{
  "abstract": "目的: 评估数字驱动的心脏康复对经导管主动脉瓣置换术（TAVR）患者临床结局的影响。\n\n方法: 回顾性分析2013年3月至2023年1月在浙江大学医学院附属第二医院接受TAVR治疗的1012例患者的资料，其中采用传统围手术期管理和康复方案患者为对照组，采用数字驱动的心脏康复方案（涵盖术前筛选及功能准备、术中适应性评估、术后阶梯式康复管理及居家智能康复）患者为观察组。采用倾向评分匹配校正基线混杂偏倚，比较两组术后重症监护室（ICU）住院时间及总住院时间，术后30 d、1年和2年心脑血管不良事件发生率及功能评估指标（五米往返试验时间、六分钟步行试验距离、Katz指数）。\n\n结果: 倾向评分匹配后两组各251例患者。与对照组比较，观察组术后ICU住院时间［分别为0（0，1）和0（0，0）h，P<0.01］、术后总住院时间［分别为8（7，11）和3（1，7）d，P<0.01］缩短；观察组在术后30 d、1年、2年心脑血管不良事件发生率未升高；观察组术后30 d、1年、2年五米往返试验时间缩短（均P<0.01），六分钟步行试验距离和Katz指数两组间差异无统计学意义（均P>0.05）。\n\n结论: 数字驱动的心脏康复方案可缩短TAVR患者住院时间、改善部分功能结局，且未增加心脑血管不良事件。本研究已在美国国立医学图书馆临床试验注册中心注册（NCT02803294）。",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "name": "丹燕 杨",
      "orcid": "0009-0003-8560-5681"
    },
    {
      "name": "飞宇 吴",
      "orcid": "0009-0007-6929-0674"
    },
    {
      "name": "齐丰 朱"
    },
    {
      "name": "扬 湛"
    },
    {
      "name": "越 毛"
    },
    {
      "name": "先宝 刘",
      "orcid": "0000-0003-1556-9198"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6d1hekf7729hh.bib",
  "cited_by": 0,
  "doi": "10.3724/zdxbyxb-2026-0179",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13722844/",
  "id": "6d1hekf7729hh",
  "issns": [
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  "landing_url": "https://doi.org/10.3724/zdxbyxb-2026-0179",
  "language": "zh",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Articles"
    ],
    [
      "heading",
      "R473.5"
    ],
    [
      "heading",
      "a"
    ],
    [
      "openalex",
      "2705|Cardiac Valve Diseases and Treatments"
    ]
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  "openalex": "W7208755891",
  "pdf_url": null,
  "pmcid": "PMC13722844",
  "pmid": "42695202",
  "published": "2026-09-03",
  "publisher": "Zhejiang University Press",
  "ris": "https://research.draconitic.com/paper/6d1hekf7729hh.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T12:21:35Z",
      "native_id": "PMC13722844",
      "source": "pmc",
      "url": "https://doi.org/10.3724/zdxbyxb-2026-0179"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "数字驱动的心脏康复方案对经导管主动脉瓣置换术患者临床结局的影响",
  "title_text": "数字驱动的心脏康复方案对经导管主动脉瓣置换术患者临床结局的影响",
  "type": "peer-reviewed",
  "updated_at": "2026-11-04T12:21:35Z",
  "url": "https://research.draconitic.com/paper/6d1hekf7729hh",
  "venue": "Journal of Zhejiang University (Medical Sciences)",
  "versions": []
}