超声引导前路胸膜外间隙阻滞与胸椎旁阻滞对机器人辅助胸腔镜肺手术镇痛效果的比较:一项前瞻性随机对照临床研究

注册号:

Registration number:

ChiCTR2600125344 

最近更新日期:

Date of Last Refreshed on:

2026-05-26 08:52:13 

注册时间:

Date of Registration:

2026-05-26 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

超声引导前路胸膜外间隙阻滞与胸椎旁阻滞对机器人辅助胸腔镜肺手术镇痛效果的比较:一项前瞻性随机对照临床研究

Public title:

Comparison of Analgesic Effects Between Ultrasound-Guided Anterior Extrapleural Space Block and Thoracic Paravertebral Block in Robot-Assisted Thoracoscopic Lung Surgery: A Prospective Randomized Controlled Clinical Trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

超声引导前路胸膜外间隙阻滞与胸椎旁阻滞对机器人辅助胸腔镜肺手术镇痛效果的比较:一项前瞻性随机对照临床研究

Scientific title:

Comparison of Analgesic Effects Between Ultrasound-Guided Anterior Extrapleural Space Block and Thoracic Paravertebral Block in Robot-Assisted Thoracoscopic Lung Surgery: A Prospective Randomized Controlled Clinical Trial

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:

张晓玉 

研究负责人:

黎笔熙 

Applicant:

Xiaoyu Zhang 

Study leader:

Bixi Li 

申请注册联系人电话:

Applicant telephone:

+86 187 2752 8050

研究负责人电话:

Study leader's
telephone:

+86 133 9719 2089

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:

18727528050@163.com

研究负责人电子邮件:

Study leader's E-mail:

lbxatghctc@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:

湖北省武汉市武昌区武珞路627号

研究负责人通讯地址:

湖北省武汉市武昌区武珞路627号

Applicant address:

No. 627 Wuluo Road, Wuchang District, Wuhan City, Hubei Province,China

Study leader's address:

No. 627 Wuluo Road, Wuchang District, Wuhan City, Hubei Province, 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:

中国人民解放军中部战区总医院

Applicant's institution:

General Hospital of Central Theater Command of the Chinese People's Liberation Army

研究负责人所在单位:

中国人民解放军中部战区总医院

Affiliation of the Leader:

General Hospital of Central Theater Command of the Chinese People's Liberation Army

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]091-01

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:

中国人民解放军中部战区总医院伦理委员会

Name of the ethic committee:

Ethics Committee of the General Hospital of the Central Theater Command of the Chinese People's Liberation Army

伦理委员会批准日期:

Date of approved by ethic committee:

2026-05-18 00:00:00

伦理委员会联系人:

张莹

Contact Name of the ethic committee:

Ying Zhang

伦理委员会联系地址:

湖北省武汉市武昌区武珞路627号

Contact Address of the ethic committee:

No. 627 Wuluo Road, Wuchang District, Wuhan City, Hubei Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 50772992

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:

中国人民解放军中部战区总医院

Primary sponsor:

General Hospital of Central Theater Command of the Chinese People's Liberation Army

研究实施负责(组长)单位地址:

湖北省武汉市武昌区武珞路627号

Primary sponsor's address:

No. 627 Wuluo Road, Wuchang District, Wuhan City, Hubei Province, 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):

武汉

市(区县):

Country:

China

Province:

Wuhan

City:

单位(医院):

中国人民解放军中部战区总医院

具体地址:

湖北省武汉市武昌区武珞路627号

Institution
hospital:

General Hospital of Central Theater Command of the Chinese People's Liberation Army

Address:

No. 627 Wuluo Road, Wuchang District, Wuhan City, Hubei Province, China

经费或物资来源:

单位自筹

Source(s) of funding:

Self-funded

研究疾病:

机器人辅助胸腔镜肺手术后疼痛  

Target disease:

Pain after robot-assisted thoracoscopic lung surgery

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:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

观察超声引导前路胸膜外间隙阻滞与胸椎旁阻滞对机器人辅助胸腔镜肺手术镇痛效果及术后恢复质量的影响,评估前路胸膜外间隙阻滞的应用效果,探讨更优的胸科手术区域神经阻滞方案,为临床应用提供新方案。  

Objectives of Study:

To observe the effects of ultrasound-guided anterior extrapleural space block and thoracic paravertebral block on analgesic efficacy and postoperative recovery quality in robot-assisted thoracoscopic lung surgery, assess the application value of anterior extrapleural space block, explore an optimal regional nerve block protocol for thoracic surgery, and provide a new clinical regimen.

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)拒绝参与研究者; (2)不能配合者; (3)局麻药过敏者; (4)穿刺部位感染者; (5)凝血功能异常者; (6)有术侧胸膜炎或胸膜病变者; (7)有术侧胸廓畸形或胸外科手术史者; (8)有慢性疼痛病史或正在服用镇痛药物者; (9)合并高血压控制不佳或未经控制者; (10)合并严重心、肺、肝、肾功能障碍者。

Exclusion criteria:

1. Refusal to participate; 2. Inability to cooperate; 3. Hypersensitivity to local anesthetics; 4. Infection at the puncture site; 5. Abnormal coagulation function; 6. Pleurisy or pleural lesions on the surgical side; 7. Thoracic deformity or previous thoracic surgery on the surgical side; 8. History of chronic pain or current use of analgesics; 9. Poorly controlled hypertension; 10. Severe cardiac, pulmonary, hepatic or renal dysfunction.

研究实施时间:

Study execute time:

From 2026-06-01 00:00:00 To 2027-05-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-01 00:00:00 To 2027-05-31 00:00:00

干预措施:

Interventions:

组别:

前路胸膜外间隙阻滞

样本量:

46

Group:

AEPSB

Sample size:

干预措施:

超声引导下行前路胸膜外间隙阻滞

干预措施代码:

Intervention:

Ultrasound-guided anterior extrapleural space block

Intervention code:

组别:

胸椎旁阻滞组

样本量:

46

Group:

TPVB

Sample size:

干预措施:

超声引导下行胸椎旁阻滞

干预措施代码:

Intervention:

Ultrasound-guided thoracic paravertebral block

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

武汉 

市(区县):

 

Country:

China

Province:

Wuhan

City:

单位(医院):

中国人民解放军中部战区总医院 

单位级别:

三甲 

Institution
hospital:

General Hospital of Central Theater Command of the Chinese People's Liberation Army

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术中瑞芬太尼用量

指标类型:

主要指标

Outcome:

Intraoperative remifentanil consumption

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后布托啡诺用量

指标类型:

主要指标

Outcome:

Postoperative butorphanol consumption

Type:

Primary 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QoR-40 量表评分

指标类型:

主要指标

Outcome:

Postoperative recovery quality QoR-40 scores

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经阻滞穿刺深度

指标类型:

次要指标

Outcome:

Puncture depth of regional 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:

神经阻滞操作时间

指标类型:

次要指标

Outcome:

Procedural time of regional 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:

神经阻滞起效时间

指标类型:

次要指标

Outcome:

Onset time of regional 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:

神经阻滞阻滞平面

指标类型:

次要指标

Outcome:

Block level of regional 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:

平均动脉压

指标类型:

次要指标

Outcome:

MAP

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心率

指标类型:

次要指标

Outcome:

HR

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中环泊酚用量

指标类型:

次要指标

Outcome:

Intraoperative cyclopropofol consumption

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中血管活性药用量

指标类型:

次要指标

Outcome:

Intraoperative vasoactive agent consumption

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后首次阿片类药物镇痛时间

指标类型:

次要指标

Outcome:

Time to first postoperative rescue opioid analgesia

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后疼痛数字评价量表(NRS)评分

指标类型:

主要指标

Outcome:

Numerical Rating Scale (NRS) pain scores

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺功能(FVC、FEV1及MMEF)

指标类型:

次要指标

Outcome:

Lung function(FVCFEV1MMEF)

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 ICU 住院时间

指标类型:

次要指标

Outcome:

Postoperative ICU length of stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后总住院时间

指标类型:

次要指标

Outcome:

Total hospital length of stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良反应及并发症

指标类型:

次要指标

Outcome:

Incidence of adverse reactions and complications

Type:

Secondary 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 65 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):

采用随机数字表法,由不参与受试者招募、分组及评估的统计人员产生随机序列,按1:1比例将受试者分为两组。

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

The random sequence was generated by a statistician not involved in subject recruitment, allocation, or assessment using a random number table, and the subjects were divided into two groups at a 1:1 ratio.

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:

受试者及负责干预、结局评估的人员

Blinding:

Participant and the investigators involved in patient care and outcome assessment know which treatment group the participant is in.

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:

病例记录表和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:

Case Record Form;Electronic Data Capture

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:

 2026-05-26 08:52:05