Severe stroke
Conditions
Interventions
control group:Feeding method: Frequent feeding via nasogastric tube
Estimate the total daily enteral nutrition solution volume at 25-30 kcal·kg-1·d-1. Divide this volume into four single doses and adm
experimental group:Feeding method: Three-lumen feeding tube step feeding. The Clinical Application Guidelines for Parenteral and Enteral Nutrition in Adult Patients in China (2023 Edition) state that
Sponsors
Beijing Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Age >=18 years; 2. Meets the diagnostic criteria of the 2019 Chinese guidelines for the diagnosis of various major cerebrovascular diseases, and is confirmed by head CT or MRI to have acute stroke lesions; 3. Acute onset, admitted to the hospital within 24 hours of onset; 4. At the time of admission, the National Institutes of Health Stroke Scale (NIHSS) score is >=17 or the Glasgow Coma Scale (GCS) score is <=8.
Exclusion criteria
Exclusion criteria: 1. Patients with contraindications to enteral nutrition support therapy, such as intestinal obstruction, severe organic lesions of the digestive tract, or stress bleeding; 2. Patients with severe liver or kidney dysfunction, cachexia, or leukemia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compare the incidence of enteral nutrition intolerance in two groups of patients within 2 weeks after catheter placement and enteral nutrition.;The changes in the cross-sectional area of ??the gastric antrum were compared between the two groups of patients who received enteral nutrition after tube placement within 2 weeks.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Compare the albumin, prealbumin, transferrin, and total protein levels in the two groups of patients at the time of catheter placement and two weeks after the start of enteral nutrition.; | — |
Countries
China
Contacts
Public ContactSu Yin
Beijing Hospital
Outcome results
None listed