肝硬化性心肌病综合评估及TIPS治疗效果研究

注册号:

Registration number:

ChiCTR2600125983 

最近更新日期:

Date of Last Refreshed on:

2026-06-02 08:57:16 

注册时间:

Date of Registration:

2026-06-02 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

肝硬化性心肌病综合评估及TIPS治疗效果研究

Public title:

Comprehensive Evaluation of Cirrhotic Cardiomyopathy and Therapeutic Effects of TIPS

注册题目简写:

English Acronym:

研究课题的正式科学名称:

肝硬化性心肌病综合评估及TIPS治疗效果研究

Scientific title:

Comprehensive Evaluation of Cirrhotic Cardiomyopathy and Therapeutic Effects of TIPS

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:

唐杨玲 

研究负责人:

王小艳 

Applicant:

Yangling Tang 

Study leader:

Xiaoyan Wang 

申请注册联系人电话:

Applicant telephone:

+86 186 4697 5559

研究负责人电话:

Study leader's
telephone:

+86 136 5516 3475

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:

18646975559@163.com

研究负责人电子邮件:

Study leader's E-mail:

amy_njmu@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:

江苏省南京市鼓楼区广州路 300 号 老年心血管内科

研究负责人通讯地址:

江苏省南京市鼓楼区广州路 300 号 老年心血管内科

Applicant address:

Geriatric Cardiovascular Medicine Department, 300 Guangzhou Road, Gulou District, Nanjing City, Jiangsu Province

Study leader's address:

Geriatric Cardiovascular Medicine Department, 300 Guangzhou Road, Gulou District, Nanjing City, Jiangsu 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:

江苏省人民医院

Applicant's institution:

Jiangsu Province Hospital

研究负责人所在单位:

江苏省人民医院

Affiliation of the Leader:

Jiangsu Province 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:

2026-SR-146

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:

江苏省人民医院伦理委员会

Name of the ethic committee:

Institutional Review Board (IRB) of Jiangsu Provincial People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2026-03-18 00:00:00

伦理委员会联系人:

赵俊

Contact Name of the ethic committee:

JUN ZHAO

伦理委员会联系地址:

南京市广州路 300 号江苏省人民医院 7 号楼 4 楼

Contact Address of the ethic committee:

4th Floor, Building 7, Jiangsu Provincial People's Hospital, No. 300 Guangzhou Road, Nanjing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 25 6830 6360

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:

江苏省人民医院

Primary sponsor:

Jiangsu Province Hospital

研究实施负责(组长)单位地址:

江苏省南京市鼓楼区广州路 300 号 老年心血管内科

Primary sponsor's address:

Geriatric Cardiovascular Medicine Department, 300 Guangzhou Road, Gulou District, Nanjing City, Jiangsu 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):

江苏省

市(区县):

Country:

China

Province:

Province

City:

单位(医院):

江苏省人民医院

具体地址:

江苏省南京市鼓楼区广州路 300 号

Institution
hospital:

Jiangsu Province Hospital

Address:

300 Guangzhou Road, Gulou District, Nanjing City, Jiangsu Province

经费或物资来源:

Source(s) of funding:

None

研究疾病:

肝硬化心肌病  

Target disease:

Cirrhotic Cardiomyopathy

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

(1). 明确华东与东北地区多中心(江苏省人民医院与双鸭山市人民医院)住院肝硬化患者流行病学特征的区域差异及纵向年度趋势。 (2). 对比两地肝硬化性心肌病(CCM)发病情况,分析相关影响因素,验证核心诊断指标适用性。 (3).为两地肝硬化及CCM临床防治、区域公共卫生干预提供数据支撑。  

Objectives of Study:

(1) To clarify the regional differences and long-term annual trends in epidemiological characteristics of inpatients with liver cirrhosis between the multi-center study populations in East China and Northeast China (Jiangsu Provincial People's Hospital & Shuangyashan People's Hospital). (2) To compare the incidence of cirrhotic cardiomyopathy (CCM) between the two regions, analyze its associated risk factors, and validate the applicability of core diagnostic indicators for CCM. (3) To provide evidence-based data support for the clinical prevention, management of liver cirrhosis and CCM, as well as regional public health interventions in the two areas.

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、合并严重器质性心脏病(如严重瓣膜病、先天性心脏病、心肌病等)。 2、患有除原发性肝癌外的其他恶性肿瘤。 3、临床资料缺失或图像质量无法满足应变分析要求者。

Exclusion criteria:

1.Combined with severe organic heart diseases (such as severe valvular heart disease, congenital heart disease, cardiomyopathy, etc.). 2.Suffering from other malignant tumors except primary liver cancer. 3.Patients with missing clinical data or unqualified image quality for strain analysis.

研究实施时间:

Study execute time:

From 2026-06-15 00:00:00 To 2027-09-15 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-15 00:00:00 To 2026-12-15 00:00:00

干预措施:

Interventions:

组别:

队列A:区域病因回顾对比组(多中心回顾队列)

样本量:

8488

Group:

Cohort A: Regional Etiological Retrospective Comparison Group (Multicenter Retrospective Cohort)

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

队列B:TIPS手术专项回顾随访组

样本量:

110

Group:

Cohort B: Special Retrospective Follow-up Group with TIPS Procedure

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

队列C:前瞻性 2D-STI 纵向随访组

样本量:

190

Group:

Cohort C: Prospective 2D-STI Longitudinal Follow-up Group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

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 Province

City:

Nanjing City

单位(医院):

江苏省人民医院 

单位级别:

三甲 

Institution
hospital:

Jiangsu Provincial People’s Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

黑龙江省 

市(区县):

双鸭山市 

Country:

China

Province:

Heilongjiang Province

City:

Shuangyashan City

单位(医院):

双鸭山市人民医院 

单位级别:

三甲 

Institution
hospital:

Shuangyashan People's Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

肝硬化病因构成比及临床基线特征

指标类型:

主要指标

Outcome:

Etiological composition and baseline clinical characteristics of liver cirrhosis

Type:

Primary indicator

测量时间点:

回顾性研究阶段及前瞻性入组时

测量方法:

Measure time point of outcome:

In the retrospective phase and upon prospective recruitment

Measure method:

指标中文名:

左室整体纵向应变(GLS)及常规心脏超声参数

指标类型:

主要指标

Outcome:

Left Ventricular Global Longitudinal Strain (GLS) and Standard Echocardiographic Parameters

Type:

Primary indicator

测量时间点:

基线期、TIPS术后1周及1月、前瞻随访入组时

测量方法:

Measure time point of outcome:

Baseline, 1 week and 1 month post-TIPS, and at enrollment

Measure method:

指标中文名:

肝硬化心肌病(CCM)检出率及临床分层

指标类型:

主要指标

Outcome:

Detection Rate of Cirrhotic Cardiomyopathy (CCM) and Clinical Stratification

Type:

Primary indicator

测量时间点:

前瞻性招募入组时

测量方法:

Measure time point of outcome:

At enrollment

Measure method:

指标中文名:

6个月累积死亡率及失代偿事件发生率

指标类型:

主要指标

Outcome:

6-month Cumulative Mortality and Incidence of Decompensation Events

Type:

Primary indicator

测量时间点:

入组或术后第1、3、6个月

测量方法:

Measure time point of outcome:

1, 3, 6 months post-enrollment/TIPS

Measure method:

指标中文名:

血清 NT-proBNP 及肌钙蛋白水平

指标类型:

次要指标

Outcome:

Serum NT-proBNP and Troponin Levels

Type:

Secondary indicator

测量时间点:

入组基线期或 TIPS 术前术后

测量方法:

Measure time point of outcome:

Baseline or pre/post TIPS

Measure method:

指标中文名:

肝硬化病因构成及病情评分 (MELD/Child-Pugh)

指标类型:

主要指标

Outcome:

Etiological Composition and Severity Scores (MELD/Child-Pugh)

Type:

Primary indicator

测量时间点:

回顾期及2026前瞻期

测量方法:

Measure time point of outcome:

Retrospective and prospective phase

Measure method:

指标中文名:

6个月内因肝硬化相关并发症的再住院率

指标类型:

主要指标

Outcome:

6-month Readmission Rate Related to Cirrhosis Complications

Type:

Primary indicator

测量时间点:

前瞻性随访入组后的第1、3、6个月

测量方法:

Measure time point of outcome:

6 months post-enrollment

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 years
最大 Max age 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):

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

None

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:

Blinding:

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):

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:

研究者根据原始病历资料手工录入病例报告表(CRF),随后将数据二次录入至 ResMan 电子数据采集系统进行存储与校验,确保数据准确无误。

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

Researchers enter data into Case Report Forms (CRFs) based on original medical records. Subsequently, data are secondary entered into the ResMan Electronic Data Capture (EDC) system for storage and verification to ensure accuracy.

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:

 2026-06-02 08:57:09