羟考酮导向的镇痛方案对妇科腹腔镜术后恶心呕吐的影响:内脏源性疼痛的风险因素

注册号:

Registration number:

ChiCTR2500113421 

最近更新日期:

Date of Last Refreshed on:

2025-11-27 18:02:39 

注册时间:

Date of Registration:

2025-11-27 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

羟考酮导向的镇痛方案对妇科腹腔镜术后恶心呕吐的影响:内脏源性疼痛的风险因素

Public title:

The Effect of Oxycodone-Directed Analgesic Regimens on Postoperative Nausea and Vomiting in Gynecological Laparoscopy: Risk Factors for Visceral Pain

注册题目简写:

English Acronym:

研究课题的正式科学名称:

羟考酮导向的镇痛方案对妇科腹腔镜术后恶心呕吐的影响:内脏源性疼痛的风险因素

Scientific title:

The Effect of Oxycodone-Directed Analgesic Regimens on Postoperative Nausea and Vomiting in Gynecological Laparoscopy: Risk Factors for Visceral Pain

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:

章少祺 

研究负责人:

郭文俊 

Applicant:

Zhang Shaoqi 

Study leader:

Guo Wenjun 

申请注册联系人电话:

Applicant telephone:

+86 180 7285 5830

研究负责人电话:

Study leader's
telephone:

+86 136 0553 2244

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:

2451230010@qq.com

研究负责人电子邮件:

Study leader's E-mail:

Gwj8581@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:

安徽省芜湖市镜湖区赭山西路2号

研究负责人通讯地址:

安徽省芜湖市镜湖区赭山西路2号

Applicant address:

No. 2, Zheshan West Road, Jinghu District, Wuhu City, Anhui Province

Study leader's address:

No. 2, Zheshan West Road, Jinghu District, Wuhu City, Anhui Province

申请注册联系人邮政编码:

Applicant postcode:

028144

研究负责人邮政编码:

Study leader's postcode:

028144

申请人所在单位:

皖南医学院第一附属医院

Applicant's institution:

The First Affiliated Hospital of Wannan Medical College

研究负责人所在单位:

皖南医学院第一附属医院

Affiliation of the Leader:

The First Affiliated Hospital of Wannan Medical College

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)伦审研第(253)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:

皖南医学院弋矶山医院科研与新技术伦理委员会

Name of the ethic committee:

Research and New Technology Ethics Committee of Yijishan Hospital, Wannan Medical College

伦理委员会批准日期:

Date of approved by ethic committee:

2025-11-13 00:00:00

伦理委员会联系人:

吴佩

Contact Name of the ethic committee:

Wu Pei

伦理委员会联系地址:

安徽省芜湖市镜湖区赭山西路2号

Contact Address of the ethic committee:

No. 2, Zheshan West Road, Jinghu District, Wuhu City, Anhui Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 553 573 9209

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:

皖南医学院第一附属医院

Primary sponsor:

The First Affiliated Hospital of Wannan Medical College

研究实施负责(组长)单位地址:

安徽省芜湖市镜湖区赭山西路2号

Primary sponsor's address:

No. 2, Zheshan West Road, Jinghu District, Wuhu City, Anhui Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

安徽省

市(区县):

芜湖市

Country:

China

Province:

Anhui

City:

Wuhu

单位(医院):

皖南医学院第一附属医院

具体地址:

安徽省芜湖市镜湖区赭山西路2号

Institution
hospital:

The First Affiliated Hospital of Wannan Medical College

Address:

No. 2, Zheshan West Road, Jinghu District, Wuhu City, Anhui Province

经费或物资来源:

国家医学研究中心后补助经费项目

Source(s) of funding:

Supplementary Funding Project of the National Medical Research Center

研究疾病:

术后恶心呕吐  

Target disease:

Postoperative nausea and vomiting

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:

通过随机对照试验,1、探究内脏疼痛对PONV的独立效应。2. 验证羟考酮的应用在防治妇科腹腔镜手术PONV中的优势。3. 探索内脏痛强度(VAS评分)与PONV严重程度的关系。4. 开发基于疼痛分型的PONV风险预测模型。  

Objectives of Study:

Through randomized controlled trials, the present study aims to: Investigate the independent effect of visceral pain on postoperative nausea and vomiting (PONV); Validate the advantages of oxycodone administration in the prevention and management of PONV following gynecological laparoscopic surgery; Explore the correlation between visceral pain intensity (assessed by Visual Analogue Scale, VAS) and PONV severity; Develop a PONV risk prediction model based on pain classification.

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 长期使用止吐药的患者; 2 既存其他可能导致恶心呕吐几率增加的疾病(晕动病史等)的患者; 3 既存神经或精神疾病; 4 慢性疼痛综合征; 5 酒精或药物滥用的患者

Exclusion criteria:

1. Patients who use antiemetic drugs for a long time; 2. Patients with other existing conditions that may increase the likelihood of nausea and vomiting (such as a history of motion sickness); 3. Patients with existing neurological or psychiatric disorders; 4. Patients with chronic pain syndrome; 5. Patients who abuse alcohol or drugs

研究实施时间:

Study execute time:

From 2025-11-30 00:00:00 To 2026-11-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-11-30 00:00:00 To 2026-11-30 00:00:00

干预措施:

Interventions:

组别:

羟考酮组

样本量:

88

Group:

Oxycodone group

Sample size:

干预措施:

羟考酮

干预措施代码:

Intervention:

Oxycodone

Intervention code:

组别:

舒芬太尼组

样本量:

88

Group:

Sufentanil group

Sample size:

干预措施:

舒芬太尼

干预措施代码:

Intervention:

Sufentanil

Intervention code:

组别:

羟考酮+舒芬太尼组

样本量:

88

Group:

Oxycodone+Sufentanil group

Sample size:

干预措施:

羟考酮+舒芬太尼

干预措施代码:

Intervention:

Oxycodone+Sufentanil

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

安徽省 

市(区县):

芜湖市 

Country:

China

Province:

Anhui

City:

Wuhu

单位(医院):

皖南医学院第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Wannan Medical College

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后48h内中度以上疼痛的发生率

指标类型:

次要指标

Outcome:

The incidence of moderate-to-severe pain within 48 hours postoperatively

Type:

Secondary indicator

测量时间点:

拔管即刻、0.5h、1h、2h、4h、24h、48h

测量方法:

VAS评分≥4分

Measure time point of outcome:

Immediately after extubation, and at 0.5h, 1h, 2h, 4h, 24h, and 48h

Measure method:

VAS>=4

指标中文名:

术后48h内发生的恶心呕吐的次数

指标类型:

主要指标

Outcome:

The number of times nausea and vomiting occurred within 48 hours after the operation

Type:

Primary indicator

测量时间点:

术后48h

测量方法:

Measure time point of outcome:

48 hours postoperatively

Measure method:

指标中文名:

术后48h中度以上内脏疼痛的发生率

指标类型:

次要指标

Outcome:

The incidence of moderate to severe visceral pain within 48 hours after surgery

Type:

Secondary indicator

测量时间点:

拔管即刻、0.5h、1h、2h、4h、24h、48h

测量方法:

打分

Measure time point of outcome:

Immediately after extubation, and at 0.5h, 1h, 2h, 4h, 24h, and 48h

Measure method:

Score

指标中文名:

术后48h中度以上切口疼痛的发生率

指标类型:

次要指标

Outcome:

The incidence of moderate to severe incision pain within 48 hours after the operation

Type:

Secondary indicator

测量时间点:

拔管即刻、0.5h、1h、2h、4h、24h、48h

测量方法:

打分

Measure time point of outcome:

Immediately after extubation, and at 0.5h, 1h, 2h, 4h, 24h, and 48h

Measure method:

Score

指标中文名:

镇静评分

指标类型:

次要指标

Outcome:

Sedation scores

Type:

Secondary indicator

测量时间点:

拔管即刻

测量方法:

Measure time point of outcome:

Immediately after extubation

Measure method:

指标中文名:

术后48h内PCA按压次数

指标类型:

次要指标

Outcome:

The number of PCA demands within 48 hours postoperatively

Type:

Secondary indicator

测量时间点:

术后48小时

测量方法:

Measure time point of outcome:

48 hours postoperatively

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 20 years
最大 Max age 60 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

研究者使用随机数表法

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

The researchers used a random number table to allocate participants.

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:

单盲,对评估者隐藏分组

Blinding:

Single blind study with blinded-evaluators

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:

使用病例记录表进行数据采集;采用双人双盲双录入的录入方式,然后比对两遍录入数据不一致的数据点,将录入错误的数据进行修改,再比对修改,直至完全一致

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

Use the case record form for data collection; adopt the input method of double, double blind and double entry, then double the inconsistent data points, modify the incorrect data, and make the same data.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-11-27 18:02:33