超声引导下竖脊肌平面阻滞在腰椎后入路手术中的临床应用研究

注册号:

Registration number:

ChiCTR2000038037 

最近更新日期:

Date of Last Refreshed on:

2022-06-12 22:16:20 

注册时间:

Date of Registration:

2020-09-09 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

超声引导下竖脊肌平面阻滞在腰椎后入路手术中的临床应用研究

Public title:

Clinical application of ultrasound-guided erector spinae block in posterior lumbar surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

超声引导下竖脊肌平面阻滞在腰椎后入路手术中的临床应用研究

Scientific title:

Clinical application of ultrasound-guided erector spinae block in posterior lumbar 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:

刘婕婷 

研究负责人:

刘婕婷 

Applicant:

Liu Jieting 

Study leader:

Liu Jieting 

申请注册联系人电话:

Applicant telephone:

+86 13519688766

研究负责人电话:

Study leader's
telephone:

+86 13519688766

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:

49005110@qq.com

研究负责人电子邮件:

Study leader's E-mail:

49005110@qq.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:

甘肃省兰州市城关区萃英门82号兰州大学第二医院麻醉科

研究负责人通讯地址:

甘肃省兰州市城关区萃英门82号兰州大学第二医院麻醉科

Applicant address:

82 Cuiyingmen Lanzhou, Chengguan District, Gansu, China

Study leader's address:

82 Cuiyingmen Lanzhou, Chengguan District, Gansu, 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:

兰州大学第二医院

Applicant's institution:

Lanzhou University Second Hospital

研究负责人所在单位:

兰州大学第二医院

Affiliation of the Leader:

Lanzhou University Second Hospital

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:

2019A-270

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:

兰州大学第二医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Lanzhou University Second Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2020-03-27 00:00:00

伦理委员会联系人:

任伟

Contact Name of the ethic committee:

Ren Wei

伦理委员会联系地址:

甘肃省兰州市城关区萃英门82号兰州大学第二医院行政楼118号

Contact Address of the ethic committee:

82 Cuiyingmen Lanzhou, Chengguan District, Gansu, China

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:

兰州大学第二医院

Primary sponsor:

Lanzhou University Second Hospital

研究实施负责(组长)单位地址:

甘肃省兰州市城关区萃英门82号兰州大学第二医院麻醉科

Primary sponsor's address:

82 Cuiyingmen Lanzhou, Chengguan District, Gansu, 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):

甘肃

市(区县):

兰州

Country:

China

Province:

Gansu

City:

Lanzhou

单位(医院):

兰州大学第二医院

具体地址:

城关区萃英门82号

Institution
hospital:

Lanzhou University Second Hospital

Address:

82 Cuiyingmen Lanzhou, Chengguan District

经费或物资来源:

2019年度兰州大学第二医院“萃英科技创新”计划

Source(s) of funding:

2019 Lanzhou University Second Hospital's “British Technology Innovation” Plan

研究疾病:

腰椎后入路手术  

Target disease:

posterior lumbar 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:

拟在行两个节段内的腰椎后入路手术中,超声引导下行T12-L1节段竖脊肌平面阻滞,观察阻滞平面,评估术后阵痛效果。此外在局麻药中加入右美托咪定后,是否对ESPB这种新型躯干阻滞技术产生影响。从而为腰椎后入路手术患者的麻醉和镇痛寻求新的方法和思路。  

Objectives of Study:

In the posterior lumbar spine approach in two segments, the T12-L1 segment of the erector spinae muscle plane block is guided by ultrasound, and the block plane is observed to evaluate the postoperative pain effect. In addition, the addition of dexmedetomidine to local anesthetics will have an impact on ESPB, a new type of trunk block technology. In order to find new methods and ideas for anesthesia and analgesia for patients with posterior lumbar spine surgery.

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:

穿刺点感染,出凝血功能异常,局麻药物过敏,严重心脏和肺部疾病,肝、肾功能不全或精神疾病,长期服用镇痛药物史,腰椎后路二次手术等。

Exclusion criteria:

Puncture point infection, abnormal coagulation function, local anesthetic drug allergy, severe heart and lung disease, liver and kidney insufficiency or mental illness, long-term history of taking analgesics, second operation of posterior lumbar spine.

研究实施时间:

Study execute time:

From 2020-10-01 00:00:00 To 2022-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-10-01 00:00:00 To 2022-12-31 00:00:00

干预措施:

Interventions:

组别:

超声引导下竖脊肌阻滞组

样本量:

30

Group:

ESP group

Sample size:

干预措施:

超声引导下竖脊肌阻滞组

干预措施代码:

Intervention:

erector spinae plane block, ESP

Intervention code:

组别:

ESP阻滞联合右美托咪定组

样本量:

30

Group:

ED group

Sample size:

干预措施:

超声引导下竖脊肌阻滞联合右美托咪定

干预措施代码:

Intervention:

ESPB+DEX

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

甘肃 

市(区县):

兰州 

Country:

China

Province:

Gansu

City:

Lanzhou

单位(医院):

兰州大学第二医院 

单位级别:

三级甲等 

Institution
hospital:

Lanzhou University Second Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

视觉模拟评分量表评分

指标类型:

主要指标

Outcome:

VAS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阻滞平面

指标类型:

主要指标

Outcome:

block lever

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中血流动力学不稳定次数

指标类型:

主要指标

Outcome:

Number of intraoperative hemodynamic instability

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中阿片类药物和肌松药使用量

指标类型:

主要指标

Outcome:

Intraoperative use of opioids and muscle relaxants

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PCIA按压次数

指标类型:

主要指标

Outcome:

PCIA compression times

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

补救性镇痛给药次数

指标类型:

主要指标

Outcome:

Number of rescue analgesics

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者满意程度

指标类型:

主要指标

Outcome:

Patient satisfaction

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

恶心呕吐等不良反应

指标类型:

主要指标

Outcome:

Nausea and vomiting

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:

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 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):

随机数字表法

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

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:

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

否No

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):

实验结束后及时公开原始数据

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

real time access

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:

根据实验结果数据采集

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

base on the data

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-09-09 08:46:17