Application value of speaking valve combined with respiratory rehabilitation training in patients with tracheotomy
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 con-trol 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 con-trol 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.
tracheotomyspeaking valverespiratory rehabilitation trainingswallowing functionrespiratory function