全凭静脉麻醉对泌尿外科腹膜后腔镜手术患者术后恢复质量与炎症因子及术中二氧化碳分压的影响

注册号:

Registration number:

ChiCTR2500110244 

最近更新日期:

Date of Last Refreshed on:

2025-10-11 09:05:19 

注册时间:

Date of Registration:

2025-10-11 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

全凭静脉麻醉对泌尿外科腹膜后腔镜手术患者术后恢复质量与炎症因子及术中二氧化碳分压的影响

Public title:

Effects of total intravenous anesthesia on postoperative quality of recovery, inflammatory factors and intraoperative carbon dioxide partial pressure in patients undergoing retroperitoneal endoscopic surgery in urology

注册题目简写:

English Acronym:

研究课题的正式科学名称:

全凭静脉麻醉对泌尿外科腹膜后腔镜手术患者术后恢复质量与炎症因子及术中二氧化碳分压的影响

Scientific title:

Effects of total intravenous anesthesia on postoperative quality of recovery, inflammatory factors and intraoperative carbon dioxide partial pressure in patients undergoing retroperitoneal endoscopic surgery in urology

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:

钱龙 

研究负责人:

钱龙 

Applicant:

Qian Long 

Study leader:

Qian Long 

申请注册联系人电话:

Applicant telephone:

+86 152 5124 5520

研究负责人电话:

Study leader's
telephone:

+86 152 5124 5520

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:

xqianlong@126.com

研究负责人电子邮件:

Study leader's E-mail:

xqianlong@126.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:

江苏省连云港市灌云县伊山镇西环路2号

研究负责人通讯地址:

江苏省连云港市灌云县伊山镇西环路2号

Applicant address:

2 Ring Road West, Yishan Town, Guanyun County, Lianyungang, Jiangsu

Study leader's address:

2 Ring Road West, Yishan Town, Guanyun County, Lianyungang, Jiangsu

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:

灌云县人民医院

Applicant's institution:

Guanyun people's Hospital

研究负责人所在单位:

灌云县人民医院

Affiliation of the Leader:

Guanyun 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:

[2025]灌伦审第46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:

灌云县人民医院伦理委员会

Name of the ethic committee:

Ethics Committee of Guanyun people's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-09-15 00:00:00

伦理委员会联系人:

周明

Contact Name of the ethic committee:

Zhou Ming

伦理委员会联系地址:

江苏省连云港市灌云县伊山镇西环路2号

Contact Address of the ethic committee:

2 Ring Road West, Yishan Town, Guanyun County, Lianyungang, Jiangsu

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 138 1561 6150

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:

灌云县人民医院

Primary sponsor:

Guanyun people's Hospital

研究实施负责(组长)单位地址:

江苏省连云港市灌云县伊山镇西环路2号

Primary sponsor's address:

2 Ring Road West, Yishan Town, Guanyun County, Lianyungang, Jiangsu

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):

连云港市

Country:

China

Province:

Jiangsu

City:

Lianyungang

单位(医院):

灌云县人民医院

具体地址:

江苏省连云港市灌云县伊山镇西环路2号

Institution
hospital:

Guanyun people's Hospital

Address:

2 Ring Road West, Yishan Town, Guanyun County, Lianyungang, Jiangsu

经费或物资来源:

Source(s) of funding:

none

研究疾病:

术后恢复质量  

Target disease:

postoperative quality of recovery

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:

探讨全凭静脉麻醉对泌尿外科腹膜后腹腔镜手术术后恢复质量评分与炎症因子及术中二氧化碳的影响  

Objectives of Study:

To investigate the effect of total intravenous anesthesia on postoperative quality of recovery, inflammatory factors and intraoperative carbon dioxide of retroperitoneal laparoscopic surgery in urology

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非计划或紧急手术; ②合并精神疾病、认知功能异常、慢性疼痛疾病、长期服用镇静镇痛药物或酒精滥用者; ③严重肝肾功能疾病; ④严重心肺功能疾病; ⑤孕妇、哺乳期妇女; ⑥对研究所用药物有过敏或禁忌症者。

Exclusion criteria:

1. Unplanned or emergency surgery; 2. Those with mental illness, abnormal cognitive function, chronic pain disease, long-term use of sedative and analgesic drugs or alcohol abuse; 3.Severe liver and kidney disease ; 4. Severe cardiopulmonary disease; 5. Pregnant and lactating women; 6. Those who have allergies or contraindications to the drugs used in the study.

研究实施时间:

Study execute time:

From 2025-11-01 00:00:00 To 2028-10-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-11-01 00:00:00 To 2028-10-31 00:00:00

干预措施:

Interventions:

组别:

试验组(全凭静脉麻醉组)

样本量:

40

Group:

Experimental group(total intravenous anesthesia group)

Sample size:

干预措施:

麻醉维持丙泊酚剂量4~12 mg·kg-1·h-1、瑞芬太尼剂量0.05~0.2μg·kg-1·min-1

干预措施代码:

Intervention:

Anesthesia was maintained with propofol dose of 4-12 mg · kg-1 · H-1 and remifentanil dose of 0.05-0.2 μ g · kg-1 · min-1

Intervention code:

组别:

对照组(吸入麻醉组)

样本量:

40

Group:

Control group (inhalation anesthesia group)

Sample size:

干预措施:

麻醉维持七氟烷吸入1.0~3.0%、瑞芬太尼剂量0.05~0.2μg·kg-1·min-1

干预措施代码:

Intervention:

Anesthesia was maintained with sevoflurane inhalation of 1.0-3.0% and remifentanil dose of 0.05-0.2 μ g · kg-1 · min-1

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):

连云港市 

Country:

China

Province:

Jiangsu

City:

Lianyungang

单位(医院):

灌云县人民医院  

单位级别:

三级 

Institution
hospital:

Guanyun people's Hospital

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

术后恢复质量评分

指标类型:

主要指标

Outcome:

Postoperative quality of recovery score

Type:

Primary indicator

测量时间点:

术后第1天

测量方法:

QoR-40量表

Measure time point of outcome:

Postoperative day 1

Measure method:

QoR-40 scale

指标中文名:

术后恢复质量评分

指标类型:

次要指标

Outcome:

Postoperative quality of recovery score

Type:

Secondary indicator

测量时间点:

术前1天,术后第2、3天

测量方法:

QoR-40量表

Measure time point of outcome:

Preoperative day 1 and postoperative days 2 and 3

Measure method:

QoR-40 scale

指标中文名:

NRS疼痛评分

指标类型:

次要指标

Outcome:

NRS pain score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症因子

指标类型:

次要指标

Outcome:

Inflammatory factors

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

围术期特殊时刻的血流动力学指标

指标类型:

次要指标

Outcome:

Hemodynamic indices at special moments in the perioperative period

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中呼气末二氧化碳分压

指标类型:

次要指标

Outcome:

Intraoperative end tidal carbon dioxide partial pressure

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中动脉血气二氧化碳分压

指标类型:

次要指标

Outcome:

Intraoperative arterial blood gas partial pressure of 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:

苏醒时Ramsay镇静评分

指标类型:

次要指标

Outcome:

Ramsay Sedation score on awakening

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

苏醒时间

指标类型:

次要指标

Outcome:

Awakening time

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

气管导管拔管时间

指标类型:

次要指标

Outcome:

Extubation time of endotracheal tube

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PACU停留时间

指标类型:

次要指标

Outcome:

PACU Length of Stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后24h不良反应的发生情况(恶心呕吐、头痛、呼吸抑制、低氧血症等)

指标类型:

次要指标

Outcome:

Incidence of adverse reactions 24 hours after operation (nausea and vomiting, headache, respiratory depression, hypoxemia, etc.)

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 18 years
最大 Max age 65 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):

由一名不参与后续研究或数据管理的独立统计学家使用在线随机化工具 (https://www.sealedenvelope.com/randomisation/) 按照 1:1 的分配比生成随机化列表。

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

An independent statistician who will not participate in the subsequent study or data management will generate a randomization list using an online randomization tool (https://www.sealedenvelope.com/randomisation/) with an allocation ratio of 1:1.

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:

因两组麻醉方案显著不同,无法对主治麻醉师实施盲法。研究参与者、外科医生、其他医疗人员以及负责数据收集和结果评估的研究人员,在最终分析完成之前,都对分组分配不知情。

Blinding:

Because the anesthesia schemes of the two groups were significantly different, it was impossible to blind the attending anesthesiologist.Research participants, surgeons, other medical personnel, and researchers responsible for data collection and outcome evaluation were blinded to the grouping allocation until the final analysis was completed.

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):

研究结束后6个月,经研究者同意后可邮箱获取;

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

Six months after the study ends, it can be obtained by email with the researcher's consent;

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:

纸质材料及对电子材料保存在灌云县人民医院

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

Paper materials and electronic materials are kept in Guanyun people's Hospital.

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:

 2025-10-11 09:05:02