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多感官虚拟现实可减少腹腔镜胃肠道手术的老年患者的术后妄想:单中心随机对照试验

Wenjun Luo¹, Yi Duan, Tingting Ni

¹From the Department of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing 102218, China (WL, YD, ZG), the Department of Anaesthesia, the First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang (WL), the Department of Anaesthesia, the Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou (TN), and the Department of Operating Theatre, the First Affiliated Hospital of Ningbo University, Ningbo, China (ZM).

European journal of anaesthesiology

|March 12, 2026

概括

多感官虚拟现实显著减少了经过胃肠道手术的老年人手术后妄想 (POD). 这种创新的干预措施还降低了焦虑水平,提供了一种有前途的非药物治疗方法来改善患者的治疗结果.

科学领域:

老年医学老年医学
手术创新在外科创新.
神经科学是一个神经科学.

背景情况:

术后妄想 (POD) 的干预缺乏明确性.
感官刺激 (光,声音,嗅觉) 显示了对认知增强的潜力.
通过虚拟现实 (VR) 整合听觉,嗅觉和视觉刺激是一种解决POD的新方法.

研究的目的:

评估多感官VR系统在降低POD发病率方面的有效性.
评估VR对手术期间患者焦虑和生理参数的影响.

主要方法:

进行了一项随机对照试验,其中342名60岁以上的患者接受了腹腔镜胃肠道手术.
干预组接受了20分钟的手术前虚拟现实课程,使用生物友好元素和油,以及标准护理.
对照组仅接受了标准的护理. 在术后3天内使用混评估方法 (CAM) 评估POD.

主要成果:

在多感官VR组 (9.4%) 中,POD的发生率明显低于标准护理组 (19.2%) (P=0.010).
多感官VR导致术前和术后焦虑评分显著降低 (P=0.001).
没有报告任何严重的不良事件.

结论:

在手术前使用多感官VR是一种安全有效的预防措施,用于减少POD在接受选择性腹腔镜胃肠道手术的患者.
这种VR干预显示了通过减少焦虑来改善患者体验的潜力.
进一步的研究可能会探索多感官VR在手术环境中的更广泛应用.

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