Virtual Reality to Relieve Pain in Burn Patients Undergoing Imaging and Treatment.
Virtual Reality to Relieve Pain in Burn Patients Undergoing Imaging and Treatment.
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DOI：
10.1097/rmr.0000000000000248
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发表时间：
2020-08-01
期刊：
影响因子：
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通讯作者：
Lewis, David H
中科院分区：
文献类型：
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作者：
Bermo, Mohammed S;Patterson, David;Lewis, David H
烧伤引起的疼痛是临床实践中遇到的最令人难以忍受的疼痛之一。药理学方法通常无法达到这些患者可接受的镇痛水平，特别是在烧伤创面包扎和清创期间。虚拟现实 (VR) 分散注意力是一种很有前途的镇痛技术，随着可用于许多临床场景的商用、低成本、高分辨率、宽视场、独立 VR 设备的开发，该技术在过去十年中取得了显着进展。 VR 已证明在烧伤伤口包扎和其他痛苦的医疗过程中作为辅助镇痛剂具有临床益处。事实证明，该技术对于准备患者进行磁共振成像扫描也很有用，特别是对于幽闭恐惧症患者。 VR对皮质和皮质下水平的疼痛相关大脑活动的调节，及其与各种实验室和临床疼痛体验的主观改善的相关性，已通过多种功能性脑成像研究（包括功能性磁共振成像和脑灌注单光子发射计算机断层扫描）得到证明。
Pain from burn injuries is among the most excruciating encountered in clinical practice. Pharmacological methods often fail to achieve acceptable level of analgesia in these patients, especially during burn wound dressing and debridement. Virtual reality (VR) distraction is a promising analgesic technique that progressed significantly in the last decade with development of commercially available, low-cost, high-resolution, wide field-of-view, standalone VR devices that can be used in many clinical scenarios. VR has demonstrated clinical benefit as an adjunctive analgesic during burn wound dressing and other painful medical procedures. The technique has proven useful also in preparing patients for magnetic resonance imaging scans, particularly in claustrophobic patients. Modulation of pain-related brain activity at cortical and subcortical levels by VR, and its correlation with subjective improvement in various laboratory and clinical pain experiences has been demonstrated using multiple functional brain imaging studies including functional magnetic resonance imaging and brain perfusion single photon emission computed tomography.