17例机器人辅助经导管二尖瓣缘对缘修复术患者的护理

doi:10.3761/j.issn.0254-1769.2026.18.013

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (18): 2545-2550.DOI: 10.3761/j.issn.0254-1769.2026.18.013

17例机器人辅助经导管二尖瓣缘对缘修复术患者的护理

王玉丽¹(), 郑亚敏¹, 温红梅², 许娇阳², 范维英³, 陈媛⁴, 吴林静⁵^,^*()

¹ 厦门大学附属心血管病医院冠心病监护病房厦门市 361000
² 厦门大学附属心血管病医院介入诊疗中心厦门市 361000
³ 厦门大学附属心血管病医院心外二科厦门市 361000
⁴ 厦门大学附属心血管病医院党委办公室厦门市 361000
⁵ 厦门大学附属心血管病医院护理部厦门市 361000

收稿日期:2026-02-24 出版日期:2026-09-20 发布日期:2026-09-23
*通讯作者: *吴林静，E-mail：3620883@qq.com
作者简介:王玉丽：女，本科，副主任护师，E-mail：397874587@qq.com
第一联系人：作者贡献声明
王玉丽：临床资料收集、数据整理、文献检索、论文撰写与修改；郑亚敏、温红梅、许娇阳、范维英：临床资料收集、数据整理；陈媛：质量控制；吴林静：选题构思、文献检索、论文审阅与修改

Nursing care for 17 patients undergoing robotic-assisted transcatheter mitral valve edge-to-edge repair

WANG Yuli¹(), ZHENG Yamin¹, WEN Hongmei², XU Jiaoyang², FAN Weiying³, CHEN Yuan⁴, WU Linjing⁵^,^*()

¹ Coronary Care Unit， Xiamen Cardiovascular Hospital Xiamen University， Xiamen 361000， China
² Interventional Radiology Center， Xiamen Cardiovascular Hospital Xiamen University， Xiamen 361000， China
³ Cardiac Surgery Division 2， Xiamen Cardiovascular Hospital Xiamen University， Xiamen 361000， China
⁴ Party Committee Office of the Hospital， Xiamen Cardiovascular Hospital Xiamen University， Xiamen 361000， China
⁵ Department of Nursing， Xiamen Cardiovascular Hospital Xiamen University， Xiamen 361000， China

Received:2026-02-24 Online:2026-09-20 Published:2026-09-23
* Corresponding author: *WU Linjing，E-mail：3620883@qq.com

摘要/Abstract

摘要：

总结17例机器人辅助经导管二尖瓣缘对缘修复术患者的围手术期护理经验。护理要点：术前护理包括多维阶梯式容量管理、基于衰弱靶点的预康复、技术焦虑的解构与干预；术中护理包括空间布局与体位管理、无菌化处理、协同多学科监测、应急保障；术后护理包括早期康复分级管理、目标导向的血流动力学监测、并发症观察。经过多学科团队的治疗与护理，17例住院时间为（12.47±5.82）d，均顺利康复出院，恢复良好。

关键词: 经导管二尖瓣缘对缘瓣膜修复术, 机器人辅助, 二尖瓣反流, 围手术期护理

Abstract:

To summarize the perioperative nursing experience of 17 patients with robot-assisted transcatheter mitral edge-to-edge repair. Key nursing points are as follows. Preoperative care includes multidimensional stepwise volume management，pre-rehabilitation based on targeted frailty indicators，and the deconstruction and intervention of anxiety related to the procedure. Intraoperative care includes spatial arrangement and patient positioning，aseptic techniques，collaborative multidisciplinary monitoring，and emergency preparedness. Postoperative care includes tiered management of early rehabilitation，goal-oriented hemodynamic monitoring，and monitoring for complications. After treatment and care by a multidisciplinary team，the 17 patients had a hospital stay of（12.47±5.82） days，and were all discharged smoothly，and recovered well.

Key words: Transcatheter Mitral Edge-To-Edge Repair, Robot-Assisted, Mitral Regurgitation, Perioperative Nursing

王玉丽, 郑亚敏, 温红梅, 许娇阳, 范维英, 陈媛, 吴林静. 17例机器人辅助经导管二尖瓣缘对缘修复术患者的护理[J]. 中华护理杂志, 2026, 61(18): 2545-2550.

WANG Yuli, ZHENG Yamin, WEN Hongmei, XU Jiaoyang, FAN Weiying, CHEN Yuan, WU Linjing. Nursing care for 17 patients undergoing robotic-assisted transcatheter mitral valve edge-to-edge repair[J]. Chinese Journal of Nursing, 2026, 61(18): 2545-2550.

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参考文献 17

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17例机器人辅助经导管二尖瓣缘对缘修复术患者的护理

Nursing care for 17 patients undergoing robotic-assisted transcatheter mitral valve edge-to-edge repair

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