Chinese General Practice ›› 2025, Vol. 28 ›› Issue (18): 2193-2204.DOI: 10.12114/j.issn.1007-9572.2024.0686

Special Issue: 指南/共识最新文章合辑

• Guidelines·Consensus •     Next Articles

Expert Consensus on the Clinical Application of Speaking Valves 2025

  

  • Received:2024-12-02 Revised:2025-03-10 Published:2025-06-20 Online:2025-04-25
  • Supported by:
    The Talent Training Project of the Three-Year Action Plan for Strengthening Public Health System Construction in Shanghai(2023-2025) (GWVI-11.2-XD36): Theoretical Exploration on Improving the Capacity for Severe Case Treatment by Integrating Routine and Emergency Care Based on the Construction of Sub-Intensive Care Units

语音阀临床应用专家共识(2025版)

  

  • 基金资助:
    上海市加强公共卫生体系建设三年行动计划(2023-2025年)人才培养项目(GWVI-11.2-XD36)“基于亚重症单元建设完善平急结合重症救治能力的理论探索”

Abstract:

The speaking valve, a one-way device that restores physiological airflow, provides significant benefits for tracheostomy patients by enhancing phonation, swallowing, airway clearance, and psychological health. It also supports weaning from mechanical ventilation and promotes decannulation. However, inconsistent application in China poses potential risks. To address this, Chinese Association of Medical Rescue, Critical Care Branch, Chinese Medical Education Association, Critical Care Rehabilitation Branch jointly developed an expert consensus on the clinical application of speaking valves. This consensus includes 19 recommendations covering patient eligibility, device selection, operational protocols, adverse event management, and multidisciplinary team training. By emphasizing standardized assessment, timely monitoring, and collaborative practice, it seeks to ensure the safe and effective use of speaking valves in tracheostomy patient rehabilitation.

Key words: Tracheostomy, Speaking valve, Phonation, Swallowing, Airway clearance, Rehabilitation

摘要:

语音阀是一种通过单向阀门恢复生理气流路径的辅助装置,能够改善气管切开患者的发声、吞咽、气道廓清以及心理状态,有助于加速脱机与拔管进程。然而,目前国内语音阀应用尚不规范,存在一定风险。因此,中国医学救援协会重症医学分会、中国医药教育协会重症康复专业委员会联合制定了语音阀临床应用专家共识,共识共有19条建议,全面覆盖语音阀的适用人群、设备种类、使用流程、不良事件管理以及多学科团队培训等方面内容。本共识强调规范化评估和操作、及时监测及团队合作的重要性,期望推动语音阀在气管切开术患者康复中的安全和有效应用。

关键词: 气管切开, 语音阀, 发声, 吞咽, 气道廓清, 康复