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相关概念视频

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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补充镇静剂的非药理技术在胃肠内镜手术期间减轻疼痛和焦虑:一个元分析.

Philip Roelandt1,2, Georgios Tziatzios3, Nick De Leebeeck1

  • 1Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium (Philip Roelandt, Nick De Leebeeck).

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概括
此摘要是机器生成的。

虚拟现实和音乐等非药物技术在胃肠内镜检查期间显著减少疼痛和焦虑. 这些方法也提高了患者的满意度,当与标准镇静一起使用.

关键词:
音乐 关键词 音乐 关键词通过内镜检查 (endoscopy) 进行内镜检查没有非药理性的药物.疼痛 疼痛 疼痛 疼痛虚拟现实 虚拟现实 虚拟现实 虚拟现实

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科学领域:

  • 胃肠病学 胃肠病学
  • 疼痛管理 疼痛管理
  • 医疗技术 医疗技术 医学技术

背景情况:

  • 胃肠道 (GI) 内镜手术往往涉及患者的不适.
  • 通常使用镇静剂,但附加剂可以进一步改善患者的体验.
  • 目前正在探索非药理技术来补充镇静剂.

研究的目的:

  • 对非药物技术作为GI内镜期间镇静的辅助方法的疗效进行元分析.
  • 评估对患者报告的疼痛,焦虑和满意度的影响.
  • 使用推评估,开发和评价 (GRADE) 方法来评估证据质量.

主要方法:

  • 2014-2024年随机对照试验 (RCT) 的系统审查.
  • 包括评估虚拟现实 (VR) 和音乐干预的研究.
  • 进行了双对的元分析,以确定疼痛,焦虑和满意度的效果大小.

主要成果:

  • 分析了12个涉及1511名患者的RCT.
  • 非药物技术显著降低了疼痛 (MD-1.02) 和焦虑 (MD-1.07).
  • 与单独镇静相比,患者满意度显着更高 (MD 1.67) ,尽管由于异质性和偏差,对估计的信心较低.

结论:

  • 虚拟现实和音乐,当与镇静剂一起使用时,可以在肠道内镜检查期间减轻疼痛和焦虑.
  • 这些非药理学辅助改善了整体患者的满意度.
  • 可能需要进一步的研究来解决现有研究中的异质性和偏见.