穴位贴敷联合虚拟现实缓解儿童包皮环切术后疼痛效果观察  

Acupoint application combined with virtual reality technology to relieve pain after circumcision in children

作　　者：高倩[1] 陈建淮 刘燕[1] 杨帆[1] 戴丽琴[1] GAO Qian;CHEN Jian-huai;LIU Yan;YANG Fan;DAI Li-qin(Department of Andrology,Jiangsu Provincial Hospital of Chinese Medicine/The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210029,China)

机构地区：[1]江苏省中医院/南京中医药大学附属医院男科,江苏南京210029

出　　处：《中华男科学杂志》2021年第3期236-239,共4页National Journal of Andrology

摘　　要：目的:探讨穴位贴敷联合虚拟现实技术缓解儿童包皮环切术后疼痛的应用效果。方法:将106例行包皮环切术的患儿用随机数字表法分为对照组和干预组,各53例。对照组实施常规护理,干预组实施穴位贴敷联合虚拟现实技术。用长海痛尺比较两组患儿术后疼痛,汉密顿焦虑量表(HAMA)比较患儿焦虑程度,同时评估两组患儿及家属护理满意度。结果:干预组患儿焦虑程度评分[(1.06±0.92)分vs(2.94±0.98)分]、疼痛评分[(3.66±1.18)分vs(5.96±1.24)分]明显低于对照组(P<0.05),干预组患儿及家属对护理的满意度(98.11%vs 86.79%)明显优于对照组(P<0.05)。结论:穴位贴敷联合虚拟现实技术运用于儿童包皮环切术后,不仅能有效缓解患儿的焦虑情绪,转移注意力,提高疼痛的感受阈,减少疼痛的感受,而且能有效提高患儿家属对病区护理的满意度。Objective:To explore the effect of acupoint application combined with virtual reality(VR)technology in relieving pain after circumcision in children.Methods:Using a random number table,we divided 106 children undergoing circumcision into a control and an intervention group of an equal number,the former receiving routine nursing care,and the latter acupoint application combined with VR technology.We compared between the two groups the postoperative pain scores with the Changhai pain ruler,the Hamilton Anxiety Scale(HAMA)scores,and the satisfaction of the patients and their families.Results:Compared with the controls,the patients in the intervention group showed a significantly lower HAMA score([2.94±0.98]vs[1.06±0.92],P<0.05)and postoperative pain score([5.96±1.24]vs[3.66±1.18],P<0.05),but higher satisfaction in the patients and their families(86.79%vs 98.11%,P<0.05).Conclusion:Acupoint application combined with VR technology for children after circumcision has the advantages of effectively relieving the anxiety of the patients,distracting their attention,increasing the pain perception threshold,reducing the perception of pain,improving the satisfaction of the patients and their family members.

关 键 词：穴位贴敷 虚拟现实 包皮环切 疼痛护理 儿童 

分 类 号：R726.9[医药卫生—儿科]