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虚拟现实在缓解焦虑和控制局部麻醉下口腔手术期间血液动力学的有效性:一项前性随机比较研究

Adaia Valls-Ontañón¹, Sarah Sophie Vandepputte², Carlos de la Fuente³

¹Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya (UIC), Barcelona, Spain; Institute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

|February 7, 2024

概括

虚拟现实 (VR) 眼镜可以通过稳定心率和血压来帮助管理智慧牙提取期间的焦虑. 虽然主观焦虑得分与VR或没有VR相似地下降,但客观测量显示VR是VR.

科学领域:

口腔和牙面部外科手术
医疗技术医疗技术医学技术
心理干预心理干预

背景情况:

拔出智牙往往会引起患者的焦虑.
在牙科手术期间管理焦虑对于患者的舒适性和结果至关重要.
虚拟现实 (VR) 提供了一个沉浸式体验,可以减少焦虑.

研究的目的:

评估VR眼镜在局部麻醉下拔出智牙时减轻患者焦虑的有效性.
为了比较主观和客观的焦虑测量与没有VR干预.

主要方法:

一项前性随机比较研究,涉及27名接受双边智慧牙切除的患者.
在同一次手术中,VR护目镜在一侧使用 (VR),而不是另一侧 (noVR).
在每次手术前后评估焦虑,使用国家焦虑清单 (STAI),视觉模拟量表 (VAS),心率,血压和血液氧和度.

主要成果:

主观焦虑 (STAI,VAS) 从手术前到手术后显著下降,无论VR使用.
对照组的心率增加,但随着VR使用而下降 (p=0.013).
在手术后的noVR组中,血压显著更高 (p=0.002为最低,p=0.040为最大). 在男性和在程序开始时,VR显示出更好的最低血压控制的趋势.

结论:

虚拟现实眼镜在拔出智牙时,对血液动力学变量 (心率,血压) 进行有意义的控制.
与VR对客观生理措施的影响相比,VR对主观焦虑减轻的影响难以预测.
虚拟现实显示出作为在牙科手术中管理生理压力的辅助工具的潜力.

关键词:

焦虑焦虑是一种焦虑.血液动力学血液动力学局部麻醉局部麻醉随机分配的随机分配方式虚拟现实虚拟现实就是虚拟现实.

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