对比研究上胸段硬膜外与静脉注射利多卡因对全麻诱导期丙泊酚靶控输注和气管插管反应的影响

注册号:

Registration number:

ChiCTR-TRC-11001336 

最近更新日期:

Date of Last Refreshed on:

2015-07-11 18:12:53 

注册时间:

Date of Registration:

2011-04-28 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

对比研究上胸段硬膜外与静脉注射利多卡因对全麻诱导期丙泊酚靶控输注和气管插管反应的影响

Public title:

Comparison of the effects of thoracic epidural and intravenous administration with lidocaine on target-controlled infusion of propofol requirements and tracheal intubation response during anaesthesia

注册题目简写:

English Acronym:

研究课题的正式科学名称:

对比研究上胸段硬膜外与静脉注射利多卡因对全麻诱导期丙泊酚靶控输注和气管插管反应的影响

Scientific title:

Comparison of the effects of thoracic epidural and intravenous administration with lidocaine on target-controlled infusion of propofol requirements and tracheal intubation response during anaesthesia

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:

杨万超 

研究负责人:

李文志 

Applicant:

Wanchao Yang 

Study leader:

Wenzhi Li 

申请注册联系人电话:

Applicant telephone:

+86 451 86605029

研究负责人电话:

Study leader's
telephone:

+86 451 86605028

申请注册联系人传真 :

Applicant Fax:

+86 451 86605028

研究负责人传真:

Study leader's fax:

+86 451 86605028

申请注册联系人电子邮件:

Applicant E-mail:

dachao_1980@126.com

研究负责人电子邮件:

Study leader's E-mail:

wenzhili9@126.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:

哈尔滨市南岗区学府路246号 哈尔滨医科大学附属二院 麻醉科

研究负责人通讯地址:

哈尔滨市南岗区学府路246号 哈尔滨医科大学附属二院 麻醉科

Applicant address:

246 Xuefu Road, Harbin, Heilongjiang, China

Study leader's address:

246 Xuefu Road, Harbin, Heilongjiang, China

申请注册联系人邮政编码:

Applicant postcode:

150086

研究负责人邮政编码:

Study leader's postcode:

150086

申请人所在单位:

哈尔滨医科大学附属第二医院

Applicant's institution:

Second Affiliated Hospital of Harbin Medical University

研究负责人所在单位:

Affiliation of the Leader:

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:

20110303

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:

哈尔滨医科大学第二临床医学院医学伦理委员会

Name of the ethic committee:

Ethic committee of Second Affiliated Hospital of Harbin Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2011-03-03 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:

哈尔滨医科大学第二临床医学院

Primary sponsor:

Second Affiliated Hospital of Harbin Medical University

研究实施负责(组长)单位地址:

哈尔滨市南岗区学府路246号

Primary sponsor's address:

246 Xuefu Road, Harbin, Heilongjiang, 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):

黑龙江

市(区县):

Country:

China

Province:

Heilongjiang

City:

单位(医院):

哈尔滨医科大学附属第二医院

具体地址:

哈尔滨市南岗区学府路246号

Institution
hospital:

Second Affiliated Hospital of Harbin Medical University

Address:

246 Xuefu Road, Harbin, Heilongjiang, China

经费或物资来源:

哈尔滨医科大学第二临床医学院

Source(s) of funding:

Second Affiliated Hospital of Harbin Medical University

研究疾病:

临床麻醉用药配伍  

Target disease:

anesthesia

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:

上市后药物 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

探讨胸科手术病人应用硬膜外阻滞复合全麻时,比较上胸段硬膜外与静脉给予利多卡因对麻醉诱导期丙泊酚TCI效应室浓度的影响,以及能否减轻或消除气管插管所致的伤害性应激反应。为合理联合用药寻找依据,以提高麻醉管理水平。  

Objectives of Study:

To investigate whether epidural lidocaine administration can reduce target-controlled infusion of propofol requirements as IV lidocaine, and whether it can alleviate tracheal intubation response during anaesthesia induction.

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) 有药物滥用史,精神疾病和肥胖者 (>标准体重130%);(2) 急性心血管系统疾病及不稳定高血压;(3)中枢神经系统疾病;(4) 交流障碍;(5) 丙泊酚、阿片类药物及利多卡因禁忌证;(6)嗜烟、嗜酒史

Exclusion criteria:

1. Drug abuse, mental illness historyand obesity( >IBW 130%);
2. patients with cardiovascular or neurological disease and Unstable hypertension;
3. Communication disorders;
4. Contraindication with propofol, opioids and lidocaine;
5. Tobacco and alcohol addiction.

研究实施时间:

Study execute time:

From 2010-01-01 00:00:00 To 2011-01-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2010-01-01 00:00:00 To 2011-01-31 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

20

Group:

Group C

Sample size:

干预措施:

予T5-6间隙硬膜外推注生理盐水0.15ml?kg-1

干预措施代码:

Intervention:

patients were epidurally administered with 0.15 ml

Intervention code:

组别:

静脉组

样本量:

20

Group:

Group IV

Sample size:

干预措施:

在全麻诱导前15min经肘正中静脉给予2mg?kg-1利多卡因

干预措施代码:

Intervention:

patients were intravenously injected with 2mg/kg

Intervention code:

组别:

硬膜外组

样本量:

20

Group:

Group TEA

Sample size:

干预措施:

予T5-6间隙硬膜外注入1.35%利多卡因0.15ml?kg-1,15min后采用针刺法测定感觉神经阻滞平面

干预措施代码:

Intervention:

patients were epidurally administered with 0.15 ml/kg of lidocaine 1.35% in the T5-6 vertebral interspace.Fifteen minutes after the injection, the upper and lower levels of loss of cold and pinprick sensations were determined using an alcohol-soaked swab and the sharp tip of a safety pin

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

黑龙江 

市(区县):

哈尔滨 

Country:

China

Province:

Heilongjiang

City:

Harbin

单位(医院):

哈尔滨医科大学附属第二医院 

单位级别:

三级甲等医院 

Institution
hospital:

Second Affiliated Hospital of Harbin Medical University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

去甲肾上腺素血浆浓度

指标类型:

主要指标

Outcome:

plasma concentration of norepinephrine

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脑电双频谱指数(BIS)

指标类型:

主要指标

Outcome:

BIS score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

丙泊酚(TCI) 效应室及血浆浓度

指标类型:

主要指标

Outcome:

the plasma concentration (Cpt) and the effect-site concentration of propofol TCI

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

平均动脉压

指标类型:

主要指标

Outcome:

mean arterial pressure

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

皮质醇血浆浓度

指标类型:

主要指标

Outcome:

plasma concentration of cortisol

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肾上腺素血浆浓度

指标类型:

主要指标

Outcome:

plasma concentration of epinephrin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

利多卡因血药浓度

指标类型:

次要指标

Outcome:

plasma concentration of lidocaine

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

意识消失时间

指标类型:

次要指标

Outcome:

loss of consciousness time

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心率

指标类型:

次要指标

Outcome:

Heart rate

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:

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 22 years
最大 Max age 60 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

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

randomization digit 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:

麻醉医生 是 ,手术患者 是

Blinding:

patients: Blinding anaesthetist: Blinding

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

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):

哈尔滨医科大学第二临床医学院

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

Second Affiliated Hospital of Harbin Medical University

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:

哈尔滨医科大学第二临床医学院

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

Second Affiliated Hospital of Harbin Medical University

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2015-07-11 18:12:53