虚拟现实技术对儿科患者在急诊室静脉接入过程中的影响:元分析
Pediatric emergency care
|February 10, 2026
概括
在急诊室的虚拟现实 (VR) 技术显著减少了儿科患者在静脉接入期间的疼痛. 然而,VR并没有显著降低这种患者群体的恐惧或改善第一次尝试成功率.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗技术整合 医疗技术整合
- 疼痛管理创新 疼痛管理创新
背景情况:
- 静脉通道是急诊室儿科患者常见的,往往是痛苦的手术.
- 尽量减少手术过程中的疼痛和焦虑对于改善患者体验和合作至关重要.
- 虚拟现实 (VR) 已经成为治疗疼痛和焦虑的潜在非药物干预手段.
研究的目的:
- 系统地评估虚拟现实 (VR) 技术在急诊室 (ED) 内进行静脉接入手术的儿科患者管理中的有效性.
- 评估VR对疼痛,恐惧的影响,以及在ED中儿科静脉接入期间的第一次尝试成功率.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在多个数据库 (CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Embase,Web of Science) 进行了搜索,截至2025年7月.
- 使用RevMan 5.2软件分析了涉及629名儿科患者的8项RCT的数据.
主要成果:
- 虚拟现实技术表明,与标准护理相比,儿科患者的疼痛得分在统计学上显著降低 (SMD=-0.73,P=0.04).
- 在VR和对照组之间的恐惧得分没有发现显著差异 (SMD=-0.94,P=0.12).
- 通过使用VR技术,静脉通道的第一次尝试成功率并没有显著提高 (OR=1.01,P=0.96).
结论:
- 虚拟现实技术表明,它可以作为减轻儿科患者在紧急情况下静脉接入过程中的手术疼痛的辅助.
- 目前的证据不支持VR在减少患者恐惧或提高成功首次尝试静脉接入的可能性方面具有显著的益处.
- 可能需要进一步的研究来优化VR干预措施,以应对儿童急诊的全面焦虑和程序成功.
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