目的：分析基于知识图谱的围手术期多元化康复管理在达芬奇机器人辅助肺癌切除术中的应用。 方法：选取2021年2月—2024年2月在同济大学附属上海市肺科医院拟行达芬奇机器人辅助肺癌切除术的118例患者， 采用随机数字表法将其分为试验组（n=59，基于知识图谱的围手术期多元化康复管理干预）和对照组（n=59，常规 干预）。比较两组患者临床指标、疼痛视觉模拟（VAS）评分、负性情绪 [ 焦虑自评量表（SAS）、抑郁自评量表（SDS）] 及疾病认知评分。结果：较对照组而言，试验组术后卧床时间、排气时间、胸管滞留时间、抗生素应用时间、整体 住院时间更短（P<0.05）。术后 1 d、3 d，试验组的 VAS 评分均较对照组明显更低，术后 3 d、5 d，试验组的 SAS、 SDS 评分均较对照组更低（P<0.05）。干预后试验组各项评分及总分更高（P<0.05）。结论：基于知识图谱的围手术 期多元化康复管理可显著提高达芬奇机器人辅助肺癌切除术患者康复效率，改善疼痛与负性情绪，增加患者对疾病 了解程度。

Objective: To analyze the application effect of diversified rehabilitation nursing in the perioperative period of Da Vinci robot-assisted lung resection based on knowledge graph. Methods: A total of 118 lung cancer patients who underwent Da Vinci robot-assisted lung resection in Shanghai Pulmonary hospital from February 2021 to February 2024 were selected. They were divided into the experimental group (n=59) and the control group (n=59). The experimental group received diversified rehabilitation management based on knowledge graph, while the control group received routine nursing intervention. Clinical indicators, visual analogue scale (VAS) score, self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score and disease cognitive score of patients in the two groups were compared. Results: Compared with the control group, time in bed after surgery, first time to exhaust, chest tube retention time, antibiotic using time and length of hospital stay in the experimental group were shorter (P<0.05). VAS scores of the experimental group were significantly lower than those of the control group 1 and 3 days after surgery, SAS and SDS scores of the experimental group were lower than those of the control group 3 and 5 days after surgery (P<0.05). After intervention, different scores and total scores of the experimental group were higher than those of the control group (P<0.05). Conclusion: Diversified rehabilitation management based on knowledge graph in the perioperative period of robot-assisted lung resection can significantly improve the rehabilitation efficiency of patients, lower pain level, improve negative emotions, and increase their cognitive level on the disease.

收稿日期：2024-04-28  录用日期：2024-05-27 

Received Date: 2024-04-28  Accepted Date: 2024-05-27 

基金项目：上海市科技计划项目（22DZ2302911） 

Foundation Item: Science and Technology Plan Project of Shanghai (22DZ2302911) 

通讯作者：刘菁，Email：liuqing831@126.com 

Corresponding Author: LIU Jing, Email: liuqing831@126.com 

引用格式：姜欢，刘菁 . 基于知识图谱的机器人辅助肺癌切除术多元化康复管理 [J]. 机器人外科学杂志（中英文），2024，5（6）： 1225-1230. 

Citation: JIANG H, LIU J. Diversified rehabilitation management in robot-assisted lung resection based on knowledge graph[J]. Chinese Journal of Robotic Surgery, 2024, 5(6): 1225-1230.

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