康复机器人辅助早期功能训练对心脏移植术后患者心功能及肢体功能恢复的时效性研究

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中图分类号 R493 R541 文献标识码 A文章编号 2096-7721（2025）12-2091-07

AbstractObecti：Tivestigateteteiessofabilitationbotassstedarlyfunctioaltraiinginestoringardacad function after heart transplantation （HTx）. Methods： 104HTX patients who were treated at our hospital from August 2O22 to March 2025 wereselected.Theywererandomlydividedintotecontrolgroup（n=52）andthexperimentalgroup（n=52）usingtheandomutable method.Tecontrolgroupreceiedonventioalfunctionaltraing，hileteexperimentalgroupunderwentehabiliatnobosiste earlyfuctioaltaig.Tdiferenestwenthtogoupsofntsinaelindtaadacfnctioeftveuladdstolic diameter（LVED），fttricularjtonfrtion（VE），fttriculad-systolicameter（VED），lbuctioassessent （ore]，f-aebilityarthelidex（B]，soloicalatusneersiofDvol scale （CD-RC）sorel，reopeatieconitiosddesevetatesitin3dasosopeativelyeompred.Rsuttero week f rainng，LVEDndLVESDvelssigficantlycreased，ndVEFlevelscreasedintetwgroups，withteeptal group showing better results than the control group （ P <0.05）.After one month of training，FMA scores improved significantly in the two groups， with higher scores in the experimental group than the control group （ P <0.05）.There was no statistically significant difference in BI scores between the two groups before surgery P>0.05 ）. On postoperative days 3，1O，and 15，BI scores increased in the two groups，with higher scores in the experimental group （P<0.05） .Theinteraction effect was significant， with the improvement becoming more pronounced over time.Aftertraining， CD-RISC scores increased inthetwo groups，with higher scores in the experimental group（ P <0.05）. There were nostatisticallysigificantfrencswntetogroupsinpreoperativewaitingtiefotrasplntationitra-aoticalnup （IABP）/extracorporeal membrane oxygenation （ECMO） support rates （P>0.05） .Within 3O days after surgery，the experimental group had lowerincideneratesofdverseevetssuchascutereection，evereifetion，ndreoperatiocomparedtothontrolgouputthe differenceswere not statisticallysignificant （P>0.05） .Conclusion：Rehabilitationrobot-assisted early functional training has significant rehabilitiontsfHtitsItaielroeaacfuctiobuctiodsolicalatusel care ability，reduce incidence rate ofadverse events，with longer training time leading to beter outcomes.

KeyWordsRehabilitationRobot; EarlyFunctionalTraining; HeartTransplantation; Cardiac Function; LimbFunction

心脏移植术（heart transplantation， HTX ）是终末期心脏病患者的有效治疗手段，可显著延长患者生存期并改善生活质量[-2]。（剩余11265字）