虚拟现实技术在肝胆胰外科术后患者疼痛控制的应用效果研究

Research on application effect of virtual reality technology on pain control for patients after hepatobiliary and pancreatic surgery

目的观察虚拟现实技术在肝胆胰外科术后患者疼痛控制中的效果。方法将102例患者按患者自身意愿分为对照组51例及观察组51例。对照组采用传统疼痛控制管理,观察组采用虚拟现实技术进行疼痛控制管理,比较两组患者在首次换药、拆线及拔管过程的关注度评分,操作前后疼痛评分,操作前及操作中平均动脉压、心率的变化,以及术后恢复一般指标。结果观察组患者在首次换药、拆线及拔管过程时关注度评分为6.5(4.3,9.1)分、6.6(4.3,8.5)分及6.8(4.9,8.1)分,均高于对照组的4.3(3.1,6.5)分、4.4(3.1,7.8)分及5.2(3.3,7.0)分;换药、拆线及拔管操作后疼痛评分分别为3.1(2.4,4.0)分、3.9(2.7,4.8)分及2.2(1.5,2.9)分,均低于对照组的3.6(2.8,5.0)分、4.5(3.8,5.2)分及4.2(2.8,4.7)分;操作中平均动脉压及心率上升幅度均低于对照组;术后首次排气时间10.7(8.6,13.3)h、首次下床活动时间8.8(6.4,10.7)h及住院时间6.6(5.3,8.1)d短于对照组的11.9(9.6,14.3)h、11.2(9.5,13.8)h、8.4(7.4,9.8)d,经比较差异均有统计学意义(P<0.05)。结论虚拟现实技术干预能降低操作时关注度,缓解肝胆胰外科术后患者疼痛程度,降低操作时平均动脉压及心率波动,促进患者康复。

Objective To observe the effect of virtual reality technology on pain control for patients after hepatobiliary and pancreatic surgery.Method Divide 105 patients into control group(n=51)and observation group(n=51)according to their intention.Patients in control group receive routine pain control management.Patients in observation group receive pain control management by virtual reality technology.Compare the attention scores in first changing dressing,removing suture and extubation process,pain score before and after procedures,fluctuation on mean arterial pressure and heart rate before and during procedures and general indexes of postoperative recovery between two groups.Result Scores on attention rate during changing dressing,removing suture and extubation are 6.5(4.3,9.1),6.6(4.3,8.5)and 6.8(4.9,8.1)in observation group,which are higher than 4.3(3.1,6.5),4.4(3.1,7.8)and 5.2(3.3,7.0)in control group.Scores on pain after first changing dressing,removing sutures and extubation are 3.1(2.4,4.0)、3.9(2.7,4.8)and 2.2(1.5,2.9)in observation group,which are lower than 3.6(2.8,5.0)、4.5(3.8,5.2)and 4.2(2.8,4.7)in control group.Increasing on mean arterial pressure and heart rate during procedures is lower in observation group than in control group.First postoperative exhaust time is 10.7(8.6,13.3)h,first out-of-bed activity time is 8.8(6.4,10.7)h and hospitalization duration is 6.6(5.3,8.1)d in observation group,which is shorter than 11.9(9.6,14.3)h,11.2(9.5,13.8)h and 8.4(7.4,9.8)d in control group.The difference is significant(P<0.05).Conclusion Virtual reality technology intervention can reduce the degree of attention during operation,relieve the pain of patients after hepatobiliary and pancreatic surgery,reduce the average arterial blood pressure and heart rate fluctuations during procedures,and promote patient recovery.