Effect of One-way Tracheostomy Speaking Valve on Aspiration of Dysphagia Patients after Tracheotomy for Cerebral Hemorrhage
10.3969/j.issn.1006-9771.2020.11.008
- VernacularTitle:应用气管单向阀对脑出血气管切开术后吞咽障碍患者误吸的疗效
- Author:
Hui-chang ZHOU
1
;
Pan-de ZHANG
1
;
Xiao-mei WEI
2
;
Zu-lin DOU
2
Author Information
1. Rehabilitation Medicine Department, the First People's Hospital of Foshan, Foshan, Guangdong 528000, China
2. Rehabilitation Medicine Department, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510630, China
- Publication Type:Research Article
- Keywords:
cerebral hemorrhage;
tracheotomy;
dysphagia;
one-way tracheostomy speaking valve;
aspiration
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(11):1292-1296
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of a one-way tracheostomy speaking valve based on neuromuscular electrical stimulation on aspiration in patients with dysphagia after tracheotomy for cerebral hemorrhage. Methods:From January to December, 2018, 37 patients with dysphagia after tracheotomy for cerebral hemorrhage were randomly divided into control group (n = 21) and experimental group (n = 16). Both groups accepted neuromuscular electrical stimulation, while the experimental group was trained to use one-way tracheostomy speaking valve additionally, for three weeks. They were assessed with Functional Oral Food Intake Scale (FOIS) and Penetration-Aspiration Scale (PAS) before and after treatment. Results:The scores of FOIS and PAS improved in both groups after treatment (|Z| > 3.544, P < 0.001), and was better in the experimental group than in the control group (|Z| > 2.094, P < 0.05). Conclusion:One-way tracheostomy speaking valve training based on neuromuscular electrical stimulation could improve swallowing and reduce aspiration of patients with dysphagia after tracheotomy.
