Effect and Complication of Two Types of Nasogastric Tube Feeding for Elderly Dysphagia Patient After Stroke

Study Overview
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Brief Summary
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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.

Official Title
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Observation of Effect and Complication of Two Types of Nasogastric Tube Feeding Enteral Nutrition for Elderly Dysphagia Patients After Stroke

Conditions
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Deglutition Disorders

Intervention / Treatment
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* Device: Feeding pump and glycerin syringe


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Feeding pump group(continous)<br>Using the feeding pump to give patients prescribed enteral nutrient solution through nasogastric tube in 24 hours | Device: Feeding pump and glycerin syringe<br>* The continuous group use feeding pump and the intermittent group use syringe to give dysphagia patients after stroke prescribed nutrition through nasogastric tube.<br>|
| Glycerin syringe group(intermittent)<br>Using the glycerin syringe to give patients prescribed enteral nutrient solution through nasogastric tube in 4-5 times | Device: Feeding pump and glycerin syringe<br>* The continuous group use feeding pump and the intermittent group use syringe to give dysphagia patients after stroke prescribed nutrition through nasogastric tube.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| weight | weight in kilogram every week | 4-6 weeks | 
| plasma albumin | plasma albumin every week | 4-6 weeks | 
| tube-feeding related complications( regurgitation, aspiration,gastric retention, diarrhea,constipation) | incidence of each complication | 4-6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| calf girth | length of calf girth | 4-6 weeks |