预先单肺通气联合呼吸暂停对支气管封堵器用于胸科手术肺萎陷的影响:一项与双腔支气管导管的对比研究

注册号:

Registration number:

ChiCTR2500113332 

最近更新日期:

Date of Last Refreshed on:

2025-11-27 09:52:47 

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:

预先单肺通气联合呼吸暂停对支气管封堵器用于胸科手术肺萎陷的影响:一项与双腔支气管导管的对比研究

Public title:

Effect of preemptive one lung ventilation combined with disconnection technique on lung collapse using bronchial blocker in thoracoscopic surgery: a comparative study with double-lumen endotracheal tube

注册题目简写:

English Acronym:

研究课题的正式科学名称:

预先单肺通气联合呼吸暂停对支气管封堵器用于胸科手术肺萎陷的影响:一项与双腔支气管导管的对比研究

Scientific title:

Effect of preemptive one lung ventilation combined with disconnection technique on lung collapse using bronchial blocker in thoracoscopic surgery: a comparative study with double-lumen endotracheal tube

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:

常家琦 

研究负责人:

卞清明 

Applicant:

Jiaqi Chang 

Study leader:

Qingming Bian 

申请注册联系人电话:

Applicant telephone:

+86 25 8328 4765

研究负责人电话:

Study leader's
telephone:

+86 25 8328 4765

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:

1804272763@qq.com

研究负责人电子邮件:

Study leader's E-mail:

bqm2518@njmu.edu.cn

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:

江苏省肿瘤医院

研究负责人通讯地址:

江苏省肿瘤医院

Applicant address:

Jiangsu Cancer Hospital

Study leader's address:

Jiangsu Cancer Hospital

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:

江苏省肿瘤医院

Applicant's institution:

Jiangsu Cancer Hospital

研究负责人所在单位:

江苏省肿瘤医院

Affiliation of the Leader:

Jiangsu Cancer 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:

KY-2025-170

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:

江苏省肿瘤医院伦理委员会

Name of the ethic committee:

Ethics Committee of Jiangsu Cancer Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-11-17 00:00:00

伦理委员会联系人:

魏继福

Contact Name of the ethic committee:

Jifu Wei

伦理委员会联系地址:

南京市玄武区百子亭42号江苏省肿瘤医院门诊楼6楼

Contact Address of the ethic committee:

6F, Outpatient Building, Jiangsu Cancer Hospital, 42 Baiziting, Xuanwu District, Nanjing, Jiangsu Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 25 8328 4707

伦理委员会联系人邮箱:

Contact email of the ethic committee:

ec@jszlyy.com.cn

研究实施负责(组长)单位:

江苏省肿瘤医院

Primary sponsor:

Jiangsu Cancer Hospital

研究实施负责(组长)单位地址:

南京市玄武区百子亭42号江苏省肿瘤医院

Primary sponsor's address:

Jiangsu Cancer Hospital, 42 Baiziting, Xuanwu District, Nanjing, Jiangsu Province, 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):

江苏省

市(区县):

南京市

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

江苏省肿瘤医院

具体地址:

南京市玄武区百子亭42号江苏省肿瘤医院

Institution
hospital:

Jiangsu Cancer Hospital

Address:

Jiangsu Cancer Hospital, 42 Baiziting, Xuanwu District, Nanjing, Jiangsu Province, China

经费或物资来源:

研究者自费

Source(s) of funding:

Investigator-sponsored

研究疾病:

肺癌  

Target disease:

lung cancer

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:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

观察不同肺萎陷方法的效果及其安全性,为今后在临床胸科手术单肺通气中选择有效并安全的肺萎陷技术提供参考和临床依据  

Objectives of Study:

To investigate the effects and safety of different lung collapse techniques, and to provide reference and clinical evidence for selecting an effective and safe method during one-lung ventilation in future thoracic surgeries.

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.既往有胸科手术史; 2.主支气管肿物; 3.双腔支气管导管插管禁忌症(胸部CT 或支气管镜检查显示气管支气管严重狭窄或畸形等); 4.阻塞性通气功能障碍(FEV1/FVC<70%); 5.双肺多发肺大疱; 6.合并严重肺部疾病,如肺部感染、COPD等; 7.既往有肺结核、胸膜炎、气胸等病史; 8.术前合并严重心脏功能疾病的患者(NYHA≥Ⅲ级)

Exclusion criteria:

1. Previous history of thoracic surgery 2. Presence of a main bronchus tumor 3. Contraindications to double-lumen endotracheal intubation (severe tracheobronchial stenosis or malformation as indicated by chest CT or bronchoscopy). 4. Obstructive ventilatory dysfunction (FEV1/FVC < 70%). 5. Multiple pulmonary bullae in both lungs. 6. Coexisting severe pulmonary diseases, such as pulmonary infection or COPD. 7. Previous history of pulmonary tuberculosis, pleurisy, or pneumothorax. 8. Patients with severe preexisting cardiac dysfunction (NYHA >= III).

研究实施时间:

Study execute time:

From 2025-12-01 00:00:00 To 2026-02-28 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-12-01 00:00:00 To 2026-02-28 00:00:00

干预措施:

Interventions:

组别:

支气管封堵器组

样本量:

45

Group:

Bronchial Blocker Group

Sample size:

干预措施:

使用支气管封堵器,采用预先单肺通气联合呼吸暂停的方法

干预措施代码:

Intervention:

Using bronchial blocker with the technique of preemptive one lung ventilation combined with disconnection technique in thoracoscopic surgery

Intervention code:

组别:

双腔支气管导管组

样本量:

45

Group:

double-lumen endotracheal tube group

Sample size:

干预措施:

使用双腔支气管导管,采用预先单肺通气联合呼吸暂停的方法

干预措施代码:

Intervention:

Using double-lumen endotracheal tube with the technique of preemptive one lung ventilation combined with disconnection technique in thoracoscopic surgery

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏省 

市(区县):

南京市 

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

江苏省肿瘤医院 

单位级别:

三甲 

Institution
hospital:

Jiangsu Cancer Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

肺完全萎陷的时间

指标类型:

主要指标

Outcome:

Time to satisfactory lung collapse

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不同时间点的肺萎陷评分

指标类型:

次要指标

Outcome:

Lung collapse scores at different time points

Type:

Secondary indicator

测量时间点:

切开胸膜后即刻,切开胸膜后5min,切开胸膜后10min,切开胸膜后20min,切开胸膜后30min

测量方法:

Measure time point of outcome:

Immediately after pleural incision ;At 5 minutes after pleural incision ; At 10 minutes after pleural incision ; At 20 minutes after pleural incision ;At 30 minutes after pleural incision

Measure method:

指标中文名:

不同时间点的ABP、HR、 SpO2 、PETCO2、动脉血pH值、PaO2、PaCO2、Ppeak、Plat、Cdyn

指标类型:

次要指标

Outcome:

Parameters at different time points: ABP, HR, SpO2, PETCO2, arterial pH, PaO2, PaCO2, Ppeak, Pplat, and Cdyn

Type:

Secondary indicator

测量时间点:

麻醉诱导前,单肺通气前即刻,切开胸膜后5min,切开胸膜后10min,切开胸膜后20min,切开胸膜后30min,恢复双肺通气后10min

测量方法:

Measure time point of outcome:

Before anesthesia induction;Immediately before one-lung ventilation;At 5 minutes after pleural incision ; At 10 minutes after pleural incision ; At 20 minutes after pleural incision ;At 30 minutes after pleural incision;At 10 minutes after the resumption of two-lung ventilation

Measure method:

指标中文名:

外科医生满意度

指标类型:

次要指标

Outcome:

Surgeon's Satisfaction

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7天内肺部并发症的发生情况

指标类型:

次要指标

Outcome:

the occurrence of postoperative pulmonary complications within 7 days after surgery

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

插管相关不良反应

指标类型:

次要指标

Outcome:

adverse reactions associated with intubation

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 64 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):

由非课题组成员采用随机数表法对受试者进行分组,分配比例为 1:1

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

Participants were randomly allocated to one of the two groups in a 1:1 ratio using a random number table by a non-team member.

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:

受试者

Blinding:

Participants

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

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):

No

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:

病例报告表和录像

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

Case Report Form (CRF) and video recording

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:

 2025-11-27 09:52:27