张丽霞医师: 该研究尚未获得伦理委员会批准。请于批准后再开始纳入参试者,并与我们联系上传批件。 脑卒中后OSA与吞咽障碍的相关性分析及康复干预策略的临床研究

注册号:

Registration number:

ChiCTR1900024309 

最近更新日期:

Date of Last Refreshed on:

2019-07-05 22:28:03 

注册时间:

Date of Registration:

2019-07-05 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

张丽霞医师: 该研究尚未获得伦理委员会批准。请于批准后再开始纳入参试者,并与我们联系上传批件。 脑卒中后OSA与吞咽障碍的相关性分析及康复干预策略的临床研究

Public title:

Correlation analysis of OSA and dysphagia after stroke and clinical study of rehabilitation intervention strategy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

脑卒中后OSA与吞咽障碍的相关性分析及康复干预策略的临床研究

Scientific title:

Correlation analysis of OSA and dysphagia after stroke and clinical study of rehabilitation intervention strategy

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:

张丽霞 

研究负责人:

张丽霞 

Applicant:

Zhang Lixia 

Study leader:

Zhang Lixia 

申请注册联系人电话:

Applicant telephone:

+86 13915966352

研究负责人电话:

Study leader's
telephone:

+86 13915966352

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:

lxzhang16@sina.com

研究负责人电子邮件:

Study leader's E-mail:

lxzhang16@sina.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:

江苏省南京市建邺区集庆门大街269号

研究负责人通讯地址:

江苏省南京市建邺区集庆门大街269号

Applicant address:

269 Jiqingmen Street, Jianye District, Nanjing, Jiangsu, China

Study leader's address:

269 Jiqingmen Street, Jianye District, Nanjing, Jiangsu, 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:

江苏省人民医院

Applicant's institution:

JIangsu Province Hospital

研究负责人所在单位:

江苏省人民医院

Affiliation of the Leader:

JIangsu Province Hospital

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:

江苏省人民医院

Primary sponsor:

Jiangsu Province Hospital

研究实施负责(组长)单位地址:

江苏省南京市广州路300号

Primary sponsor's address:

300 Guangzhou Road, Nanjing, Jiangsu

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江苏省

市(区县):

南京市

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

江苏省人民医院

具体地址:

广州路300号

Institution
hospital:

Jiangsu Province Hospital

Address:

300 Guangzhou Road

经费或物资来源:

江苏省卫计委

Source(s) of funding:

Jiangsu provincial commission of health

研究疾病:

脑卒中  

Target disease:

Stroke

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:

1.观察综合吞咽训练对脑卒中合并OSA及吞咽障碍患者的口咽部形态学变化、AHI等PSG指标及吞咽障碍评估指标的影响,从而为脑卒中合并OSA患者的OSA治疗提供一种新的途径。 2.观察脑卒中合并OSA及吞咽障碍患者的PSG指标、口咽部形态学及吞咽障碍评估指标的相关性,为卒中后合并OSA患者的OSA筛查提供了一个新思路。  

Objectives of Study:

1. To observe the effects of comprehensive swallowing training on oropharyngeal morphological changes, AHI and other PSG indexes and evaluation indexes of swallowing disorders in patients with stroke complicated with OSA and dysphagia, so as to provide a new approach for OSA treatment in patients with stroke complicated with OSA. 2. To observe the correlation of PSG index, oropharyngeal morphology and evaluation index of swallowing disorder in patients with stroke complicated with OSA and dysphagia, and provide a new idea for OSA screening in patients with stroke complicated with OSA.

药物成份或治疗方案详述:

吞咽护理:口腔冰刺激,口唇运动,自由饮水计划,监测和指导患者每日进食,间歇性经口插胃管进食(若需要)。 综合吞咽干预:吞咽运动训练,神经肌肉电刺激治疗,发声训练。 

Description for medicine or protocol of treatment in detail:

Swallowing care: Oral ice stimulation, Lip movement, Free water plan, Monitor and guide daily eating, Intermittent transoral gastric tube feeding(if disired). Comprehensive swallowing intervention: Swallowing movement training, Neuromuscular electrical stimulation, Vocal training.  

纳入标准:

Inclusion criteria

排除标准:

1 重度卒中者(NIHSS≥16分);
2 重度言语障碍;
3 重度认知障碍(MMSE<9分);
4 中枢性睡眠呼吸暂停;
5 既往夜间呼吸暂停或未觉醒;
6 既往白天严重嗜睡(Epworth嗜睡程度评分>16分);
7 既往颌面部畸形、咽腔狭窄、鼻部异常;
8 既往曾有CPAP治疗;
9 有严重心肺功能疾患或急性疾病(失代偿性心衰,3个月内曾有心脏或呼吸停止或心梗,严重肺炎,难治性高血压,气胸,大泡性肺气肿)。

Exclusion criteria:

1 patients with severe stroke (NIHSS>=16 points);
2 severe speech disorder;
3 severe cognitive impairment (MMSE<9)
4 central sleep apnea;
5 previous night apnea or micro-awakening;
6 previous severe daytime sleepiness (Epworth Sleepiness Score >16);
7 previous maxillofacial deformity, pharyngeal cavity stenosis and nasal abnormalities;
8 having had CPAP treatment in the past.
9 severe cardiopulmonary function disorders or acute diseases (decompensated heart failure, had heart or respiratory arrest or myocardial infarction within 3 months, severe pneumonia, refractory hypertension, pneumothorax, alveolar emphysema).

研究实施时间:

Study execute time:

From 2019-08-01 00:00:00 To 2020-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2019-08-01 00:00:00 To 2020-05-31 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

45

Group:

Control Group

Sample size:

干预措施:

吞咽护理:口腔冰刺激,口唇运动,自由饮水计划,监测和指导患者每日进食,间歇性经口插胃管进食(若需要)。

干预措施代码:

Intervention:

Swallowing care: Oral ice stimulation, Lip movement, Free water plan, Monitor and guide daily eating, Intermittent transoral gastric tube feeding (if disired).

Intervention code:

组别:

试验组

样本量:

45

Group:

Experimental Group

Sample size:

干预措施:

吞咽护理+综合吞咽干预(吞咽运动训练,神经肌肉电刺激治疗,发声训练)

干预措施代码:

Intervention:

Swallowing care combined with Comprehensive swallowing intervention (Swallowing movement training, Neuromuscular electrical stimulation, Vocal training).

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏省 

市(区县):

常州 

Country:

China

Province:

Jiangsu

City:

Changzhou

单位(医院):

江苏省人民医院常州德安分院 

单位级别:

公立三级专科医院 

Institution
hospital:

Changzhou De‘an Hospital

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

洼田饮水试验情况

指标类型:

次要指标

Outcome:

Kubota’ water drinking test

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Gugging吞咽功能评估得分

指标类型:

主要指标

Outcome:

The score for Gugging function evaluation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

吞咽x线荧光透视检查

指标类型:

主要指标

Outcome:

Videofluoroscopic Swallowing Study

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

表面肌电

指标类型:

主要指标

Outcome:

sEMG

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

多导睡眠监测

指标类型:

主要指标

Outcome:

Polysomnography

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:

组织:

Sample Name:

N/A

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):

研究负责人;Excel随机数字表法。

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

Study leader;Excel Random Number 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:

open

Blinding:

open

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):

2020年12月31日开始公开原始数据

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

Sharing IPD since December 31st,2020

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:

数据采集使用CRF表,数据管理采用数据录入和管理系统

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

Data collection using CRF and data management using data entry & 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:

 2019-07-05 22:28:03