基于物联网管理的家庭长期氧疗联合呼吸康复治疗COPD合并低氧血症的随机前瞻对照的多中心研究

注册号:

Registration number:

ChiCTR1900028248 

最近更新日期:

Date of Last Refreshed on:

2019-12-16 14:26:12 

注册时间:

Date of Registration:

2019-12-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于物联网管理的家庭长期氧疗联合呼吸康复治疗COPD合并低氧血症的随机前瞻对照的多中心研究

Public title:

Randomized prospective controlled multicenter study of long-term oxygen therapy combined with respiratory rehabilitation for COPD combined with hypoxemia based on IoT management

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于物联网管理的家庭长期氧疗联合呼吸康复治疗COPD合并低氧血症的随机前瞻对照的多中心研究

Scientific title:

Randomized prospective controlled multicenter study of long-term oxygen therapy combined with respiratory rehabilitation for COPD combined with hypoxemia based on IoT management

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:

郝晟瑜 

研究负责人:

李善群 

Applicant:

Shengyu Hao 

Study leader:

Shanqun Li 

申请注册联系人电话:

Applicant telephone:

+86 13020105197

研究负责人电话:

Study leader's
telephone:

+86 18616880856

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:

janet9yu@163.com

研究负责人电子邮件:

Study leader's E-mail:

li.shanqun@zs-hospital.sh.cn

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:

上海市徐汇区枫林路180号复旦大学附属中山医院19号楼207

研究负责人通讯地址:

上海市徐汇区枫林路180号复旦大学附属中山医院9号楼

Applicant address:

Room 207, Building 19, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Xuhui District, Shanghai

Study leader's address:

Building 9, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Xuhui District, Shanghai

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:

复旦大学附属中山医院

Applicant's institution:

Zhongshan Hospital Affiliated to Fudan University

研究负责人所在单位:

复旦大学附属中山医院

Affiliation of the Leader:

Zhongshan Hospital Affiliated to Fudan University

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:

B2018-216R

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:

复旦大学附属中山医院伦理委员会

Name of the ethic committee:

Ethics Committee of Zhongshan Hospital Affiliated to Fudan University

伦理委员会批准日期:

Date of approved by ethic committee:

2019-01-31 00:00:00

伦理委员会联系人:

秦治新

Contact Name of the ethic committee:

Zhixin Qin

伦理委员会联系地址:

上海市徐汇区枫林路180号

Contact Address of the ethic committee:

180 Fenglin Road, Xuhui District, Shanghai

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:

复旦大学附属中山医院

Primary sponsor:

Zhongshan Hospital Affiliated Fudan University

研究实施负责(组长)单位地址:

上海市枫林路180号

Primary sponsor's address:

180 Fenglin Road, Xuhui District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海市

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属中山医院

具体地址:

枫林路180号

Institution
hospital:

Zhongshan Hospital Affiliated Fudan University

Address:

180 Fenglin Road

经费或物资来源:

国家科技部“十三五”国家重点研发计划重大慢性非传染性疾病防控研究重点专项

Source(s) of funding:

Key projects for prevention and control of chronic noncommunicable diseases in the 13th five-year plan of the ministry of science and technology

研究疾病:

慢性阻塞性肺疾病  

Target disease:

chronic obstructive pulmonary disease

研究疾病代码:

J44.8

Target disease code:

J44.8

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:

观察氧疗结合肺康复对I型呼吸衰竭慢性阻塞性肺疾病患者的临床症状、运动能力、生活质量以及心理状态的整体疗效。  

Objectives of Study:

To observe the overall effect of oxygen therapy combined with pulmonary rehabilitation on the clinical symptoms, exercise capacity, quality of life and mental state of patients with type 1 respiratory failure and chronic obstructive pulmonary disease.

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. 检查证实由结核真菌肿瘤刺激性气体过敏等因素所致的慢性咳嗽患者
2. 可造成气喘或呼吸困难的其他呼吸系统疾病患者;
3. 妊娠或哺乳期妇女、对本药过敏者;
4. 合并有心血管、肝、肾和造血系统等严重原发性疾病、糖尿病、精神病患者;
5. 并发严重心功能不全者;
6. 因其他疾病接受药物治疗的患者;
7. 存在影响疗效观察因素患者;
8. 凡不符合纳入标准,未按规定用药,无法判定疗效或资料不全等影响疗效或安全性判断者。

Exclusion criteria:

1. Examination confirmed patients with chronic cough caused by factors such as tuberculous fungal tumor irritating gas allergy
2. Patients with other respiratory diseases that can cause asthma or dyspnea;
3. Pregnant or lactating women, allergic to this medicine;
4. Patients with severe primary diseases such as cardiovascular, liver, kidney and hematopoietic system, diabetes, and mental illness;
5. Concurrent severe heart dysfunction;
6. Patients receiving medication for other diseases;
7. Patients with factors influencing the effect observation;
8. Those who do not meet the inclusion criteria, fail to use the drug as prescribed, and cannot determine the efficacy or incomplete information, which affect the efficacy or safety judgment.

研究实施时间:

Study execute time:

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

征募观察对象时间:

Recruiting time:

From 2020-01-01 00:00:00 To 2020-02-29 00:00:00

干预措施:

Interventions:

组别:

单纯氧疗组

样本量:

50

Group:

Oxygen-only group

Sample size:

干预措施:

给予常规药物治疗加氧疗,每日坚持15 h 以上鼻导管吸氧,氧流量为1.0~2.0 L/min。

干预措施代码:

A

Intervention:

conventional medications and oxygen therapy, and insisted on inhaling oxygen through a nasal cannula for more than 15 hours every day.

Intervention code:

组别:

单纯氧疗+物联网组

样本量:

50

Group:

Oxygen therapy + Internet of things group

Sample size:

干预措施:

给予常规药物治疗加氧疗(氧疗方法同上),物联网通过飞利浦App实现,具体操作方法见说明手册。

干预措施代码:

B

Intervention:

Conventional drug treatment plus oxygen therapy (oxytherapy method is the same as above), the Internet of Things is implemented through the Philips App. For specific operation methods, see the instruction manual.

Intervention code:

组别:

单纯氧疗+肺康复组

样本量:

50

Group:

Simple oxygen therapy + lung rehabilitation group

Sample size:

干预措施:

常规药物治疗,加单纯氧疗(每日坚持15 h 以上鼻导管吸氧,氧流量为1.0~2.0 L/min),联合肺康复,具体如下:a.缩唇呼吸。缩小口唇呼吸,再缓慢吐气,一天三次,呼吸频率为7~8次/min。b. 胸腹式呼吸运动。慢阻肺合并呼吸衰竭患者坐位或者站位,将两手置于腹部和胸部,使用鼻子吸气,用口呼气,缓慢呼吸,不断加大膈肌移动度,一天二次,每次持续30分钟,呼吸频率为12-20次/min。c. 呼吸肌锻炼,采用三球锻炼仪,每天二次,每次39分钟。 f.有氧运动:八段锦有氧运动,一天二次,每次30分钟。

干预措施代码:

C

Intervention:

Routine drug therapy, plus simple oxygen therapy (adherence to nasal cannula for more than 15 h daily, oxygen flow rate is 1.0 ~ 2.0 L / min), combined with pulmonary rehabilitation.

Intervention code:

组别:

单纯氧疗+肺康复组+物联网组

样本量:

50

Group:

Simple oxygen therapy + lung rehabilitation group + Internet of things group

Sample size:

干预措施:

常规药物治疗,加单纯氧疗(同上),联合肺康复(同上),物联网通过飞利浦App实现,具体操作方法见说明手册。

干预措施代码:

D

Intervention:

Conventional drug therapy, plus oxygen therapy (ibid.), Combined with lung rehabilitation (ibid.), The Internet of Things is realized through the Philips App. For specific operation methods, see the instruction manual.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海同济大学附属同济医院 

单位级别:

三甲 

Institution
hospital:

Tongji Hospital Affiliated to Shanghai Tongji University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属上海市第五人民医院 

单位级别:

三甲 

Institution
hospital:

Shanghai Fifth People's Hospital Affiliated to Fudan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属浦东医院 

单位级别:

二级甲等 

Institution
hospital:

Pudong Hospital Affiliated to Fudan University

Level of the institution:

Secondary A

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属曙光医院 

单位级别:

三甲 

Institution
hospital:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属普陀医院 

单位级别:

三级乙等 

Institution
hospital:

Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Level of the institution:

Tertiary B

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

shanghai

City:

单位(医院):

上海同济大学附属第十人民医院 

单位级别:

三级甲等 

Institution
hospital:

The Tenth People's Hospital Affiliated to Tongji University in Shanghai

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市嘉定中心医院呼吸 

单位级别:

二级甲等 

Institution
hospital:

Shanghai Jiading Central Hospital Respiratory

Level of the institution:

Secondary A

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhengjiang

City:

单位(医院):

宁波李惠利东部医院 

单位级别:

三级乙等 

Institution
hospital:

Affiliated Hospital of Ningbo University

Level of the institution:

Tertiary B

国家:

中国

省(直辖市):

宁波 

市(区县):

 

Country:

China

Province:

Ningbo

City:

单位(医院):

宁波大学附属医院 

单位级别:

三级乙等 

Institution
hospital:

Affiliated Hospital of Ningbo University

Level of the institution:

Tertiary B

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

湖州中心医院 

单位级别:

三级甲等 

Institution
hospital:

Huzhou Central Hospital

Level of the institution:

Huzhou Central Hospital

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

江阴人民医院 

单位级别:

三级甲等 

Institution
hospital:

Jiangyin People's Hospital

Level of the institution:

Huzhou Central Hospital

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

常熟中医院 

单位级别:

三级乙等 

Institution
hospital:

Changshu Hospital of Traditional Chinese Medicine

Level of the institution:

Tertiary B

测量指标:

Outcomes:

指标中文名:

圣乔治问卷

指标类型:

主要指标

Outcome:

SGRQ

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

改良呼吸困难指数

指标类型:

主要指标

Outcome:

mMRC

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

慢性阻塞性肺疾病评分

指标类型:

主要指标

Outcome:

CAT

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

指标类型:

主要指标

Outcome:

lung function

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

6分钟步行

指标类型:

主要指标

Outcome:

6MWT

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

焦虑自评量表

指标类型:

主要指标

Outcome:

SAS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抑郁自评量表

指标类型:

主要指标

Outcome:

SDS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

急性加重次数

指标类型:

主要指标

Outcome:

Number of acute exacerbations

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 40 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):

随机数表法

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

Table of random Numbers

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:

在主观指标采集时,对评分人员进行设盲。建立数据库时,对统计人员进行分组设盲。

Blinding:

Blind method for evaluators and statisticians.

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):

2021年1月公开,采用纸质档案保存方式

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

Opened in January 2021, using paper file storage methods

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:

使用EpiData进行数据创建、保存及管理。

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

We use the Epidata to manage the data of this project.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2019-12-16 14:26:12