单双导丝序贯引导床旁盲插鼻肠管在重型颅脑损伤患者的临床有效性和安全性评价

注册号:

Registration number:

ChiCTR1800016777 

最近更新日期:

Date of Last Refreshed on:

2018-06-23 09:36:40 

注册时间:

Date of Registration:

2018-06-23 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

单双导丝序贯引导床旁盲插鼻肠管在重型颅脑损伤患者的临床有效性和安全性评价

Public title:

Clinical feasibility and safety of single and double guidewires guided sequentially bedside blind intubation of nasojejunal tube in patients with severe brain injury

注册题目简写:

English Acronym:

研究课题的正式科学名称:

单双导丝序贯引导床旁盲插鼻肠管在重型颅脑损伤患者的临床有效性和安全性评价

Scientific title:

Clinical feasibility and safety of single and double guidewires guided sequentially bedside blind intubation of nasojejunal tube in patients with severe brain injury

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:

吴智水 

研究负责人:

徐静娟 

Applicant:

Zhishui Wu 

Study leader:

Jingjuan Xu 

申请注册联系人电话:

Applicant telephone:

+86 13270927807

研究负责人电话:

Study leader's
telephone:

+86 15961178970

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:

zswu@alu.suda.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

xujingjuan@czfph.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:

中国江苏省常州市天宁区局前街185号

研究负责人通讯地址:

中国江苏省常州市天宁区局前街185号

Applicant address:

185 Juqian Street, Tianning District, Changzhou, Jiangsu, China

Study leader's address:

185 Juqian Street, Tianning District, Changzhou, Jiangsu, 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:

苏州大学附属第三医院

Applicant's institution:

The Third Affilicated of Soochow University

研究负责人所在单位:

苏州大学附属第三医院

Affiliation of the Leader:

The Third Affilicated of Soochow 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:

2017046

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:

苏州大学附属第三医院伦理委员会

Name of the ethic committee:

The Ethics Committee of the Third Affiliated Hospital of Soochow University

伦理委员会批准日期:

Date of approved by ethic committee:

2017-08-17 00:00:00

伦理委员会联系人:

刘娟

Contact Name of the ethic committee:

Juan Liu

伦理委员会联系地址:

中国江苏省常州市天宁区局前街185号

Contact Address of the ethic committee:

185 Juqian Street, Tianning District, Changzhou, Jiangsu, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

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:

苏州大学附属第三医院

Primary sponsor:

The Third Affilicated of Soochow University

研究实施负责(组长)单位地址:

中国江苏省常州市天宁区局前街185号

Primary sponsor's address:

185 Juqian Street, Tianning District, Changzhou, Jiangsu, 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):

江苏

市(区县):

常州

Country:

China

Province:

Jiangsu

City:

Changzhou

单位(医院):

苏州大学附属第三医院

具体地址:

中国江苏省常州市天宁区局前街185号

Institution
hospital:

The Third Affilicated of Soochow University

Address:

185 Juqian Street, Tianning District, Changzhou, Jiangsu, China

经费或物资来源:

江苏省卫生计生委医学科研课题经费

Source(s) of funding:

Jiangsu Provincial Health and Family Planning Commission medical research funding

研究疾病:

重症颅脑损伤  

Target disease:

severe brain injury

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:

探讨重型颅脑损伤患者,早期床旁使用单双导丝序贯引导进行鼻肠管盲插,与常规的单导丝引导盲插比较。通过比较两组在置管成功率、置管耗时、置管过程中的生命体征、置管相关并发症率方面,评价该方法的临床有效性和安全性。改进鼻肠管的置管方法,形成规范化的单双导丝序贯引导用于重症颅脑损伤患者的床旁盲插鼻肠管置入流程,指导临床工作,早期实施肠内营养支持。  

Objectives of Study:

To investigate patients with severe craniocerebral injury, the early use of single- and double-guided sequential guides for blind insertion of naso-intestinal tubes was compared with the conventional single-guidewire blind insertion. The clinical effectiveness and safety of the method were evaluated by comparing the success rate of catheterization, time spent in catheterization, vital signs during catheterization, and complication rate of catheterization. To improve the method of intubation of the naso-intestinal canal, form a standardized single- and double-guidewire sequential guidance for the blind paranasal intubation of patients with severe head injury, guide the clinical work, and early implementation of enteral nutrition support.

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)食管静脉曲张或狭窄;(2)上消化道梗阻;(3)外科术后胃肠道解剖结构的改变;(4)胃溃疡、出血、穿孔。

Exclusion criteria:

(1) Esophageal varices or stenosis;
(2) Upper gastrointestinal obstruction;
(3) Changes in the anatomy of the gastrointestinal tract after surgery;
(4) Gastric ulcers, hemorrhage, and perforation.

研究实施时间:

Study execute time:

From 2018-06-25 00:00:00 To 2019-06-25 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-06-25 00:00:00 To 2019-06-25 00:00:00

干预措施:

Interventions:

组别:

实验组

样本量:

57

Group:

Intervention group

Sample size:

干预措施:

单双导丝序贯引导床旁盲插鼻肠管

干预措施代码:

Intervention:

single and double guidewires guided sequentially bedside blind intubation

Intervention code:

组别:

对照组

样本量:

57

Group:

Control group

Sample size:

干预措施:

常规置管

干预措施代码:

Intervention:

Conventional intubation method

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):

常州 

Country:

China

Province:

Jiangsu

City:

Changzhou

单位(医院):

苏州大学附属第三医院 

单位级别:

三级甲等 

Institution
hospital:

The Third Affilicated of Soochow University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

置管成功率

指标类型:

主要指标

Outcome:

achievement ratio of catheterizatio

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

置管耗时

指标类型:

主要指标

Outcome:

Intubation time consuming

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生命体征

指标类型:

次要指标

Outcome:

Vital signs

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

置管相关并发症

指标类型:

次要指标

Outcome:

Catheterization related 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:

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 80 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):

由专人负责采用随机数字表法产生随机序列。

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

The random number table is used to generate random sequences by a specially-assigned person.

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):

通过发表论文的方式公布原始数据,于2019年8月发表论文

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

sharing research results by published paper in Aug 2019.

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,excel,SPSS17.0

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

case record form,excel,SPSS17.0

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2018-06-23 09:36:40