总结1例高龄脑卒中患者建立人工气道期间使用下肢外骨骼机器人行康复训练的护理体会。针对患者高龄、人工气道等康复难题，组建核心团队，促进机器人与危重症康复护理融合；制订科学的机器人康复训练方案，实施可视化监测；全程气道评估管理，保证机器人训练的安全性；动态营养监测，提升机器人康复的耐受性；依托接纳承诺心理疗法，提高机器人训练的依从性。经过180 d的康复和护理，患者恢复良好，双侧肢体肌力、双上肢握力显著提高，双小腿腿围明显增加。

To summarize the nursing care of an elderly stroke patient with artificial airway who underwent rehabilitation training using a lower limb exoskeleton robot. In addressing the rehabilitation challenges posed by the patient’s advanced age and the presence of an artificial airway，a core team was established to integrate robotics with critical care rehabilitation nursing. A scientifically designed robotic rehabilitation training plan was developed，incorporating visual monitoring. Comprehensive airway assessment and management were implemented to ensure the safety of robotic training. Dynamic nutritional monitoring was conducted to enhance the patient’s tolerance to robotic rehabilitation. Psychological interventions based on acceptance and commitment therapy （ACT） were utilized to improve adherence to the robotic training regimen. After 180 days of rehabilitation and nursing，the patient showed significant improvement in bilateral limb muscle strength，upper limb grip strength，and a noticeable increase in calf circumference.