Traditional Chinese medicine injection for pandemic influenza A(H1N1) cases of critical condition: an open loading ambispective cohort study

注册号:

Registration number:

ChiCTR-OCH-10000815 

最近更新日期:

Date of Last Refreshed on:

2015-05-04 15:47:03 

注册时间:

Date of Registration:

2010-02-04 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

中药注射液治疗甲型H1N1流感病毒感染危重症的回顾-前瞻性开放加载队列研究方案

Public title:

Traditional Chinese medicine injection for pandemic influenza A(H1N1) cases of critical condition: an open loading ambispective cohort study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

中药注射液治疗甲型H1N1流感病毒感染危重症的回顾-前瞻性开放加载队列研究方案

Scientific title:

Traditional Chinese medicine injection for pandemic influenza A(H1N1) cases of critical condition: an open loading ambispective cohort study

研究课题代号(代码):

Study subject ID:

200907001-5

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:

NA

申请注册联系人:

于亚南 

研究负责人:

王忠 

Applicant:

YU Yanan 

Study leader:

Wang Zhong 

申请注册联系人电话:

Applicant telephone:

+86 010 64014411-3316

研究负责人电话:

Study leader's telephone:

+86 010 64014411-3308

申请注册联系人传真 :

Applicant Fax:

+86 010 84032881

研究负责人传真:

Study leader's fax:

+86 010 84032881

申请注册联系人电子邮件:

Applicant E-mail:

pumpkinnaicha@163.com

研究负责人电子邮件:

Study leader's E-mail:

zhonw@vip.sina.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:

北京市东直门内南小街16号大白楼四层

研究负责人通讯地址:

北京市东直门内南小街16号大白楼四层

Applicant address:

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, 16 Nanxiao Street, Dongzhimennei, Beijing, China

Study leader's address:

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, 16 Nanxiao Street, Dongzhimennei, Beijing, China

申请注册联系人邮政编码:

Applicant postcode:

100700

研究负责人邮政编码:

Study leader's postcode:

100700

申请人所在单位:

中国中医科学院中医临床基础医学研究所

Applicant's institution:

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

研究负责人所在单位:

Affiliation of the Leader:

是否获伦理委员会批准:

否/No

Approved by ethic committee:

No

伦理委员会批件文号:

Approved No. of ethic committee:

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:

Name of the ethic committee:

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 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:

中国中医科学院中医临床基础医学研究所

Primary sponsor:

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

研究实施负责(组长)单位地址:

北京市东直门内南小街16号大白楼四层

Primary sponsor's address:

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

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):

中国中医科学院中药研究所

具体地址:

中国中医科学院中药研究所

Institution
hospital:

Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences

Address:

Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences

经费或物资来源:

国家中医药管理局

Source(s) of funding:

State Administration of Traditional Chinese medicine of the People's Republic of China

Target disease:

pandemic influenza A(H1N1) cases of critical condition

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

上市后药物 

Study phase:

4

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

快速动态评价中药注射液结合西医综合治疗甲型H1N1流感危重症在降低病死率和并发症方面的疗效  

Objectives of Study:

Fast dynamic evaluation of the effect of traditional Chinese medicine injection combined with routine western medicine treatment on mortality and incidence of complications for pandemic influenza A(H1N1) cases of critical condition

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

(1) 凡符合以上(WHO三类诊断)甲型H1N1流感危重型,中医辨证属于脱证病例。本人或其监护人同意参加随机对照研究并签署知情同意书者。临床诊断包括WHO诊断标准中的疑似病例、临床诊断病例和病原学确诊甲型H1N1流感患者。对性别、病情轻重、有无基础疾病、并发症、妊娠、肥胖等均不做限制。病例是否接种流感疫苗不作为纳入的限定。
(2)年龄≥6岁

Inclusion criteria

(1) Meet with the diagnostic standard of pandemic influenza A(H1N1) cases of critical condition including suspected cases, clinical diagnosis cases, confirmed cases, and belonging to depletion syndrome; (2)age: 6 and over; (3) patients or their guardians agree to participate in randomized controlled trials and signed the informed consent

排除标准:

过敏体质者(指对两种以上的药品或食品过敏或本次研究用药已知成份过敏)

Exclusion criteria:

patients with allergic constitution

研究实施时间:

Study execute time:

From 2010-01-01 00:00:00 To 2012-01-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2010-01-01 00:00:00 To 2012-01-01 00:00:00  

干预措施:

Interventions:

组别:

研究组

样本量:

217

Group:

study group

Sample size:

干预措施:

中西医结合综合治疗组:在西医综合治疗的基础上,根据病情选用热毒宁注射液或喜炎平注射液,丹参注射液,必要时加入参麦注射液或参附注射液。具体如下:患者若出现持续高热、咳嗽、咯黄痰时:可选用热毒宁注射液或喜炎平注射液。热毒宁注射液使用方法:6~10岁患者,一日热毒宁注射液10ml, 以5%葡萄糖注射液或0.9%氯化钠注射液200ml稀释后静脉滴注,1次/日;11~13岁患者,一日热毒宁注射液15ml,以5%葡萄糖注射液或0.9%氯化钠注射液250ml稀释后静脉滴注,1次/日;

干预措施代码:

Intervention:

traditional Chinese medicine injection combined with routine western medicine treatment: application of Reduling Injection, Xiyanping Injection, Danshen Injection,Shenmai Injection and Shenfu Injection according to TCM syndromes and drug lables

Intervention code:

组别:

对照组

样本量:

217

Group:

control group

Sample size:

干预措施:

西医综合治疗组:包括对症、抗病毒、抗感染、支持治疗(水、电解质紊乱患者予补液、氧疗、营养、呼吸机、血液滤过等治疗)。

干预措施代码:

Intervention:

routine western medicine treatment

Intervention code:

组别:

研究组

样本量:

217

Group:

study group

Sample size:

干预措施:

14岁以上患者,一日热毒宁注射液20ml,以5%葡萄糖注射液或0.9%氯化钠注射液250ml稀释后静脉滴注,1次/日。滴速为30-60滴/分钟。喜炎平注射液使用方法:一日250mg,加入5%葡萄糖注射液或氯化纳注射液250ml中滴注;小儿酌减或遵医嘱。若患者出现胸闷,胸痛,热入营血的征兆,则加用丹参注射液。丹参注射液使用方法:20ml,加入5%葡萄糖注射液或氯化纳注射液250ml静脉滴注,每日1次。若患者出现气阴两虚的心悸、呼吸气促、烦躁不安、面色潮红、四肢逆冷,皮肤干燥,口燥咽干,舌红绛少津,脉细数等早期休克的表现时,选用参麦注射液。

干预措施代码:

Intervention:

traditional Chinese medicine injection combined with routine western medicine treatment: application of Reduling Injection, Xiyanping Injection, Danshen Injection,Shenmai Injection and Shenfu Injection according to TCM syndromes and drug lables

Intervention code:

组别:

研究组

样本量:

217

Group:

study group

Sample size:

干预措施:

参麦注射液使用方法:100ml,20ml/h静脉泵入,每日1次。或根据临床实际情况应用。若患者出现阳气暴脱的厥脱征象时,如神志淡漠甚至昏蒙,冷汗淋漓,面色苍白,四肢不温,舌暗淡,苔白,

干预措施代码:

Intervention:

traditional Chinese medicine injection combined with routine western medicine treatment: application of Reduling Injection, Xiyanping Injection, Danshen Injection,Shenmai Injection and Shenfu Injection according to TCM syndromes and drug lables

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):

北京中医药大学东直门医院 

单位级别:

北京中医药大学东直门医院 

Institution
hospital:

Dongzhimen Hospital Affiliated to Beijng University of Chinese Medicine

Level of the institution:

Dongzhimen Hospital Affiliated to Beijng University of Chinese Medicine

国家:

中国

省(直辖市):

天津 

市(区县):

 

Country:

China 

Province:

Tianjin 

City:

 

单位(医院):

天津传染病医院 

单位级别:

NA 

Institution
hospital:

Tianjin Contagious Hospital

Level of the institution:

NA

国家:

中国

省(直辖市):

安徽 

市(区县):

 

Country:

China 

Province:

Anhui 

City:

 

单位(医院):

安徽中医学院第一附属医院 

单位级别:

安徽中医学院第一附属医院 

Institution
hospital:

The First Clinical Hospital Affiliated to Anhui University of Chinese Medicine

Level of the institution:

The First Clinical Hospital Affiliated to Anhui University of Chinese Medicine

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China 

Province:

Guangdong 

City:

 

单位(医院):

广州第八人民医院等 

单位级别:

广州第八人民医院等 

Institution
hospital:

The Eighth People's Hospital of Guangzhou, et al

Level of the institution:

The Eighth People's Hospital of Guangzhou, et al

测量指标:

Outcomes:

指标中文名:

并发症发生率

指标类型:

主要指标

Outcome:

incidence of complications

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

病死率

指标类型:

主要指标

Outcome:

mortalit

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

直接医疗费用

指标类型:

次要指标

Outcome:

direct medical cost

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

使用呼吸机的天数及呼吸机使用参数变化情况,抗生素或激素的使用量

指标类型:

次要指标

Outcome:

the days and parameter variation of respirator uti

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时间(天)

指标类型:

次要指标

Outcome:

length of stay(days)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

退热时间

指标类型:

次要指标

Outcome:

fever clearance 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:

安全性结局

指标类型:

次要指标

Outcome:

safety outcomes

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

症状

指标类型:

次要指标

Outcome:

symptoms

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

甲型H1N1病毒转阴时间和转阴率

指标类型:

次要指标

Outcome:

clearance time and negative rate of pandemic influ

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

APACHE II评分、Marshall评分改善率

指标类型:

次要指标

Outcome:

APACHE II Scores, Marshall Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

APACHE II评分、Marshall评分改善率

指标类型:

次要指标

Outcome:

APACHE II Scores, Marshall Scores

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 6 years
最大 Max age 0 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):

计算机软件

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

计算机软件

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:

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):

中国中医科学院中医临床基础医学研究所

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

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

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:

中国中医科学院中医临床基础医学研究所

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

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2010-04-29 00:00:00