Observation of Effect and Complication of Two Types of Nasogastric Tube Feeding Enteral Nutrition for Elderly Dysphagia Patients After Stroke
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- plasma albumin
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 90 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
plasma albumin
时间窗: 4-6 weeks
plasma albumin every week
tube-feeding related complications( regurgitation, aspiration,gastric retention, diarrhea,constipation)
时间窗: 4-6 weeks
incidence of each complication
weight
时间窗: 4-6 weeks
weight in kilogram every week
次要结局
- calf girth(4-6 weeks)