腹腔镜手术术中低体温对凝血功能及炎性因子的影响

注册号:

Registration number:

ChiCTR2500105725 

最近更新日期:

Date of Last Refreshed on:

2025-07-09 15:56:40 

注册时间:

Date of Registration:

2025-07-09 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

腹腔镜手术术中低体温对凝血功能及炎性因子的影响

Public title:

Effect of hypothermia on coagulation function and inflammatory factors during laparoscopic surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

腹腔镜手术术中低体温对凝血功能及炎性因子的影响

Scientific title:

Effect of hypothermia on coagulation function and inflammatory factors during laparoscopic surgery

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:

张宗旺 

研究负责人:

张宗旺 

Applicant:

Zhang Zongwang 

Study leader:

Zongwang Zhang 

申请注册联系人电话:

Applicant telephone:

+86 13346256809

研究负责人电话:

Study leader's
telephone:

+86 13346256809

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:

zwzhang68@sina.com

研究负责人电子邮件:

Study leader's E-mail:

zwzhang68@sina.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:

山东省聊城市东昌西路67号

研究负责人通讯地址:

山东省聊城市东昌西路67号

Applicant address:

67 Dongchang West Road, Liaocheng, Shandong

Study leader's address:

No. 67 Dongchang West Road, Liaocheng, Shandong

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:

聊城市人民医院

Applicant's institution:

Liaocheng People's Hospital

研究负责人所在单位:

聊城市人民医院

Affiliation of the Leader:

Liaocheng People's 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:

2025179

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:

聊城市人民医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Liaocheng People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-07-04 00:00:00

伦理委员会联系人:

唐哲栋

Contact Name of the ethic committee:

Tang Zhedong

伦理委员会联系地址:

山东省聊城市东昌西路67号

Contact Address of the ethic committee:

No. 67 Dongchang West Road, Liaocheng, Shandong

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 635 8275750

伦理委员会联系人邮箱:

Contact email of the ethic committee:

tangzhedong@sina.com

研究实施负责(组长)单位:

聊城市人民医院

Primary sponsor:

Liaocheng People's Hospital

研究实施负责(组长)单位地址:

山东省聊城市东昌西路67号

Primary sponsor's address:

No. 67 Dongchang West Road, Liaocheng, Shandong

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

山东省

市(区县):

Country:

China

Province:

Shandong

City:

单位(医院):

聊城市人民医院

具体地址:

山东省聊城市东昌西路67号

Institution
hospital:

Liaocheng People's Hospital

Address:

No. 67 Dongchang West Road, Liaocheng, Shandong

经费或物资来源:

自选课题(自筹)

Source(s) of funding:

Self-selected project (self-funded)

研究疾病:

术中低体温  

Target disease:

Intraoperative hypothermia

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:

IV期临床试验 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

旨在研究腹腔镜手术术中低体温对凝血功能和血清炎性因子的影响,完善低体温与凝血功能的关联、预估患者血栓风险以及优化腹腔镜手术患者结局。  

Objectives of Study:

The aim of this study was to study the effect of hypothermia on coagulation function and serum inflammatory factors during laparoscopic surgery, to improve the association between hypothermia and coagulation function, to estimate the risk of thrombosis in patients, and to optimize the outcomes of patients undergoing laparoscopic surgery.

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.术前存在体温异常;
2.预期术中需控制性降温;
3.术前存在凝血功能、免疫功能异常、合并血液系统恶性疾病;
4.术前2周内有促凝或抗凝、抗血小板类药物应用史;
5.拒绝签署知情同意书;
6.由腹腔镜改为开腹手术;

Exclusion criteria:

1. Abnormal body temperature preoperatively; 2. Controlled cooling is expected during surgery; 3. Before surgery, there were abnormal coagulation function, immune function, and hematologic malignant diseases; 4. History of procoagulation or anticoagulation and antiplatelet use within 2 weeks before surgery; 5. Refusal to sign informed consent; 6. Changed from laparoscopy to open surgery;

研究实施时间:

Study execute time:

From 2025-07-11 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-07-11 00:00:00 To 2025-09-30 00:00:00

干预措施:

Interventions:

组别:

常规体温组

样本量:

24

Group:

Routine body temperature group

Sample size:

干预措施:

不应用保温措施进行常规管理,当体温低于 35.5℃时启用暖风机以防患者体温进一步降低。

干预措施代码:

Intervention:

Do not use insulation measures for routine management. When the body temperature is below 35.5 ℃, use a warm air blower to prevent further decrease in patient temperature.

Intervention code:

组别:

目标体温组

样本量:

24

Group:

Target body temperature group

Sample size:

干预措施:

应用暖风机以及医用升温毯联合保温。

干预措施代码:

Intervention:

Use a combination of warm air blower and medical heating blanket for insulation.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

山东省 

市(区县):

 

Country:

China

Province:

Shandong

City:

单位(医院):

聊城市人民医院 

单位级别:

三级甲等 

Institution
hospital:

Liaocheng People's Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

凝血酶-抗凝血酶III复合物(TAT)

指标类型:

主要指标

Outcome:

Thrombin-antithrombin III complex (TAT)

Type:

Primary indicator

测量时间点:

麻醉前及术后

测量方法:

全自动免疫荧光化学分析仪

Measure time point of outcome:

Before and after anesthesia

Measure method:

Fully automated immunofluorescence chemistry analyzer

指标中文名:

血压、心率;术中输液量以及输血量;手术时长;低体温时长;低体温程度(35.9-35.0 ℃ ; 34.9-34.0 ℃ ; <34.0℃)

指标类型:

次要指标

Outcome:

the amount of fluid and blood transfused; length of surgery; duration of hypothermia; Degree of hypothermia (35.9-35.0 °C; 34.9-34.0 ℃ ; <34.0℃)

Type:

Secondary indicator

测量时间点:

术中

测量方法:

Measure time point of outcome:

Intraoperatively

Measure method:

指标中文名:

心动过速、心动过缓、恶心呕吐

指标类型:

次要指标

Outcome:

Tachycardia, bradycardia, nausea and vomiting

Type:

Secondary indicator

测量时间点:

苏醒期

测量方法:

Measure time point of outcome:

Awakening period

Measure method:

指标中文名:

白介素-6(IL-6)

指标类型:

次要指标

Outcome:

interleukin-6 (IL-6)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

降钙素原(PCT)

指标类型:

次要指标

Outcome:

procalcitonin (PCT)

Type:

Secondary 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:

次要指标

Outcome:

D-Dimer

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 60 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):

不参与临床数据统计、试验的人员用随机数字表简单随机化的方法,对受试者随机分配为两组。

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

Those who did not participate in clinical data statistics and trials were randomly assigned to two groups by simple randomization of random number tables.

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:

双盲

Blinding:

Double blind

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):

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

no

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:

病例记录表

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

Case record form

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2025-07-09 15:56:22