有创机械通气患者咳嗽能力评估方法研究进展_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

陈志强 , 王琦 , 秦平 , 李一丹 ,  田小溪

空军军医大学第二附属医院急诊科（陕西西安 710038）;

Corresponding author：

田小溪, Email: xiaoxi2007.love@163.com

Keywords：

DOI：

10.7507/1671-6205.202412026

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Citation： 陈志强, 王琦, 秦平, 李一丹, 田小溪. 有创机械通气患者咳嗽能力评估方法研究进展. Chinese Journal of Respiratory and Critical Care Medicine, 2025, 24(9): 670-674. doi: 10.7507/1671-6205.202412026 Copy

1.	雷新宁, 崔慧, 朱磊, 等. 肺癌患者术后咳嗽能力现状及影响因素研究. 护理学杂志, 2023, 38(1): 31-33.
2.	宋申敏, 赵明曦, 孙建华, 等. 气管插管患者咳嗽力度评估方法及应用研究进展. 护理学杂志, 2021, 36(13): 111-113.
3.	Almeida CM, Lopes AJ, Guimarães 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.	中华医学会重症医学分会. 机械通气临床应用指南(2006). 中国危重病急救医学, 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.	Balañá 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.	刘秀梅, 龚平, 康健, 等. 基于指南和RCT研究的ICU成人机械通气患者气管插管拔管管理的最佳证据总结. 中华危重病急救医学, 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, 韩小彤, 张兴文, 等. 探讨中重型颅脑损伤机械通气患者拔管的预测因素. 中国呼吸与危重监护杂志, 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, 段军, 等. 机械通气患者咳嗽能力的评价及临床意义. 中华医学杂志, 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.	沈继龙, 王琛, 王元元, 等. 电阻抗断层显像技术在急性呼吸窘迫综合征患者设定呼气末正压中的临床应用. 中国呼吸与危重监护杂志, 2023, 22(1): 32-37.
36.	王祥, 黄诗倩, 夏祖和, 等. 超声监测膈肌功能在临床中的应用进展. 中华危重病急救医学, 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.	崔少帅, 王靓, 陈云霞, 等. 胸部电阻抗成像评估呼吸机膨肺与复苏球囊膨肺肺泡复张效果的差异. 中国呼吸与危重监护杂志, 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. 雷新宁, 崔慧, 朱磊, 等. 肺癌患者术后咳嗽能力现状及影响因素研究. 护理学杂志, 2023, 38(1): 31-33.
2. 宋申敏, 赵明曦, 孙建华, 等. 气管插管患者咳嗽力度评估方法及应用研究进展. 护理学杂志, 2021, 36(13): 111-113.
3. Almeida CM, Lopes AJ, Guimarães 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. 中华医学会重症医学分会. 机械通气临床应用指南(2006). 中国危重病急救医学, 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. Balañá 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. 刘秀梅, 龚平, 康健, 等. 基于指南和RCT研究的ICU成人机械通气患者气管插管拔管管理的最佳证据总结. 中华危重病急救医学, 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, 韩小彤, 张兴文, 等. 探讨中重型颅脑损伤机械通气患者拔管的预测因素. 中国呼吸与危重监护杂志, 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, 段军, 等. 机械通气患者咳嗽能力的评价及临床意义. 中华医学杂志, 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. 沈继龙, 王琛, 王元元, 等. 电阻抗断层显像技术在急性呼吸窘迫综合征患者设定呼气末正压中的临床应用. 中国呼吸与危重监护杂志, 2023, 22(1): 32-37.
36. 王祥, 黄诗倩, 夏祖和, 等. 超声监测膈肌功能在临床中的应用进展. 中华危重病急救医学, 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. 崔少帅, 王靓, 陈云霞, 等. 胸部电阻抗成像评估呼吸机膨肺与复苏球囊膨肺肺泡复张效果的差异. 中国呼吸与危重监护杂志, 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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有创机械通气患者咳嗽能力评估方法研究进展

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