A group of clinical syndromes in which the central parts or nerves related to swallowing caused by stroke are damaged, causing damage to one or more stages of swallowing, resulting in a series of eating difficulty symptoms.

By changing the eating environment, body position, food form, food bolus entrance position, food bolus nature, bite size and eating speed, we help patients safely and effectively take in enough food orally to meet the body's nutritional needs and train swallowing function. A method of eating.

Before eating, the nutrition tube is inserted into the middle and lower esophagus through the mouth, and water, food, and medicine are injected according to the patient's nutritional status. It is an intermittent feeding compensation method in which the nutrition tube is then pulled out.

Glasgow coma score (Glasgow Coma Scale)

Experiment on improving drinking water in waded fields (Modified Water Swallow Test)

Modified volume-viscosity swallowing test (Volume-Viscosity Swallowing Test-Chinese Version)

The patient's state of consciousness was judged using the Glasgow score.

Patients with moderate or severe impairment of consciousness do not need to undergo swallowing function screening and should be given an indwelling nasogastric tube or nasointestinal tube.

Patients with clear consciousness, mild impairment of consciousness, and active cooperation should use the modified Kubota drinking test to screen their swallowing function before taking oral food, water, or medication for the first time after the onset of stroke.

Those with normal screening results of the modified Kubota drinking test should be given normal oral food.

If the screening results of the modified Kubota drinking test are suspicious or abnormal, the modified volume-viscosity swallowing test (VVST-CV) should be used to evaluate the viscosity and bite size of the liquid food the patient eats.

Those who have the conditions can further evaluate the swallowing function through video swallowing contrast examination (VFSS) or fiberoptic electronic laryngoendoscopy (FEES).

Before eating, you should make the following preparations

During eating, you should

Within 30 minutes after eating, the patient should be assisted to maintain a sitting or semi-recumbent position and avoid operations such as turning over and patting on the back.

The patient should be assisted to a sitting or semi-recumbent position.

The end of the catheter should be inserted into the middle and lower esophagus (approximately 30 cm).

The amount of food injected each time is 300~500 ml, and the appropriate injection speed is 50 ml/min.

After eating, the patient should be assisted to remain in a sitting or semi-recumbent position for more than 30 minutes.

After each tube feeding, the nutrition tube should be cleaned with warm boiled water and properly stored.

Oral care should be provided at least twice a day or patients and their families should be instructed to perform oral hygiene.