磷丙泊酚二钠与丙泊酚对非心脏手术患者术后恶心呕吐的影响:一项回顾性倾向性评分匹配临床研究

注册号:

Registration number:

ChiCTR2600121510 

最近更新日期:

Date of Last Refreshed on:

2026-03-31 16:12:08 

注册时间:

Date of Registration:

2026-03-31 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

磷丙泊酚二钠与丙泊酚对非心脏手术患者术后恶心呕吐的影响:一项回顾性倾向性评分匹配临床研究

Public title:

Effects of Fospropofol Disodium versus Propofol on Postoperative Nausea and Vomiting in Patients Undergoing Non-Cardiac Surgery: A Retrospective Propensity Score-Matched Study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

磷丙泊酚二钠与丙泊酚对非心脏手术患者术后恶心呕吐的影响:一项回顾性倾向性评分匹配临床研究

Scientific title:

Effects of Fospropofol Disodium versus Propofol on Postoperative Nausea and Vomiting in Patients Undergoing Non-Cardiac Surgery: A Retrospective Propensity Score-Matched 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:

张广朝 

研究负责人:

张广朝 

Applicant:

Guangchao Zhang 

Study leader:

Guangchao Zhang 

申请注册联系人电话:

Applicant telephone:

+86 176 2804 6090

研究负责人电话:

Study leader's
telephone:

+86 28 8542 3593

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:

zhangguangchao@wchscu.cn

研究负责人电子邮件:

Study leader's E-mail:

245715815@qq.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:

四川省成都市天府新区天府大道南二段3996号

研究负责人通讯地址:

四川省成都市天府新区天府大道南二段3966号

Applicant address:

No. 3996, Section 2, South Tianfu Avenue, Tianfu New Area, Chengdu City, Sichuan Province, China

Study leader's address:

No. 3966, South Section 2, Tianfu Avenue, Tianfu New District, Chengdu City, Sichuan 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:

四川大学华西天府医院

Applicant's institution:

West China Tianfu Hospital,Sichuan University

研究负责人所在单位:

四川大学华西天府医院

Affiliation of the Leader:

West China Tianfu Hospital,Sichuan University

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年审(015)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:

四川大学华西天府医院医学伦理审查委员会

Name of the ethic committee:

Ethics Committee on Medical Research, West China Tianfu Hospital of Sichuan University

伦理委员会批准日期:

Date of approved by ethic committee:

2026-03-10 00:00:00

伦理委员会联系人:

史婉月

Contact Name of the ethic committee:

Shi Wanyue

伦理委员会联系地址:

四川省成都市天府新区天府大道南二段3966号

Contact Address of the ethic committee:

No. 3966, South Section 2, Tianfu Avenue, Tianfu New District, Chengdu City, Sichuan Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 28 60660070

伦理委员会联系人邮箱:

Contact email of the ethic committee:

swy815@qq.com

研究实施负责(组长)单位:

四川大学华西天府医院

Primary sponsor:

West China Tianfu Hospital,Sichuan University

研究实施负责(组长)单位地址:

四川省成都市天府新区天府大道南二段3966号

Primary sponsor's address:

No. 3966, South Section 2, Tianfu Avenue, Tianfu New District, Chengdu City, Sichuan 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):

四川省

市(区县):

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西天府医院

具体地址:

四川省成都市天府新区天府大道南二段3966号

Institution
hospital:

West China Tianfu Hospital,Sichuan University

Address:

No. 3966, South Section 2, Tianfu Avenue, Tianfu New District, Chengdu City, Sichuan Province

经费或物资来源:

自选课题(自筹)

Source(s) of funding:

Self-Funded Research Project

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:

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:

研究目的:比较磷丙泊酚二钠与丙泊酚在择期非心脏手术患者术后PONV的发生率。  

Objectives of Study:

To compare the incidence of postoperative nausea and vomiting (PONV) between fospropofol disodium and propofol in patients undergoing elective non-cardiac surgery.

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.术前已有恶心、呕吐症状或24小时内使用过止吐药物的患者; 2.有慢性恶心、呕吐病史(如胃轻瘫、化疗后等); 3.已知对丙泊酚、磷丙泊酚二钠或其辅料(如脂肪乳、大豆油等)过敏者; 4.合并严重肝肾功能障碍(如Child-Pugh分级C级或术前血肌酐>2mg/dL)、心功能不全(NYHA分级III-IV级); 5.长期阿片类药物或镇静催眠药物滥用史; 6.术前存在精神分裂症、癫痫等中枢神经系统疾病; 7.术中或术后需要二次手术或转入ICU者; 5.临床病历资料不完整,导致PONV结局无法判断者。

Exclusion criteria:

1.Preoperative nausea/vomiting or use of antiemetics within 24 hours;
2.History of chronic nausea/vomiting (e.g., gastroparesis, post-chemotherapy);
3.Allergy to propofol, fospropofol disodium, or excipients (e.g., lipid emulsion, soybean oil);
4.Severe hepatic/renal dysfunction (Child-Pugh C or preoperative Cr > 2 mg/dL), cardiac insufficiency (NYHA Ⅲ–Ⅳ);
5.Long-term opioid or sedative-hypnotic abuse;
6.Pre-existing CNS disorders (e.g., schizophrenia, epilepsy);
7.Required secondary surgery or ICU admission during/after surgery;
8.Incomplete medical records preventing PONV assessment;

研究实施时间:

Study execute time:

From 2026-03-31 00:00:00 To 2026-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-03-31 00:00:00 To 2026-12-31 00:00:00

干预措施:

Interventions:

组别:

磷丙泊酚二钠组

样本量:

1550

Group:

Fospropofol Disodium Group、F Group

Sample size:

干预措施:

磷丙泊酚二钠

干预措施代码:

Intervention:

Fospropofol Disodium

Intervention code:

组别:

丙泊酚组

样本量:

3100

Group:

Propofol Group、P Group

Sample size:

干预措施:

丙泊酚

干预措施代码:

Intervention:

Propofol

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

四川省 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西天府医院 

单位级别:

无 N/A 

Institution
hospital:

West China Tianfu Hospital,Sichuan University

Level of the institution:

N/A

测量指标:

Outcomes:

指标中文名:

止吐药补救率

指标类型:

次要指标

Outcome:

Rescue antiemetic rate

Type:

Secondary indicator

测量时间点:

术后恢复室

测量方法:

恢复室补救止吐人数

Measure time point of outcome:

in PACU

Measure method:

proportion of patients requiring antiemetics in PACU

指标中文名:

术后恢复室恶心呕吐发病率

指标类型:

主要指标

Outcome:

Incidence of PONV in PACU

Type:

Primary indicator

测量时间点:

术后恢复室

测量方法:

患者在 PACU 停留期间是否发生恶心、呕吐或干呕;恶心:主观不适感,需有明确护理记录或患者主诉;呕吐:胃内容物经口排出;干呕:有呕吐动作但无内容物排出;判定标准:上述三者中任一发生,即判定为 发生 PONV。

Measure time point of outcome:

in PACU

Measure method:

PONV occurrence is defined as whether the patient experiences nausea, vomiting, or retching during the PACU stay.Nausea: a subjective sensation of discomfort associated with the urge to vomit, requiring explicit documentation in nursing records or patient self-report.Vomiting: the forceful expulsion of gastric contents through the mouth.Retching: involuntary effort to vomit without expulsion of gastric contents.Determination criteria: The occurrence of any of the above three events is classified

指标中文名:

低血压

指标类型:

次要指标

Outcome:

Hypotension

Type:

Secondary indicator

测量时间点:

围术期

测量方法:

低血压

Measure time point of outcome:

Perioperative anesthesia

Measure method:

Hypotension

指标中文名:

心律失常

指标类型:

次要指标

Outcome:

Arrhythmia

Type:

Secondary indicator

测量时间点:

围术期

测量方法:

心律异常(包括过快、过慢、不规律等)

Measure time point of outcome:

Perioperative anesthesia

Measure method:

Arrhythmia

指标中文名:

PONV严重程度

指标类型:

次要指标

Outcome:

Severity of PONV

Type:

Secondary indicator

测量时间点:

术后恢复室

测量方法:

视觉模拟评分(VAS,0–10分)或 4 级评分法:0 = 无恶心呕吐;1 = 轻度恶心,无呕吐;2 = 中度恶心,有呕吐动作;3 = 重度恶心/频繁呕吐

Measure time point of outcome:

in PACU

Measure method:

assessed by VAS (0–10) or a 4-point scale (0 = none, 1 = mild nausea, 2 = moderate nausea with retching, 3 = severe nausea/frequent vomiting)

指标中文名:

拔管时间

指标类型:

次要指标

Outcome:

Extubation time

Type:

Secondary indicator

测量时间点:

术后恢复室(或手术室)

测量方法:

手术结束停麻醉药品到拔出气管导管时间

Measure time point of outcome:

Post-Anesthesia Care Unit (PACU)

Measure method:

Time from end of surgery to tracheal extubation

指标中文名:

低氧血症

指标类型:

次要指标

Outcome:

Hypoxemia

Type:

Secondary indicator

测量时间点:

围术期

测量方法:

低氧血症

Measure time point of outcome:

Perioperative anesthesia

Measure method:

Hypoxemia

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 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):

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:

不公开/Private

盲法:

Blinding:

None

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):

不共享

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

Not shared

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:

华西his 系统

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

Huaxi electronical system

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-03-31 16:12:01