在腹部手术后的术后认知障碍和疼痛感知 - - 沉浸式虚拟现实能带来更多吗? 一个临床方法
Gabriela Droc1,2, Sebastian Isac3, Elisabeta Nita2
1Department of Anesthesiology and Intensive Care, Fundeni Clinical Institute, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Medicina (Kaunas, Lithuania)
|November 25, 2023
概括
虚拟现实 (VR) 在主要腹部手术患者中没有改善术后认知功能. 然而,VR有效地减少了术后疼痛感知,这表明对疼痛管理有潜在的益处.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 手术后的认知障碍和疼痛会延长住院时间,增加死亡率.
- 预防性策略对于减轻这些不良影响至关重要.
- 虚拟现实 (VR) 被探索为一种潜在的干预.
研究的目的:
- 评估VR在治疗术后认知衰退方面的疗效.
- 评估VR对术后疼痛感知的影响.
主要方法:
- 一个前性的单心临床研究,涉及51名主要腹部手术患者.
- 两个组:控制 (n=25) 和VR (n=26).
- 虚拟现实会议:手术后24-48小时内5-8分钟;通过MMSE和VAS测量结果.
主要成果:
- 两组之间手术后认知缺陷没有显著差异.
- 虚拟现实显著降低了术后疼痛强度.
- 患者的年龄,手术持续时间,教育程度和社会地位影响了认知分数.
结论:
- 虚拟现实并不能缓解短期的术后认知障碍.
- 虚拟现实在调节术后疼痛感知方面显示出潜力.
- 需要进一步的研究来确认VR的外科实用性.
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