Effects of abdominal electrical stimulation combined with airway clearance on cough ability and success rate of extubation in patients with severe tracheotomy
10.3969/j.issn.1001-1242.2024.10.011
- VernacularTitle:腹部电刺激联合气道廓清技术对气管切开重症患者咳嗽能力及拔管成功率的影响
- Author:
Xiang LI
1
;
Hongrui ZHANG
;
Lingxin LIU
Author Information
1. 济宁医学院附属医院康复医学科,山东省济宁市,272000
- Keywords:
abdominal electrical stimulation;
airway clearance technique;
tracheotomy;
tube drawing
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(10):1474-1480
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of abdominal electrical stimulation combined with airway clearance on cough ability and success rate of extubation in patients with severe tracheotomy. Method:A randomized,double-blind,controlled trial was conducted.52 patients with tracheotomy who met the inclusion criteria were divided into a control group and an experimental group,with 26 cases in each group.The experimental group was treated with abdominal electrical stimulation on the basis of airway clear-ance technique.The observation period was 6 weeks.Before and after treatment,involuntary cough peak flow rate(ICPF),clinical pulmonary infection score(CPIS),tracheal tube extubation time and extubation success rate were used to compare the differences in clinical efficacy. Result:Before the training,there was no significant difference in ICPF between the two groups(P＞0.05),but at l,3 and 6 weeks,the ICPF score of the experimental group was significantly higher than that of the con-trol group(P＜0.05).Before training,there was no significant difference in CPIS score between the two groups(P＞0.05),but after 1,3 and 6 weeks,the CPIS score of the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P＜0.05).Before training,there was no significant difference in abdominal muscle thickness between the two groups(P＞0.05).At the 3rd and 6th week,the abdominal muscle thickness of the experimental group was significantly higher than that of the control group,and the difference was statistically significant(P＜0.05).The extubation time of the experimental group was significantly shorter than that of the control group(P＜0.05).The success rate of extu-bation in the experimental group was 92％,which was significantly higher than that in the control group(76％),and the difference was statistically significant(P＜0.05). Conclusion:Abdominal electrical stimulation combined with airway clearance can significantly improve the cough ability of patients with severe tracheotomy,shorten the time of tracheal cannula removal,and improve the success rate of extubation.
