针药复合麻醉在腹部手术的应用及机体保护效应研究

注册号:

Registration number:

ChiCTR-TRC-14004435 

最近更新日期:

Date of Last Refreshed on:

2019-03-13 12:59:11 

注册时间:

Date of Registration:

2014-03-26 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

针药复合麻醉在腹部手术的应用及机体保护效应研究

Public title:

Acupuncture balanced anesthesia used in abdominal operation and its protective effects

注册题目简写:

English Acronym:

研究课题的正式科学名称:

不同时点、不同频率经皮穴位电刺激对胃肠道手术患者围术期康复的影响研究:多中心随机平行对照试验

Scientific title:

Effects of transcutaneous electrical acupoint stimulation at different perioperative phases and at different frequencies on gastric-intestinal function in patients undergoing abdominal surgery: a multi-center randomized parallel controlled trial.

研究课题代号(代码):

Study subject ID:

2013CB531900

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:

闫琦 

研究负责人:

冯艺 

Applicant:

Qi Yan 

Study leader:

Yi Feng 

申请注册联系人电话:

Applicant telephone:

+86 010 88325581

研究负责人电话:

Study leader's
telephone:

+86 010 88325590

申请注册联系人传真 :

Applicant Fax:

+86 01088325590

研究负责人传真:

Study leader's fax:

+86 01088325590

申请注册联系人电子邮件:

Applicant E-mail:

yanqi04@163.com

研究负责人电子邮件:

Study leader's E-mail:

yifeng65@sina.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

http://www.pkuph.cn/mass/

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

http://www.pkuph.cn/mass/

申请注册联系人通讯地址:

北京西城区西直门南大街11号

研究负责人通讯地址:

北京西城区西直门南大街11号

Applicant address:

11 South Xizhimen Street, Xicheng District, Beijing, China

Study leader's address:

11 South Xizhimen Street, Xicheng District, Beijing, China

申请注册联系人邮政编码:

Applicant postcode:

100044

研究负责人邮政编码:

Study leader's postcode:

100044

申请人所在单位:

北京大学人民医院

Applicant's institution:

Peking University People's Hospital

研究负责人所在单位:

北京大学人民医院

Affiliation of the Leader:

Peking University People's 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:

2013-09

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:

北京大学人民医院伦理委员会

Name of the ethic committee:

Peking University People's Hospital ethic committee

伦理委员会批准日期:

Date of approved by ethic committee:

2013-06-09 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:

北京大学人民医院

Primary sponsor:

Peking University People's Hospital

研究实施负责(组长)单位地址:

北京西城区西直门南大街11号

Primary sponsor's address:

11 South Xizhimen Street, Xicheng District, Beijing, 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):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学人民医院

具体地址:

北京西城区西直门南大街11号

Institution
hospital:

Peking University People's Hospital

Address:

11 South Xizhimen Street, Xicheng District, Beijing, China

经费或物资来源:

973计划

Source(s) of funding:

973project

研究疾病:

胃肠疾病  

Target disease:

gastrointestinal 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:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

(1)通过观察针药复合麻醉在腹部手术应用中的临床效应,评估针药复合麻醉在常见腹部手术中的临床应用价值及优势。观察术后胃肠功能恢复情况,评估术后给与电针刺激的临床效果;(2)通过观察针药复合麻醉在腹部手术中对机体应激、炎症反应及免疫功能的影响,初步阐明针药复合麻醉应用于腹部手术产生神经-内分泌-免疫调节的机制。  

Objectives of Study:

(1) To evaluate effects of transcutaneous electrical acupoint stimulation at different perioperative phases and at different frequencies on gastric-intestinal function and perioperative recovery in patients undergoing abdominal surgery; (2) To investigate the effects of transcutaneous electrical acupoint stimulation on neuro-immuno-endocrine network.

药物成份或治疗方案详述:

NA 

Description for medicine or protocol of treatment in detail:

NA 

纳入标准:

Inclusion criteria

排除标准:

1、经穴局部和所在经络有手术切口或手术瘢痕
2、经穴局部有皮肤感染的患者
3、有上肢或者下肢神经损伤的患者
4、有脊柱手术史
5、近四周内参加过其它临床试验患者
6、不能理解NRS评分,不会使用PCA的患者
7、应用起搏器患者
8、尿妊娠试验阳性的患者
9、术前合并疼痛,正在使用中枢性镇痛药物,阿片类药物成瘾、依赖者
10、术前合并严重的中枢神经系统疾病及严重精神疾病
11、所行手术需要进行肠造瘘
12、有酗酒史的患者
13、术后带气管插管需转入ICU进行治疗的患者
14、过敏体质和长期使用激素类药物者
15、术中预计发生大出血>2000ml等严重并发症
16、肝肾功能异常(ALT、AST、BUN、Cr 超出正常值1.5倍)者
17、血清K+>5.5mmol/L或血清K+<3.0mmol/L
18.术前血红蛋白<7g/dl
19.研究者认为不适合参加此次试验者。

Exclusion criteria:

1. Scars or sensory impairments around the related acupoints;
2. Infections around the related acupoints;
3. Peripheral nerve injury;
4. History of Spinal surgery;
5. Participated in other clinical trials within four weeks;
6. Can not understand NRS scores or reject PCIA;
7. Patients with cardiac pacemaker;
8. Female in menstruation, pregnancy or lactation period;
9. Patients with preoperative pain or history of analgesics;
10. Patients with mental or neurological diseases.
11. Patients who need intraoperative colostomy;
12. Alcoholics;
13. Return to ICU;
14. Patients with allergies or history of steroids;
15. Develop serious intraoperative problems or complications(eg.bleeding,>2000ml)
16. Patients with history of liver or kidney disease;
17. Serum K+> 5.5mmol/L or <3.0mmol/L;
18. Preoperative hemoglobin<7g/dl;
19. Researchers considered unsuitable.

研究实施时间:

Study execute time:

From 2014-06-02 00:00:00 To 2019-02-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2014-06-02 00:00:00 To 2019-02-01 00:00:00

干预措施:

Interventions:

组别:

1

样本量:

400

Group:

1

Sample size:

干预措施:

不同时程经皮穴位电刺激

干预措施代码:

Intervention:

TEAS at different perioperative phases

Intervention code:

组别:

2

样本量:

400

Group:

2

Sample size:

干预措施:

不同频率经皮穴位电刺激

干预措施代码:

Intervention:

TEAS at different frequencies

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):

北京大学人民医院 

单位级别:

三甲 

Institution
hospital:

Peking University People's Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江中医药大学附属医院 

单位级别:

三甲 

Institution
hospital:

Zhejiang Chinese Medical University Hospital

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

温州医学院附属第一医院 

单位级别:

三甲 

Institution
hospital:

Wenzhou Medical School Hospital

Level of the institution:

Tertiary A Hospital

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友谊医院 

单位级别:

三甲 

Institution
hospital:

Beijing Friendship Hospital Affiliated to Capital Medical University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijng

City:

单位(医院):

首都医科大学附属北京朝阳医院 

单位级别:

三甲 

Institution
hospital:

Beijing Chaoyang hospital Affiliated to Capital Medical University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijng

City:

单位(医院):

北京大学第三医院 

单位级别:

三甲 

Institution
hospital:

Peking University third Hospital

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

首次肠鸣音恢复时间

指标类型:

主要指标

Outcome:

first Bowel sounds recovery time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

首次进水时间

指标类型:

主要指标

Outcome:

first water intake time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

首次固体食物耐受时间

指标类型:

主要指标

Outcome:

first solid food intake time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肛门首次排气时间

指标类型:

主要指标

Outcome:

the first flatus time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

免疫指标

指标类型:

主要指标

Outcome:

immune index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

麻醉诱导药物

指标类型:

次要指标

Outcome:

anesthetic induction drugs

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

麻醉维持药物

指标类型:

次要指标

Outcome:

anesthetic maintainence drugs

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后镇痛效果

指标类型:

次要指标

Outcome:

analgesic effect

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

免疫指标

指标类型:

次要指标

Outcome:

immune 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:

PONV的发生率

指标类型:

次要指标

Outcome:

PONV incidence

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:

血管

Sample Name:

blood

Tissue:

vessles

人体标本去向

使用后保存  

说明

保存

Fate of sample:

Preservation after use  

Note:

preservation

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 75 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):

网上随机系统。由独立第三方统计单位用中央随机系统产生随机数。

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

Stochastic system online.Random numbers are generated by independent statistical units,using a central stochastic system.

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:

操作者和观察者不为同一人

Blinding:

operators and observers are not the same one

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):

北京大学医学部, 可向研究者索要。

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

Data can be requested from researchers. Peking Unierversity Health Science center

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:

使用病例记录表记录,由北京大学医学部统计研究所管理

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

We use CRF to collect data. Data is managed by Peking University clinical research institute

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2014-03-28 00:00:00