说话瓣膜联合呼吸康复训练在气管切开患者中的应用价值  

Application value of speaking valve combined with respiratory rehabilitation training in patients with tracheotomy

作　　者：何为静 刘忠琦 周宁 饶丽 方萍 彭文清 HE Weijing;LIU Zhongqi;ZHOU Ning;RAO Li;FANG Ping;PENG Wenqing(Nanjing Pukou People's Hospital,Nanjing 212200,China)

机构地区：[1]南京市浦口人民医院,江苏南京212200

出　　处：《临床医药实践》2025年第1期66-69,共4页Proceeding of Clinical Medicine

摘　　要：目的:探讨说话瓣膜联合呼吸康复训练对气管切开患者吞咽功能、呼吸功能及肺通气功能的影响。方法:选择2021年3月—2023年12月收治的气管切开患者50例,按入院先后顺序分为对照组和观察组,每组25例。对照组行常规护理,观察组行说话瓣膜联合呼吸康复训练。比较干预前后患者吞咽功能、呼吸功能、膈肌移动度、膈肌厚度以及拔除气切套管时间、并发症情况。结果:治疗后,观察组标准吞咽功能评分表(SSA)评分较对照组降低,而最大呼气压(MEP)、最大吸气压(MIP)以及最大呼气流量(PEF)较对照组升高(P<0.05);观察组膈肌移动度、膈肌厚度较对照组增加,拔除气切套管时间较对照组更短(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论:说话瓣膜联合呼吸康复训练可改善气管切开患者的吞咽功能、呼吸功能及肺通气功能,减少并发症,促进疾病的康复。Objective:To explore the effect of speaking valve combined with respiratory rehabilitation training on swallowing function,respiratory function and pulmonary ventilation function in patients with tracheotomy.Methods:Fifty patients with tracheotomy who admitted in our hospital from March 2021 to December 2023 were selected and randomly divided into two groups.The control group(n=25)was given routine nursing,and the observation group(n=25)was given speaking valve combined with respiratory rehabilitation training.The swallowing function,respiratory function,diaphragm movement,diaphragm thickness,time of removal of tracheostomy cannula and complications were compared before and after intervention.Results:After treatment,the standardized swallowing assessment(SSA)score of the observation group was lower than that of the control group,but the maximum expiratory pressure(MEP),maxi-mum inspiratory pressure(MIP)and maximum expiratory flow(PEF)were higher than those of the control group(P<0.05).Diaphragm movement and diaphragm thickness of the observation group were increased compared with control group(P<0.05).The time for trachetomy cannula removal in the observation group was shorter than that in the control group(P<0.05).The incidence rate of complications of the observation group was lower than that of the control group(P<0.05).Conclusion:Speaking valve combined with respiratory rehabilitation training in patients with tracheotomy can not only improve the swallowing and respiratory function of patients,but also improve lung ventilation function,reduce complications,and promote the rehabilitation of diseases.

关 键 词：气管切开 说话瓣膜 呼吸康复训练 吞咽功能 呼吸功能 

分 类 号：R473.5[医药卫生—护理学]