stroke
Conditions
Interventions
Experimental group1:Stimulate the base of the tongue
Experimental group2:stimulation of the trachea
Control group:stimulation of diaphragm
Sponsors
Beijing Xiaotangshan Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Conform to the diagnostic criteria for stroke in the 2016 Chinese Guidelines and Consensus on the Diagnosis and Treatment of Cerebrovascular Diseases formulated by the neurology Branch of the Chinese Medical Association, and confirmed as supratentorial injury through skull CT or MRI examination; Including cortical damage, basal ganglia damage, etc; 2. The patient can 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 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;SCSS;Sputum viscosity; | — |
Countries
china
Contacts
Public ContactWu Liang
Beijing Xiaotangshan Hospital
Outcome results
None listed