语音阀临床应用专家共识(2025版)  

Expert Consensus on the Clinical Application of Speaking Valves 2025

作　　者：《语音阀临床应用专家共识》编写组 中国医学救援协会重症医学分会 中国医药教育协会重症康复专业委员会 居旻杰 罗亮[8] 雷鸣[5] 阿曼古丽·莫明 陈颖 段开亮 李柳村 李悦 刘凯 刘盼 刘萍[8] 罗嘉文 罗竞超 钱易婍 王缓 王叙锦 王振 亚夏尔江·穆合塔尔 张诗敏 朱媛[8] The Expert Consensus Group on Clinical Application of Speaking Valves;Chinese Association of Medical Rescue,Critical Care Branch;Chinese Medical Education Association,Critical Care Rehabilitation Branch;JU Minjie;LUO Liang;LEI Ming

机构地区：[1]不详 [2]复旦大学附属中山医院重症医学科 [3]广东省人民医院老年重症医学科 [4]浙江大学附属邵逸夫医院呼吸治疗科 [5]上海中医药大学附属第七人民医院急救医学中心、重症医学科 [6]中南大学湘雅二医院呼吸与危重症医学科 [7]四川大学华西医院康复医学科 [8]中山大学附属第七医院重症医学科 [9]四川省人民医院重症医学中心 [10]四川大学华西医院呼吸治疗科

出　　处：《中国全科医学》2025年第18期2193-2204,共12页Chinese General Practice

摘　　要：语音阀是一种通过单向阀门恢复生理气流路径的辅助装置,能够改善气管切开患者的发声、吞咽、气道廓清以及心理状态,有助于加速脱机与拔管进程。然而,目前国内语音阀应用尚不规范,存在一定风险。因此,中国医学救援协会重症医学分会、中国医药教育协会重症康复专业委员会联合制定了语音阀临床应用专家共识,共识共有19条建议,全面覆盖语音阀的适用人群、设备种类、使用流程、不良事件管理以及多学科团队培训等方面内容。本共识强调规范化评估和操作、及时监测及团队合作的重要性,期望推动语音阀在气管切开术患者康复中的安全和有效应用。The speaking valve,a one-way device that restores physiological airflow,provides significant benefits for tracheostomy patients by enhancing phonation,swallowing,airway clearance,and psychological health.It also supports weaning from mechanical ventilation and promotes decannulation.However,inconsistent application in China poses potential risks.To address this,Chinese Association of Medical Rescue,Critical Care Branch,Chinese Medical Education Association,Critical Care Rehabilitation Branch jointly developed an expert consensus on the clinical application of speaking valves.This consensus includes 19 recommendations covering patient eligibility,device selection,operational protocols,adverse event management,and multidisciplinary team training.By emphasizing standardized assessment,timely monitoring,and collaborative practice,it seeks to ensure the safe and effective use of speaking valves in tracheostomy patient rehabilitation.

关 键 词：气管切开 语音阀 发声 吞咽 气道廓清 康复 

分 类 号：R473.6[医药卫生—护理学]