临床外科杂志 ›› 2026, Vol. 34 ›› Issue (4): 458-461.doi: 10.3969/j.issn.1005-6483.20250516

• 论著 • 上一篇    下一篇

沉浸式虚拟现实交互系统对胸外科术后病人急慢性疼痛及生活质量的影响

蒋崇霞 刘红梅 周铭红 龙华 王庆书 李碚   

  1. 618000四川德阳，德阳市第二人民医院麻醉手术中心(蒋崇霞、刘红梅、周铭红、龙华、王庆书)，胸心外科 (李碚)
  • 收稿日期:2025-05-16 出版日期:2026-06-08 发布日期:2026-06-08
  • 通讯作者: 王庆书，Email:455620429@qq.com
  • 基金资助:
    德阳市科技计划项目（社会发展领域重点研发指导类）（2023SZZ040）

Influence of immersive virtual reality interaction systems on acute andchronic pain and quality of life in patients after thoracic surgery

JIANG Chongxia,LIU Hongmei，ZHOU Minghong,LONG Hua,WANG Qingshu，Li Bei   

  1. *Anesthesia and Surgery Center，Deyang Second People's Hospital,Deyang 618000,China
  • Received:2025-05-16 Online:2026-06-08 Published:2026-06-08

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摘要： 目的 探讨沉浸式虚拟现实（VR）交互系统对胸外科术后病人急慢性疼痛及生活质量的影响。方法 2023年12月~2024年12月医院收治的胸外科术后病人118例，依照随机数表法分为两组。对照组59例，术后给予自控静脉镇痛，观察组59例，在对照组基础上另给予沉浸式VR交互技术。比较两组病人疼痛程度、睡眠时间、住院时间、镇痛药物用量、心率、平均动脉压、血氧饱和度、生活质量评分及慢性疼痛情况。结果 干预后，观察组静息（无痛39例）、咳嗽（无痛35例）、活动（无痛31例）时疼痛程度均低于对照组[静息（无痛26例）、咳嗽（无痛19例）、活动（无痛20例）]，两组比较差异有统计学意义（P<0.05）。观察组住院时间、镇痛药物用量均低于对照组，两组比较差异有统计学意义（P<0.05）。干预后，两组睡眠时间、血氧饱和度均升高，且观察组更高，差异有统计学意义（P<0.05），两组心率、平均动脉压均降低，观察组更低，差异有统计学意义（P<0.05）。干预后，两组病人生理、心理、环境、社会关系评分均升高，且观察组更高，差异有统计学意义（P<0.05）。术后3个月，观察组和对照组慢性疼痛发生率分别为16.95%和37.29%，观察组更低，差异有统计学意义（P<0.05）。结论 沉浸式VR交互系统用于胸外科术后病人可以减轻疼痛，增加睡眠时间，改善心率、平均动脉压、血氧饱和度，并提高生活质量，降低慢性疼痛发生率。

关键词: 沉浸式虚拟现实交互系统, 胸外科手术, 急慢性疼痛, 生活质量

Abstract: Objective To explore the influence of immersive virtual reality (VR) interaction systems on acute and chronic pain and quality of life in patients after thoracic surgery.Methods A total of 118 patients who underwent thoracic surgery and were admitted to the hospital from December 2023 to December 2024 were selected and randomly divided into two groups.The control group (59 cases) was given patient-controlled intravenous analgesia after the operation,while the observation group (59 cases) was additionally given immersive VR interaction technology on the basis of the control group.The pain degree,sleep time,hospital stay,dosage of analgesic drugs,heart rate,mean arterial pressuree,blood oxygen saturation,quality of life score and chronic pain conditions of the two groups of patients were compared.Results After intervention,the degree of pain in the observation group at rest (painless 39),cough (painless 35),and activity (painless 31) was all lower than that in the control group [at rest (painless 26),cough (painless 19),activity (painless 20)] (P<0.05).The hospitalization time and the dosage of analgesic drugs in the observation group were both lower (P<0.05).After intervention,the sleep duration and blood oxygen saturation in both groups increased,and observation group were higher (P<0.05).The heart rate and mean arterial pressuree in both groups decreased,and observation group were lower (P<0.05).After intervention,the scores of physiology,psychology,environment and social relationship of patients in both groups increased,and the observation group were higher (P<0.05).Three months after the operation,the incidence of chronic pain in the observation group and the control group was 16.95% (10/59) and 37.29% (22/59),respectively,the incidence in the observation group was lower (P<0.05).Conclusion The immersive VR interaction system for patients after thoracic surgery can relieve pain,increase sleep time,improve heart rate,mean arterial pressuree and blood oxygen saturation,enhance the quality of life and reduce the incidence of chronic pain.

Key words: immersive virtual reality interaction system, thoracic surgery, acute and chronic pain, quality of life

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