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Preliminary Study on Microplastics Deposition in Ventilator Circuit and the Risk of Bronchopulmonary Dysplasia in Premature Infants (Microplastics)

23. september 2026 opdateret af: Huiyi Li

In this study, the premature infants with gestational age less than 30 weeks were taken as the object, and the deposition characteristics of microplastics in ventilator circuit and its correlation with the risk of bronchopulmonary dysplasia were systematically discussed through prospective observation design. The research is divided into two parts: firstly, the release and deposition of microplastics in the ventilator circuit (water storage tank and simulated lung) are detected; Secondly, the changes of microplastics load in airway secretions of children with bronchopulmonary dysplasia on the 0-7th day, 14th day and 28th day were dynamically monitored, and samples of bottle milk and newborn blood were collected simultaneously to evaluate the exposure level of multi-channel microplastics. Microplastics was qualitatively and quantitatively analyzed by confocal micro-Raman spectroscopy, and the dose-response relationship between microplastics load and bronchopulmonary dysplasia was analyzed in combination with clinical data, so as to provide scientific basis for risk prevention and control of iatrogenic microplastics exposure in neonatal intensive care unit. In this study, the blood sample only used the remaining venous blood collected by routine clinical diagnosis and treatment (such as blood routine and blood gas analysis) on the 7th, 14th and 28th day (2 days) after the newborn was admitted to the hospital, and the dosage was 0.5-1 mL, which was placed in a glass anticoagulant tube. Each child is collected at most once. If there is no clinical blood collection at this time point, no additional puncture blood collection will be carried out to ensure that the operating burden and risk of children will not be increased.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Detaljeret beskrivelse

Objective To investigate the relationship between microplastics deposition in ventilator circuit and bronchopulmonary dysplasia (BPD) in premature infants, and to evaluate the risk of iatrogenic microplastics exposure in NICU.

Methods A prospective observational cohort study was conducted. Premature infants with gestational age less than 30 weeks who needed mechanical ventilation were divided into groups according to whether BPD occurred or not. Samples of condensate water, simulated lung lavage fluid, airway secretions, blood and milk were collected, and microplastics characteristics were detected by acid digestion, vacuum filtration and confocal micro Raman spectrometer. Clinical data were collected and analyzed by multivariate statistics.

Hypothesis: It is expected that microplastics such as polyethylene and polypropylene can be detected in the ventilator circuit. Microplastics load of airway secretion in BPD group increased significantly, which was positively correlated with ventilation duration and showed an increasing trend with the course of disease. Inhalation is the main exposure route, and airway microplastics load may be an independent risk factor for BPD.

This study provides a basis for the safety assessment and clinical prevention and control of medical equipment and materials in NICU.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

100

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

1 minut til 1 måned (Barn)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Neonates with invasive mechanical ventilation

Beskrivelse

Inclusion criteria:Neonates with invasive mechanical ventilation Exclusion criteria:1、Children who died of genetic metabolism and congenital heart disease 2、Family members refused to carry out the experiment.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Observationsmodeller: CASE_CONTROL
  • Tidsperspektiver: PROSPECTIVE

Kohorter og interventioner

Gruppe / kohorte
BPD group
Non-BPD group

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Microplastics deposition of airway secretions.
Tidsramme: up to 4 weeks

Measure the average particle size, quantity and type of microplastics.

up to 4 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence of bronchopulmonary dysplasia
Tidsramme: 1 month

incidence rate

1 month

Samarbejdspartnere og efterforskere

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Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. oktober 2026

Primær færdiggørelse (Anslået)

30. oktober 2027

Studieafslutning (Anslået)

30. oktober 2027

Datoer for studieregistrering

Først indsendt

14. september 2026

Først indsendt, der opfyldte QC-kriterier

23. september 2026

Først opslået (Faktiske)

30. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

30. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

23. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 2026-KY-KZ-146-02

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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