文章摘要

虚拟现实技术在小儿静脉留置中的应用

作者: 1邹璨, 1金善良, 1余桂芳
1 上海交通大学医学院附属第九人民医院麻醉科,上海 201999
通讯: 余桂芳 Email: guifangyu@foxmail.com
DOI: 10.3978/j.issn.2095-6959.2022.01.026

摘要

目的:探索虚拟现实(virtual reality,VR)技术应用于小儿静脉套管针留置中的实践效果。方法:选择50例4~12岁需行留置针置管操作的小儿患者,美国麻醉医师协会(American Society of Anesthesiologists,ASA)分级为I~II级,采用随机数字表法分为对照组与试验组,每组各25例。对照组在常规程序下接受留置针置入;试验组在常规操作的基础上,于留置针置入前5 min熟悉并使用VR设备,直至留置针置入结束。采用Wong-Baker面部表情量表对留置针留置过程中3个时间点的疼痛进行评估,分别为绑扎止血带时(T0)、留置套管针时(T1)、置入套管针后1 min(T2)。比较两组留置针留置一次成功率。结果:试验组小儿接受常规方法留置针置管时,T1和T2时间点对疼痛感知程度显著低于对照组(P<0.05)。两组留置针留置一次成功率差异无统计学意义(P>0.05)。结论:采用VR设备能有效改善患儿留置针置管中的疼痛,可在临床中推广使用。
关键词: 静脉留置;疼痛;虚拟现实技术

Application of virtual reality technology in pediatric intravenous indwelling needle insertion

Authors: 1ZOU Can, 1JIN Shanliang, 1YU Guifang
1 Department of Anesthesiology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

CorrespondingAuthor: YU Guifang Email: guifangyu@foxmail.com

DOI: 10.3978/j.issn.2095-6959.2022.01.026

Abstract

Objective: To explore the puncture success rate while using virtual reality technology for intravenous infusion indwelling needle insertion in pediatric patients. Methods: Fifty pediatric patients (aged 4–12 years old) who were classified as American Society of Anesthesiologists (ASA) I–II and received intravenous infusion in the Ninth People’s Hospital between May 2017 and May 2018 were selected. The patients were divided into an experimental group and a control group using a random number table method, with 25 cases in each group. Patients in the experimental group were given a virtual visual aid device during indwelling needle puncture, while the control group received conventional treatment. Results: When children in the experimental group received the conventional method of indwelling needle catheterization, the pain perception degree at T1 and T2 time points was significantly lower than that in the control group (P<0.05). There was no significant difference in the success rate of the first indwelling between the two groups (P>0.05). Conclusion: VR equipment can effectively improve the pain in children with indwelling needle catheterization, and can be popularized in clinical use.
Keywords: venous catheterization; pain; virtual reality technology

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