Effects of adjustable tracheal tube occluder combined with rehabilitation therapy on respiratory and speech function of patients with severe tracheotomy
Objective:To observe the effect of a new type of endotracheal tube occluder,which can be finely tuned,combined with rehabilitation training on respiratory and speech function of patients with severe tracheotomy.Method:A total of 30 patients with severe tracheotomy were randomly divided into test group and control group,15 cases in each group of patients received severe clinical and rehabilitation treatment,including lung rehabilitation,swallowing and phonation training and exercise therapy.Patients in the test group wore adjust-able tracheal tube occluder during rehabilitation period.The rehabilitation treatment time of the two groups was twice a day for two consecutive weeks.After 2 weeks of treatment,clinical pulmonary infection score(CPIS),semi quantitative cough strength score(SCSS),maximum phonation time(MPT),volume and tracheal tube extubation rate were compared between the two groups.Result:After treatment,the CPIs score,SCSS score,MPT and maximum volume value of the two groups were significantly improved in both groups(P＜0.001).The SCSS score of the test group improved more than that of the control group(P＜0.05).The MPT and maximum volume of the test group were higher than those of the control group(P＜0.05).The extubation rate of the test group was higher than that of the control group.Conclusion:The adjustable tracheal tube occluder is safe and effective,and combining with rehabilitation therapy,has positive significance for improving the respiratory and speech function of patients with severe tra-cheotomy.
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