Zheng Lina, Liu Hailiang
Day treatment Centre, The Seventh Medical Centre, Chinese PLA General Hospital, Beijing, China.
Department of Burn and Plastic Surgery, The Fourth Medical Center, Chinese PLA General Hospital, Beijing, China.
Digit Health. 2023 Feb 12;9:20552076231155675. doi: 10.1177/20552076231155675. eCollection 2023 Jan-Dec.
The pain induced by postoperative dressing changes adversely influence recovery and quality of life. In this study, we try to evaluate the pain alleviation effect of virtual reality (VR) distraction during postoperative dressing changes of patients who received surgical drainage of perianal abscess.
This was a prospective, randomized clinical trial. A total of 172 patients with perianal abscess were randomly assigned into control (only analgesics) and VR groups (VR distraction + analgesics). The pain and physiological measurements of all patients were collected before, during, and after the first dressing change following surgery. The difference in pain intensity and physiological parameters measurement between control and VR group was analyzed.
The baseline characteristics of VR and control group were comparable (all > 0.05). There was no significant difference in mean pain scores prior to and after dressing change between groups (both > 0.05). Mean pain scores of 5, 10, 15, and 20 min measuring points during the first dressing change were significantly lower in the VR group compared with the control group (all < 0.05). Pulse rates and oxygen saturation were not significantly different between groups.
VR can be used as an effective adjuvant pain distraction approach for postoperative dressing change.
术后换药引起的疼痛会对恢复和生活质量产生不利影响。在本研究中，我们试图评估虚拟现实（VR）分心对肛周脓肿手术引流患者术后换药期间的疼痛缓解效果。
这是一项前瞻性随机临床试验。总共172例肛周脓肿患者被随机分为对照组（仅使用镇痛药）和VR组（VR分心+镇痛药）。在手术后首次换药前、换药期间和换药后收集所有患者的疼痛和生理指标。分析对照组和VR组之间疼痛强度和生理参数测量的差异。
VR组和对照组的基线特征具有可比性（均>0.05）。两组换药前后的平均疼痛评分无显著差异（均>0.05）。与对照组相比，VR组在首次换药期间5、10、15和20分钟测量点的平均疼痛评分显著更低（均<0.05）。两组之间的脉搏率和血氧饱和度无显著差异。
VR可作为术后换药有效的辅助性疼痛分散方法。
