初次经皮冠状动脉介入治疗的残余炎症患者的临床特征及预后分析研究

注册号:

Registration number:

ChiCTR2600124492 

最近更新日期:

Date of Last Refreshed on:

2026-05-13 09:59:12 

注册时间:

Date of Registration:

2026-05-13 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

初次经皮冠状动脉介入治疗的残余炎症患者的临床特征及预后分析研究

Public title:

Clinical Characteristics and Prognostic Analysis of Residual Inflammation in Patients Undergoing First Percutaneous Coronary Intervention

注册题目简写:

English Acronym:

研究课题的正式科学名称:

初次经皮冠状动脉介入治疗的残余炎症患者的临床特征及预后分析研究

Scientific title:

Clinical Characteristics and Prognostic Analysis of Residual Inflammation in Patients Undergoing First Percutaneous Coronary Intervention

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:

高守斌 

研究负责人:

樊艳 

Applicant:

Shoubin Gao  

Study leader:

Yan Fan  

申请注册联系人电话:

Applicant telephone:

+86 133 8547 1837

研究负责人电话:

Study leader's
telephone:

+86 189 1999 6747

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:

2806014312@qq.com

研究负责人电子邮件:

Study leader's E-mail:

441429048@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:

甘肃省兰州市城关区定西东路35号

研究负责人通讯地址:

甘肃省兰州市城关区东岗西路204号院

Applicant address:

No. 35 Dingxi East Road, Chengguan District, Lanzhou City, Gansu Province

Study leader's address:

No. 204, Donggang West Road, Chengguan District, Lanzhou City, Gansu Province

申请注册联系人邮政编码:

Applicant postcode:

730101

研究负责人邮政编码:

Study leader's postcode:

730000

申请人所在单位:

甘肃中医药大学

Applicant's institution:

Gansu University of Chinese Medicine

研究负责人所在单位:

甘肃省人民医院

Affiliation of the Leader:

Gansu Provincial 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:

2025-486

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:

甘肃省人民医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Gansu Provincial Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-07-28 00:00:00

伦理委员会联系人:

齐晓敏

Contact Name of the ethic committee:

Xiaomin Qi

伦理委员会联系地址:

甘肃省兰州市城关区东岗西路204号

Contact Address of the ethic committee:

No.204 Donggang West Road, Chengguan District, Lanzhou City, Gansu Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 931 828 1223

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:

甘肃省人民医院

Primary sponsor:

Gansu Provincial Hospital

研究实施负责(组长)单位地址:

甘肃省兰州市城关区东岗西路204号

Primary sponsor's address:

204 Donggang West Road, Chengguan District, Lanzhou City, Gansu 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):

甘肃省

市(区县):

Country:

China

Province:

Gansu

City:

单位(医院):

甘肃省人民医院

具体地址:

甘肃省兰州市城关区东岗西路204号

Institution
hospital:

Gansu Provincial Hospital

Address:

204 Donggang West Road, Chengguan District, Lanzhou City, Gansu Province

经费或物资来源:

甘肃省人民医院心内科

Source(s) of funding:

Cardiology Department, Gansu Provincial Hospital

研究疾病:

冠状动脉粥样硬化性心脏病  

Target disease:

Coronary artery atherosclerotic heart disease

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:

连续入组 

Study design:

Sequential 

研究目的:

目前,我国 PCI 术后患者残余风险管理面临多重挑战:一方面,我国 PCI 术后患者中血脂达标率与残余风险发生率呈现分离现象。另一方面,国内对 PCI 术后患者研究多局限于单一生物标志物分析,且缺乏对多因素交互作用的系统性评估。在临床实践中,既往评分系统来进行初步预后风险的预测,评分参数包括年龄、血脂情况、高血压、糖尿病、吸烟史、饮酒史等,但这些评分系统未能充分考虑RR和心脏电生理活动等重要信息。因此,本研究旨在通过整合炎症标志物、血脂指标、血栓指标及电生理特征并结合传统心血管危险因素进行系统性评估,更深刻地揭示 PCI 术后患者残余风险特征,建立并验证预测模型,为PCI术后患者风险分层与个性化治疗策略提供重要的依据。  

Objectives of Study:

At present, the management of residual risk in post-PCI patients in China faces multiple challenges: On one hand, in Chinese post-PCI patients, there is a disconnect between achieving target lipid levels and the occurrence of residual risk. On the other hand, domestic research on post-PCI patients is mostly limited to single biomarker analyses and lacks systematic assessment of multifactorial interactions. In clinical practice, previous scoring systems are used to preliminarily predict prognostic risk, with scoring parameters including age, lipid levels, hypertension, diabetes, smoking history, and drinking history, but these scoring systems fail to fully consider important information such as residual risk (RR) and cardiac electrophysiological activity. Therefore, this study aims to systematically evaluate post-PCI patients by integrating inflammatory markers, lipid indicators, thrombotic markers, and electrophysiological features together with traditional cardiovascular risk factors, to more deeply reveal the characteristics of residual risk in post-PCI patients, establish and validate a predictive model, and provide important evidence for risk stratification and personalized treatment strategies in post-PCI patients.

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.急、慢性重症感染性、自身免疫性疾病和严重血液系统疾病。 2.精神障碍或认知功能异常。 3.恶性肿瘤、严重肝、肾功能不全,术后出现严重并发症。

Exclusion criteria:

1. Acute and chronic severe infectious, autoimmune diseases, and serious hematological diseases. 2. Mental disorders or cognitive dysfunction. 3. Malignant tumors, severe liver or kidney dysfunction, and severe postoperative complications.

研究实施时间:

Study execute time:

From 2026-05-15 00:00:00 To 2027-07-16 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-05-15 00:00:00 To 2027-07-01 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

1112

Group:

Observational 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):

甘肃 

市(区县):

 

Country:

China

Province:

Gansu

City:

单位(医院):

甘肃省人民医院 

单位级别:

三甲 

Institution
hospital:

Gansu Provincial Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

高敏C反应蛋白

指标类型:

主要指标

Outcome:

hs-CRP

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体质指数

指标类型:

主要指标

Outcome:

Body Mass Index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总蛋白

指标类型:

主要指标

Outcome:

Total Protein

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白蛋白

指标类型:

主要指标

Outcome:

Albumi

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

球蛋白

指标类型:

主要指标

Outcome:

Globulin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总胆固醇

指标类型:

主要指标

Outcome:

Total Cholesterol

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

甘油三酯

指标类型:

主要指标

Outcome:

Triglyceride

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

高密度脂蛋白胆固醇

指标类型:

主要指标

Outcome:

High-Density Lipoprotein Cholesterol

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低密度脂蛋白胆固醇

指标类型:

主要指标

Outcome:

Low-Density Lipoprotein Cholesterol

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌酸激酶

指标类型:

主要指标

Outcome:

Creatine Kinase

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌酸激酶同工酶

指标类型:

主要指标

Outcome:

creatine kinase isoenzymes

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

乳酸脱氢酶

指标类型:

主要指标

Outcome:

Lactate Dehydrogenase

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

同型半胱氨酸

指标类型:

主要指标

Outcome:

Homocysteine

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿素氮

指标类型:

主要指标

Outcome:

Blood Urea Nitrogen

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血肌酐

指标类型:

主要指标

Outcome:

Serum Creatinine

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿酸

指标类型:

主要指标

Outcome:

Uric Acid

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白细胞

指标类型:

主要指标

Outcome:

white blood cell

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中性粒细胞

指标类型:

主要指标

Outcome:

Neutrophil

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

纤维蛋白原

指标类型:

主要指标

Outcome:

Fibrinogen

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心率校正的QT间期

指标类型:

主要指标

Outcome:

Cardio Contraction Time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

射血分数

指标类型:

主要指标

Outcome:

Ejection Fraction

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心电图

指标类型:

主要指标

Outcome:

Electrocardiogram

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心脏彩超

指标类型:

主要指标

Outcome:

Echocardiography

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

冠状动脉造影手术报告单

指标类型:

主要指标

Outcome:

Coronary Angiography Surgery Report

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 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

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:

数据采集:病例记录表 数据管理: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:

Data collection: Case record form Data Management: Electronic Collection and Management System

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:

 2026-05-13 09:58:52