Deglutition Disorders
Conditions
Brief summary
Dysphagia is a common problem after stroke.Patients after stroke with swallow problem will have a nasogastric tube to be feeded. In this study , investigators have including and excluding criteria. Continous feeding group and intermittent feeding group had been widely used in enteral nutrition feeding in investigators' institution. Investigators will observe participants' nutrition condition and tube-feeding related complications. In continous group patients, participants usually are given prescribed enteral nutrient solution using nutrition pump in 24 hours; while in intermittent feeding group, participants will be given prescribed enteral nutrient solution in 4-5 times by special syringe. During the whole process, investigators will observe all participants' nutrition condition (body mass index, plasma albumin and calf girth) and tube-feeding related complications( regurgitation, aspiration,gastric retention, diarrhea,constipation). With all those data, the investigators will assess which feeding type is better.
Interventions
DEVICEFeeding pump and glycerin syringe
The continuous group use feeding pump and the intermittent group use syringe to give dysphagia patients after stroke prescribed nutrition through nasogastric tube.
Sponsors
Second Affiliated Hospital, School of Medicine, Zhejiang University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Older than 65 years old * Clinical diagnosis of stroke( ischemic and hemorrhage) * With moderate and/or sever swallow problem(water swallow test IV-V degree) * With nasogastric feeding tube more than 4 weeks * Do rehabilitation in our hospital or designated hospitals
Exclusion criteria
* Without nasogastric feeding tube * Patients with fever and other infection * Chronic or acute anoxia * Poor obedience * Quit treatment or go back home to take rehabilitation * Critically ill or died
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| weight | 4-6 weeks | weight in kilogram every week |
| plasma albumin | 4-6 weeks | plasma albumin every week |
| tube-feeding related complications( regurgitation, aspiration,gastric retention, diarrhea,constipation) | 4-6 weeks | incidence of each complication |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| calf girth | 4-6 weeks | length of calf girth |
Countries
China
Contacts
Primary ContactZhang Yuejiao, Bachelor
Outcome results
None listed