初乳灌肠对极早产儿喂养不耐受及生长发育的影响研究

注册号:

Registration number:

ChiCTR2500107911 

最近更新日期:

Date of Last Refreshed on:

2025-08-20 17:44:05 

注册时间:

Date of Registration:

2025-08-20 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

初乳灌肠对极早产儿喂养不耐受及生长发育的影响研究

Public title:

The Impact of Colostrum Enema on Feeding Intolerance and Growth Outcomes in Extremely Preterm Infants

注册题目简写:

English Acronym:

研究课题的正式科学名称:

初乳灌肠对极早产儿喂养不耐受及生长发育的影响研究

Scientific title:

The Impact of Colostrum Enema on Feeding Intolerance and Growth Outcomes in Extremely Preterm Infants

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:

侯世香 

研究负责人:

侯世香 

Applicant:

Shixiang Hou 

Study leader:

Shixiang Hou 

申请注册联系人电话:

Applicant telephone:

+86 182 9318 7671

研究负责人电话:

Study leader's
telephone:

+86 182 9318 7671

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:

837094405@qq.com

研究负责人电子邮件:

Study leader's E-mail:

837094405@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:

甘肃省兰州市七里河区七里河北街143号

研究负责人通讯地址:

甘肃省兰州市七里河区七里河北街143号

Applicant address:

Department of Neonatology, Gansu Provincial Maternity and Child Health Care Hospital, 143 Qilihe North Street, Qilihe District, Lanzhou, Gansu 730000, P. R. China.

Study leader's address:

Department of Neonatology, Gansu Provincial Maternity and Child Health Care Hospital, 143 Qilihe North Street, Qilihe District, Lanzhou, Gansu 730000, P. R. 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:

甘肃省妇幼保健院

Applicant's institution:

Gansu Provincial Maternity and Child Health Care Hospital

研究负责人所在单位:

甘肃省妇幼保健院

Affiliation of the Leader:

Gansu Provincial Maternity and Child Health Care 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:

(2025)GSFY伦审[131]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:

甘肃省妇幼保健院(甘肃省中心医院)伦理委员会

Name of the ethic committee:

"Ethics Committee of Gansu Provincial Maternity and Child Health Care Hospital (Gansu Provincial Central Hospital)

伦理委员会批准日期:

Date of approved by ethic committee:

2025-07-28 00:00:00

伦理委员会联系人:

李京文

Contact Name of the ethic committee:

Jingwen Li

伦理委员会联系地址:

甘肃省兰州市七里河区七里河北街143号

Contact Address of the ethic committee:

Gansu Provincial Maternity and Child Health Care Hospital, 143 Qilihe North Street, Qilihe District, Lanzhou, Gansu 730000, P. R. China.

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 191 1933 7477

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:

甘肃省妇幼保健院

Primary sponsor:

Gansu Provincial Maternity and Child Health Care Hospital

研究实施负责(组长)单位地址:

甘肃省兰州市七里河区七里河北街143号

Primary sponsor's address:

Gansu Provincial Maternity and Child Health Care Hospital, 143 Qilihe North Street, Qilihe District, Lanzhou, Gansu 730000, P. R. 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):

甘肃省

市(区县):

兰州市

Country:

China

Province:

Gansu

City:

Lanzhou

单位(医院):

甘肃省妇幼保健院

具体地址:

甘肃省兰州市七里河区七里河北街143号

Institution
hospital:

Gansu Provincial Maternity and Child Health Care Hospital

Address:

Gansu Provincial Maternity and Child Health Care Hospital, 143 Qilihe North Street, Qilihe District, Lanzhou, Gansu 730000, P. R. China.

经费或物资来源:

自筹

Source(s) of funding:

Self-funded

研究疾病:

极早产儿喂养不耐受  

Target disease:

Feeding intolerance (FI)

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:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

(1)探讨初乳灌肠能否改善极早产儿喂养不耐受状况。 (2)探讨初乳灌肠对极早产儿从出生至矫正胎龄40周生长发育的影响。  

Objectives of Study:

(1) To investigate whether colostrum enema can improve feeding intolerance in extremely preterm infants; (2) To examine the effects of colostrum enema on growth and development in extremely preterm infants from birth to corrected gestational age of 40 weeks.

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)合并先天性疾病,如先天性心脏病、先天性消化道畸形等; (2)诊断为严重的消化系统疾病,如肠套叠等; (3) 发生严重感染或其他严重并发症,如脓毒血症、凝血功能障碍等。 (4)产妇存在母乳相关喂养禁忌症,如感染人类免疫缺陷病毒、梅毒、乙型肝炎等;

Exclusion criteria:

(1) Presence of congenital anomalies (e.g., congenital heart disease, congenital gastrointestinal malformations). (2) Diagnosis of severe gastrointestinal disorders (e.g., intussusception, necrotizing enterocolitis). (3) Occurrence of severe infections or life-threatening complications (e.g., sepsis, coagulopathy). (4) Maternal contraindications to breastfeeding (e.g., HIV, syphilis, hepatitis B infection).

研究实施时间:

Study execute time:

From 2025-08-20 00:00:00 To 2026-10-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-08-20 00:00:00 To 2025-10-31 00:00:00

干预措施:

Interventions:

组别:

干预组(初乳灌肠)

样本量:

130

Group:

Intervention group

Sample size:

干预措施:

初乳灌注

干预措施代码:

Intervention:

Colostrum enema

Intervention code:

组别:

对照组(开塞露+生理盐水1:1稀释液灌肠)

样本量:

130

Group:

Control group

Sample size:

干预措施:

采用1ml/kg开塞露+1ml/kg生理盐水稀释灌肠,以降低渗透压减少对肠壁的刺激,其他操作环节均与干预组保持一致,包括预热温度、操作流程、时间、频次、疗程及相关临床监测指标。

干预措施代码:

Intervention:

Glycerin enema with normal saline (1:1 dilution)

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

甘肃 

市(区县):

兰州市 

Country:

China

Province:

Gansu

City:

Lanzhou

单位(医院):

甘肃省妇幼保健院 

单位级别:

三甲 

Institution
hospital:

Gansu Provincial Maternity and Child Health Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

喂养不耐受发生率

指标类型:

主要指标

Outcome:

Incidence of feeding intolerance (FI)

Type:

Primary indicator

测量时间点:

极早产儿住院期间

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

其它  

说明

Fate of sample:

0thers  

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 28 years
最大 Max age 32 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):

由研究负责人使用随机数字表(《医学统计学》附表)从第3行第1列开始横向读取,取随机数末尾数字,按奇偶性分配:奇数—干预组;偶数—对照组。最后,将写有编号、随机数和组别的卡片置于不透明的信封内,由独立研究人员在极早产儿完成基线评估后拆封执行。

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

The principal investigator allocated participants using a random number table (Appendix Table from Medical Statistics). The allocation sequence was generated starting from Row 3, Column 1, reading horizontally. The last digit of each random number determined group assignment: Odd numbers: Intervention group (colostrum enema) Even numbers: Control group Opaque sealed envelopes containing the assignment information (study ID, random number, and group allocation) were prepared in advance. An independent researcher opened the envelopes only after baseline assessments were completed for each extremely preterm infant.

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:

None

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):

基于伦理审查要求和隐私保护原则,数据共享需满足以下条件:(1)提交书面申请至研究负责人;(2)通过伦理委员会审查;(3)签署数据保密协议。

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

According to ethical review requirements and privacy protection principles, data sharing shall comply with the following conditions: (1) Submission of a written application to the principal investigator; (2) Approval by the Institutional Review Board (IRB); (3) Execution of a data confidentiality agreement.

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(CRF),二为电子采集和管理系统(EDC)。

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

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

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-08-20 17:43:54