虚拟现实催眠对手术内镇静需求和膝关节整形术中的功能恢复的影响:一项前性随机临床试验
Michele Carella1,2, Florian Beck3,4, Caroline Quoilin5
1Department of Anesthesia and Intensive Care Medicine, Centre Hospitalier Universitaire de Liège, Liège, Belgium mcarella@chuliege.be.
Regional anesthesia and pain medicine
|February 27, 2024
概括
虚拟现实催眠 (VRH) 降低了在全膝关节整形术患者的手术内镇静的需要. 然而,与标准护理相比,VRH并没有显著改善康复质量.
科学领域:
- 麻醉学 麻醉学
- 心理学 心理学 心理学
- 术后恢复 术后恢复
背景情况:
- 经手术期间的压力和镇静可以损害全膝关节整形术 (TKA) 后的康复.
- 虚拟现实催眠 (VRH) 是一种潜在的非药物干预来减轻这些影响.
研究的目的:
- 评估VRH在减少手术内药理镇静的疗效.
- 评估VRH对TKA后恢复质量的影响.
主要方法:
- 一项前性随机临床试验,涉及60名TKA患者在脊髓麻醉下.
- 患者被分配到标准护理或VRH,手术内给予米达佐拉姆,以镇静需求为指导.
- 结果包括米达佐拉姆剂量,恢复质量15项分数,舒适度,疲劳,疼痛和焦虑.
主要成果:
- 与对照组相比,VRH组需要明显较低的手术内米达佐拉姆剂量 (中位数为0mg与2mg).
- 在恢复质量15项分数,焦虑或疼痛水平方面,没有观察到群体之间的显著差异.
结论:
- 在脊椎麻醉下,VRH有效地减少了在TKA期间进行手术内药理镇静的需要.
- 在这种患者群体中,VRH似乎没有提高康复质量.
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