文章摘要
术前虚拟现实访视技术对阻塞性睡眠呼吸暂停综合征患儿围术期焦虑的影响
Effect of preoperative virtual reality visits on perioperative anxiety in children with obstructive sleep apnea syndrome
  
DOI：10.12089/jca.2024.11.007
中文关键词: 虚拟现实  阻塞性睡眠呼吸暂停综合征  焦虑  术前访视
英文关键词: Virtual reality  Obstructive sleep apnea syndrome  Anxiety  Preoperative visit
基金项目:国家口腔疾病临床研究中心（LCA202005）
作者单位E-mail
李嘉玉 710032,西安市,口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔生物工程技术研究中心, 空军军医大学第三附属医院麻醉科  
吴龙 710032,西安市,口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔生物工程技术研究中心, 空军军医大学第三附属医院麻醉科  
郑小琪 710032,西安市,口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔生物工程技术研究中心, 空军军医大学第三附属医院麻醉科  
闫虹江 710032,西安市,口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔生物工程技术研究中心, 空军军医大学第三附属医院麻醉科  
刘菲 710032,西安市,口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔生物工程技术研究中心, 空军军医大学第三附属医院麻醉科 fei11782@163.com 
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中文摘要:
      
目的： 评价通过虚拟现实（VR）技术进行术前访视对行扁桃体腺样体切除术的阻塞性睡眠呼吸暂停综合征（OSAS）患儿围术期焦虑的影响。
方法： 选择择期行扁桃体腺样体切除术OSAS患儿60例，男32例，女28例，年龄6～12岁，ASAⅠ或Ⅱ级。采用随机数字表法将患儿分为两组：对照组和VR组，每组30例。对照组进行术前常规宣教和术前访视，VR组在常规宣教后使用VR智能眼镜播放手术室三维场景视频。采用改良耶鲁围术期焦虑量表（m-YPAS-SF）评价患儿围术期焦虑水平。记录术前1 d、入准备室时及麻醉诱导即刻的HR。麻醉诱导期合作度量表（ICC）评价患儿麻醉诱导配合情况。记录术后恢复室停留时间和住院时间。
结果： 与对照组比较，VR组m-YPAS-SF评分明显降低（P<0.05），入准备室时和麻醉诱导即刻的HR明显降低（P<0.05），ICC评分明显降低（P<0.05），恢复室停留时间及住院时间明显缩短（P<0.05）。
结论： 术前VR访视对扁桃体腺样体切除术的OSAS患儿围术期焦虑有较好的缓解效果，可以提高患儿麻醉配合度，缩短住院时间。
英文摘要:
      
Objective: To evaluate the effect of preoperative visits using virtual reality (VR) technology on alleviating perioperative anxiety in children undergoing adenotonsillectomy for obstructive sleep apnea syndrome (OSAS).
Methods: Sixty children with OSAS scheduled for elective adenotonsillectomy were selected, including 32 males and 28 females, aged 6 to 12 years, ASA physical status Ⅰ or Ⅱ. The children were randomly divided into two groups using random number table: control group and VR group, 30 children in each group. The control group received routine education and preoperative visits, while the VR group used VR smart glasses to play videos of three-dimensional scenes of the operating room in addition to routine visits. The modified Yale preoperative anxiety scale-short form (m-YPAS-SF) was used to assess perioperative anxiety levels. The heart rates (HR) of the children on the day before surgery, upon entering the preparation room, and immediately after anesthesia induction, and the induction compliance checklist (ICC) was used to evaluate anesthesia induction compliance, as well as the duration of stay in the recovery room and the length of hospital stay were recorded.
Results: Compared with control group, the m-YPAS-SF scores in VR group were significantly lower (P < 0.05), the HR was significantly lower upon entering the preparation room and immediately after anesthesia induction (P < 0.05), and the ICC scores were significantly lower (P < 0.05), recovery room stay duration and length of hospital stay were significantly shortened (P < 0.05).
Conclusion: Preoperative visits using VR can effectively alleviate perioperative anxiety in children with OSAS undergoing adenotonsillectomy which can improve anesthesia compliance and reduce the length of hospital stay.
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