儿科患者的外科手术期间焦虑的虚拟现实:叙述性审查
Sabrina Soledad Domene1, Daniela Fulginiti2, Gabriela D Briceno Silva3
1Faculty of Medicine, Universidad Nacional de Mar del Plata, Mar del Plata, Argentina.
Digital health
|March 31, 2025
概括
虚拟现实 (VR) 通过提供认知分心,有效地减少了儿童手术前的焦虑. 这种非药理学方法比其他方法更有效,特别是对年轻患者,并且显示出临床使用的希望.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 医疗技术 医疗技术 医学技术
- 心理干预 心理干预
背景情况:
- 手术前的焦虑在儿科患者中很普遍,影响麻醉质量,止痛需求和术后疼痛.
- 儿童的高焦虑水平可能会导致外科手术过程中的不良结果.
研究的目的:
- 审查和综合最近关于虚拟现实 (VR) 降低儿科患者手术前焦虑的有效性的文献.
- 探索VR用于减轻焦虑的神经生理机制和临床应用.
主要方法:
- 对近期关于儿童手术前焦虑的虚拟现实干预措施的科学文献进行系统审查.
- 对神经生理学效应的分析和与其他非药理学方法相比的有效性比较.
主要成果:
- 虚拟现实 (VR) 是一种有效的非药物工具,可以通过认知分心来缓解手术前的焦虑和疼痛.
- 神经成像研究表明VR影响疼痛通路,并减少与疼痛感知相关的关键大脑区域的活动.
- 与其他非药物治疗策略相比,虚拟现实在减轻焦虑方面表现出更高的有效性,特别是在年幼的儿童中.
结论:
- 虚拟现实 (VR) 显示出缓解手术前焦虑和改善儿科患者心理反应的巨大潜力.
- 临床应用包括术后康复,物理治疗和非药物疼痛管理.
- 需要解决诸如高成本和有限的研究样本大小等挑战,以实现更广泛的实施.
相关概念视频
General Anesthesia: Overview
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Stages of General Anesthesia
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
Parenteral Anesthetics: Overview
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.


