语音阀在气管切开患者中的临床应用和研究进展_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

张诗敏 , 居旻杰 ,  刘凯

复旦大学附属中山医院（上海 200032）;

Corresponding author：

刘凯, Email: liu.kai1@zs-hospital.sh.cn

Keywords：

DOI：

10.7507/1671-6205.202409092

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Citation： 张诗敏, 居旻杰, 刘凯. 语音阀在气管切开患者中的临床应用和研究进展. Chinese Journal of Respiratory and Critical Care Medicine, 2025, 24(5): 376-380. doi: 10.7507/1671-6205.202409092 Copy

1.	Freeman-Sanderson AL, Togher L, Elkins MR, et al. Return of voice for ventilated tracheostomy patients in ICU: a randomized controlled trial of early-targeted intervention. Crit Care Med, 2016, 44(6): 1075-1081.
2.	Frutos-Vivar F, Esteban A, Apezteguia C, et al. Outcome of mechanically ventilated patients who require a tracheostomy. Crit Care Med, 2005, 33(2): 290-298.
3.	Lian S, Teng L, Mao Z, et al. Clinical utility and future direction of speaking valve: A review. Front Surg, 2022, 9: 913147.
4.	Freeman-Sanderson AL, Togher L, Elkins M, et al. Quality of life improves for tracheostomy patients with return of voice: A mixed methods evaluation of the patient experience across the care continuum. Intensive Crit Care Nurs, 2018, 46: 10-16.
5.	Durbin CG, Jr. Tracheostomy: why, when, and how?. Respir Care, 2010, 55(8): 1056-1068.
6.	Passy V, Baydur A, Prentice W, et al. Passy-muir tracheostomy speaking valve on ventilator-dependent patients. Laryngoscope, 1993, 103(6): 653-658.
7.	Barraza GY, Fernandez C, Halaby C, et al. The safety of tracheostomy speaking valve use during sleep in children: a pilot study. Am J Otolaryngol, 2014, 35(5): 636-640.
8.	Gross RD, Mahlmann J, and Grayhack JP. Physiologic effects of open and closed tracheostomy tubes on the pharyngeal swallow. Ann Otol Rhinol Laryngol, 2003, 112(2): 143-152.
9.	Hartnick CJ. Validation of a pediatric voice quality-of-life instrument: The pediatric voice outcome survey. Arch Otolaryngol Head Neck Surg, 2002, 128(8): 919-922.
10.	Sutt AL, Cornwell PL, Hay K, et al. Communication success and speaking valve use in intensive care patients receiving mechanical ventilation. Am J Crit Care, 2022, 31(5): 411-415.
11.	Sutt AL, Cornwell P, Mullany D, et al. The use of tracheostomy speaking valves in mechanically ventilated patients results in improved communication and does not prolong ventilation time in cardiothoracic intensive care unit patients. J Crit Care, 2015, 30(3): 491-494.
12.	Ohmae Y, Adachi Z, Isoda Y, et al. Effects of one-way speaking valve placement on swallowing physiology for tracheostomized patients: impact on laryngeal clearance. Nihon Jibiinkoka Gakkai Kaiho, 2006, 109(7): 594-599.
13.	Lichtman SW, Birnbaum IL, Sanfilippo MR, et al. Effect of a tracheostomy speaking valve on secretions, arterial oxygenation, and olfaction: a quantitative evaluation. J Speech Hear Res, 1995, 38(3): 549-555.
14.	Han X, Ye Q, Meng Z, et al. Biomechanical mechanism of reduced aspiration by the passy-muir valve in tracheostomized patients following acquired brain injury: evidences from subglottic pressure. Front Neurosci, 2022, 16: 1004013.
15.	Petekkaya E, Yucel AH, and Surmelioglu O. Evaluation of the supraglottic and subglottic activities including acoustic assessment of the opera-chant singers. J Voice, 2019, 33(2): 255 e251-255 e257.
16.	Ongkasuwan J, Turk CL, Rappazzo CA, et al. The effect of a speaking valve on laryngeal aspiration and penetration in children with tracheotomies. Laryngoscope, 2014, 124(6): 1469-1474.
17.	Suiter DM, Mccullough GH, and Powell PW. Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology. Dysphagia, 2003, 18(4): 284-292.
18.	Gipsman A, Prero M, Toltzis P, et al. Tracheobronchitis in children with tracheostomy tubes: overview of a challenging problem. Pediatr Pulmonol, 2022, 57(4): 814-821.
19.	王浩, 姜宏英, 席家宁, 等. 语音阀对气管切开患者肺通气影响的临床研究. 临床肺科杂志, 2024, 29(12): 1789-1803.
20.	Sutt AL, Caruana LR, Dunster KR, et al. Speaking valves in tracheostomised icu patients weaning off mechanical ventilation-do they facilitate lung recruitment?. Crit Care, 2016, 20(1): 91.
21.	Sutt AL, Anstey CM, Caruana LR, et al. Ventilation distribution and lung recruitment with speaking valve use in tracheostomised patient weaning from mechanical ventilation in intensive care. J Crit Care, 2017, 40: 164-170.
22.	Ceron C, Otto D, Signorini AV, et al. The effect of speaking valves on icu mobility of individuals with tracheostomy. Respir Care, 2020, 65(2): 144-149.
23.	O'connor LR, Morris N, and Paratz J. The safety and efficacy of prolonged use of one-way speaking valves. Aust Crit Care, 2021, 34(4): 319-326.
24.	Sutt AL, Hay K, Kinneally T, et al. Sedatives, analgesics and antipsychotics in tracheostomised icu patients - is less more?. Aust Crit Care, 2020, 33(5): 407-411.
25.	Zhou T, Wang J, Zhang C, et al. Tracheostomy decannulation protocol in patients with prolonged tracheostomy referred to a rehabilitation hospital: a prospective cohort study. J Intensive Care, 2022, 10(1): 34.
26.	Elpern EH, Borkgren Okonek M, Bacon M, et al. Effect of the passy-muir tracheostomy speaking valve on pulmonary aspiration in adults. Heart Lung, 2000, 29(4): 287-293.
27.	Passy V. Passy-muir tracheostomy speaking valve. Otolaryngol Head Neck Surg, 1986, 95(2): 247-248.
28.	Shikani AH, Miller AC, and Elamin EM. Experimental assessment and future applications of the shikani tracheostomy speaking valve. Am J Speech Lang Pathol, 2015, 24(4): 733-738.
29.	Buckland A, Jackson L, Ilich T, et al. Drilling speaking valves to promote phonation in tracheostomy-dependent children. Laryngoscope, 2012, 122(10): 2316-2322.
30.	Zuur JK, Muller SH, De Jongh FH, et al. The physiological rationale of heat and moisture exchangers in post-laryngectomy pulmonary rehabilitation: a review. Eur Arch Otorhinolaryngol, 2006, 263(1): 1-8.
31.	Hilgers FJ, Aaronson NK, Ackerstaff AH, et al. The influence of a heat and moisture exchanger (HME) on the respiratory symptoms after total laryngectomy. Clin Otolaryngol Allied Sci, 1991, 16(2): 152-156.
32.	Parrilla C, Minni A, Bogaardt H, et al. Pulmonary rehabilitation after total laryngectomy: a multicenter time-series clinical trial evaluating the provox xtrahme in HME-naive patients. Ann Otol Rhinol Laryngol, 2015, 124(9): 706-713.
33.	Hilgers FJ, Ackerstaff AH, Van As CJ, et al. Development and clinical assessment of a heat and moisture exchanger with a multi-magnet automatic tracheostoma valve (provox freehands HME) for vocal and pulmonary rehabilitation after total laryngectomy. Acta Otolaryngol, 2003, 123(1): 91-99.
34.	Lansaat L, De Kleijn BJ, Hilgers FJ, et al. A prospective multicenter clinical feasibility study of a new automatic speaking valve for postlaryngectomy voice rehabilitation. Eur Arch Otorhinolaryngol, 2017, 274(2): 1005-1013.
35.	De Kleijn BJ, Van as-Brooks CJ, Wedman J, et al. Clinical feasibility study of protrach dualcare a new speaking valve with heat and moisture exchanger for tracheotomized patients. Laryngoscope Investig Otolaryngol, 2017, 2(6): 453-458.
36.	Pandian V, Boisen SE, Mathews S, et al. Are fenestrated tracheostomy tubes still valuable?. Am J Speech Lang Pathol, 2019, 28(3): 1019-1028.
37.	Brooks L, Figueroa J, Edwards T, et al. Passy muir valve tolerance in medically complex infants and children: Are there predictors for success?. Laryngoscope, 2020, 130(11): E632-E639.
38.	Martin KA, Cole TDK, Percha CM, et al. Standard versus accelerated speaking valve placement after percutaneous tracheostomy: a randomized controlled feasibility study. Ann Am Thorac Soc, 2021, 18(10): 1693-1701.
39.	Cartaya R, Rizvi SAA, Manara V, et al. Ferrer adjustable speaking valve for early phonation in a deconditioned patient. Cureus, 2024, 16(6): e62081.
40.	Longobardi Y, D'alatri L, Brandi VF, et al. Automatic speaking valve in tracheo-esophageal speech: treatment proposal for a widespread usage. Eur Arch Otorhinolaryngol, 2024, 281(6): 3197-3205.
41.	Adam SI, Srinet P, Aronberg RM, et al. Verbal communication with the blom low profile and passy-muir one-way tracheotomy tube speaking valves. J Commun Disord, 2015, 56(0): 40-46.
42.	Mussa CC, Gomaa D, Rowley DD, et al. Aarc clinical practice guideline: management of adult patients with tracheostomy in the acute care setting. Respir Care, 2021, 66(1): 156-169.
43.	Young A, Walsh K, Ida J, et al. Transtracheal pressure for evaluation of decannulation readiness. Laryngoscope, 2024, 134(7): 3377-3383.
44.	Li J, Perez A, Schehl J, et al. The association between upper airway patency and speaking valve trial tolerance for patients with tracheostomy: a clinical retrospective study and an in vitro study. Am J Speech Lang Pathol, 2021, 30(4): 1728-1736.
45.	Egbers PH, Sutt AL, Petersson JE, et al. High-flow via a tracheostomy tube and speaking valve during weaning from mechanical ventilation and tracheostomy. Acta Anaesthesiol Scand, 2023, 67(10): 1403-1413.
46.	Shikani AH, Elamin EM, and Miller AC. The shikani HME: a new tracheostomy heat and moisture exchanger. J Speech Lang Hear Res, 2020, 63(9): 2921-2929.
47.	Kress P and Pfeiffer K. Tracheostoma valves and their associated risks. HNO, 2021, 69(1): 22-25.
48.	Selleng S, Antal M, Hansen T, et al. Pneumothorax and cardiac arrest caused by speaking valve mistaken as moisture exchanger: An incident report. Br J Anaesth, 2013, 111(2): 297-298.
49.	Hess DR and Altobelli NP. Tracheostomy tubes. Respir Care, 2014, 59(6): 956-971.
50.	Johnson DC, Campbell SL, and Rabkin JD. Tracheostomy tube manometry: Evaluation of speaking valves, capping and need for downsizing. Clin Respir J, 2009, 3(1): 8-14.
51.	Pandian V, Cole T, Kilonsky D, et al. Voice-related quality of life increases with a talking tracheostomy tube: a randomized controlled trial. Laryngoscope, 2020, 130(5): 1249-1255.
52.	O'connor LR, Morris NR, and Paratz J. Physiological and clinical outcomes associated with use of one-way speaking valves on tracheostomised patients: a systematic review. Heart Lung, 2019, 48(4): 356-364.
53.	郑立, 陈彩明, 戴小英, 等. 说话瓣膜在脑卒中后气管切开患者肺康复中的临床应用研究. 中国呼吸与危重监护杂志, 2020, 19(4): 422-424.

1. Freeman-Sanderson AL, Togher L, Elkins MR, et al. Return of voice for ventilated tracheostomy patients in ICU: a randomized controlled trial of early-targeted intervention. Crit Care Med, 2016, 44(6): 1075-1081.
2. Frutos-Vivar F, Esteban A, Apezteguia C, et al. Outcome of mechanically ventilated patients who require a tracheostomy. Crit Care Med, 2005, 33(2): 290-298.
3. Lian S, Teng L, Mao Z, et al. Clinical utility and future direction of speaking valve: A review. Front Surg, 2022, 9: 913147.
4. Freeman-Sanderson AL, Togher L, Elkins M, et al. Quality of life improves for tracheostomy patients with return of voice: A mixed methods evaluation of the patient experience across the care continuum. Intensive Crit Care Nurs, 2018, 46: 10-16.
5. Durbin CG, Jr. Tracheostomy: why, when, and how?. Respir Care, 2010, 55(8): 1056-1068.
6. Passy V, Baydur A, Prentice W, et al. Passy-muir tracheostomy speaking valve on ventilator-dependent patients. Laryngoscope, 1993, 103(6): 653-658.
7. Barraza GY, Fernandez C, Halaby C, et al. The safety of tracheostomy speaking valve use during sleep in children: a pilot study. Am J Otolaryngol, 2014, 35(5): 636-640.
8. Gross RD, Mahlmann J, and Grayhack JP. Physiologic effects of open and closed tracheostomy tubes on the pharyngeal swallow. Ann Otol Rhinol Laryngol, 2003, 112(2): 143-152.
9. Hartnick CJ. Validation of a pediatric voice quality-of-life instrument: The pediatric voice outcome survey. Arch Otolaryngol Head Neck Surg, 2002, 128(8): 919-922.
10. Sutt AL, Cornwell PL, Hay K, et al. Communication success and speaking valve use in intensive care patients receiving mechanical ventilation. Am J Crit Care, 2022, 31(5): 411-415.
11. Sutt AL, Cornwell P, Mullany D, et al. The use of tracheostomy speaking valves in mechanically ventilated patients results in improved communication and does not prolong ventilation time in cardiothoracic intensive care unit patients. J Crit Care, 2015, 30(3): 491-494.
12. Ohmae Y, Adachi Z, Isoda Y, et al. Effects of one-way speaking valve placement on swallowing physiology for tracheostomized patients: impact on laryngeal clearance. Nihon Jibiinkoka Gakkai Kaiho, 2006, 109(7): 594-599.
13. Lichtman SW, Birnbaum IL, Sanfilippo MR, et al. Effect of a tracheostomy speaking valve on secretions, arterial oxygenation, and olfaction: a quantitative evaluation. J Speech Hear Res, 1995, 38(3): 549-555.
14. Han X, Ye Q, Meng Z, et al. Biomechanical mechanism of reduced aspiration by the passy-muir valve in tracheostomized patients following acquired brain injury: evidences from subglottic pressure. Front Neurosci, 2022, 16: 1004013.
15. Petekkaya E, Yucel AH, and Surmelioglu O. Evaluation of the supraglottic and subglottic activities including acoustic assessment of the opera-chant singers. J Voice, 2019, 33(2): 255 e251-255 e257.
16. Ongkasuwan J, Turk CL, Rappazzo CA, et al. The effect of a speaking valve on laryngeal aspiration and penetration in children with tracheotomies. Laryngoscope, 2014, 124(6): 1469-1474.
17. Suiter DM, Mccullough GH, and Powell PW. Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology. Dysphagia, 2003, 18(4): 284-292.
18. Gipsman A, Prero M, Toltzis P, et al. Tracheobronchitis in children with tracheostomy tubes: overview of a challenging problem. Pediatr Pulmonol, 2022, 57(4): 814-821.
19. 王浩, 姜宏英, 席家宁, 等. 语音阀对气管切开患者肺通气影响的临床研究. 临床肺科杂志, 2024, 29(12): 1789-1803.
20. Sutt AL, Caruana LR, Dunster KR, et al. Speaking valves in tracheostomised icu patients weaning off mechanical ventilation-do they facilitate lung recruitment?. Crit Care, 2016, 20(1): 91.
21. Sutt AL, Anstey CM, Caruana LR, et al. Ventilation distribution and lung recruitment with speaking valve use in tracheostomised patient weaning from mechanical ventilation in intensive care. J Crit Care, 2017, 40: 164-170.
22. Ceron C, Otto D, Signorini AV, et al. The effect of speaking valves on icu mobility of individuals with tracheostomy. Respir Care, 2020, 65(2): 144-149.
23. O'connor LR, Morris N, and Paratz J. The safety and efficacy of prolonged use of one-way speaking valves. Aust Crit Care, 2021, 34(4): 319-326.
24. Sutt AL, Hay K, Kinneally T, et al. Sedatives, analgesics and antipsychotics in tracheostomised icu patients - is less more?. Aust Crit Care, 2020, 33(5): 407-411.
25. Zhou T, Wang J, Zhang C, et al. Tracheostomy decannulation protocol in patients with prolonged tracheostomy referred to a rehabilitation hospital: a prospective cohort study. J Intensive Care, 2022, 10(1): 34.
26. Elpern EH, Borkgren Okonek M, Bacon M, et al. Effect of the passy-muir tracheostomy speaking valve on pulmonary aspiration in adults. Heart Lung, 2000, 29(4): 287-293.
27. Passy V. Passy-muir tracheostomy speaking valve. Otolaryngol Head Neck Surg, 1986, 95(2): 247-248.
28. Shikani AH, Miller AC, and Elamin EM. Experimental assessment and future applications of the shikani tracheostomy speaking valve. Am J Speech Lang Pathol, 2015, 24(4): 733-738.
29. Buckland A, Jackson L, Ilich T, et al. Drilling speaking valves to promote phonation in tracheostomy-dependent children. Laryngoscope, 2012, 122(10): 2316-2322.
30. Zuur JK, Muller SH, De Jongh FH, et al. The physiological rationale of heat and moisture exchangers in post-laryngectomy pulmonary rehabilitation: a review. Eur Arch Otorhinolaryngol, 2006, 263(1): 1-8.
31. Hilgers FJ, Aaronson NK, Ackerstaff AH, et al. The influence of a heat and moisture exchanger (HME) on the respiratory symptoms after total laryngectomy. Clin Otolaryngol Allied Sci, 1991, 16(2): 152-156.
32. Parrilla C, Minni A, Bogaardt H, et al. Pulmonary rehabilitation after total laryngectomy: a multicenter time-series clinical trial evaluating the provox xtrahme in HME-naive patients. Ann Otol Rhinol Laryngol, 2015, 124(9): 706-713.
33. Hilgers FJ, Ackerstaff AH, Van As CJ, et al. Development and clinical assessment of a heat and moisture exchanger with a multi-magnet automatic tracheostoma valve (provox freehands HME) for vocal and pulmonary rehabilitation after total laryngectomy. Acta Otolaryngol, 2003, 123(1): 91-99.
34. Lansaat L, De Kleijn BJ, Hilgers FJ, et al. A prospective multicenter clinical feasibility study of a new automatic speaking valve for postlaryngectomy voice rehabilitation. Eur Arch Otorhinolaryngol, 2017, 274(2): 1005-1013.
35. De Kleijn BJ, Van as-Brooks CJ, Wedman J, et al. Clinical feasibility study of protrach dualcare a new speaking valve with heat and moisture exchanger for tracheotomized patients. Laryngoscope Investig Otolaryngol, 2017, 2(6): 453-458.
36. Pandian V, Boisen SE, Mathews S, et al. Are fenestrated tracheostomy tubes still valuable?. Am J Speech Lang Pathol, 2019, 28(3): 1019-1028.
37. Brooks L, Figueroa J, Edwards T, et al. Passy muir valve tolerance in medically complex infants and children: Are there predictors for success?. Laryngoscope, 2020, 130(11): E632-E639.
38. Martin KA, Cole TDK, Percha CM, et al. Standard versus accelerated speaking valve placement after percutaneous tracheostomy: a randomized controlled feasibility study. Ann Am Thorac Soc, 2021, 18(10): 1693-1701.
39. Cartaya R, Rizvi SAA, Manara V, et al. Ferrer adjustable speaking valve for early phonation in a deconditioned patient. Cureus, 2024, 16(6): e62081.
40. Longobardi Y, D'alatri L, Brandi VF, et al. Automatic speaking valve in tracheo-esophageal speech: treatment proposal for a widespread usage. Eur Arch Otorhinolaryngol, 2024, 281(6): 3197-3205.
41. Adam SI, Srinet P, Aronberg RM, et al. Verbal communication with the blom low profile and passy-muir one-way tracheotomy tube speaking valves. J Commun Disord, 2015, 56(0): 40-46.
42. Mussa CC, Gomaa D, Rowley DD, et al. Aarc clinical practice guideline: management of adult patients with tracheostomy in the acute care setting. Respir Care, 2021, 66(1): 156-169.
43. Young A, Walsh K, Ida J, et al. Transtracheal pressure for evaluation of decannulation readiness. Laryngoscope, 2024, 134(7): 3377-3383.
44. Li J, Perez A, Schehl J, et al. The association between upper airway patency and speaking valve trial tolerance for patients with tracheostomy: a clinical retrospective study and an in vitro study. Am J Speech Lang Pathol, 2021, 30(4): 1728-1736.
45. Egbers PH, Sutt AL, Petersson JE, et al. High-flow via a tracheostomy tube and speaking valve during weaning from mechanical ventilation and tracheostomy. Acta Anaesthesiol Scand, 2023, 67(10): 1403-1413.
46. Shikani AH, Elamin EM, and Miller AC. The shikani HME: a new tracheostomy heat and moisture exchanger. J Speech Lang Hear Res, 2020, 63(9): 2921-2929.
47. Kress P and Pfeiffer K. Tracheostoma valves and their associated risks. HNO, 2021, 69(1): 22-25.
48. Selleng S, Antal M, Hansen T, et al. Pneumothorax and cardiac arrest caused by speaking valve mistaken as moisture exchanger: An incident report. Br J Anaesth, 2013, 111(2): 297-298.
49. Hess DR and Altobelli NP. Tracheostomy tubes. Respir Care, 2014, 59(6): 956-971.
50. Johnson DC, Campbell SL, and Rabkin JD. Tracheostomy tube manometry: Evaluation of speaking valves, capping and need for downsizing. Clin Respir J, 2009, 3(1): 8-14.
51. Pandian V, Cole T, Kilonsky D, et al. Voice-related quality of life increases with a talking tracheostomy tube: a randomized controlled trial. Laryngoscope, 2020, 130(5): 1249-1255.
52. O'connor LR, Morris NR, and Paratz J. Physiological and clinical outcomes associated with use of one-way speaking valves on tracheostomised patients: a systematic review. Heart Lung, 2019, 48(4): 356-364.
53. 郑立, 陈彩明, 戴小英, 等. 说话瓣膜在脑卒中后气管切开患者肺康复中的临床应用研究. 中国呼吸与危重监护杂志, 2020, 19(4): 422-424.

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语音阀在气管切开患者中的临床应用和研究进展

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