虚拟现实技术减轻肝动脉化疗栓塞患者术中疼痛的随机对照研究  

Application of virtual reality technology in reducing the intraoperative pain in patients receiving hepatic arterial chemoembolization:a randomized controlled study

作　　者：薛幼华[1] 姚永芳 高岚[1] 黄郑丽 杨颖 王博渊 王晓燕[3] XUE Youhua;YAO Yongfang;GAO Lan;HUANG Zhengli;YANG Ying;WANG Boyuan;WANG Xiaoyan(Department of Interventional and Vascular Surgery,Affiliated Zhongda Hospital of Southeast University,Nanjing,Jiangsu Provence 210009,China)

机构地区：[1]东南大学附属中大医院介入与血管外科,江苏南京210009 [2]东南大学医学院护理系 [3]东南大学附属中大医院护理部

出　　处：《介入放射学杂志》2024年第10期1125-1130,共6页Journal of Interventional Radiology

基　　金：东南大学附属中大医院护理科研基金(KJZC-HL-202213)。

摘　　要：目的探讨虚拟现实技术(virtual reality,VR)对减轻TACE患者术中疼痛的效果。方法入组2023年6月至2024年1月在东南大学附属中大医院接受TACE治疗的患者76例,采用随机数字表法分为对照组38例和试验组38例,对照组术中采用常规护理,试验组在常规护理基础上使用VR以缓解患者术中疼痛,比较两组患者术中疼痛程度、焦虑症状、术中不良反应发生率和患者满意度。结果试验组患者术中疼痛程度低于对照组,组间差异无统计学意义(P>0.05),年龄≤55岁和肝癌侵犯血管的患者应用VR的镇痛效果明显(P<0.05);试验组的焦虑评分低于对照组,患者满意度评分高于对照组,组间差异均有统计学意义(P<0.05);不良反应发生率组间差异无统计学意义(P>0.05)。结论沉浸式VR可有效降低TACE患者术中疼痛程度,尤其是55岁及以下年龄患者效果更好,同时还可减轻患者的焦虑水平,并能提高患者术中满意度。Objective To explore the effect of virtual reality(VR)technology on relieving intraoperative pain in patients receiving transcatheter hepatic artery chemoembolization(TACE).MethodsA total of 76 patients,who received TACE from June 2023 to January 2024,were enrolled in this study.Using random number table method,the patients were divided into control group(n=38)and study group(n=38).Intraoperative routine nursing was carried out for the patients of the control group,while on the basis of routine nursing additional VR technology was adopted to relieve the intraoperative pain for the patients of the study group.The degree of intraoperative pain,anxiety symptoms,incidence of intraoperative adverse reactions and patient satisfaction with nursing were compared between the two groups.Results The degree of intraoperative pain in the study group was lower than that in the control group,but the difference between the two groups was not statistically significant(P>0.05).The analgesic effect of VR was much obvious in patients aged≤55 years and in patients with vascular invasion of liver cancer(P<0.05).The anxiety score in the study group was lower than that in the control group,the patient satisfaction score in the study group was higher than that in the control group,and the differences between the two groups were statistically significant(both P<0.05).No statistically significant difference in the incidence of adverse reactions existed between the two groups(P>0.05).Conclusion Immersive VR technology can effectively reduce the degree of intraoperative pain in patients receiving TACE,especially in patients aged≤55 years.Besides,VR technology can also reduce the anxiety degree of patients,and improve the degree of intraoperative patient satisfaction with nursing.

关 键 词：虚拟现实技术 肝癌 肝动脉化疗栓塞术 疼痛 

分 类 号：R735.7[医药卫生—肿瘤]