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首页> 外文期刊>Wound repair and regeneration: official publication of the Wound Healing Society [and] the European Tissue Repair Society >Adjunctive virtual reality for procedural pain management of burn patients during dressing change or physical therapy: A systematic review and meta-analysis of randomized controlled trials
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Adjunctive virtual reality for procedural pain management of burn patients during dressing change or physical therapy: A systematic review and meta-analysis of randomized controlled trials

机译：烧伤患者程序疼痛管理的辅助虚拟现实在敷料变化或物理治疗过程中：随机对照试验的系统评价和荟萃分析

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摘要

Dressing change and physical therapy are extremely painful procedures for burn patients. Adjunctive virtual reality therapy reportedly reduces pain when added to analgesics, but a summary analysis of the data has yet to be performed. We conducted this systematic review and meta-analysis of randomized controlled trials to verify the pain-reducing efficacy of virtual reality among burn patients undergoing dressing change or physical therapy. We searched MEDLINE (via PubMed), EMBASE (via OVID), and the Cochrane Central Register of Controlled Trials (via OVID) for relevant trials based on predetermined eligibility criteria from database establishment to February 2018. Two reviewers screened citations and extracted data independently. The quality of the included studies was evaluated according to the Cochrane Handbook, whereas statistical heterogeneity was assessed using chi-square tests and I-2 statistics. Review Manager 5.3 was used for statistical analysis. Thirteen randomized controlled trials with 362 patients who underwent 627 burn dressing change or physical therapy sessions were included. The additional use of virtual reality significantly reduced pain intensity, time spent thinking about pain, and unpleasantness, and was more fun compared with that of using analgesics alone. Virtual reality is an effective pain reduction measurement added to analgesics for burn patients undergoing dressing change or physical therapy. However, multicenter, parallel group design randomized controlled trials are still required.
机译：敷料变化和物理治疗是烧伤患者的极其痛苦的程序。据报道，辅助虚拟现实治疗疗法在添加到镇痛药时减少疼痛，但尚未进行数据的摘要分析。我们对随机对照试验进行了这种系统审查和荟萃分析，以验证烧伤患者在进行敷料变化或物理治疗中的虚拟现实的疼痛效果。我们搜索了Medline（通过Pubmed），ememase（通过Ovid），以及基于预定资格标准到2018年2月的预定资格标准的相关试验的Cochrane中央登记册。两位审稿人筛选了引文并独立提取数据。根据Cochrane手册评估所包含的研究的质量，而使用Chi-Square测试和I-2统计评估统计异质性。审查经理5.3用于统计分析。包括362名随机对照试验，其中362名患有627名烧伤敷料变化或物理治疗会话的患者。虚拟现实的额外使用显着降低了疼痛强度，花时间考虑疼痛，令人不快，并且与单独使用镇痛药相比，更有趣。虚拟现实是对经历敷料变化或物理治疗的镇痛药添加到镇痛药中的有效疼痛测量。但是，仍然需要多中心，并行组设计随机对照试验。

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