艾司氯胺酮作为佐剂在食管癌胸腹腔镜术后镇痛中的安全性和有效性:一项随机对照临床研究

注册号:

Registration number:

ChiCTR2600116111 

最近更新日期:

Date of Last Refreshed on:

2026-01-06 08:09:38 

注册时间:

Date of Registration:

2026-01-06 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

艾司氯胺酮作为佐剂在食管癌胸腹腔镜术后镇痛中的安全性和有效性:一项随机对照临床研究

Public title:

Safety and Efficacy of Esketamine as an Adjuvant in Postoperative Analgesia after Thoracoscopic and Laparoscopic Esophagectomy: A Randomized Controlled Clinical Study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

艾司氯胺酮作为佐剂在食管癌胸腹腔镜术后镇痛中的安全性和有效性:一项随机对照临床研究

Scientific title:

Safety and Efficacy of Esketamine as an Adjuvant in Postoperative Analgesia after Thoracoscopic and Laparoscopic Esophagectomy: A Randomized Controlled Clinical Study

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:

杨玥 

研究负责人:

唐朝亮 

Applicant:

Yang Yue 

Study leader:

Tang Chaoliang 

申请注册联系人电话:

Applicant telephone:

+86 137 2109 9542

研究负责人电话:

Study leader's
telephone:

+86 138 6677 7142

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:

yyjudy1988@163.com

研究负责人电子邮件:

Study leader's E-mail:

chaolt@ustc.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:

安徽省合肥市蜀山区环湖东路107号

研究负责人通讯地址:

安徽省合肥市蜀山区环湖东路107号

Applicant address:

No.107 Huanhu East Road, Shushan District, Hefei City, Anhui Province

Study leader's address:

No.107 Huanhu East Road, Shushan District, Hefei City, Anhui Province

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:

安徽省肿瘤医院

Applicant's institution:

Anhui Provincial Cancer Hospital

研究负责人所在单位:

安徽省肿瘤医院

Affiliation of the Leader:

Anhui Provincial 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:

2025-LLYJ-0097

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:

安徽省肿瘤医院伦理委员会

Name of the ethic committee:

Ethics Committee of Anhui Provincial Cancer Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-09-22 00:00:00

伦理委员会联系人:

吴苗苗

Contact Name of the ethic committee:

Wu Miaomiao

伦理委员会联系地址:

安徽省合肥市蜀山区环湖东路107号

Contact Address of the ethic committee:

No.107 Huanhu East Road, Shushan District, Hefei City, Anhui Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 136 9654 3579

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:

安徽省肿瘤医院

Primary sponsor:

Anhui Provincial Cancer Hospital

研究实施负责(组长)单位地址:

安徽省合肥市蜀山区环湖东路107号

Primary sponsor's address:

No.107 Huanhu East Road, Shushan District, Hefei 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):

Country:

China

Province:

Anhui

City:

单位(医院):

安徽省肿瘤医院

具体地址:

安徽省合肥市蜀山区环湖东路107号

Institution
hospital:

Anhui Provincial Cancer Hospital

Address:

No.107 Huanhu East Road, Shushan District, Hefei City, Anhui Province

经费或物资来源:

省部级(省财政支持项目(委省共建项目 - 扬子江专项))

Source(s) of funding:

Provincial and ministerial-level (provincial financial support project (Commission and Provincial Co-construction Project - Yangtze River Special Project))

研究疾病:

食管癌  

Target disease:

Esophageal 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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

明确艾司氯胺酮作为佐剂在老年食管癌胸腹腔镜术后镇痛中的最佳剂量,评估其对术后疼痛、炎症反应、认知功能的影响,优化 ERAS 多模式镇痛方案,同时验证该方案的安全性。  

Objectives of Study:

To identify the optimal dose of esketamine as an adjuvant in postoperative analgesia for elderly patients undergoing thoracoscopic-laparoscopic esophagectomy, evaluate its effects on postoperative pain, inflammatory response and cognitive function, optimize the ERAS multimodal analgesia regimen, and verify the safety of this regimen.

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. 对苯二氮卓类药物、阿片类药物、丙泊酚、氟马西尼、纳洛酮、氯胺酮等药物及其药物组分过敏或禁忌者; 2.严重心、肺、肾功能不全,合并多种慢性疾病不能耐受手术麻醉以及精神疾病患者; 3. 颅内压或眼内压增高者; 4.有酗酒史、阿片类药物过敏或有该类药物滥用史者; 5. 未控制的严重高血压患者; 6. 研究者认为不适合入组的其他情况; 7.近期有神经系统疾病或手术患者。

Exclusion criteria:

1. Those who are allergic to or contraindicated to benzodiazepines, opioids, propofol, flumaciclib, naloxone, ketamine and their drug components; 2. Patients with severe heart, lung or kidney insufficiency, combined with multiple chronic diseases who cannot tolerate surgical anesthesia, as well as those with mental disorders; 3. Those with increased intracranial or intraocular pressure; 4. Those with a history of alcohol abuse, opioid allergy or abuse of such drugs; 5. Patients with uncontrolled severe hypertension; 6. Other circumstances that the researcher deems unsuitable for enrollment; 7. People who have had neurological diseases or undergone surgery recently.

研究实施时间:

Study execute time:

From 2024-12-01 00:00:00 To 2027-11-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-01-06 00:00:00 To 2027-10-30 00:00:00

干预措施:

Interventions:

组别:

对照组(生理盐水组)

样本量:

33

Group:

Control Group (Normal Saline Group)

Sample size:

干预措施:

术后 PCIA 镇痛(舒芬太尼 + 昂丹司琼 + 生理盐水)

干预措施代码:

Intervention:

Postoperative PCIA Analgesia (Sufentanil + Ondansetron + Normal Saline)

Intervention code:

组别:

试验组 1(艾司氯胺酮 2mg/kg 组)

样本量:

33

Group:

Experimental Group 1 (Esketamine 2mg/kg Group)

Sample size:

干预措施:

术后 PCIA 镇痛(舒芬太尼 + 昂丹司琼 + 艾司氯胺酮 2mg/kg)

干预措施代码:

Intervention:

Postoperative PCIA Analgesia (Sufentanil + Ondansetron + Esketamine 2mg/kg)

Intervention code:

组别:

试验组 2(艾司氯胺酮 3mg/kg 组)

样本量:

33

Group:

Experimental Group 2 (Esketamine 3mg/kg Group)

Sample size:

干预措施:

术后 PCIA 镇痛(舒芬太尼 + 昂丹司琼 + 艾司氯胺酮 3mg/kg)

干预措施代码:

Intervention:

Postoperative PCIA Analgesia (Sufentanil + Ondansetron + Esketamine 3mg/kg)

Intervention code:

组别:

试验组 3(艾司氯胺酮 4mg/kg 组)

样本量:

33

Group:

Experimental Group 3 (Esketamine 4mg/kg Group)

Sample size:

干预措施:

术后 PCIA 镇痛(舒芬太尼 + 昂丹司琼 + 艾司氯胺酮 4mg/kg)

干预措施代码:

Intervention:

Postoperative PCIA Analgesia (Sufentanil + Ondansetron + Esketamine 4mg/kg)

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):

 

Country:

China

Province:

Anhui

City:

单位(医院):

安徽省肿瘤医院 

单位级别:

三甲 

Institution
hospital:

Anhui Provincial Cancer Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后 PCIA 按压次数

指标类型:

次要指标

Outcome:

Postoperative PCIA pressing times

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

视觉模拟疼痛评分

指标类型:

主要指标

Outcome:

VAS score (rest/cough)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清白细胞介素 - 6 水平

指标类型:

次要指标

Outcome:

Serum IL-6 level

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简易智力状况评分(MMSE)

指标类型:

主要指标

Outcome:

MMSE score

Type:

Primary 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 60 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):

由本研究统计人员采用随机数表法生成随机数列,对应患者编号分配至 4 个研究组

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

The statistician of this study generates the random sequence using a random number table, and assigns patient numbers to 4 study groups

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:

双盲(对受试者和研究者均隐藏分组)

Blinding:

Double-blind (with both the subjects and researchers being unaware of the group allocation)

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:

CRF;EDC

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

CRF;EDC

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:

 2026-01-06 08:09:33