stroke
Conditions
Interventions
Experimental group 1:Stimulate the base of the tongue
Experimental group 2:stimulation of the trachea
Experimental group 3:stimulation of diaphragm
Sponsors
Beijing Xiaotangshan Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 75 Years
Inclusion criteria
Inclusion criteria: ?1.Conforming to the diagnostic and classification criteria for stroke injury in the 2015 edition of the Chinese Classification of Cerebrovascular Diseases, confirmed as brainstem injury through head CT or MRI examination, with the first onset and a course of = 3 months; 2. Patients are able to understand and follow simple oral instructions (MMSE score: above middle school>24 points, primary school>20 points, illiteracy>17 points); 3.Between the ages of 40 and 75; 4. First onset within 3 months; 5. Cough peak flow rate<270L/min; 6.The patient and their family members are willing to receive bedside assisted cough training and sign an informed consent form.
Exclusion criteria
Exclusion criteria: 1. Individuals with a history of epilepsy and severe failure of important organs such as the heart, lungs, liver, and kidneys; 2. Patients with bronchopleural fistula, pneumothorax, pulmonary hemorrhage, and hemoptysis; 3. The patient and their family members do not receive treatment; 4. There are other neurological, respiratory, and orthopedic diseases that affect cough function, such as phrenic nerve injury, asthma, rib fractures and Severe osteoporosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cough Peak Expiratory Flow; | — |
Secondary
| Measure | Time frame |
|---|---|
| Bilateral diaphragmatic thickness;Bilateral diaphragm thickness fraction;Bilateral diaphragm mobility;forced vital capacity;FEV1%;FEV1/FVC;arterial blood gas analysis;semiquantitative cough intensity score;Sputum viscosity; | — |
Countries
China
Contacts
Public ContactWu Liang
Beijing Xiaotangshan Hospital
Outcome results
None listed