The value of percutaneous electrical stimulation (AS) at FEI Shu and other points in improving lung function in AECOPD patients with mechanical ventilation in the monitoring room

注册号:

Registration number:

ITMCTR2100004253

最近更新日期:

Date of Last Refreshed on:

2021-01-12

注册时间:

Date of Registration:

2021-01-12

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

经皮穴位电刺激(TEAS)肺俞等穴对改善监护室内机械通气的AECOPD患者肺功能的价值

Public title:

The value of percutaneous electrical stimulation (AS) at FEI Shu and other points in improving lung function in AECOPD patients with mechanical ventilation in the monitoring room

注册题目简写:

English Acronym:

研究课题的正式科学名称:

经皮穴位电刺激(TEAS)肺俞等穴对改善监护室内机械通气的AECOPD患者肺功能的价值

Scientific title:

The value of percutaneous electrical stimulation (AS) at FEI Shu and other points in improving lung function in AECOPD patients with mechanical ventilation in the monitoring room

研究课题的正式科学名称简写:

Scientific title acronym:

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:

ChiCTR2100042006 ; ChiMCTR2100004253

申请注册联系人:

田昕

研究负责人:

田昕

Applicant:

Tian Xin

Study leader:

Tian Xin

申请注册联系人电话:

Applicant telephone:

+86 13567615537

研究负责人电话:

Study leader's telephone:

+86 13567615537

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:

xqjywz@163.com

研究负责人电子邮件:

Study leader's E-mail:

xqjywz@163.com

申请单位网址(自愿提供):

Study leader's 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:

浙江省丽水市莲都区括苍路289号丽水市中心医院重症医学科

研究负责人通讯地址:

浙江省丽水市莲都区括苍路289号丽水市中心医院重症医学科

Applicant address:

289 Kuocang Road, Liandu District, Lishui, Zhejiang, China

Study leader's address:

289 Kuocang Road, Liandu District, Lishui, Zhejiang, 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:

浙江省丽水市中心医院

Applicant's institution:

Lishui Municipal Central Hospital

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

科研伦审(2020)第346号

伦理委员会批件附件:

Approved file of Ethical Committee:

View

批准本研究的伦理委员会名称:

浙江省丽水市中心医院伦理委员会

Name of the ethic committee:

Ethics Committee of Lishui Municipal Central Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2020/11/12 0:00:00

伦理委员会联系人:

未说明

Contact Name of the ethic committee:

Not stated

伦理委员会联系地址:

浙江省丽水市莲都区括苍路289号

Contact Address of the ethic committee:

289 Kuocang Road, Liandu District, Lishui, Zhejiang, 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:

丽水市中心医院

Primary sponsor:

Lishui Municipal Central Hospital

研究实施负责(组长)单位地址:

浙江省丽水市莲都区括苍路289号

Primary sponsor's address:

289 Kuocang Road, Liandu District, Lishui, Zhejiang, 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):

浙江

市(区县):

丽水

Country:

China

Province:

Zhejiang

City:

Lishui

单位(医院):

丽水市中心医院

具体地址:

括苍路289

Institution
hospital:

Lishui Municipal Central Hospital

Address:

289 Kuocang Road, Liandu District

经费或物资来源:

浙江省卫计委

Source(s) of funding:

Zhejiang Provincial Commission of Health and Family Planning

研究疾病:

慢性阻塞性肺疾病

研究疾病代码:

Target disease:

Chronic obstructive pulmonary disease

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

其它

Others

研究目的:

通过大样本的临床研究证实TEAS 特定的穴位肺俞等穴对ICU内机械通气的AECOPD患者可以改善肺功能,加速康复 ,缩短机械通气和住ICU的时间,减少住I院费,临床和社会价值巨大。

Objectives of Study:

Through the clinical study of large samples, it has been proved that AS specific acupoints at Fei Yu and other points can improve lung function, accelerate rehabilitation, shorten the time of mechanical ventilation and ICU stay, and reduce hospitalization expenses for AECOPD patients in ICU, which has great clinical and social value.

药物成份或治疗方案详述:

①常规治疗组:患者入ICU后,按中华医学会、 中华医学会全科医学分会、中华医学会呼吸病学分会慢阻肺学组的《慢性阻塞性肺疾病基层诊疗指南(2018年)》,按《慢性阻塞性肺疾病急性加重 (AECOPD) 诊治中国专家共识 (2017年更新版)》等指南的建议进行治疗,其他的对症支持治疗按ICU内常规的治疗进行。 ②TEAS 特定穴组:在常规治疗的基础上,入组的患者入院后即请团队中的副主任中医师对患者取穴、贴电极片,取双侧肺俞、定喘、肾俞和足三里穴给予TEAS治疗每次30min,每天2次。治疗时间为10天或出院或转出ICU为止。两组患者除TEAS穴位治疗外其他治疗无特殊差别。

Description for medicine or protocol of treatment in detail:

1. Routine treatment group: after admission to ICU, the patients were treated according to the guidelines for primary diagnosis and treatment of chronic obstructive pulmonary disease (2018) issued by Chinese Medical Association, general practice branch of Chinese Medical Association, and COPD group of respiratory branch of Chinese Medical Association, and according to the consensus of Chinese experts on diagnosis and treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) (2017 update) and other guidelines, and other symptomatic support treatment is carried out according to the conventional treatment in ICU. 2. Teas specific acupoint group: on the basis of conventional treatment, the patients in the group were asked to ask the deputy director of the team to select acupoints and paste electrode pieces, and bilateral Feishu, Dingchuan, Shenshu and Zusanli acupoints were taken for teas treatment, 30 minutes each time, twice a day. The treatment time was 10 days or until discharge or transfer from ICU. There was no special difference between the two groups except teas.

纳入标准:

1.严重AECOPD导致呼吸衰竭; 2.气管插管后而转入ICU接受有创机械通气; 3.生命体征平稳的患者。

Inclusion criteria

1. Patients with respiratory failure caused by severe AECOPD; 2. Patients transferred to ICU for invasive mechanical ventilation after tracheal intubation; 3. Patients with stable vital signs.

排除标准:

1.患者年龄小于 18 岁或大于 75 岁; 2.需要使用肌松剂的患者; 3.胸廓或脊柱有畸形的患者; 4.收缩压≥180mmHg 或小于 90mmHg不能纠正的患者; 5.孕产妇患者; 6.合并有心梗的患者; 7.合并有左心衰竭及心源性肺水肿的患者; 8.合并有肿瘤病史、肝脏疾病史的患者 9.基础疾病中有慢性肾衰的患者; 10.经皮氧饱和度小于 80%的患者。

Exclusion criteria:

1. The patient's age is less than 18 years old or more than 75 years old; 2. Patients who need to use muscle relaxants; 3. Patients with thoracic or spinal deformities; 4. Patients whose systolic blood pressure >= 180mmhg or less than 90mmHg could not be corrected; 5. Patients of pregnant women; 6. Patients with myocardial infarction; 7. Patients with left heart failure and cardiogenic pulmonary edema; 8. Patients with history of tumor and liver disease; 9. Patients with chronic renal failure in basic diseases; 10. Patients with transcutaneous oxygen saturation less than 80%.

研究实施时间:

Study execute time:

From 2021-01-01

To      2024-01-01

征募观察对象时间:

Recruiting time:

From 2021-01-01

To      2024-01-01

干预措施:

Interventions:

组别:

对照组

样本量:

15

Group:

control group

Sample size:

干预措施:

常规治疗

干预措施代码:

Intervention:

conventional therapy

Intervention code:

组别:

试验组

样本量:

15

Group:

experimental group

Sample size:

干预措施:

经皮穴位电刺激

干预措施代码:

Intervention:

percutaneous electrical stimulation (AS) at FEI Shu and other points

Intervention code:

样本总量 Total sample size : 30

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

浙江

市(区县):

丽水

Country:

China

Province:

Zhejiang

City:

Lishui

单位(医院):

丽水市中心医院

单位级别:

三级甲等

Institution/hospital:

Lishui Municipal Central Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

呼吸浅快指数

指标类型:

主要指标

Outcome:

Shallow fast breathing 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:

动脉血气的二氧化碳分压

指标类型:

主要指标

Outcome:

PaCO2

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:

征募研究对象情况:

正在进行

Recruiting

年龄范围:

最小
Min age years
最大
Max age years

Recruiting status:

Participant age:

性别:

Gender:

男性

Male

随机方法(请说明由何人用什么方法产生随机序列):

未说明 描述何人使用何种方法(随机数字表?统计学软件?或其他)产生随机序列。

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

Not stated

盲法:

未说明

Blinding:

Not stated

是否共享原始数据:

IPD sharing:

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):

Not stated 请阅读网页注册指南中关于“原始数据共享”的内容。

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

Not stated

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:

Not stated 请阅读网页注册指南中关于 数据收集和管理系统 的内容。

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

Not stated

数据管理委员会:

Data Managemen Committee:

Yes

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

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