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注册号: Registration number: |
ChiCTR2600121712 |
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最近更新日期: Date of Last Refreshed on: |
2026-04-01 18:07:17 |
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注册时间: Date of Registration: |
2026-04-01 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
探讨脑出血患者围手术期间血压控制标准的研究 |
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Public title: |
Blood Pressure Control Strategies During the Perioperative Period in Patients with Intracerebral Hemorrhage |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
围手术期强化降压与标准降压策略对自发性脑出血患者血肿清除术后神经功能结局影响的比较:一项多中心、前瞻性、开放标签随机对照试验 |
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Scientific title: |
Comparison of Intensive versus Standard Perioperative Blood Pressure Management on Neurological Outcomes in Patients with Spontaneous Intracerebral Hemorrhage Undergoing Hematoma Evacuation: A Multicenter, Prospective, Open-label Randomized Controlled Trial |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
周冰青 |
研究负责人: |
曾春雨 |
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Applicant: |
Bingqing Zhou |
Study leader: |
Zeng Chunyu |
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申请注册联系人电话: Applicant telephone: |
+86 15215075261 |
研究负责人电话:
Study leader's |
+86 23 68729501 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
dpzhoubingqing@sina.com |
研究负责人电子邮件: Study leader's E-mail: |
chunyuzeng01@163.com |
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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): |
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申请注册联系人通讯地址: |
重庆市渝中区长江支路10号 |
研究负责人通讯地址: |
重庆市渝中区长江支路10号陆军特色医学中心 |
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Applicant address: |
10 Changjiang Branch Road |
Study leader's address: |
Army Medical Center of PLA, No. 10 Changjiang Branch Road, Yuzhong District, Chongqing |
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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: |
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申请人所在单位: |
1.Department of Cardiology, Daping Hospital, Army Medical University, Chongqing, P.R. China. |
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Applicant's institution: |
Daping Hospital, Army Medical University |
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研究负责人所在单位: |
中国人民解放军陆军特色医学中心 |
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Affiliation of the Leader: |
Army Medical Center of PLA |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
医研伦审2026(047)号 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
陆军特色医学中心生物医学新技术伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of Army Medical Center of PLA |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-03-06 00:00:00 | ||
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伦理委员会联系人: |
王晶晶 |
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Contact Name of the ethic committee: |
Wang Jingjing |
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伦理委员会联系地址: |
重庆市渝中区长江支路10号陆军特色医学中心 |
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Contact Address of the ethic committee: |
Army Medical Center of PLA, No. 10 Changjiang Branch Road, Yuzhong District, Chongqing |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 23 68757140 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
wii1017@163.com |
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研究实施负责(组长)单位: |
中国人民解放军陆军特色医学中心 |
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Primary sponsor: |
Army Medical Center of PLA |
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研究实施负责(组长)单位地址: |
重庆市渝中区长江支路10号陆军特色医学中心 |
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Primary sponsor's address: |
Army Medical Center of PLA, No. 10 Changjiang Branch Road, Yuzhong District, Chongqing |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
自选课题(自筹) |
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Source(s) of funding: |
the Key Laboratory of Geriatric Cardiovascular and Cerebrovascular Diseases, Ministry of Education |
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研究疾病: |
自发性脑出血 |
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Target disease: |
Spontaneous intracerebral hemorrhage |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
本研究是一项由研究者发起的多中心、前瞻性、开放标签、双组平行、盲终点评价的随机对照试验,旨在探讨围手术期不同血压管理策略对接受血肿清除术的高血压性脑出血患者临床结局的影响。 主要目的:比较围手术期采用强化降压策略(收缩压控制在120–140 mmHg)与标准降压策略(收缩压控制在140–180 mmHg)对患者术后90天神经功能结局的影响,以改良Rankin量表评分(Modified Rankin Scale,mRS)4–6分(即重度残疾至死亡)的患者比例为主要评价指标。 次要目的: 1.评估两种血压管理策略对患者术后90天生活依赖率(定义为mRS评分3–5分)的影响。 2.比较两组患者在术后90天健康相关生活质量(采用EQ-5D量表评估)的差异。 3.评估两组患者术后7天内症状性缺血性卒中或无法分型卒中的发生率。 4.观察随机化后90天内急性冠脉综合征的发生情况。 5.系统比较两组在术后再出血、其他血管事件及住院时间等方面的差异,以全面评价强化降压策略的安全性、有效性及临床获益。 |
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Objectives of Study: |
This is an investigator-initiated, multicenter, prospective, open-label, two-parallel-group, randomized controlled trial with blinded endpoint evaluation. The study aims to investigate the effects of different perioperative blood pressure management strategies on clinical outcomes in patients with hypertensive intracerebral hemorrhage undergoing hematoma evacuation. Primary ObjectiveTo compare the effects of intensive perioperative blood pressure reduction (target systolic blood pressure: 120–140 mmHg) versus standard blood pressure control (target systolic blood pressure: 140–180 mmHg) on neurological outcomes at 90 days post-surgery. The primary outcome is the proportion of patients with a modified Rankin Scale (mRS) score of 4–6 (indicating severe disability to death). Secondary Objectives 1. To evaluate the impact of the two blood pressure management strategies on the rate of dependency (defined as mRS score 3–5) at 90 days post-surgery. 2. To compare health-related quality of life at 90 days post-surgery between the two groups, as assessed by the EQ-5D scale. 3. To assess the incidence of symptomatic ischemic stroke or stroke of undetermined type within 7 days post-surgery. 4. To monitor the occurrence of acute coronary syndrome within 90 days after randomization. 5. To systematically compare the two groups regarding postoperative rebleeding, other vascular events, and length of hospital stay, in order to comprehensively evaluate the safety, efficacy, and clinical benefits. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
1.出血部位与类型不符:如脑干出血、单纯性脑室内出血,无实质内血肿及多发性、散在性脑出血。 |
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Exclusion criteria: |
1. Ineligible hemorrhage location or type, including brainstem hemorrhage, isolated intraventricular hemorrhage without intraparenchymal hematoma, and multiple or scattered intracerebral hemorrhages. 2. Systolic blood pressure > 220 mmHg. 3. Secondary intracerebral hemorrhage, including but not limited to: hemorrhage clearly associated with anticoagulant, antiplatelet, or thrombolytic therapy; hemorrhage caused by vascular lesions such as aneurysms, arteriovenous malformations, cavernous malformations, moyamoya disease, or dural arteriovenous fistulas; and traumatic intracranial hemorrhage. 4. Contraindications to intensive blood pressure management or conflicts with group assignment: (1) Contraindications to intensive blood pressure lowering: Severe intracranial or carotid artery stenosis; severe aortic stenosis; hypertension secondary to elevated intracranial pressure (i.e., Cushing's response); severe renal failure (or requiring dialysis), etc. (2) Conditions requiring urgent and intensive blood pressure lowering regardless of group assignment: Hypertensive encephalopathy; aortic dissection, etc. 5. Definite contraindications to surgery: (1) End-stage disease, such as bilateral fixed dilated pupils with central respiratory failure due to advanced brain herniation; (2) Severe coagulopathy that cannot be corrected; (3) Other severe systemic diseases precluding tolerance to anesthesia or surgery. 6. Pre-existing severe dementia, disability, or comorbidities interfering with study assessments prior to ICH onset: (1) Severe functional disability prior to the current ICH, defined as modified Rankin Scale (mRS) score >= 3 (e.g., paralysis, aphasia); (2) Known severe dementia; history of ischemic stroke within the past 30 days; (3) Other comorbidities that may significantly interfere with the assessment of neurological outcomes or preclude completion of 90-day follow-up (e.g., advanced malignancy with life expectancy < 6 months, severe decompensated cardiovascular disease, active mental illness). 7. Other: (1) Pregnancy or breastfeeding; (2) Participation in another interventional clinical trial. |
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研究实施时间: Study execute time: |
从 From 2026-01-01 00:00:00至 To 2027-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-04-01 00:00:00 至 To 2026-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
采用基于网络的中央随机化系统,由系统根据最小化随机算法生成随机分配序列。在录入研究中心、手术方式、海拔高度等分层信息后,系统以80%的概率将患者分配至能使上述因素在两组间最优平衡的组别。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Patients will be assigned using a web-based central randomization system. After eligibility confirmation, investigators enter stratification data (study site, surgical approach, altitude) into the system. A minimization algorithm with an 80% probability is used to assign patients to the treatment group that achieves the best balance of these factors between the two groups. |
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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 |
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盲法: |
开放标签,对评估者设盲 |
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Blinding: |
Open-label study with blinded-evaluators |
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是否共享原始数据: IPD sharing |
否No |
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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,将提供去标识化的个体参与者数据(IPD),包括研究方案、统计分析计划、数据字典等。数据将通过公共数据平台(网址待定)进行共享,申请获取数据的研究人员需提交研究计划并获得主要研究者批准后方可访问。预计共享时间为主要结果发表后6个月内。 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
De-identified individual participant data (IPD), including the study protocol, statistical analysis plan, and data dictionary, will be shared after study completion. Data will be made available via a public repository (URL to be determined). Researchers requesting access must submit a research proposal and obtain approval from the principal investigator. Data will be available within 6 months after publication of the primary results. |
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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: |
本研究采用病例报告表(CRF)收集所有研究数据,并使用电子数据采集系统(EDC)进行数据录入、管理和质控。数据管理包括逻辑核查、范围检查和一致性验证,以确保数据完整、准确。所有数据将存储在加密服务器中,仅授权研究人员可访问。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Data will be collected using Case Report Forms (CRFs) and managed via an Electronic Data Capture (EDC) system. Data management includes logical checks, range checks, and consistency verification to ensure data integrity and accuracy. All data will be stored on encrypted servers accessible only to authorized study personnel. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |