肺保护性机械通气在开腹手术中的应用研究

注册号:

Registration number:

ChiCTR1900020616 

最近更新日期:

Date of Last Refreshed on:

2019-01-10 22:09:14 

注册时间:

Date of Registration:

2019-01-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

肺保护性机械通气在开腹手术中的应用研究

Public title:

Effects of intraoperative lung-protective-ventilation in gastrointestinal laparotomy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

肺保护性机械通气在开腹手术中的应用研究

Scientific title:

Effects of intraoperative lung-protective-ventilation in gastrointestinal laparotomy

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:

王海焕 

研究负责人:

马宏仲 

Applicant:

Haihuan Wang 

Study leader:

Hongzhong Ma 

申请注册联系人电话:

Applicant telephone:

+86 17616258140

研究负责人电话:

Study leader's
telephone:

+86 13305359686

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:

1925607200@qq.com

研究负责人电子邮件:

Study leader's E-mail:

13305359686@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:

山东省烟台市芝罘区毓东路20号

研究负责人通讯地址:

山东省烟台市芝罘区毓东路20号

Applicant address:

20 Yuhuangding Road East, Yantai, Shandong, China

Study leader's address:

20 Yuhuangding Road East, Yantai, Shandong, 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:

青岛大学附属烟台毓璜顶医院

Applicant's institution:

The Affiliated Yantai Yuhuangding Hospital of Qingdao University

研究负责人所在单位:

青岛大学附属烟台毓璜顶医院

Affiliation of the Leader:

The Affiliated Yantai Yuhuangding Hospital of Qingdao University

是否获伦理委员会批准:

Approved by ethic committee:

No

伦理委员会批件文号:

Approved No. of ethic committee:

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

Name of the ethic committee:

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

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:

青岛大学附属烟台毓璜顶医院

Primary sponsor:

The Affiliated Yantai Yuhuangding Hospital of Qingdao University

研究实施负责(组长)单位地址:

山东省烟台市芝罘区毓东路20号

Primary sponsor's address:

20 Yuhuangding Road East, Yantai, Shandong, 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):

山东省

市(区县):

烟台市

Country:

China

Province:

Shongdong

City:

Yantai

单位(医院):

青岛大学附属烟台毓璜顶医院

具体地址:

山东省烟台市芝罘区毓东路20号

Institution
hospital:

The Affiliated Yantai Yuhuangding Hospital of Qingdao University

Address:

20 Yuhuangding Road East, Yantai, Shandong, China

经费或物资来源:

研究生经费

Source(s) of funding:

funds for postgraduates

研究疾病:

肺疾病  

Target disease:

lung disease

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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

研究胃肠开腹手术中采用肺保护性通气(Lung-protective ventilation,LPV)对患者术后肺部并发症(PPCs)的影响,并探讨其危险因素  

Objectives of Study:

The present prospective, randomized, double-blind study aimed to explore the effects of patients undergoing gastrointestinal laparotomy are ventilated using a lung-protective ventilation(LPV). The primary aim of this study was to determine whether patients undergoing gastrointestinal laparotomy were ventilated using a lung-protective ventilation(LPV) strategy could protect the lung. The secondary aim was to investigate the association between age, gender, smoking, peak inspiratory pressure(PIP) and the occurrence of postoperative pulmonary complications(PPCs).

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:

诱导期有反流误吸者;术中气道压力峰值异常增高者;术毕不能拔出气管导管;术后转入ICU者

Exclusion criteria:

Preoperative hypoxemia, heart disease, serious liver and kidney damage, history of thoracic and abdominal surgery, history of drug allergy, those with reflux aspiration, abnormal increase of intraoperative peak inspiratory pressure,the tracheal catheter cannot be pulled out after the operation., patients transferred to ICU after surgery.

研究实施时间:

Study execute time:

From 2019-01-01 00:00:00 To 2019-01-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2019-01-01 00:00:00 To 2019-01-30 00:00:00

干预措施:

Interventions:

组别:

肺保护组

样本量:

48

Group:

Lung-protective ventilation

Sample size:

干预措施:

通气采用潮气量6-8mL/kg,PEEP为5cmH2O,气道平台压力<30cmH2O,每30分钟行30秒气道峰值压力为30cmH2O持续正压通气

干预措施代码:

Intervention:

tidal volume (VT)6-8ml, PEEP 5 cmH2O, maintenance of plateau pressure <30 cmH2O, 30s of 30 cm H2O CPAP every 30 min,

Intervention code:

组别:

传统通气组

样本量:

49

Group:

conventional mechanical ventilation

Sample size:

干预措施:

容量控制机械通气,潮气量为8-10mL/kg

干预措施代码:

Intervention:

mechanical ventilation with a tidal volume of 8 to 10 ml per kilogram of predicted body weight,

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

测量指标:

Outcomes:

指标中文名:

依据欧洲围术期术后肺部并发症(EPCO)定义,记录患者术后术后7日内呼吸衰竭、呼吸道感染、胸腔积液、肺不张、气胸、支气管痉挛和吸入性肺炎的发生患者病例总数

指标类型:

主要指标

Outcome:

respiratory failure, respiratory infection, atelectasis, pneumothorax, bronchospasm and aspiration pneumonia and other pulmonary complications, patients were followed up for 7 days.

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 46 years
最大 Max age 70 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):

由独立的麻醉助手根据随机数字表随机分组

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

Randomization by an independent anesthesia assistant based on randomized table.

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:

未说明

Blinding:

Not stated

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):

通过resman提供原始数据查询

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

IPD will be public accessable via ResMan

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:

暂无

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

no

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2019-01-10 22:09:14