腹部艾灸对脊柱手术患者术后胃肠功能恢复及肠道菌群的影响

注册号:

Registration number:

ITMCTR2100005463

最近更新日期:

Date of Last Refreshed on:

2021-12-29

注册时间:

Date of Registration:

2021-12-29

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

腹部艾灸对脊柱手术患者术后胃肠功能恢复及肠道菌群的影响

Public title:

Effects of abdominal moxibustion on postoperative gastrointestinal function recovery and intestinal microflora of patients undergoing spinal surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

腹部艾灸对脊柱手术患者术后胃肠功能恢复及肠道菌群的影响

Scientific title:

Effects of abdominal moxibustion on postoperative gastrointestinal function recovery and intestinal microflora of patients undergoing spinal surgery

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:

ChiCTR2100054938 ; ChiMCTR2100005463

申请注册联系人:

李晓娜

研究负责人:

叶飞

Applicant:

lixiaona

Study leader:

yefei

申请注册联系人电话:

Applicant telephone:

17620887176

研究负责人电话:

Study leader's telephone:

18903055084

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:

lixiaona_678@163.com

研究负责人电子邮件:

Study leader's E-mail:

yepainclinic@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:

广东省广州市番禺区小谷围街道广州中医药大学大学城校区

研究负责人通讯地址:

广东省广州市番禺区大学城内环西路55号广东省中医院大学城医院麻醉科

Applicant address:

Guangzhou University of TCM,Xiaoguwei Street,Panyu district,Guangzhou City,Guangdong Province,China

Study leader's address:

55 West Inner Ring Road, University City, Panyu District, Guangzhou, Guangdong, China? Guangzhou University of TCM

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:

广州中医药大学

Applicant's institution:

Guangzhou University of TCM

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:

YF2021-317-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件

批准本研究的伦理委员会名称:

广东省中医院伦理委员会

Name of the ethic committee:

Ethics Committee of Guangdong Provincial Hospital of Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2013/8/26 0:00:00

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:

广东省中医院

Primary sponsor:

GuangDong Provincial Hospital of Chinese Medicine

研究实施负责(组长)单位地址:

广东省广州市大德路111号

Primary sponsor's address:

111Dade Rode,Guangzhou City,Guangdong Province,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):

广东

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

广东省中医院

具体地址:

广东省广州市大德路111号

Institution
hospital:

GuangDong Provincial Hospital of Chinese Medicine

Address:

111Dade Rode,Guangzhou City,Guangdong Province,China

经费或物资来源:

自筹经费

Source(s) of funding:

self-financing

研究疾病:

围术期

研究疾病代码:

Target disease:

postoperative period

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:

探索性研究/预试验

Pilot clinical trial

研究目的:

1.观察腹部艾灸对脊柱手术患者术后胃肠道功能恢复的影响; 2.观察腹部艾灸对脊柱手术患者术后肠道菌群结构的调节作用,为脊柱手术术后腹部艾灸治疗提供参考依据。

Objectives of Study:

1. To observe the effect of abdominal moxibustion on gastrointestinal function recovery after spinal surgery; 2. To observe the regulatory effect of abdominal moxibustion on intestinal microflora structure of patients undergoing spine surgery, and to provide reference for abdominal moxibustion treatment after spine surgery.

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.择期在气管内全麻下行脊柱手术的患者; 2.年龄18-65岁; 3.美国麻醉医师协会(ASA)分级为Ⅰ-Ⅲ级; 4.在本研究相关程序开始前,病人对本研究已充分了解并自愿签署书面知情同意书。

Inclusion criteria

1. Patients undergoing elective spinal surgery under endotracheal general anesthesia; 2. Age 18-65; 3. American Society of Anesthesiologists (ASA) grade ⅰ - ⅲ; 4. The patient had fully understood the study and voluntarily signed a written informed consent before the study began.

排除标准:

1.对艾灸过敏、对艾灸抗拒无法完成治疗或在本研究所涉及的穴位体表区域存在疾病导致无法施行艾灸者; 2.术前有意识、认知、视觉、听觉障碍或医患交流困难,无法配合完成胃肠功能测定; 3.合并肠道功能性、器质性病变者; 4.自身存在严重影响胃肠动力的疾病、糖尿病、甲状腺功能亢进及减退、免疫缺陷、肠寄生虫病、重度低蛋白血症(白蛋白<30g/L)、严重电解质紊乱如低钾血症(血K+<2.5mmol/L)、外伤致T6及以下骨折可能引起内脏运动神经损伤者; 5.近2周内应用大量激素或非类固醇抗炎制剂、影响电解质代谢的药物; 6.术前同时应用影响本研究疗效评价药物(如思密达、得舒特、西沙必利等)的患者; 7.既往有精神分裂症、帕金森病史或癫痫病史; 8.拒绝参加本实验研究者。

Exclusion criteria:

1. Those who are allergic to moxibustion and resistant to moxibustion cannot be treated or those who are unable to perform moxibustion due to diseases existing in the surface area of acupoints involved in this study; 2. Preoperative conscious cognitive, visual and auditory impairment or doctor-patient communication difficulties, unable to complete gastrointestinal function measurement; 3. Patients with intestinal functional organic lesions; 4. Diabetes, hyperthyroidism and hypoimmune deficiency intestinal parasitic diseases with severe hypoproteinemia (albumin & LT; 30g/L) severe electrolyte disturbances such as hypokalemia (blood K+< 2.5mmol/L) traumatic T6 and below fracture may cause visceral motor nerve injury; 5. A large number of hormones or non-steroidal anti-inflammatory agents were used in the last 2 weeks to affect electrolyte metabolism; 6. Patients who were simultaneously treated preoperatively with drugs that affected the efficacy evaluation of this study (such as Smecta, dexide, cisapride, etc.); 7. Previous history of schizophrenia, Parkinson's disease or epilepsy; 8. Refused to participate in this experiment.

研究实施时间:

Study execute time:

From 2021-12-15

To      2022-12-15

征募观察对象时间:

Recruiting time:

From 2022-01-03

To      2022-12-15

干预措施:

Interventions:

组别:

基础治疗组

样本量:

49

Group:

Basic treatment group

Sample size:

干预措施:

基础治疗+腹部艾灸组

干预措施代码:

49

Intervention:

Basic treatment + abdominal moxibustion group

Intervention code:

样本总量 Total sample size : 98

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

广东

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

广东省中医院

单位级别:

三级甲等

Institution/hospital:

GuangDong Provincial Hospital of Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

胃肠功能评分

指标类型:

次要指标

Outcome:

GSRS

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肠道菌群鉴定

指标类型:

次要指标

Outcome:

Identification of intestinal flora

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后首次排便时间

指标类型:

主要指标

Outcome:

The time to the first defecation after surgery

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后首次排气时间

指标类型:

主要指标

Outcome:

The time to the first passage of flatus after surgery

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症指标和营养状况评估

指标类型:

次要指标

Outcome:

Inflammatory markers and nutritional status assessment

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肠鸣音恢复时间

指标类型:

主要指标

Outcome:

The time to first Bowel sound recovery

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:

粪便

组织:

Sample Name:

Feces

Tissue:

人体标本去向

使用后销毁

说明

Fate of sample 

Destruction after use

Note:

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:

尚未开始

Not yet 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):

采用SPSS统计软件包,将患者随机分为2组,A组:基础治疗组,B组基础治疗组+腹部艾灸组,按1:1分配,获取随机数字,产生受试病例随机数字和两组患者的随机编码。

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

SPSS statistical software package was used to randomly divide the patients into 2 groups: group A: basic treatment group, group B: basic treatment group + abdominal moxibustion group. The distribution was 1:1 to obtain the random numbers and generate the random numbers of the tested cases and the random&#32

盲法:

Blinding:

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):

2023年6月30日,原始数据以论文发表为准

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

On June 30, 2023, the original data is subject to the publication of the paper

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:

病例记录表

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

Case Record Form, CRF

数据管理委员会:

Data Managemen Committee:

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):

国际传统医学临床试验注册平台 京ICP备07032215号-5 提示:推荐使用IE8.0以上版本 宽屏显示分辨率下使用系统