术前视听分心对经历正骨科手术的患者出现动荡的影响:一项前性,随机化,单盲试点研究
Matthias Jakob Posch1, Susanne Fiebig-Widmann1, Marc Christian Metzger2
1Department of Anesthesiology and Intensive Care Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Journal of dental anesthesia and pain medicine
|December 11, 2025
概括
使用视频护目镜进行术前视听分心是一种安全且可行的方法,可以减少经过正视手术的患者出现动荡的情况. 这种干预措施在治疗术后焦虑和疼痛方面表现有前途.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
背景情况:
- 突发动作是整体麻醉后的常见并发症,与患者的焦虑和疼痛有关.
- 视听分心是一种潜在的非药物治疗方法,可以缓解外科手术期间的焦虑和疼痛.
研究的目的:
- 评估手术前视频分心的可行性和安全性,使用视频护目镜在骨架手术患者.
- 估计这种干预在防止出现动荡方面的潜力.
主要方法:
- 这是一项前性,随机的,单盲试验研究,涉及40名接受正视手术的患者.
- 干预组在麻醉前通过视频眼镜获得视听分心;对照组获得标准护理.
- 主要终点:术后激动 (阿诺标尺);次要终点包括疼痛,恶心,恢复时间和恢复质量.
主要成果:
- 在所有干预患者中成功实施了视听分心,没有任何不良影响.
- 与对照组相比,视频眼镜组 (21%) 的严重动荡发生的频率较低 (40%).
- 在疼痛,恶心,吐,康复室停留或患者满意度方面没有发现显著差异.
结论:
- 手术前的视听分心是安全的,可行的,并且对于接受正形手术的成年人来说是受欢迎的.
- 这种方法可以减少在全身麻醉后出现兴奋的发生率.
- 进一步的研究可能会探索其对患者结果的更广泛影响.
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