TY - JOUR AU - Goudman, Lisa AU - Jansen, Julie AU - Billot, Maxime AU - Vets, Nieke AU - De Smedt, Ann AU - Roulaud, Manuel AU - Rigoard, Philippe AU - Moens, Maarten PY - 2022 DA - 2022/5/10 TI -虚拟现实在慢性疼痛管理中的应用:系统回顾和元分析JO - JMIR Serious Games SP - e34402 VL - 10 IS - 2 KW -虚拟现实KW -慢性疼痛KW -系统回顾KW -多层次元分析KW -沉浸式技术KW -临床结果KW -手机AB -背景:虚拟现实(VR)是一种计算机技术，使用户沉浸在一个完全不同的现实。VR在急性疼痛中的应用已经得到了很好的证实。然而，在慢性疼痛中，VR的应用和结果参数不太清楚。目的:本综述旨在系统地确定所有已报道的与慢性疼痛患者VR相关的结局参数。方法:检索PubMed、Scopus、Web of Science、Embase 4个电子数据库进行相关研究。进行多水平随机效应荟萃分析，其中选择标准化的平均差异作为效应大小，以表示VR干预前后测量之间的差异。结果:最初的数据库检索确定了1430项研究，其中41项(2.87%)最终纳入了系统评价。有证据表明VR对疼痛、功能、机动性、功能能力、心理结果、生活质量、神经心理学结果和身体感觉的影响。基于三级荟萃分析的总体效应量(25项研究共194个效应量)估计为1.22 (95% CI 0.55-1.89; z=3.56; P<.001), in favor of improvements after a VR intervention. When categorizing effect sizes, the overall effect sizes were reported as follows: 1.60 (95% CI 0.83-2.36; z=4.09; P<.001) for the effect of VR on pain (n=31), 1.40 (95% CI 0.13-2.67; z=2.17; P=.03) for functioning (n=60), 0.49 (95% CI −0.71 to 1.68; z=0.80; P=.42) for mobility (n=24), and 0.34 (95% CI −1.52 to 2.20; z=0.36; P=.72) for functional capacity (n=21). Conclusions: This systematic review revealed a broad range of outcome variables influenced by an intervention of VR technology, with statistically significant pain relief and improvements in functioning. These findings indicate that VR not only has applications in acute pain management but also in chronic pain settings, whereby VR might be able to become a promising first-line intervention as complementary therapy for patients with chronic pain. Trial Registration: PROSPERO International Prospective Register of Systematic Reviews CRD42021227016; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227016 SN - 2291-9279 UR - https://games.www.mybigtv.com/2022/2/e34402 UR - https://doi.org/10.2196/34402 UR - http://www.ncbi.nlm.nih.gov/pubmed/35536641 DO - 10.2196/34402 ID - info:doi/10.2196/34402 ER -