氣切病人之發聲器原理與應用

使用氣切管的病人，雖可維持其呼吸道通暢，以達成適當的通氣與氧合能力，但同時卻喪失了發聲的功能，常會因無法以言語與外界溝通及表達個人意見而有挫折感。發聲器材的設計是為了滿足氣切病人發聲的需求，臨床可使用的包括發聲閥、說話式氣切管、無充氣氣囊氣切管等，可協助其講話，進而能表達與溝通、改善嗅覺與吞嚥能力、幫助咳痰，減少抽痰次數與感染比率，可使用於自行呼吸及使用呼吸器的氣切病人，提升其生活品質，使用於兒童病患可協助其成長發展與社會學習。常見的各類氣切病人發聲器材的設計原理與臨床應用也各不相同，呼吸治療師對此些產品之適應症及注意事項應有所瞭解，才能提供完善的照護。

關鍵字

氣切；發聲閥；說話式氣切管

並列摘要

In patient of using the tracheostomy, the main objectives of patients of using tracheostomy tube is to maintain airway patency and establishment of appropriate ventilation and oxygenation. At the same time also the loss of vocal function and not through speech to communicate with the outside world and expression of individual will. That tracheostomy patient also will be the frustration about unable to attend of their health care by themselves. The speech device design is satisfied the demand of the tracheostomy patient cannot voice, and help tracheostomy patients speech, and thus promote expression by himself and communication, improve the ability of smell and swallow, help cough, reduce the number of suction and the infection rate, improve the quality of life, and help the growth of neonatal and pediatric development and social learning. The speech equipment for tracheostomy patients of clinical application and design idea is also different. The respiratory therapists must pay attention to the product indications and precautions in order to provide complete care. The review article shows an important of discussion with the theorem and clinical application of using speech device in mechanical ventilation and natural breathing tracheostomy patients, and to provide some information in clinical care of patients with tracheostomy.

並列關鍵字

Tracheostomy ； speaking valve ； talking tracheostomy tube

國際替代計量

氣切病人之發聲器原理與應用

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