基于衰弱评估指导下的关怀干预模式对机器人辅助心脏手术患者远期生存率及心肺功能重建的影响

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中图分类号R654 R473.6 文献标识码A 文章编号 2096-7721（2026）01-0133-07

AbstractObjective：Toinvestigate thefrailtyasessment-guided care intervention modelonlong-term survivalrateand cardiopulmonaryfunctionrecovery inpatientsundergoingrobot-asistedcardiacsurgery.Methods：92patientswhouderwntrobotassistedcardiacsurgeryatthFirstAfliatedHospitalofXianJiaotong UniversityfromMay2OtoApril2O22wereenroledThey were divided into the control group （ n =46，receiving routine care） and the study group （ -γ=46 ，receiving frailty assessment-guided care intervention）basedoninterventiontype.Long-termsurvivalrate，ardiopulmonaryfunctionindicators，6-minutewalktst（6MWT）， distancefrailtystatus，andqualityoflifewerecomparedbetwenthetwo groups.Results：Comparedwiththecontrolgroup，thestudy group has significantly higher survival rates at 1，2，and 3 years after surgery （P<0.05） .Compared with that before intervention，both groups showed significant improvements in FEV1 FEV1% ，anaerobic threshold （AT），and VO2max after intervention （ P <0.05），and the studygroupshowedsignificantlyhigherlevelsoftheseindicatorsat3and6monthsafter interventionthanthecontrolgroup（ P<0.05）After intervention， 6MWT distance increased in the two groups （ P <0.05）， with the study group achieving significantly longer distances at 3 and 6 months after intervention than the control group （ P <0.05）.FRAIL and clinical frailty scale （CFS） scores were significantly decreased in both groups after intervention P <0.05），with the study group showing significantly lower scores than the control group at 3 and 6 months after intervention （P<0.05） . The Seattle angina questionnaire （SAQ） scores increased significantly in both groups after intervention （P<0.05） ，and the study group scored significantly higher than the control group at 3 and 6 months after intervention （P<0.05） .Conclusion：Compared with routinecare，thefrailtyassessment-guidedcare interventionhassuperioreficacyinpatients undergoingrobot-asistedcardiacsurgerywhichcansignificantlyimprovelong-tesurvivalrate，promoteardiopulmonaryfuction recovery，alleviate frailty，and enhance quality of life.

KeyworsobotasstedCdiacurery;Frailtyeset;CareIteon;LgurialRate;CaolmorFtio

随着人口老龄化和心血管疾病负担的加重，接受心脏手术的高龄患者比例显著增加。（剩余11677字）