中国康复2025，Vol.40Issue(4)：212-216,5.DOI:10.3870/zgkf.2025.04.004
膈肌超声预测神经重症气管切开患者堵管耐受试验结局的临床研究
Clinical study on predicting outcomes of the tracheostomy tube capping trials in patients with severe neuropathy using di-aphragmatic ultrasound
摘要
Abstract
Objective:To explore the value of diaphragmatic ultrasound in predicting the outcome of the tracheosto-my tube capping trials in patients with severe neuropathy in rehabilitation department.Methods:A total of 48 pa-tients with severe neuropathy who were scheduled to undergo the tracheostomy tube capping trials were selected.Before the trials,the diaphragm excursion(DE),diaphragm thickness at end inspiratory(DTei),diaphragm thick-ness at end expiratory(DTee),inspiratory time and other diaphragm indicators were measured,and excursion-time(E-T)index was calculated.Based on the results of the trials,the patients were divided into two groups:31 pa-tients in the successful group and 17 patients in the failure group.A comparison of the diaphragm indexes between the two groups was conducted,and the receiver operating characteristic(ROC)curve was established to analyze the predictive value of potential diaphragm ultrasound indexes for the successful outcome of the tracheostomy tube cap-ping trials.Results:The DTF and E-T indexes in the successful group were higher than those in the failure group(P＜0.05).The AUC of DTF and E-T index for predicting the successful outcome of the tracheostomy tube cap-ping trials was 0.769 and 0.738,respectively.The combined predictive value of the two indexes was higher,with an AUC of 0.793,a sensitivity of 80.6％,and a specificity of 70.6％.Conclusion:DTF and E-T index can be used to predict the successful outcome of the tracheostomy tube capping trials,and the combined prediction value of the two is superior to a single parameter.关键词
气管切开/神经重症/膈肌超声/堵管Key words
tracheotomy/severe neuropathy/diaphragmatic ultrasound/capping the tracheostomy tube分类
临床医学引用本文复制引用
李清华,关晨霞..膈肌超声预测神经重症气管切开患者堵管耐受试验结局的临床研究[J].中国康复,2025,40(4):212-216,5.基金项目
河南省科技攻关项目(252102311007) （252102311007）
