混合现实技术在腹腔镜胃癌根治手术谈话中应用价值的前瞻性研究  

Application value of mixed reality technology in surgical conversation of laparoscopy radical resection of gastric cancer:a prospective study

作　　者：杨宇轩[1] 郭伟洪[1] 李国新[1] 余江[1] 赵明利[1] 陈韬[1] 陈志安 陈亦萍 刘文菲 胡彦锋[1] Yang Yuxuan;Guo Weihong;Li Guoxin;Yu Jiang;Zhao Mingli;Chen Tao;Chen Zhian;Chen Yiping;Liu Wenfei;Hu Yanfeng(Department of General Surgery,Guangdong Provincial Key Laboratory of Precision Medicine for Gastrointestinal Tumor,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;The First School of Clinical Medicine,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院普通外科、广东省胃肠肿瘤精准微创诊疗重点实验室,广州510515 [2]南方医科大学第一临床医学院,广州510515

出　　处：《中华消化外科杂志》2023年第3期414-418,共5页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82001948,81971746);广东省胃肠道肿瘤精准医学重点实验室(2020B121201004);广东省基础与应用基础研究基金(2022A1515010462);广东省重大人才项目(2019JC05Y361);南方医科大学南方医院院级教育项目(21NJ-ZDPY04)。

摘　　要：目的探讨混合现实技术在腹腔镜胃癌根治手术谈话中的应用价值。方法采用前瞻性随机对照研究方法。选取2021年6月至2022年12月南方医科大学南方医院的80名胃癌患者家属作为研究对象,患者均行腹腔镜胃癌根治术,研究对象按照随机数字表法分为对照组和试验组。对照组研究对象术前1 d行传统手术谈话;试验组研究对象术前1 d基于混合现实技术进行手术谈话。观察指标:(1)研究对象基线情况。(2)研究对象焦虑评分情况。正态分布的计量资料以x±s表示,组间比较采用独立样本t检验。重复测量数据比较采用重复测量方差分析。计数资料以绝对数表示,组间比较采用χ^(2)检验。等级资料比较采用Wilcoxon秩和检验。结果(1)研究对象基线情况。筛选出符合条件的研究对象80名(对照组和试验组各40名),男44名,女36名;年龄为(40±9)岁。对照组研究对象的性别(男、女),年龄,受教育程度(小学、初中、高中、大学专科、大学本科、研究生)分别为23、17例,(39±9)岁,1、3、9、16、9、2例;试验组研究对象上述指标分别为25、15例,(42±10)岁,0、8、6、11、14、1例;两组研究对象上述指标比较,差异均无统计学意义(χ^(2)=0.20,t=-1.64,Z=-0.10,P>0.05)。(2)研究对象焦虑评分情况。对照组研究对象手术谈话前、手术谈话后、手术后焦虑自评量表(SAS)评分和医院焦虑量表(HADS)评分分别为(41±10)分和(26±5)分、(49±11)分和(32±3)分、(40±13)分和(15±8)分;试验组研究对象上述指标分别为(44±9)分和(23±3)分、(66±16)分和(28±6)分、(34±14)分和(8±3)分,两组研究对象上述指标比较,差异均有统计学意义(FSAS组间=8.83,FSAS时间=40.41,FSAS交互=12.21,FHADS组间=32.42,FHADS时间=321.28,FHADS交互=6.15,P<0.05)。结论与传统手术谈话模式比较,基于混合现实技术的手术谈话模式可缓解研究对象的术后焦虑。Objective To investigate the application value of mixed reality technology in surgical conversation of laparoscopy radical resection of gastric cancer.Methods The prospective randomized controlled study was conducted.There were 80 family members of patients with gastric cancer who were admitted to Nanfang Hospital of Southern Medical University from June 2021 to December 2022 being selected as subjects.All patients underwent laparoscopic radical resection of gastric cancer.Based on random number table,all subjects were allocated into the control group and the experiment group.Subjects in the control group performed routine surgical conversation and subjects in the experiment group performed surgical conversation based on mixed reality technology.Observation indicators:(1)baseline data of the subjects;(2)anxiety assessment of the subjects.Measurement data with normal distribution were represented as Mean±SD,and the independent sample t test was used for inter-group comparison.Repeated measurement data were analyzed using the repeated ANOVA.Count data were described as absolute numbers,and comparison between groups was conducted using the chi-square test.Comparison of ordinal data was conducted using the Wilcoxon rank sum test.Results(1)Baseline data of the subjects.A total of 80 subjects were selected for eligibility,including 40 subjects in the control group and 40 subjects in the experi-ment group.There were 44 males and 36 females,aged(40±9)years.The gender(male,female),age,education background(primary school education,middle school education,high school education,junior college education,undergraduate education,postgraduate education)were 23,17,(39±9)years,1,3,9,16,9,2 in subjects of the control group,versus 25,15,(42±10)years,0,8,6,11,14,1 in subjects of the experiment group,showing no significant difference in the above indicators between the two groups(χ^(2)=0.20,t=-1.64,Z=-0.10,P>0.05).(2)Anxiety assessment of the subjects.The scores of self-rating Anxiety Scale(SAS)and Hospital Anxiety Scale(HADS)bef

关 键 词：胃肿瘤 微创外科 混合现实 焦虑 手术谈话 

分 类 号：R735.2[医药卫生—肿瘤]