在子宫内膜异位症中基于虚拟现实的疼痛控制:对放松和体力活动的应用进行了基于问卷的试点研究
Viktoria Pakebusch1, Barbara Schlisio2, Birgitt Schönfisch1
1Department of Obstetrics and Gynecology, University of Tübingen, Calwerstr. 7, 72076, Tübingen, Germany.
Archives of gynecology and obstetrics
|March 26, 2025
概括
虚拟现实放松应用 (VR-R) 显著改善了子宫内膜异位症患者的慢性疼痛和生活质量,超过基于活动的VR或没有干预. 需要进一步的研究来证实这些发现的慢性盆腔疼痛管理.
科学领域:
- 疼痛管理 疼痛管理
- 虚拟现实应用 虚拟现实应用
- 慢性盆腔疼痛 慢性盆腔疼痛
背景情况:
- 与子宫内膜异位症相关的慢性盆腔疼痛显著影响日常生活.
- 虚拟现实 (VR) 技术提供了潜在的新治疗途径.
- 试点研究评估VR在治疗子宫内膜异位症疼痛方面的有效性.
研究的目的:
- 调查慢性子宫内膜异位症疼痛的VR放松 (VR-R) 和VR活动 (VR-A) 应用.
- 评估疼痛强度和日常生活损害的变化.
- 将VR干预与对照组进行比较.
主要方法:
- 展望性,14周,三阶段,交叉试点研究.
- 23名患有子宫内膜异位症相关的骨盆疼痛的妇女参加了这项研究.
- 干预包括VR-R,VR-A和一个控制阶段,每个阶段持续4周,有1周的洗期.
主要成果:
- 与基线相比,VR-R显示了平均疼痛,疼痛残疾,疼痛灾难化,睡眠质量和抑郁/压力显著改善.
- VR-A也显示了改进,但比VR-R要小.
- 与对照组相比,VR-R在疼痛灾难化,睡眠质量和抑郁/焦虑/压力方面显著改善.
结论:
- VR-R和VR-A都对疼痛和生活质量得分产生了积极的影响.
- 与对照条件相比,VR-R显示出明显更大的好处,而VR-A则没有.
- 需要进行更大规模的研究来验证在子宫内膜异位症疼痛管理方面的这些初步发现.
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