不同麻醉方式对胸科手术患者的脑氧变化、脑损伤及认知功能改变的影响

注册号:

Registration number:

ChiCTR2000037521 

最近更新日期:

Date of Last Refreshed on:

2020-10-26 00:06:51 

注册时间:

Date of Registration:

2020-08-29 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

不同麻醉方式对胸科手术患者的脑氧变化、脑损伤及认知功能改变的影响

Public title:

The effect of different anesthesia methods on rSO2, brain injury and cognitive function changes in patients undergoing thoracic surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

不同麻醉方式对胸科手术患者的脑氧变化、脑损伤及认知功能改变的影响

Scientific title:

The effect of different anesthesia methods on rSO2, brain injury and cognitive function changes in patients undergoing thoracic 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:

周据津 

研究负责人:

张伟 

Applicant:

Zhou Jujin 

Study leader:

Zhang Wei 

申请注册联系人电话:

Applicant telephone:

+86 18339209351

研究负责人电话:

Study leader's
telephone:

+86 13838299702

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:

810999190@qq.com

研究负责人电子邮件:

Study leader's E-mail:

myhope2005@163.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:

郑州市金水区纬五路7号

研究负责人通讯地址:

郑州市金水区纬五路7号

Applicant address:

7 Weiwu Road, Jinshui District, Zhengzhou, He'nan, China

Study leader's address:

7 Weiwu Road, Jinshui District, Zhengzhou, He'nan, 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:

河南省人民医院

Applicant's institution:

He'nan provincial People's Hospital

研究负责人所在单位:

河南省人民医院

Affiliation of the Leader:

He'nan provincial 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:

202099

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:

河南省人民医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Henan Provincial People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2020-06-15 00:00:00

伦理委员会联系人:

王婧

Contact Name of the ethic committee:

Wang Jing

伦理委员会联系地址:

郑州市金水区纬五路7号

Contact Address of the ethic committee:

7 Weiwu Road, Jinshui District, Zhengzhou, He'nan, 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:

河南省人民医院

Primary sponsor:

He'nan provincial People's Hospital

研究实施负责(组长)单位地址:

郑州市金水区纬五路7号

Primary sponsor's address:

7 Weiwu Road, Jinshui District, Zhengzhou, He'nan, 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):

河南省

市(区县):

郑州

Country:

China

Province:

He'nan

City:

Zhengzhou

单位(医院):

河南省人民医院

具体地址:

纬五路7号

Institution
hospital:

Henan provincial People's Hospital

Address:

7 Weiwu Road, Jinshui District

经费或物资来源:

自筹

Source(s) of funding:

Self-funded

研究疾病:

肺癌  

Target disease:

Lung cancer

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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究旨在胸腔镜手术(VATS)下单肺通气时选择不同的麻醉方式针对不同年龄的患者,观察其术中脑氧饱和度、术中脑损伤及术后认知功改变的情况,为临床工作提供参考。  

Objectives of Study:

The purpose of this study is to choose different anesthesia methods for one-lung ventilation during thoracoscopic surgery (VATS) for patients of different ages to observe their intraoperative cerebral oxygen saturation, intraoperative brain injury and postoperative cognitive function changes. Provide reference for clinical work.

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:

交流障碍、无法配合研究者,如语言理解障碍、精神疾病等;
严重心脑血管疾病;
术前吸入氧气PaO2<95%或者吸入空气PaO2<90%者及术中PaO2<90%者,肺功能检查明显异常或有明显的呼吸道感染者;既往有其他手术史;
拒绝参加试验;
术中MAP和HR波动经调控不能维持在基础值±20%的患者;
术中出血量>400 ml的患者

Exclusion criteria:

1. Patients with communication disorder and unable to cooperate with researchers, such as language comprehension disorder, mental illness, etc;
2. Patients with severe cardiovascular and cerebrovascular diseases;
3. The patients who inhaled oxygen PaO2 < 95% or inhaled air PaO2 < 90% preoperatively and patients with PaO2 < 90% during operation, and those with obvious abnormal pulmonary function or obvious respiratory tract infection;
4. Patients with previous operation history;
5. Subjects who refuse to participate in the test;
6. The patients whose map and HR fluctuation could not be maintained within ± 20% of the baseline value by regulation;
7. Patients with intraoperative blood loss > 400 ml.

研究实施时间:

Study execute time:

From 2020-08-31 00:00:00 To 2021-08-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-08-31 00:00:00 To 2021-08-31 00:00:00

干预措施:

Interventions:

组别:

A组

样本量:

50

Group:

Group A

Sample size:

干预措施:

静脉麻醉维持,年龄低于65岁

干预措施代码:

Intervention:

Maintenance of intravenous anesthesia,younger than 65 years old

Intervention code:

组别:

B组

样本量:

50

Group:

Group B

Sample size:

干预措施:

吸入麻醉维持,年龄低于65岁

干预措施代码:

Intervention:

Maintenance of inhalation anesthesia,younger than 65 years old

Intervention code:

组别:

C组

样本量:

50

Group:

Group C

Sample size:

干预措施:

静脉麻醉维持,年龄大于65岁

干预措施代码:

Intervention:

Maintenance of intravenous anesthesia, older than 65 years old

Intervention code:

组别:

D组

样本量:

50

Group:

Group D

Sample size:

干预措施:

吸入麻醉维持,年龄大于65岁

干预措施代码:

Intervention:

Maintenance of inhalation anesthesia, older than 65 years old

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

河南省 

市(区县):

郑州 

Country:

China

Province:

He'nan

City:

Zhengzhou

单位(医院):

河南省人民医院 

单位级别:

三甲医院 

Institution
hospital:

He'nan provincial People's Hospital

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

脑氧饱和度

指标类型:

主要指标

Outcome:

rSO2

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脉搏氧饱和度

指标类型:

主要指标

Outcome:

SpO2

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血气

指标类型:

主要指标

Outcome:

Blood gas

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者状态指数

指标类型:

主要指标

Outcome:

PSI

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

爆发抑制率

指标类型:

主要指标

Outcome:

SR

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中枢神经特异性蛋白

指标类型:

主要指标

Outcome:

S100β

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经元特异性烯醇化酶

指标类型:

主要指标

Outcome:

NSE

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

认知量表评分

指标类型:

主要指标

Outcome:

Cognitive scale score

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 18 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):

参与研究的小组成员采用随机数字表法

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

The team members participating in the research use the 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:

不公开/Private

盲法:

未说明

Blinding:

Not stated

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):

试验完成后6个月内上传数据

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

Upload data within 6 months after the test is completed

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:

数据采集和管理使用病历记录表(CRF)

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

Data collection and management using Case Record Form(CRF)

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2020-08-28 20:43:28