease, diarrhea, or constipation; (7) Patients with contraindications to the TIPS procedure; (8) Patients who are unwilling to sign the informed consent form. Exclusion Criteria for the Control Group: Individuals diagnosed with cirrhotic portal hypertension, hypertension, diabetes, inflammatory bowel disease, acute gastroenteritis, or other acute or chronic conditions; Individuals who have used antibiotics, probiotics, prebiotics, or other medications that may affect intestinal function or gut microbiota within the past 4 weeks.

研究实施时间:

Study execute time:

From 2023-02-05 00:00:00 To 2024-04-05 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-02-05 00:00:00 To 2024-04-05 00:00:00

干预措施:

Interventions:

组别:

病例组

样本量:

20

Group:

Case Group

Sample size:

干预措施:

干预措施代码:

Intervention:

none

Intervention code:

组别:

对照组

样本量:

20

Group:

Control 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):

福建 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

中国人民解放军联勤保障部队第九〇〇医院 

单位级别:

三甲 

Institution
hospital:

900th Hospital of PLA Joint Logistic Support Force

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

菌群α多样性

指标类型:

主要指标

Outcome:

Alpha-Diversity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

菌群β多样性

指标类型:

主要指标

Outcome:

liver function

Type:

Primary indicator

测量时间点:

Beta-Diversity

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肠道菌群组成

指标类型:

主要指标

Outcome:

Gut Microbiota Composition

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肝功能

指标类型:

次要指标

Outcome:

liver function

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肾功能

指标类型:

次要指标

Outcome:

renal function

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

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

标本中文名:

粪便

组织:

Sample Name:

Feces

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation 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 75 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:

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):

经合理申请,可联系主要研究者(dongliangli93@163.com)获取相关数据。

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

Available from the principal investigator(dongliangli93@163.com) upon reasonable request.

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:

本研究采用纸质病例报告表(CRF)进行数据采集,所有数据将由两名研究人员独立录入并核对,随后录入至Excel电子表格中进行集中管理,定期备份。

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

Case report forms (CRFs) will be used for data collection. All data will be independently entered and verified by two researchers, then transferred into an Excel-based electronic database for centralized management and regular backup.

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:

 2025-07-16 16:00:41