【摘要】 目的 系统检索并汇总经导管主动脉瓣置换术（transcatheter aortic valve replacement, TAVR）后早期康复管理的最佳证据，为制定标准化临床康复路径提供依据。方法 系统检索PubMed、Cochrane Library、中国知网、JBI循证卫生保健中心、医脉通、维普数据库、万方数据库、BMJ Best Practice等数据库中关于TAVR术后早期康复管理的指南、专家共识、系统评价和最佳实践，检索时限为建库至2024年12月。文献的质量评价与资料提取由2名研究者独立完成。结果 共纳入10篇文献，包括5篇指南、5篇专家共识，最终形成早期活动、呼吸功能、营养管理、疼痛管理、心功能监测、并发症预防、心理支持7个主题，21条最佳证据。结论 本研究形成的TAVR术后早期康复管理证据集合，为临床转化奠定了资源基础，并为医护人员实施循证康复提供了决策支持。临床工作者应结合患者个体情况合理选择并应用最佳证据，不断更新证据内容，规范康复实践，提高医疗质量。更多还原

【Abstract】 Objective To systematically retrieve and summarize the best evidence for early rehabilitation management after transcatheter aortic valve replacement(TAVR), and to provide reference for establishing standardized clinical rehabilitation pathways.Methods A comprehensive literature search was conducted in databases including PubMed, Cochrane Library, CNKI, Joanna Briggs Institute(JBI) Evidence-Based Healthcare Center, Medlive, VIP Database, Wanfang Database, and BMJ Best Practice for guidelines,expert consensus, systematic reviews and best practices regarding early rehabilitation for post-TAVR patients, with a retrieval period spanning from the inception to December 2024. Two researchers independently assessed the quality of included literature and extracted the data.Results Ten articles were included, comprising five guidelines and five expert consensuses, resulting in 21 pieces of best evidence covering seven aspects: early mobilization, respiratory function, nutritional management, pain management, cardiac function monitoring, complication prevention and psychological support.Conclusion This study summarizes the best evidence for early rehabilitation management after TAVR, which provides resource preparation for clinical translation and clinical decision-making basis for healthcare professionals to carry out scientific and effective rehabilitation practices. Clinical staff should reasonably select and apply’these evidence-based practices according to patients individual conditions and continuously update evidence to standardize the rehabilitation and improve medical quality.更多还原