改良颈神经根阻滞对肩袖修复术术后康复的影响

注册号:

Registration number:

ChiCTR2600122196 

最近更新日期:

Date of Last Refreshed on:

2026-04-10 08:58:59 

注册时间:

Date of Registration:

2026-04-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

改良颈神经根阻滞对肩袖修复术术后康复的影响

Public title:

Effect of Modified Cervical Nerve Root Block on Postoperative Rehabilitation Following Rotator Cuff Repair

注册题目简写:

English Acronym:

研究课题的正式科学名称:

改良颈神经根阻滞对肩袖修复术术后康复的影响

Scientific title:

Effect of Modified Cervical Nerve Root Block on Postoperative Rehabilitation Following Rotator Cuff Repair

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:

张凌云  

研究负责人:

张星 

Applicant:

Zhang Lingyun 

Study leader:

Zhang Xing 

申请注册联系人电话:

Applicant telephone:

+86 189 9303 1016

研究负责人电话:

Study leader's
telephone:

+86 152 8557 4946

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:

zhangly8848@163.com

研究负责人电子邮件:

Study leader's E-mail:

15285574946@163.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:

中国甘肃省兰州市七里河区瓜州路418号

研究负责人通讯地址:

中国甘肃省兰州市七里河区瓜州路418号

Applicant address:

No. 31, Xiuchuan Road, Qilihe District, Lanzhou, Gansu, China

Study leader's address:

No. 31, Xiuchuan Road, Qilihe District, Lanzhou, Gansu, 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:

甘肃省中医院

Applicant's institution:

Gansu Provincial Hospital of Traditional Chinese Medicine

研究负责人所在单位:

甘肃省中医院

Affiliation of the Leader:

Gansu Provincial Hospital of Traditional Chinese Medicine

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:

2025-144-01

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:

甘肃省中医院伦理委员会

Name of the ethic committee:

Ethics Committee of Gansu Provincial Hospital of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2025-11-07 00:00:00

伦理委员会联系人:

李玉梅

Contact Name of the ethic committee:

Li Yumei

伦理委员会联系地址:

中国甘肃省兰州市七里河区瓜州路418号

Contact Address of the ethic committee:

No. 418, Guazhou Road, Qilihe District, Lanzhou, Gansu, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 177 9319 5736

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:

甘肃省中医院

Primary sponsor:

Gansu Provincial Hospital of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

中国甘肃省兰州市七里河区瓜州路418号

Primary sponsor's address:

No. 418, Guazhou Road, Qilihe District, Lanzhou, Gansu, 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):

甘肃

市(区县):

Country:

china

Province:

Gansu

City:

单位(医院):

甘肃省中医院

具体地址:

中国甘肃省兰州市七里河区瓜州路418号

Institution
hospital:

Gansu Provincial Hospital of Traditional Chinese Medicine

Address:

No. 418, Guazhou Road, Qilihe District, Lanzhou, Gansu, China

经费或物资来源:

Source(s) of funding:

None

研究疾病:

术后疼痛  

Target disease:

Postoperative pain

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:

(1)如何使用较少的局麻药,精准阻滞手术区域的神经,最大可能减少非手术区域的神经阻滞,是本研究的主要目的。 (2)通过不同浓度的罗哌卡因在超声引导下改良颈神经根阻滞应用比较,为关节镜下肩袖修复术围手术期快速康复提供选择。  

Objectives of Study:

(1) The primary objective of this study was to minimize the use of local anesthetics, achieve precise nerve block in the surgical area, and reduce neural blockade in non-surgical regions to the greatest extent possible. (2) This study compared the clinical efficacy of ropivacaine at different concentrations for ultrasound-guided modified cervical nerve root block, aiming to provide evidence for enhanced recovery after surgery (ERAS) in patients undergoing arthroscopic rotator cuff repair.

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) 患者拒绝神经阻滞操作; (2) 理解障碍 (无法理解疼痛评定方法); (3) 有糖尿病史的患者; (4) 有神经功能缺失史或影响臂丛的神经病变; (5) 对试验中所用到的药物过敏;穿刺部位有感染灶; (6) 有严重心血管疾病、呼吸功能障碍、凝血功能障碍、神经系统功能障碍

Exclusion criteria:

(1) Patients who refuse to undergo nerve block procedures. (2) Patients with cognitive impairment (unable to understand pain assessment methods). (3) Patients with a history of diabetes mellitus. (4) Patients with a history of neurological deficit or neuropathy affecting the brachial plexus. (5) Hypersensitivity to any drugs used in the trial; presence of infection at the puncture site. (6) Severe cardiovascular disease, respiratory dysfunction, coagulation disorders, or neurological dysfunction

研究实施时间:

Study execute time:

From 2026-05-01 00:00:00 To 2026-11-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-05-01 00:00:00 To 2026-11-30 00:00:00

干预措施:

Interventions:

组别:

肌间沟臂丛神经阻滞组

样本量:

40

Group:

Interscalene Brachial Plexus Block Group

Sample size:

干预措施:

使用20ml 0.375%罗哌卡因进行神经阻滞

干预措施代码:

Intervention:

The nerve block was performed using 20 mL of 0.375% ropivacaine.

Intervention code:

组别:

改良颈神经根阻滞组

样本量:

40

Group:

Modified Cervical Nerve Root Block Group

Sample size:

干预措施:

使用6ml 0.375%罗哌卡因进行神经阻滞

干预措施代码:

Intervention:

The nerve block was performed using 6 mL of 0.375% ropivacaine

Intervention code:

组别:

改良颈神经根阻滞组

样本量:

40

Group:

Modified Cervical Nerve Root Block Group

Sample size:

干预措施:

使用6ml 0.25%罗哌卡因进行神经阻滞

干预措施代码:

Intervention:

The nerve block was performed using 6 mL of 0.25% ropivacaine

Intervention code:

组别:

改良颈神经根阻滞组

样本量:

40

Group:

Modified Cervical Nerve Root Block Group

Sample size:

干预措施:

使用6ml 0.5%罗哌卡因进行神经阻滞

干预措施代码:

Intervention:

The nerve block was performed using 6 mL of 0.5% ropivacaine

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

甘肃 

市(区县):

 

Country:

China

Province:

Gansu

City:

单位(医院):

甘肃省中医院 

单位级别:

三甲 

Institution
hospital:

Gansu Provincial Hospital of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

数字评定量表

指标类型:

主要指标

Outcome:

Numeric Rating Scale

Type:

Primary indicator

测量时间点:

术后4h、6h、8h、12h、24h

测量方法:

Measure time point of outcome:

4 hours, 6 hours, 8 hours, 12 hours and 24 hours after the operation

Measure method:

指标中文名:

改良Bromage评分

指标类型:

次要指标

Outcome:

Modified Bromage Scale

Type:

Secondary indicator

测量时间点:

术后4h、6h、8h、12h、24h

测量方法:

Measure time point of outcome:

4 hours, 6 hours, 8 hours, 12 hours and 24 hours after the operation

Measure method:

指标中文名:

神经阻滞操作时间

指标类型:

次要指标

Outcome:

Procedure Time for Nerve Block

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

感觉阻滞起效及持续时间

指标类型:

次要指标

Outcome:

Onset and Duration of Sensory Block

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

运动阻滞起效及持续时间

指标类型:

次要指标

Outcome:

Onset and Duration of Motor Block

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患侧手指麻木消失时间

指标类型:

次要指标

Outcome:

Time to Resolution of Numbness in the Fingers on the Operated Side

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血流动力学稳定性

指标类型:

次要指标

Outcome:

Hemodynamic Stability

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中关节镜图像质量

指标类型:

次要指标

Outcome:

Intraoperative Arthroscopic Image Quality

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抢救性镇痛药物的使用情况

指标类型:

次要指标

Outcome:

Use of Rescue Analgesics within 24 Hours Postoperatively

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

24h患者与外科医生满意度评分

指标类型:

次要指标

Outcome:

24-Hour Patient and Surgeon Satisfaction Scores

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后恢复质量评分

指标类型:

次要指标

Outcome:

Quality of Postoperative Recovery 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:

不良反应指标

指标类型:

副作用指标

Outcome:

Adverse effect

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时间

指标类型:

附加指标

Outcome:

Length of hospital stay

Type:

Additional 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

其它  

说明

Fate of sample:

0thers  

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 70 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):

本研究的随机过程将采用中央随机化系统完成患者随机分组工作。该系统将按照预设的随机比例1:1,采用区组随机化方法,区组长度为4,对所有符合入组条件的患者进行随机分组。

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

The random grouping of patients will be done using a central randomization system. This system will randomize all patients eligible for enrollment according to a preset randomization ratio of 1:1 using a block randomization method with a block length of four.

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:

双盲;本研究对患者、信息采集人员及数据处理人员设盲

Blinding:

Double-blind; In this study, patients, information collectors, and data processors were blinded

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,通过ResMan(www.medresman.org.cn)方式共享

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

After the end of the study, it was shared by ResMan (www.medresman.org.cn).

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:

电子采集和管理系统

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

Electronic Data Capture

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-04-10 08:58:53