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虚拟现实暴露减少腹腔镜妇科手术的女性患者的急性术后疼痛:一个随机对照试验 (RCT) 研究

Ying Wang¹, Jian Sun¹, Kang Yu²

¹Department of anesthesiology, Beijing Fuxing Hospital, Capital Medical University, Beijing 100038, China.

Journal of clinical anesthesia

|June 13, 2024

概括

虚拟现实 (VR) 显著减少了急性术后疼痛,并改善了接受妇科手术的女性的康复. 这种干预措施还降低了手术前的焦虑水平,提高了患者的整体体验.

科学领域:

麻醉学麻醉学
疼痛管理疼痛管理
虚拟现实应用虚拟现实应用

背景情况:

急性手术后疼痛是接受妇科手术的患者的一个重大问题.
关于虚拟现实 (VR) 在这种特定患者群体中治疗急性疼痛的疗效的研究有限.

研究的目的:

研究虚拟现实 (VR) 暴露对经过妇科手术的成年女性患者急性术后疼痛的影响.
评估VR对疼痛水平,止痛药的使用和术后恢复的影响.

主要方法:

一项随机对照试验 (RCT) 涉及115名接受妇科手术的成年女性患者 (20-60岁,ASA身体状况I-II).
患者在手术前接受了15分钟的VR视频观看 (VR组,n=58) 或标准护理 (对照组,n=57).
在多个时间点使用视觉模拟量表 (VAS) 测量疼痛,次要结果包括止痛药的使用,疼痛发生率和恢复指标.

主要成果:

与对照组相比,VR组在术后2,4,8,12和24小时显示出明显较低的VAS得分.
VR干预与术后VAS值 (p<0.05) 有负相关性,并在8小时后降低了中度疼痛的发生率 (12.1%与31.0%,p=0.013).
虚拟现实组的患者报告了更好的睡眠质量,更低的恶心,头和头痛发生率,以及减少了手术前焦虑 (HADS分数).

结论:

虚拟现实 (VR) 干预在接受腹腔镜妇科手术的成年女性患者中有效降低急性术后疼痛.
虚拟现实可以改善术后恢复,提高睡眠质量,降低手术前的焦虑程度.
在这个手术队伍中,VR提供了一种有前途的非药物治疗方法来治疗疼痛和减轻焦虑.

关键词:

经手术后的急性疼痛.术后恢复术后恢复在手术前的焦虑.随机控制的步道随机控制的步道虚拟现实虚拟现实就是虚拟现实.

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