基于PNI、NLR等指标对根治性远端胃切除术后延迟性肠麻痹的预测价值分析

注册号:

Registration number:

ChiCTR2500109934 

最近更新日期:

Date of Last Refreshed on:

2025-09-28 08:28:38 

注册时间:

Date of Registration:

2025-09-28 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于PNI、NLR等指标对根治性远端胃切除术后延迟性肠麻痹的预测价值分析

Public title:

Analysis of predictive value of PNI, NLR and other indicators for prolonged postoperative ileus after radical distal gastrectomy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于PNI、NLR等指标对根治性远端胃切除术后延迟性肠麻痹的预测价值分析

Scientific title:

Analysis of predictive value of PNI, NLR and other indicators for prolonged postoperative ileus after radical distal gastrectomy

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:

黄永帅 

研究负责人:

黄永帅 

Applicant:

Huang Yongshuai 

Study leader:

Huang Yongshuai 

申请注册联系人电话:

Applicant telephone:

+86 151 4216 2740

研究负责人电话:

Study leader's
telephone:

+86 151 4216 2740

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:

1601701599@qq.com

研究负责人电子邮件:

Study leader's E-mail:

1601701599@qq.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:

中国辽宁省朝阳市双塔区朝阳大街二段6号

研究负责人通讯地址:

中国辽宁省朝阳市双塔区朝阳大街二段6号

Applicant address:

6, Chaoyang Street, Section 2, Shuangta District, Chaoyang, Liaoning,China

Study leader's address:

6, Chaoyang Street, Section 2, Shuangta District, Chaoyang, Liaoning,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:

朝阳市中心医院

Applicant's institution:

Chaoyang Central Hospital

研究负责人所在单位:

朝阳市中心医院

Affiliation of the Leader:

Chaoyang Central 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:

医伦审[2025]29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:

朝阳市中心医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Chaoyang Central Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-06-10 00:00:00

伦理委员会联系人:

金晨

Contact Name of the ethic committee:

Jin Chen

伦理委员会联系地址:

中国辽宁省朝阳市双塔区朝阳大街二段6号

Contact Address of the ethic committee:

6, Chaoyang Street, Section 2, Shuangta District, Chaoyang, Liaoning, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 180 4029 3782

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:

朝阳市中心医院

Primary sponsor:

Chaoyang Central Hospital

研究实施负责(组长)单位地址:

中国辽宁省朝阳市双塔区朝阳大街二段6号

Primary sponsor's address:

6, Chaoyang Street, Section 2, Shuangta District, Chaoyang, Liaoning, 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):

辽宁

市(区县):

朝阳

Country:

China

Province:

Liaoning

City:

Chaoyang

单位(医院):

朝阳市中心医院

具体地址:

中国辽宁省朝阳市双塔区朝阳大街二段6号

Institution
hospital:

Chaoyang Central Hospital

Address:

6, Chaoyang Street, Section 2, Shuangta District, Chaoyang, Liaoning, China

经费或物资来源:

自筹

Source(s) of funding:

Self-raised

研究疾病:

术后肠麻痹  

Target disease:

Postoperative ileus

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:

回顾性研究 

Study phase:

Retrospective study

研究设计:

病例对照研究 

Study design:

Case-Control study 

研究目的:

1.评估PNI、NLR等指标对胃癌患者行根治性远端胃切除术后延迟性肠麻痹的预测价值; 2.筛选出灵敏度和特异度均较高的危险因素。  

Objectives of Study:

1.To evaluate the predictive value of PNI and NLR in prolonged postoperative ileus radical distal gastrectomy in patients with gastric cancer; 2.Screening out the risk factors with high sensitivity and specificity.

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.急诊手术; 2.腹腔镜中转开腹手术; 3.全胃或近端胃切除; 4.临床病历资料不完整; 5.合并其他感染疾病; 6.转入ICU; 7.血液系统疾病(白血病、淋巴瘤、再生障碍性贫血等)。

Exclusion criteria:

1.Emergency surgery; 2.Laparoscopic conversion to laparotomy; 3.Total or proximal gastrectomy; 4. Incomplete clinical records; 5.Complicated with other infectious diseases; 6.Transferred to ICU; 7.Hematological diseases (leukemia, lymphoma, aplastic anemia, etc.).

研究实施时间:

Study execute time:

From 2025-09-30 00:00:00 To 2026-05-20 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-09-30 00:00:00 To 2026-05-20 00:00:00

干预措施:

Interventions:

组别:

术后延迟性肠麻痹组

样本量:

70

Group:

Prolonged postoperative ileus group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

非术后延迟性肠麻痹组

样本量:

160

Group:

Non-prolonged postoperative ileus 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):

辽宁 

市(区县):

朝阳 

Country:

China

Province:

Liaoning

City:

Chaoyang

单位(医院):

朝阳市中心医院 

单位级别:

三甲 

Institution
hospital:

Chaoyang Central Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

性别

指标类型:

主要指标

Outcome:

Gender

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

年龄

指标类型:

主要指标

Outcome:

Age

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

身体质量指数

指标类型:

次要指标

Outcome:

Body Mass Index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

手术方式

指标类型:

主要指标

Outcome:

Method of surgery

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肿瘤分期

指标类型:

次要指标

Outcome:

Tumor stage

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

手术时间

指标类型:

主要指标

Outcome:

Operation time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ASA评分

指标类型:

次要指标

Outcome:

ASA Rating

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

吸烟史

指标类型:

次要指标

Outcome:

Smoking history

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

高血压

指标类型:

次要指标

Outcome:

Hypertension

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

糖尿病

指标类型:

次要指标

Outcome:

Diabetes

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

冠心病

指标类型:

次要指标

Outcome:

Coronary heart disease

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

既往腹部手术史

指标类型:

主要指标

Outcome:

Past abdominal surgery history

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

重建方式

指标类型:

主要指标

Outcome:

Reconstruction method

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肿瘤分化程度

指标类型:

次要指标

Outcome:

Tumor differentiation degree

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脉管是否侵犯

指标类型:

次要指标

Outcome:

Is the vessel invasion

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经是否侵犯

指标类型:

次要指标

Outcome:

Is the nerve invading

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

有无发热

指标类型:

次要指标

Outcome:

Is there any fever

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

有无恶心呕吐

指标类型:

主要指标

Outcome:

Are there any nausea and vomiting

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

有无腹胀

指标类型:

主要指标

Outcome:

Is there any abdominal distension

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

是否排气排便

指标类型:

主要指标

Outcome:

Whether to exhaust or not

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

是否耐受饮食

指标类型:

主要指标

Outcome:

Is it tolerant of diet

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

影像学是否确认肠梗阻

指标类型:

主要指标

Outcome:

Is imaging confirmed intestinal obstruction

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白蛋白

指标类型:

主要指标

Outcome:

Albumin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白球比

指标类型:

主要指标

Outcome:

Albumin globulin ratio

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿素

指标类型:

次要指标

Outcome:

Urea

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌酐

指标类型:

次要指标

Outcome:

Creatinine

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

钾离子

指标类型:

主要指标

Outcome:

Potassium ion

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

钠离子

指标类型:

主要指标

Outcome:

Sodium ion

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

氯离子

指标类型:

主要指标

Outcome:

Chloride ions

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

钙离子

指标类型:

主要指标

Outcome:

Calcium ion

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

磷离子

指标类型:

主要指标

Outcome:

Phosphorus ions

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

镁离子

指标类型:

主要指标

Outcome:

Magnesium ion

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

二氧化碳

指标类型:

次要指标

Outcome:

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:

血糖

指标类型:

主要指标

Outcome:

Blood sugar

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白细胞

指标类型:

主要指标

Outcome:

Leukocyte

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中性粒细胞

指标类型:

主要指标

Outcome:

Neutrophils

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

淋巴细胞

指标类型:

主要指标

Outcome:

Lymphocytes

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

单核细胞

指标类型:

主要指标

Outcome:

Mononuclear cells

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

嗜酸性粒细胞

指标类型:

主要指标

Outcome:

Eosinophils

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

嗜碱性粒细胞

指标类型:

主要指标

Outcome:

Barophilic granulocytes

Type:

Primary indicator

测量时间点:

测量方法:

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:

Hemoglobin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血小板

指标类型:

主要指标

Outcome:

Platelets

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中性粒细胞与淋巴细胞比率

指标类型:

主要指标

Outcome:

Neutrophil–lymphocyte ratio

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血小板-淋巴细胞比率

指标类型:

主要指标

Outcome:

Platelet-lymphocyte ratio

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

预后营养指数

指标类型:

主要指标

Outcome:

Prognostic nutritional index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

全身免疫炎症指数

指标类型:

主要指标

Outcome:

Systemic immune-inflammation index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

淋巴细胞-单核细胞比值

指标类型:

主要指标

Outcome:

Lymphocyte-monocyte ratio

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

单核细胞与淋巴细胞比值

指标类型:

主要指标

Outcome:

Monocyte-lymphocyte ratio

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

全血细胞炎症指数

指标类型:

主要指标

Outcome:

Aggregate Index of Systemic Inflammation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

全身炎症反应指数

指标类型:

主要指标

Outcome:

System inflammation response index

Type:

Primary 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:

组织:

Sample Name:

None

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 18 years
最大 Max age 100 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:

不公开/Private

盲法:

Blinding:

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):

None

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:

根据电子病历系统进行病例收集与管理

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

Case collection and management according to electronic medical record 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:

 2025-09-28 08:28:38