虚拟现实技术在创面修复中的应用现状与展望

李恒嫦; 李杰辉; 卢维; 贺璇

doi:10.3760/cma.j.cn501120-20210805-00270

虚拟现实技术在创面修复中的应用现状与展望

doi: 10.3760/cma.j.cn501120-20210805-00270

李恒嫦¹,
李杰辉^2,, ,,
卢维¹,
贺璇¹

1.
广西中医药大学研究生院，南宁　　530001
2.
广西中医药大学第一附属医院创面修复周围血管外科,南宁　　530023

基金项目:

国家自然科学基金地区科学基金项目 81660793

详细信息

通讯作者:
李杰辉，Email：182209537@qq.com

计量
- 文章访问数: 102
- HTML全文浏览量: 70
- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2021-08-05
- 网络出版日期: 2022-07-20
- 刊出日期: 2022-05-20

Current status and prospect of virtual reality technique′s application in wound repair

Li Hengchang¹,
Li Jiehui^{2,
, ,},
Lu Wei¹,
He Xuan¹

1.
Graduate College of Guangxi University of Traditional Chinese Medicine, Nanning 530001, China
2.
Department of Trauma Repair, Peripheral Vascular, the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning 530023, China

Funds:

Regional Science Fund Project of National Natural Science Foundation of China 81660793

More Information

Corresponding author: Li Jiehui, Email: 182209537@qq.com

摘要

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。
- 虚拟现实暴露疗法 /
- 伤口愈合 /
- 康复 /
- 疼痛 /
- 皮肤 /
- 心理治疗过程
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.
- Virtual reality exposure therapy /
- Wound healing /
- Rehabilitation /
- Pain /
- Skin /
- Psychotherapeutic processes
所有作者均声明不存在利益冲突

HTML全文

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
第1作者	国家	发表年份	纳入对象	试验组	对照组	虚拟现实技术设备类型	结局指标
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

下载: 导出CSV

参考文献(43)

[1]	李云涛, 段文旭, 张杨, 等. 生肌膏对大鼠创面肉芽组织中MMP-2、MMP-9及bFGF表达的影响[J].中华中医药杂志,2018,33(6):2605-3609.
[2]	魏在荣, 黄广涛. 慢性创面的治疗进展及创面外科整合治疗模式探讨[J].中华烧伤杂志,2019,35(11):824-827. DOI: 10.3760/cma.j.issn.1009-2587.2019.11.012.
[3]	付小兵. 战时治烧伤,平时治创面:有关烧伤学科发展的一点思考[J].中华烧伤杂志,2018,34(7):434-436. DOI: 10.3760/cma.j.issn.1009-2587.2018.07.002.
[4]	AraneK, BehboudiA, GoldmanRD. Virtual reality for pain and anxiety management in children[J]. Can Fam Physician, 2017,63(12):932-934.
[5]	HoffmanHG, DoctorJN, PattersonDR, et al. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients[J]. Pain, 2000,85(1/2):305-309. DOI: 10.1016/s0304-3959(99)00275-4.
[6]	WuX, LiuR, YuJ, et al. Mixed reality technology launches in orthopedic surgery for comprehensive preoperative management of complicated cervical fractures[J]. Surg Innov, 2018,25(4):421-422. DOI: 10.1177/1553350618761758.
[7]	CunninghamA, McPolinO, FallisR, et al. A systematic review of the use of virtual reality or dental smartphone applications as interventions for management of paediatric dental anxiety[J]. BMC Oral Health, 2021,21(1):244. DOI: 10.1186/s12903-021-01602-3.
[8]	RajaSN, CarrDB, CohenM, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises[J]. Pain, 2020,161(9):1976-1982. DOI: 10.1097/j.pain.0000000000001939.
[9]	BellA. The neurobiology of acute pain[J]. Vet J, 2018,237:55-62. DOI: 10.1016/j.tvjl.2018.05.004.
[10]	国家卫生健康委办公厅, 国家中医药局办公室. 癌症疼痛诊疗规范(2018年版)[J].全科医学临床与教育,2019,17(1):4-8. DOI: 10.13558/j.cnki.issn1672-3686.2019.01.002.
[11]	OleksonMA, YouT, SavagePB, et al. Antimicrobial ceragenins inhibit biofilms and affect mammalian cell viability and migration in vitro[J]. FEBS Open Bio, 2017,7(7):953-967. DOI: 10.1002/2211-5463.12235.
[12]	晏顺芹. 听觉分散对外伤患者换药疼痛的缓解效果[J].现代诊断与治疗,2014(5):1152-1153.
[13]	华英, 张翠娜, 张庆富, 等. 烧伤精神障碍及其诊治与护理策略[J/CD].中华损伤与修复杂志:电子版,2021,16(6):466-470.DOI: 10.3877/cma.j.issn.1673-9450.2021.06.002.
[14]	吴巍巍,刘淑梅,贺婷婷,等.虚拟现实技术在烧伤疼痛干预中的研究进展[J].中华烧伤杂志,2020,36(7):620-622. DOI: 10.3760/cma.j.cn501120-20190402-00159.
[15]	WongCL, LuiM, ChoiKC. Effects of immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: a study protocol for a randomized controlled trial[J]. Trials, 2019,20(1):369. DOI: 10.1186/s13063-019-3443-z.
[16]	IndovinaP, BaroneD, GalloL, et al. Virtual reality as a distraction intervention to relieve pain and distress during medical procedures: a comprehensive literature review[J]. Clin J Pain, 2018,34(9):858-877. DOI: 10.1097/AJP.0000000000000599.
[17]	SeymourB. Pain: a precision signal for reinforcement learning and control[J]. Neuron, 2019,101(6):1029-1041. DOI: 10.1016/j.neuron.2019.01.055.
[18]	HoffmanHG, PattersonDR, RodriguezRA, et al. Virtual reality analgesia for children with large severe burn wounds during burn wound debridement[J]. Front Virtual Real,2020,1:602299. DOI: 10.3389/frvir.2020.602299.
[19]	HoffmanHG, RodriguezRA, GonzalezM, et al. Immersive virtual reality as an adjunctive non-opioid analgesic for pre-dominantly Latin American children with large severe burn wounds during burn wound cleaning in the intensive care unit: a pilot study[J]. Front Hum Neurosci, 2019,13:262. DOI: 10.3389/fnhum.2019.00262.
[20]	张宁宁, 陈艺. 虚拟现实技术结合音乐干预对烧伤患者创面换药时疼痛程度及心率、血压的影响[J].解放军护理杂志,2020,37(11):78-80. DOI: 10.3969/j.issn.1008-9993.2020.11.020.
[21]	陈婧婧, 傅巧美. 虚拟现实技术减轻成人烧伤病人创面换药操作性疼痛的效果[J].护理研究,2019,33(12):2120-2122. DOI: 10.12102/j.issn.1009-6493.2019.12.029.
[22]	LambertV, BoylanP, BoranL, et al. Virtual reality distraction for acute pain in children[J]. Cochrane Database Syst Rev, 2020,10(10):CD010686. DOI: 10.1002/14651858.CD010686.pub2.
[23]	KhadraC, BallardA, DéryJ, et al. Projector-based virtual reality dome environment for procedural pain and anxiety in young children with burn injuries: a pilot study[J]. J Pain Res, 2018,11:343-353. DOI: 10.2147/JPR.S151084.
[24]	JeffsD, DormanD, BrownS, et al. Effect of virtual reality on adolescent pain during burn wound care[J]. J Burn Care Res, 2014,35(5):395-408. DOI: 10.1097/BCR.0000000000000019.
[25]	KippingB, RodgerS, MillerK, et al. Virtual reality for acute pain reduction in adolescents undergoing burn wound care: a prospective randomized controlled trial[J]. Burns, 2012,38(5):650-657. DOI: 10.1016/j.burns.2011.11.010.
[26]	郭春兰,景正连,付向阳. 虚拟现实技术对创伤性伤口患者换药疼痛的影响[J].广东医学,2013,34(19):3064-3066.
[27]	吴玉洁,吴利平,林光燕. 虚拟现实技术在儿童感染伤口换药中的应用[J].解放军护理杂志,2020,37(11):17-20. DOI: 10.3969/j.issn.1008-9993.2020.11.005.
[28]	沈晓星,史晓兰. VR技术联合新型伤口敷料在老年慢性伤口中的应用价值分析[J/CD].实用临床护理学电子杂志,2019,4(25):104-105.
[29]	郭春兰, 肖红艳. 虚拟现实分散患者注意力减轻腿部静脉溃疡料更换过程疼痛的效果[J].海南医学,2013,24(24):3741-3742. DOI: 10.3969/j.issn.1003-6350.2013.24.1552.
[30]	HuaY, QiuR, YaoWY, et al. The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs[J]. Pain Manag Nurs, 2015,16(5):685-691. DOI: 10.1016/j.pmn.2015.03.001.
[31]	McLeanLM, RogersV, KornhaberR, et al. The patient-body relationship and the "lived experience" of a facial burn injury: a phenomenological inquiry of early psychosocial adjustment[J]. J Multidiscip Healthc, 2015,8:377-387. DOI: 10.2147/JMDH.S89375.
[32]	EijlersR, UtensE, StaalsLM, et al. Systematic review and meta-analysis of virtual reality in pediatrics: effects on pain and anxiety[J]. Anesth Analg, 2019,129(5):1344-1353. DOI: 10.1213/ANE.0000000000004165.
[33]	Gómez PenedoJM, RubelJA, BlättlerL, et al. The complex interplay of pain, depression, and anxiety symptoms in patients with chronic pain: a network approach[J]. Clin J Pain, 2020,36(4):249-259. DOI: 10.1097/AJP.0000000000000797.
[34]	贺婷婷, 张修航, 孔祥力, 等. 出院前虚拟现实视频心理干预对面部深度烧伤患者出院后情绪影响的前瞻性随机对照研究[J].中华烧伤杂志,2021,37(1):70-75. DOI: 10.3760/cma.j.cn501120-20191226-00473.
[35]	郭春兰,付向阳. 虚拟现实分散患者注意力缓解创面换药焦虑的效果[J]. 吉林医学, 2013(30):6348-6349.
[36]	SchmittYS, HoffmanHG, BloughDK, et al. A randomized, controlled trial of immersive virtual reality analgesia, during physical therapy for pediatric burns[J]. Burns, 2011,37(1):61-68. DOI: 10.1016/j.burns.2010.07.007.
[37]	郭晓辉, 王晶, 杨扬, 等. 基于虚拟现实的下肢主被动康复训练系统研究[J].西安交通大学学报,2016,50(2):124-131. DOI: 10.7652/xjtuxb201602021.
[38]	赵航基于下肢康复机器人虚拟现实技术的研究与实现天津河北工业大学2014DOI:CNKI:CDMD:2.1015.031866 赵航. 基于下肢康复机器人虚拟现实技术的研究与实现[D].天津: 河北工业大学,2014.DOI:CNKI:CDMD:2.1015.031866.
[39]	JooSY, ChoYS, LeeSY, et al. Effects of virtual reality-based rehabilitation on burned hands: a prospective, pandomized, single-blind study[J]. J Clin Med, 2020, 9(3):731.DOI: 10.3390/jcm9030731.
[40]	SamhanAF, AbdelhalimNM, ElnaggarRK. Effects of interactive robot-enhanced hand rehabilitation in treatment of paediatric hand-burns: a randomized, controlled trial with 3-months follow-up[J]. Burns, 2020,46(6):1347-1355. DOI: 10.1016/j.burns.2020.01.015.
[41]	Cano PorrasD, SiemonsmaP, InzelbergR, et al. Advantages of virtual reality in the rehabilitation of balance and gait: systematic review[J]. Neurology, 2018,90(22):1017-1025. DOI: 10.1212/WNL.0000000000005603.
[42]	TarakciE, ArmanN, TarakciD, et al. Leap Motion Controller-based training for upper extremity rehabilitation in children and adolescents with physical disabilities: a randomized controlled trial[J]. J Hand Ther, 2020,33(2):220-228.e1. DOI: 10.1016/j.jht.2019.03.012.
[43]	TrostZ, FranceC, AnamM, et al. Virtual reality approaches to pain: toward a state of the science[J]. Pain, 2021,162(2):325- 331. DOI: 10.1097/j.pain.0000000000002060.