有創機械通氣患者咳嗽能力評估方法研究進展_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

陳志強 , 王琦 , 秦平 , 李一丹 ,  田小溪

空軍軍醫大學第二附屬醫院急診科（陜西西安 710038）;

Corresponding?author：

田小溪, Email: xiaoxi2007.love@163.com

Keywords：

DOI：

10.7507/1671-6205.202412026

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Citation： 陳志強, 王琦, 秦平, 李一丹, 田小溪. 有創機械通氣患者咳嗽能力評估方法研究進展. Chinese Journal of Respiratory and Critical Care Medicine, 2025, 24(9): 670-674. doi: 10.7507/1671-6205.202412026 Copy

1.	雷新寧, 崔慧, 朱磊, 等. 肺癌患者術后咳嗽能力現狀及影響因素研究. 護理學雜志, 2023, 38(1): 31-33.
2.	宋申敏, 趙明曦, 孫建華, 等. 氣管插管患者咳嗽力度評估方法及應用研究進展. 護理學雜志, 2021, 36(13): 111-113.
3.	Almeida CM, Lopes AJ, Guimar?es FS. Cough peak flow to predict the extubation outcome: comparison between three cough stimulation methods. Can J Respir Ther, 2020, 56: 58-64.
4.	Xu S, Tian Y, Ma Y, et al. Development of a prediction score for evaluation of extubation readiness in neurosurgical patients with mechanical ventilation. Anesthesiology, 2023, 139(5): 614-627.
5.	Tanaka A, Shimomura Y, Uchiyama A, et al. Time definition of reintubation most relevant to patient outcomes in critically ill patients: a multicenter cohort study. Crit Care, 2023, 27(1): 378.
6.	Torrini F, Gendreau S, Morel J, et al. Prediction of extubation outcome in critically ill patients: a systematic review and meta-analysis. Crit Care, 2021, 25(1): 391.
7.	Hong Y, Deng M, Hu W, et al. Weak cough is associated with increased mortality in COPD patients with scheduled extubation: a two-year follow-up study. Respir Res, 2022, 23(1): 166.
8.	Gallice T, Cugy E, Branchard O, et al. Predictive factors for successful decannulation in patients with tracheostomies and brain injuries: a systematic review. Dysphagia, 2024, 39(4): 552-572.
9.	Fan E, Zakhary B, Amaral A, et al. Liberation from mechanical ventilation in critically ill adults. an official ATS/ACCP clinical practice guideline. Ann Am Thorac Soc, 2017, 14(3): 441-443.
10.	Roberts KJ, Goodfellow LT, Battey-Muse C M, et al. AARC clinical practice guideline: spontaneous breathing trials for liberation from adult mechanical ventilation. Respir Care, 2024, 69(7): 891-901.
11.	中華醫學會重癥醫學分會. 機械通氣臨床應用指南(2006). 中國危重病急救醫學, 2007, 19(2): 65-72.
12.	Varón-Vega F, Rincón A, Giraldo-Cadavid L F, et al. Assessing the reproducibility and predictive value of objective cough measurement for successful withdrawal of invasive ventilatory support in adult patients. BMC Pulm Med, 2024, 24(1): 218.
13.	Norisue Y, Santanda T, Nabeshima T, et al. Association of diaphragm movement during cough, as assessed by ultrasonography, with extubation outcome. Respir Care, 2021, 66(11): 1713-1719.
14.	Li H, Zhou T, Ni H, et al. Decibel level of coughing as a predictor of extubation outcome in mechanically ventilated intensive care patients: a prospective, observational study. Intensive Crit Care Nurs, 2024, 85: 103800.
15.	Izumi M, Akifusa S, Ganaha S, et al. Activities of daily living decline is a predictor of lowered coughing ability and correlates with rehabilitative effect of tongue cleaning on coughing ability. Odontology, 2019, 107: 393-400.
16.	Bala?á Corberó A, Guillen-Solá A, Rubio Má, et al. Can cough peak flow be used to assess cough capacity in severe obstructive respiratory diseases?. Rehabilitacion (Madr), 2023, 57(4): 100765.
17.	Brennan M, McDonnell M J, Duignan N, et al. The use of cough peak flow in the assessment of respiratory function in clinical practice-a narrative literature review. Respir Med, 2022, 193: 106740.
18.	Bianchi C, Baiardi P, Khirani S, et al. Cough peak flow as a predictor of pulmonary morbidity in patients with dysphagia. Am J Phys Med Rehabil, 2012, 91(9): 783-788.
19.	Murata K, Shimoyama K, Tsuruya T. Investigating the risk of reintubation by cough force assessment using cough peak expiratory flow: a single-center observational pilot study. BMC Pulm Med, 2024, 24(1): 222.
20.	Winck JC, LeBlanc C, Soto J L, et al. The value of cough peak flow measurements in the assessment of extubation or decannulation readiness. Rev Port Pneumol, 2015, 21(2): 94-98.
21.	劉秀梅, 龔平, 康健, 等. 基于指南和RCT研究的ICU成人機械通氣患者氣管插管拔管管理的最佳證據總結. 中華危重病急救醫學, 2021, 33(8): 6.
22.	Gobert F, Yonis H, Tapponnier R, et al. Predicting extubation outcome by cough peak flow measured using a built-in ventilator flow meter. Respir Care, 2017, 62: 1505-1519.
23.	Ferreira NA, Ferreira AS, Guimaraes FS. Cough peak flow to predict extubation outcome: a systematic review and meta-analysis. Rev Bras Ter Intensiva, 2021, 33(3): 445-456.
24.	Smailes ST, McVicar AJ, Martin R. Cough strength, secretions and extubation outcome in burn patients who have passed a spontaneous breathing trial. Burns, 2013, 39(2): 236-242.
25.	高敏, 韓小彤, 張興文, 等. 探討中重型顱腦損傷機械通氣患者拔管的預測因素. 中國呼吸與危重監護雜志, 2023, 22(4): 274-280.
26.	Chan LY, Jones AY, Chung RC, et al. Peak flow rate during induced cough: a predictor of successful decannulation of a tracheotomy tube in neurosurgical patients. Am J Crit Care, 2010, 19(3): 278-284.
27.	Fossat G, Desmalles E, Courtes L, et al. Cough peak flow assessment without disconnection from the ICU ventilator in mechanically ventilated patients. Respir Care, 2023, 68(4): 470-477.
28.	宋德婧, 巴文天, 段軍, 等. 機械通氣患者咳嗽能力的評價及臨床意義. 中華醫學雜志, 2018(26): 2128-2130.
29.	Khamiees M, Raju P, DeGirolamo A, et al. Predictors of extubation outcome in patients who have successfully completed a spontaneous breathing trial. Chest, 2001, 120(4): 1262-1270.
30.	Abedini M, Froutan R, Moghaddam A B, et al. Comparison of “cough peak expiratory flow measurement” and “cough strength measurement using the white card test” in extubation success: A randomized controlled trial. J Res Med Sci, 2020, 25(1): 52.
31.	Duan J, Zhang X, Song J. Predictive power of extubation failure diagnosed by cough strength: a systematic review and meta-analysis. Crit Care, 2021, 25(1): 357.
32.	Lee KK, Matos S, Ward K, et al. Sound: a non-invasive measure of cough intensity. BMJ Open Respir Res, 2017, 4(1): e000178.
33.	Bonny V, Joffre J, Gabarre P, et al. Sonometric assessment of cough predicts extubation failure: SonoWean-a proof-of-concept study. Crit Care, 2023, 27(1): 368.
34.	Norisue Y, Kataoka J, Homma Y, et al. Increase in intra-abdominal pressure during airway suctioning-induced cough after a successful spontaneous breathing trial is associated with extubation outcome. Ann Intensive Care, 2018, 8(1): 61.
35.	沈繼龍, 王琛, 王元元, 等. 電阻抗斷層顯像技術在急性呼吸窘迫綜合征患者設定呼氣末正壓中的臨床應用. 中國呼吸與危重監護雜志, 2023, 22(1): 32-37.
36.	王祥, 黃詩倩, 夏祖和, 等. 超聲監測膈肌功能在臨床中的應用進展. 中華危重病急救醫學, 2021, 33(5): 638-640.
37.	Norisue Y, Santanda T, Homma Y, et al. Ultrasonographic assessment of passive cephalic excursion of diaphragm during cough expiration predicts cough peak flow in healthy adults. Respir Care, 2019, 64(11): 1371-1376.
38.	O'Neill MP, Gopalan PD. Endotracheal tube cuff pressure change: proof of concept for a novel approach to objective cough assessment in intubated critically ill patients. Heart Lung, 2020, 49(2): 181-185.
39.	崔少帥, 王靚, 陳云霞, 等. 胸部電阻抗成像評估呼吸機膨肺與復蘇球囊膨肺肺泡復張效果的差異. 中國呼吸與危重監護雜志, 2021, 20(2): 132-135.
40.	Wisse JJ, Goos TG, Jonkman AH, et al. Electrical impedance tomography as a monitoring tool during weaning from mechanical ventilation: an observational study during the spontaneous breathing trial. Respir Res, 2024, 25(1): 179.
41.	Cui Z, Liu X, Qu H, et al. Technical principles and clinical applications of electrical impedance tomography in pulmonary monitoring. Sensors (Basel), 2024, 24(14): 4539.
42.	Yang L, Gao Z, Cao X, et al. Electrical impedance tomography as a bedside assessment tool for COPD treatment during hospitalization. Front Physiol, 2024, 15: 1352391.

1. 雷新寧, 崔慧, 朱磊, 等. 肺癌患者術后咳嗽能力現狀及影響因素研究. 護理學雜志, 2023, 38(1): 31-33.
2. 宋申敏, 趙明曦, 孫建華, 等. 氣管插管患者咳嗽力度評估方法及應用研究進展. 護理學雜志, 2021, 36(13): 111-113.
3. Almeida CM, Lopes AJ, Guimar?es FS. Cough peak flow to predict the extubation outcome: comparison between three cough stimulation methods. Can J Respir Ther, 2020, 56: 58-64.
4. Xu S, Tian Y, Ma Y, et al. Development of a prediction score for evaluation of extubation readiness in neurosurgical patients with mechanical ventilation. Anesthesiology, 2023, 139(5): 614-627.
5. Tanaka A, Shimomura Y, Uchiyama A, et al. Time definition of reintubation most relevant to patient outcomes in critically ill patients: a multicenter cohort study. Crit Care, 2023, 27(1): 378.
6. Torrini F, Gendreau S, Morel J, et al. Prediction of extubation outcome in critically ill patients: a systematic review and meta-analysis. Crit Care, 2021, 25(1): 391.
7. Hong Y, Deng M, Hu W, et al. Weak cough is associated with increased mortality in COPD patients with scheduled extubation: a two-year follow-up study. Respir Res, 2022, 23(1): 166.
8. Gallice T, Cugy E, Branchard O, et al. Predictive factors for successful decannulation in patients with tracheostomies and brain injuries: a systematic review. Dysphagia, 2024, 39(4): 552-572.
9. Fan E, Zakhary B, Amaral A, et al. Liberation from mechanical ventilation in critically ill adults. an official ATS/ACCP clinical practice guideline. Ann Am Thorac Soc, 2017, 14(3): 441-443.
10. Roberts KJ, Goodfellow LT, Battey-Muse C M, et al. AARC clinical practice guideline: spontaneous breathing trials for liberation from adult mechanical ventilation. Respir Care, 2024, 69(7): 891-901.
11. 中華醫學會重癥醫學分會. 機械通氣臨床應用指南(2006). 中國危重病急救醫學, 2007, 19(2): 65-72.
12. Varón-Vega F, Rincón A, Giraldo-Cadavid L F, et al. Assessing the reproducibility and predictive value of objective cough measurement for successful withdrawal of invasive ventilatory support in adult patients. BMC Pulm Med, 2024, 24(1): 218.
13. Norisue Y, Santanda T, Nabeshima T, et al. Association of diaphragm movement during cough, as assessed by ultrasonography, with extubation outcome. Respir Care, 2021, 66(11): 1713-1719.
14. Li H, Zhou T, Ni H, et al. Decibel level of coughing as a predictor of extubation outcome in mechanically ventilated intensive care patients: a prospective, observational study. Intensive Crit Care Nurs, 2024, 85: 103800.
15. Izumi M, Akifusa S, Ganaha S, et al. Activities of daily living decline is a predictor of lowered coughing ability and correlates with rehabilitative effect of tongue cleaning on coughing ability. Odontology, 2019, 107: 393-400.
16. Bala?á Corberó A, Guillen-Solá A, Rubio Má, et al. Can cough peak flow be used to assess cough capacity in severe obstructive respiratory diseases?. Rehabilitacion (Madr), 2023, 57(4): 100765.
17. Brennan M, McDonnell M J, Duignan N, et al. The use of cough peak flow in the assessment of respiratory function in clinical practice-a narrative literature review. Respir Med, 2022, 193: 106740.
18. Bianchi C, Baiardi P, Khirani S, et al. Cough peak flow as a predictor of pulmonary morbidity in patients with dysphagia. Am J Phys Med Rehabil, 2012, 91(9): 783-788.
19. Murata K, Shimoyama K, Tsuruya T. Investigating the risk of reintubation by cough force assessment using cough peak expiratory flow: a single-center observational pilot study. BMC Pulm Med, 2024, 24(1): 222.
20. Winck JC, LeBlanc C, Soto J L, et al. The value of cough peak flow measurements in the assessment of extubation or decannulation readiness. Rev Port Pneumol, 2015, 21(2): 94-98.
21. 劉秀梅, 龔平, 康健, 等. 基于指南和RCT研究的ICU成人機械通氣患者氣管插管拔管管理的最佳證據總結. 中華危重病急救醫學, 2021, 33(8): 6.
22. Gobert F, Yonis H, Tapponnier R, et al. Predicting extubation outcome by cough peak flow measured using a built-in ventilator flow meter. Respir Care, 2017, 62: 1505-1519.
23. Ferreira NA, Ferreira AS, Guimaraes FS. Cough peak flow to predict extubation outcome: a systematic review and meta-analysis. Rev Bras Ter Intensiva, 2021, 33(3): 445-456.
24. Smailes ST, McVicar AJ, Martin R. Cough strength, secretions and extubation outcome in burn patients who have passed a spontaneous breathing trial. Burns, 2013, 39(2): 236-242.
25. 高敏, 韓小彤, 張興文, 等. 探討中重型顱腦損傷機械通氣患者拔管的預測因素. 中國呼吸與危重監護雜志, 2023, 22(4): 274-280.
26. Chan LY, Jones AY, Chung RC, et al. Peak flow rate during induced cough: a predictor of successful decannulation of a tracheotomy tube in neurosurgical patients. Am J Crit Care, 2010, 19(3): 278-284.
27. Fossat G, Desmalles E, Courtes L, et al. Cough peak flow assessment without disconnection from the ICU ventilator in mechanically ventilated patients. Respir Care, 2023, 68(4): 470-477.
28. 宋德婧, 巴文天, 段軍, 等. 機械通氣患者咳嗽能力的評價及臨床意義. 中華醫學雜志, 2018(26): 2128-2130.
29. Khamiees M, Raju P, DeGirolamo A, et al. Predictors of extubation outcome in patients who have successfully completed a spontaneous breathing trial. Chest, 2001, 120(4): 1262-1270.
30. Abedini M, Froutan R, Moghaddam A B, et al. Comparison of “cough peak expiratory flow measurement” and “cough strength measurement using the white card test” in extubation success: A randomized controlled trial. J Res Med Sci, 2020, 25(1): 52.
31. Duan J, Zhang X, Song J. Predictive power of extubation failure diagnosed by cough strength: a systematic review and meta-analysis. Crit Care, 2021, 25(1): 357.
32. Lee KK, Matos S, Ward K, et al. Sound: a non-invasive measure of cough intensity. BMJ Open Respir Res, 2017, 4(1): e000178.
33. Bonny V, Joffre J, Gabarre P, et al. Sonometric assessment of cough predicts extubation failure: SonoWean-a proof-of-concept study. Crit Care, 2023, 27(1): 368.
34. Norisue Y, Kataoka J, Homma Y, et al. Increase in intra-abdominal pressure during airway suctioning-induced cough after a successful spontaneous breathing trial is associated with extubation outcome. Ann Intensive Care, 2018, 8(1): 61.
35. 沈繼龍, 王琛, 王元元, 等. 電阻抗斷層顯像技術在急性呼吸窘迫綜合征患者設定呼氣末正壓中的臨床應用. 中國呼吸與危重監護雜志, 2023, 22(1): 32-37.
36. 王祥, 黃詩倩, 夏祖和, 等. 超聲監測膈肌功能在臨床中的應用進展. 中華危重病急救醫學, 2021, 33(5): 638-640.
37. Norisue Y, Santanda T, Homma Y, et al. Ultrasonographic assessment of passive cephalic excursion of diaphragm during cough expiration predicts cough peak flow in healthy adults. Respir Care, 2019, 64(11): 1371-1376.
38. O'Neill MP, Gopalan PD. Endotracheal tube cuff pressure change: proof of concept for a novel approach to objective cough assessment in intubated critically ill patients. Heart Lung, 2020, 49(2): 181-185.
39. 崔少帥, 王靚, 陳云霞, 等. 胸部電阻抗成像評估呼吸機膨肺與復蘇球囊膨肺肺泡復張效果的差異. 中國呼吸與危重監護雜志, 2021, 20(2): 132-135.
40. Wisse JJ, Goos TG, Jonkman AH, et al. Electrical impedance tomography as a monitoring tool during weaning from mechanical ventilation: an observational study during the spontaneous breathing trial. Respir Res, 2024, 25(1): 179.
41. Cui Z, Liu X, Qu H, et al. Technical principles and clinical applications of electrical impedance tomography in pulmonary monitoring. Sensors (Basel), 2024, 24(14): 4539.
42. Yang L, Gao Z, Cao X, et al. Electrical impedance tomography as a bedside assessment tool for COPD treatment during hospitalization. Front Physiol, 2024, 15: 1352391.

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有創機械通氣患者咳嗽能力評估方法研究進展

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