Patient-controlled Intravenous Analgesia Combined With Different Opioid Receptors for Gastrointestinal Surgery

NCT ID: NCT05576675

Last Updated: 2022-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

4342 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-01

Study Completion Date

2022-03-31

Brief Summary

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Objective To evaluate the effect of patient-controlled intravenous analgesia combined with different opioid receptors for gastrointestinal surgery. Methods A total of 4342 patients who underwent gastrointestinal postoperative analgesia in the first affiliated Hospital of Air Force military Medical University from May 2018 to March 2022 were collected retrospectively. The patient-controlled intravenous analgesia regimen in this study was composed of different opioid receptor drugs:sufentanil combined with nalbuphine group (SN group) and Hydromorphone combined with nalbuphine group (HN group) and single opioid receptor group: sufentanil group (S group). SN group ,HN group and S group were treated with sufentanil 100 μ g + nalbuphine 40 mg, hydromorphone 10 mg+ nalbuphine 40 mg, sufentanil 200 μ g, diluted to 100 ml, background dose 1 ml/h, PCA dose 0.5 ml, locking time 10 min. The demographic data of the three groups were collected, the number of patients with insufficient static and dynamic analgesia (VAS ≥ 4) at 24 and 48 hours after operation, the adverse reactions at 24 and 48 hours after operation, the first exhaust time and the first ambulation time were collected, evaluate the analgesic effect of combination of different opioid receptor drugs and single opioid receptor drugs in PCIA after gastrointestinal surgery.

Detailed Description

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Control group:S group Test group:SN group and HN group Observation index:the number of patients with insufficient static and dynamic analgesia (VAS ≥ 4) at 24 and 48 hours after operation, the adverse reactions(drowsiness, nausea and vomiting, respiratory depression, dizziness) at 24 and 48 hours after operation, the first exhaust time and the first ambulation time were collected

Conditions

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Gastrointestinal Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SN group

sufentanil 100 μ g + nalbuphine 40 mg

Group Type EXPERIMENTAL

sufentanil + nalbuphine

Intervention Type DRUG

sufentanil 100 μ g + nalbuphine 40 mg

HN group

hydromorphone 10 mg+ nalbuphine 40 mg

Group Type EXPERIMENTAL

hydromorphone + nalbuphine

Intervention Type DRUG

hydromorphone 10 mg+ nalbuphine 40 mg

S group

sufentanil 200 μ g,

Group Type EXPERIMENTAL

Sufentanil

Intervention Type DRUG

sufentanil 200 μ g

Interventions

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sufentanil + nalbuphine

sufentanil 100 μ g + nalbuphine 40 mg

Intervention Type DRUG

Sufentanil

sufentanil 200 μ g

Intervention Type DRUG

hydromorphone + nalbuphine

hydromorphone 10 mg+ nalbuphine 40 mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18-75 years ,there is no gender limit,ASA grade Ⅰ-Ⅱ

Exclusion Criteria

* BMI \> 35 kg/m2, history of upper abdominal surgery, history of analgesic or hormone use before operation, history of depression or chronic pain before operation, infection before operation and ICU after operation
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Xijing Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yan LI

Role: STUDY_CHAIR

The First Affiliated Hospital of the Air Force Medical Universtiy

jing LIN

Role: STUDY_CHAIR

The First Affiliated Hospital of the Air Force Medical Universtiy

Locations

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YANLI

XIan, Shanxi, China

Site Status

Countries

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China

Other Identifiers

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xijingHospital

Identifier Type: -

Identifier Source: org_study_id

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