肺电阻抗断层成像监测对于长时间全麻开腹手术患者呼吸功能的影响

注册号:

Registration number:

ChiCTR1900023897 

最近更新日期:

Date of Last Refreshed on:

2019-06-17 09:50:03 

注册时间:

Date of Registration:

2019-06-17 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

肺电阻抗断层成像监测对于长时间全麻开腹手术患者呼吸功能的影响

Public title:

The Influence of EIT Monitoring on the Respiratory Function in Patients with Prolonged General Anesthesia during Open Abdominal Surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

肺电阻抗断层成像监测对于长时间全麻开腹手术患者呼吸功能的影响

Scientific title:

The Influence of EIT Monitoring on the Respiratory Function in Patients with Prolonged General Anesthesia during Open Abdominal Surgery

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:

肖莉 

研究负责人:

李天佐 

Applicant:

Li Xiao 

Study leader:

Tianzuo Li 

申请注册联系人电话:

Applicant telephone:

+86 15811113835

研究负责人电话:

Study leader's
telephone:

+86 15330269996

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:

lxfn5563368@126.com

研究负责人电子邮件:

Study leader's E-mail:

trmzltz@126.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:

北京市海淀区羊坊店铁医路10号

研究负责人通讯地址:

北京市海淀区羊坊店铁医路10号

Applicant address:

10 Yangfangdian Tieyi Road, Haidian District, Beijing

Study leader's address:

10 Yangfangdian Tieyi Road, Haidian District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100038

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

首都医科大学附属北京世纪坛医院

Applicant's institution:

Beijing Shijitan Hospital, CMU

研究负责人所在单位:

首都医科大学附属北京世纪坛医院

Affiliation of the Leader:

Beijing Shijitan Hospital, CMU

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:

2019年科研伦审第(16)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:

首都医科大学附属北京世纪坛医院科学研究伦理委员会

Name of the ethic committee:

Scientific Research Ethics Committee of Beijing Shijitan Hospital, Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2019-02-21 00:00:00

伦理委员会联系人:

李继红

Contact Name of the ethic committee:

Jihong Li

伦理委员会联系地址:

北京市海淀区羊坊店铁医路10号

Contact Address of the ethic committee:

10 Yangfangdian Tieyi Road, Haidian District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 010-63926603

伦理委员会联系人邮箱:

Contact email of the ethic committee:

sjtkyll@126.com

研究实施负责(组长)单位:

首都医科大学附属北京世纪坛医院

Primary sponsor:

Beijing Shijitan Hospital, Capital Medical University

研究实施负责(组长)单位地址:

北京市海淀区羊坊店铁医路10号

Primary sponsor's address:

10 Yangfangdian Tieyi Road, Haidian District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京世纪坛医院

具体地址:

海淀区羊坊店铁医路10号

Institution
hospital:

Beijing shijitan Hospital, CMU

Address:

10 Yangfangdian Tieyi Road, Haidian District

经费或物资来源:

研究生课题经费

Source(s) of funding:

Funds for Graduate Programs

研究疾病:

机械通气性肺损伤  

Target disease:

ventilator-induced lung injury

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:

本研究的目的在于应用EIT对长时间全麻手术患者术中通气的监测,并用其指导其实施保护性通气策略,找到适合长时间全麻开腹手术的最适通气方案,优化、滴定,达到最优呼吸状态,改善患者术中呼吸功能,减少炎症反应,减少炎性因子的释放,减少术后肺部并发症的发生。  

Objectives of Study:

The purpose of this study is to apply the EIT in ventilation in patients with general anesthesia operation for a long time monitoring, and use it to guide the implementation of protective ventilation strategies, find suitable for general anesthesia laparotomy for a long time the optimum ventilation scheme of optimization, the titration, to achieve the optimal breathing, improve patients in respiratory function, reduce inflammation, reduce the release of inflammatory cytokines, reduce the postoperative pulmonary complications.

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:

BMI > 30 kg/m2;急慢性期的呼吸道疾病,以及近两周应用 β2受体激动剂、激素、异丙托溴胺吸入或者茶碱类药物等病史;体内安装有永久或临时心脏起搏器、植入式心脏除颤器及其他有活动植入物者;中、大量胸腔积液者;血流动力学严重不稳者。

Exclusion criteria:

BMI > 30 kg/m2; Acute and chronic respiratory diseases, and a history of the use of beta 2 agonists, hormones, ipratropium bromide inhalation, or theophylline drugs in the last two weeks;Having permanent or temporary pacemakers, implantable cardiac defibrillators or other mobile implants installed in the body; Moderate or large pleural effusion;Serious hemodynamic instability.

研究实施时间:

Study execute time:

From 2019-10-07 00:00:00 To 2020-10-07 00:00:00  

征募观察对象时间:

Recruiting time:

From 2019-11-01 00:00:00 To 2020-10-07 00:00:00

干预措施:

Interventions:

组别:

ET监测组

样本量:

35

Group:

ET monitoring group

Sample size:

干预措施:

实施肺电阻抗断层成像监测

干预措施代码:

Intervention:

Pulmonary electrical impedance tomography was used for monitoring

Intervention code:

组别:

对照组

样本量:

35

Group:

control group

Sample size:

干预措施:

常规监测

干预措施代码:

Intervention:

routine monitoring

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京世纪坛医院 

单位级别:

三甲医院 

Institution
hospital:

Beijing shijitan hospital ,Capital Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

呼吸力学及肺功能指标

指标类型:

主要指标

Outcome:

Respiratory mechanics and pulmonary function

Type:

Primary indicator

测量时间点:

测量方法:

血气分析

Measure time point of outcome:

Measure method:

Blood Gas Analysis

指标中文名:

炎性指标

指标类型:

次要指标

Outcome:

Inflammatory index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后肺部并发症

指标类型:

次要指标

Outcome:

Postoperative pulmonary 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:

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 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):

在计算机上用SAS统计软件包,按试验组与对照组1:1的比例随机产生随机数字,用随机数字表法,分为两组。

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

On the computer, SAS statistical software package was used to generate random Numbers according to the 1:1 ratio between the experimental group and the control group. The random Numbers were divided into two groups by random number table method.

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:

对研究者和统计分析人员施盲。

Blinding:

Blind method for researchers and statistical analysts.

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):

http://www.chictr.org.cn/edit.aspx?pid=37329&htm=4

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

http://www.chictr.org.cn/edit.aspx?pid=37329&htm=4

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:

数据采集以病历记录表形式录入,后由统计人员将病历记录表数据录入Epidata3.0软件中,由统计室人员保管。

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

Data collection was recorded in the form of medical records, and then the statistical staff recorded the medical records into Epidata3.0 software and kept by the statistical office staff.

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:

 2019-06-17 09:50:03