个体化营养管理方案对脑卒中后吞咽困难患者的影响

注册号:

Registration number:

ChiCTR2100054054 

最近更新日期:

Date of Last Refreshed on:

2022-11-06 16:52:20 

注册时间:

Date of Registration:

2021-12-08 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

个体化营养管理方案对脑卒中后吞咽困难患者的影响

Public title:

Effects of individualized nutrition management scheme for patients with dysphagia after stroke

注册题目简写:

English Acronym:

研究课题的正式科学名称:

脑卒中后吞咽障碍患者个体化营养管理方案的构建及效果评价

Scientific title:

Construction and effect evaluation of individualized nutrition management scheme for patients with dysphagia after stroke

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

刘卓 

研究负责人:

颜秀丽 

Applicant:

Liu Zhuo 

Study leader:

Yan Xiuli 

申请注册联系人电话:

Applicant telephone:

+86 18243170513

研究负责人电话:

Study leader's
telephone:

+86 15843079660

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

liuzhuo0911@yeah.net

研究负责人电子邮件:

Study leader's E-mail:

yanxiuli2008@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

吉林省长春市新民大街1号

研究负责人通讯地址:

吉林省长春市新民大街1号

Applicant address:

1 Xinmin Street, Changchun, Jilin, China

Study leader's address:

1 Xinmin Street, Changchun, Jilin, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

吉林大学第一医院神经内科

Applicant's institution:

Department of Neurology, the First Hospital of Jilin University

研究负责人所在单位:

吉林大学第一医院神经内科

Affiliation of the Leader:

Department of Neurology, the First Hospital of Jilin University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

20K056-001

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

吉林大学第一医院伦理委员会

Name of the ethic committee:

Eics Committee of the First Hospital of Jilin University

伦理委员会批准日期:

Date of approved by ethic committee:

2020-09-24 00:00:00

伦理委员会联系人:

郭迪

Contact Name of the ethic committee:

Guo Di

伦理委员会联系地址:

吉林省长春市新民大街1号

Contact Address of the ethic committee:

1 Xinmin Street, Changchun, Jilin, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

137420880@qq.com

研究实施负责(组长)单位:

吉林大学第一医院

Primary sponsor:

The First Hospital of Jilin University

研究实施负责(组长)单位地址:

吉林省长春市新民大街1号

Primary sponsor's address:

1 Xinmin Street, Changchun, Jilin, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

吉林

市(区县):

长春

Country:

China

Province:

Jilin

City:

Changchun

单位(医院):

吉林大学第一医院

具体地址:

新民大街1号

Institution
hospital:

The First Hospital of Jilin University

Address:

1 Xinmin Street

经费或物资来源:

吉林省自然科学基金

Source(s) of funding:

Natural Science Foundation of Jilin Province, China

研究疾病:

脑卒中后吞咽障碍  

Target disease:

Dysphagia after stroke

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

通过多学科团队合作构建脑卒中后吞咽障碍患者个体化营养管理方案,早期识别不同程度吞咽障碍的患者,给予个体化的营养管理及连续性护理,改善患者的营养状况,降低吸入性肺炎等并发症的发生率,促进神经功能的恢复,减少患者经济负担。  

Objectives of Study:

Through multi-disciplinary team cooperation, build an individualized nutrition management scheme for patients with post-stroke dysphagia, early identify patients with different degrees of dysphagia, give individualized nutrition management and continuous nursing, improve the nutritional status of patients, reduce the incidence of complications such as aspiration pneumonia, promote the recovery of neurological function and reduce the economic burden of patients.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.既往存在吞咽异常的患者;
2.胃肠功能明显不正常,频繁呕吐或腹泻的患者或存在肠内营养禁忌症的患者;
3.入院前已行肠内营养支持的患者;
4.依从性差,不能完成随访,临床资料不全及其他研究者认为不适宜入组的情况;
5.患者及直系亲属不愿入组。

Exclusion criteria:

1. Patients with previous abnormal swallowing;
2. Patients with significantly abnormal gastrointestinal function, frequent vomiting or diarrhea, or patients with contraindications to enteral nutrition;
3. Patients who have received enteral nutrition support before admission;
4. Poor compliance, unable to complete the follow-up, incomplete clinical data, and other researchers who think it is not suitable for enrollment;
5. Patients and immediate family members are unwilling to join the group.

研究实施时间:

Study execute time:

From 2020-09-01 00:00:00 To 2021-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-09-01 00:00:00 To 2021-04-30 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

90

Group:

Control Group

Sample size:

干预措施:

洼田饮水等级Ⅱ级的患者经口进食;饮水等级Ⅲ-Ⅳ级的患者留置胃管或经口进食;饮水等级Ⅴ级的患者遵医嘱留置胃管

干预措施代码:

Intervention:

Patients with drinking water grade II of Kubota should take food by mouth; patients with drinking water grade III-IV should indwell gastric tube or eat by mouth; patients with drinking water grade V should be indwelled gastric tube according to the doctor's advice

Intervention code:

组别:

干预组

样本量:

90

Group:

Intervention Group

Sample size:

干预措施:

饮水等级Ⅱ-Ⅲ级的患者使用V-VST评估进行饮食调配和进食。饮水等级Ⅳ级和Ⅴ级的患者采用间歇性经口-食管管饲法。无法配合间歇性管饲治疗的患者报告医生后,遵医嘱给予留置胃管

干预措施代码:

Intervention:

Patients with drinking water grades II-III used V-VST assessment for dietary preparation and eating. Patients with drinking water grades IV and V were given intermittent oral-esophageal tube feeding. Patients who are unable to cooperate with intermittent tube feeding should be given an indwelling gastric tube after

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

吉林 

市(区县):

长春 

Country:

China

Province:

Jilin

City:

Changchun

单位(医院):

吉林大学第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Hospital of Jilin University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

吞咽功能

指标类型:

主要指标

Outcome:

swallowing function

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清总蛋白

指标类型:

次要指标

Outcome:

total serum protein

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清白蛋白

指标类型:

次要指标

Outcome:

serum albumin

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血红蛋白

指标类型:

次要指标

Outcome:

hemoglobin

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

骨骼肌含量

指标类型:

次要指标

Outcome:

skeletal muscle content

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体脂率

指标类型:

次要指标

Outcome:

body fat rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

平均住院时长

指标类型:

次要指标

Outcome:

average length of stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院费用

指标类型:

次要指标

Outcome:

hospitalization expenses

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 29 years
最大 Max age 88 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

研究助理通过电脑产生的随机数字表将患者按照1:1的比例分为试验组和对照组

Randomization Procedure (please state who generates the random number sequence and by what method):

The research assistant divided the patients into intervention group (n=90) and control group (n=90) at a ratio of 1:1 through a computer-generated random number table.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

本研究采用单盲研究设计,研究对象、资料信息收集者和数据统计人员对分组情况不了解。实施护理评估和干预的护士知道研究对象的分组情况。

Blinding:

Nursing assessments and interventions were performed by professionally trained nurses, who were not blind to the allocated treatment, but outcome assessors were blinded to group allocation. And the researchers who did laboratory tests and body composition measurements were blinded to group allocation.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

ResMan 临床试验公共管理平台,http://www.medresman.org.cn

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

ResMan, http://www.medresman.org.cn

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

ResMan

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

ResMan

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2021-12-08 03:25:24