智能眼镜成像用于间层臂阻塞:一项随机临床试验
Ping Liu1, Jiaqi Qiu1, Furui Wang1
1Department of Anaesthesiology and Perioperative Medicine, the Second Affiliated Hospital of Anhui Medical University, Key Laboratory of Anaesthesiology and Perioperative Medicine of Anhui Higher Education Institutes, Anhui Medical University, China.
British journal of anaesthesia
|August 15, 2025
概括
智能眼镜通过减少手术时间和增强麻醉师的手眼协调,显著提高了间层臂块的效率. 这项技术也增加了操作员的满意度,而不会影响患者的安全.
科学领域:
- 麻醉学 麻醉学
- 医疗技术 医疗技术 医学技术
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 智能眼镜提供实时超声波成像,在手术过程中可能消除头眼运动.
- 研究了智能眼镜与超声波相结合的智能眼镜对间层臂 (ISB) 阻断效率的影响.
研究的目的:
- 评估智能眼镜辅助超声波能否提高间层臂阻塞的程序效率.
- 评估了对整体手术时间,穿刺时间,成像时间和手眼协调的影响.
主要方法:
- 一项前性随机试验,包括146名接受上肢手术的患者.
- 四名麻醉医生接受了智能眼镜辅助或常规超声波指导的培训.
- 主要结局是总手术时间;次要结局包括穿孔时间,成像时间,手眼协调和满意度.
主要成果:
- 智能眼镜组显示,整体手术时间 (P<0.001),穿孔时间 (P<0.001) 和超声波探针成像时间 (P<0.001) 显著缩短.
- 在智能眼镜组观察到手眼协调改善,头部运动较少 (P<0.001) 和针头重定向更一致 (P=0.004).
- 在智能眼镜组中报告了更高的人体工程学满意度得分 (P<0.001),但在不良事件或疼痛方面没有显著差异.
结论:
- 智能眼镜与超声波相结合,提高了经验丰富的麻醉科医生对间层脉块的程序效率.
- 该技术改善了手眼协调和操作员满意度.
- 没有注意到患者安全的妥协,类似的低疼痛和不良事件率.
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