Current status and prospect of virtual reality technique′s application in wound repair
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摘要: 虚拟现实技术作为一种新兴的非药物治疗技术,目前已被应用于各大医学领域,也正越来越多地被应用于创面修复领域。虚拟现实技术能够缓解急慢性创面引起的疼痛,较好地疏导创面患者的心理焦虑,进而有利于患者康复。该文就虚拟现实技术作为临床辅助治疗手段在创面修复中的疼痛治疗、心理治疗、功能康复3个方面的应用研究进展进行综述,分析该技术的优势及不足,并对该技术在创面修复领域的进一步应用进行展望。Abstract: As a new technology of drug-free treatment, virtual reality technique has been used in various medical fields, and is being increasingly applied in the field of wound repair. Virtual reality technology can alleviate the pain caused by acute and chronic wounds, relieve the psychological anxiety of patients with wounds, and then facilitate the recovery of patients. This paper reviews the research progress of virtual reality technique's application as a clinical adjuvant therapy in wound repair in three aspects: pain treatment, psychological treatment, and functional rehabilitation, analyzes the advantages and disadvantages of this technique, and discusses the prospects of its further application in the field of wound repair.
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Key words:
- Virtual reality exposure therapy /
- Wound healing /
- Rehabilitation /
- Pain /
- Skin /
- Psychotherapeutic processes
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表1 关于虚拟现实技术在急性创面疼痛治疗中应用的文献的重要基本资料
第1作者 国家 发表年份 纳入对象 例数 虚拟现实技术设备类型 结局指标 试验组 对照组 张宁宁[20] 中国 2020 烧伤创面换药成年患者 43 43 虚拟现实一体机 ①②③④ 吴玉洁[27] 中国 2020 感染创面换药患儿 48 48 眼眶全包围式的虚拟一体机 ⑤⑥⑦ 陈婧婧[21] 中国 2019 烧伤创面换药成年患者 57 55 虚拟现实设备 ③④⑧ 郭春兰[26] 中国 2013 创伤性创面换药成年患者 52 52 三维眼镜、耳机、计算机软件 ①⑨ Hoffman[18] 美国 2020 烧伤创面换药成年患者 25 25 虚拟现实设备 ⑧⑩ Khadra[23] 美国 2020 烧伤创面换药患儿 9 9 虚拟现实眼镜、耳机、计算机软件 ⑧ Lambert[22] 爱尔兰 2020 烧伤创面换药患儿 8 8 虚拟现实眼镜、耳机、计算机软件 ⑥⑧ Hoffman[19] 美国 2019 重度烧伤创面换药患儿 24 24 虚拟现实设备 ⑥⑧ Jeffs[24] 美国 2014 烧伤创面换药青少年 10 20 虚拟现实头盔、耳机、计算机软件 ⑧⑩ Kipping[25] 澳大利亚 2012 烧伤创面换药青少年 20 20 头戴显示器、手控操纵杆、计算机软件 ③④⑧ 注:试验组患者经虚拟现实技术干预,对照组患者未经虚拟现实技术干预;结局指标中①指疼痛视觉模拟评分,②指疼痛数字评定量表评分,③指心率,④指血压,⑤指面部表情疼痛评分或疼痛思考花费时间,⑥指创面换药不良反应,⑦指创面换药操作总时长,⑧指疼痛认知(疼痛关注时间)、疼痛情感(疼痛不适)、疼痛感觉等疼痛专项评分,⑨指专注程度或投入度,⑩指焦虑水平 -
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