Dysphagia
Conditions
Interventions
Routine feeding training group:(1) According to the results of the volumetric viscosity swallowing test (VVST) swallowing safety and effectiveness, the patient and his family will be given informed co
(2) Routine oral care, 2 times/ (3) The patient should sit upright (900) or use a wheelchair
(4) Preparation of training food - use Shu Shisu G (produced by NUTRI in Japan, 1.5g/bag) 1 bag with 200ml of boiling water, stir and cool it into a hydrogel form for later use, no need to add any foo
(5) Send food to the root of the tongue or cheeks on the healthy side
(6) One bite of feeding training, starting from 3~5ml, 20ml each time, frequency: 2 times a day, gradually increase to 100~200ml each time. (7) If the patient can eat 200ml of training food within 5 m
Free drinking water group:Free drinking water training (1) Preparation of materials: clean container (notched cup), purified water, electric toothbrush, blood oxygen saturation monitor
(2) The patient takes a wheelchair (adjusts the wheelchair angle 600) and gives high-quality oral care (electric toothbrush + pasteur brushing)
(3) Cough training 2-3 times to effectively clean up sputum
(4) Adjust the neck posture: forward bending
(5) Measure the amount of water the patient drinks (use a 10ml measuring cup to measure the patients mouthful of water, and control the amount of one mouth at 2-5ml during the measurement, which does
(6) The notched cup is filled with 90mL of purified water, and the amount of water to be drunk is based on a safe mouthful
(7) Password gu
Sponsors
Jiangsu Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: (1) Diagnosis of stroke: the first onset of the disease, meeting the diagnostic criteria for stroke in the Chinese Classification of Cerebrovascular Diseases 2015;(2) Diagnostic criteria for dysphagia: meeting the pharyngeal screening program, any two or more of the following manifestations: aphonia, dysarthria, abnormal gag reflex, abnormal spontaneous cough, cough after drinking water, (3) VFSS: proves severe swallowing dysfunction in the oropharyngeal phase and requires nasogastric tube feeding; (4) Watian drinking water test grade 3-5; (5) clear mind and stable vital signs; (6) normal cognitive function and can cooperate with training.
Exclusion criteria
Exclusion criteria: (1) Pharyngeal muscle loss syndrome (VFSS screening); (2) Swallowing disorders caused by primary lesions such as oral cavity and nasopharynx; (3) Combined with severe heart, liver, kidney and other important organ failure; (4) pregnancy; (5) Have abnormal mental behavior; (6) Unable or unwilling to cooperate; (7) Failure to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Videofluoroscopy Swallowing Study ;Drinking water test in the depression field;Functional Oral Intake Scale,FOIS; | — |
Secondary
| Measure | Time frame |
|---|---|
| Swallowing quality of life;International Classification of Functing,Disability and Health,ICF;Complications of dysphagia; | — |
Countries
China
Contacts
Public ContactMao Erli
Jiangsu Provincial People's Hospital
Outcome results
None listed