术前虚拟现实技术对下颌阻生智齿拔除患者焦虑情绪的影响

姜爱君; 王晓丹; 徐冬冬

doi:10.16766/j.cnki.issn.1674-4152.004050

术前虚拟现实技术对下颌阻生智齿拔除患者焦虑情绪的影响

doi: 10.16766/j.cnki.issn.1674-4152.004050

温州医科大学附属口腔医院口腔颌面外科，浙江温州 325000

基金项目:

浙江省医药卫生科技计划项目 2023KY155

浙江省自然科学基金项目 LBQ20H140001

温州市科研项目 Y20220385

详细信息

通讯作者:
徐冬冬，E-mail：junjun883031@163.com

中图分类号: R781
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- 文章访问数: 13
- HTML全文浏览量: 7
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2025-01-03
- 网络出版日期: 2025-09-04

Effect of preoperative virtual reality technology on anxiety in patients undergoing mandibular impacted wisdom tooth extraction

Department of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

摘要

摘要: 目的随着医疗技术的进步，虚拟现实技术逐渐被应用于医疗领域，本研究旨在评估术前应用虚拟现实技术对下颌阻生智齿拔除患者焦虑情绪的缓解效果，并探讨其在临床实践中的应用价值，为优化术前心理干预提供科学依据。方法选取2024年10—12月温州医科大学附属口腔医院口腔颌面外科接收的拔除阻生下颌第三磨牙的111例患者作为研究对象，采用随机数表法分为对照组(55例)和观察组(56例)。对照组应用常规护理，观察组在对照组基础上应用虚拟现实技术。比较2组患者术前焦虑水平、术中疼痛程度、血压、心率情况及护理满意度情况。结果干预后，观察组患者术前斯皮尔伯格状态-特质焦虑量表(STAI)及牙科焦虑程度表(DAS)得分均低于对照组，差异均有统计学意义(P＜0.05)；拔牙开始时、去骨分牙时及缝合时，观察组患者心率(HR)、收缩压(SBP)及舒张压(DBP)均低于对照组，差异均有统计学意义(P＜0.05)；术中，观察组VAS评分低于对照组[(2.75±0.46)分vs. (3.84±1.01)分, t=7.339, P＜0.001]；术后，观察组患者护理满意度为98.2%(55/56)，对照组为96.4%(53/55)，差异无统计学意义(P＞0.05)。结论术前虚拟现实技术可以在常规护理的基础上有效降低阻生智齿拔除患者的焦虑情绪，还有利于稳定术中心率及血压，减轻患者术中疼痛。
- 阻生智齿 /
- 虚拟现实技术 /
- 术前焦虑 /
- 疼痛
Abstract: Objective With the advancement of medical technology, virtual reality technology is gradually being applied in the medical field. This study aims to evaluate the effect of preoperative application of virtual reality technology on alleviating anxiety in patients undergoing mandibular impacted wisdom tooth extraction, and explore its application value in clinical practice, providing scientific basis for optimizing preoperative psychological intervention. Methods Convenience sampling was used to select 111 patients who underwent extraction of impacted mandibular third molars at the Affiliated Stomatological Hospital of Wenzhou Medical University from October 2024 to December as the study subjects. They were randomly divided into a control group (n=55) and an observation group (n=56). The control group received routine nursing care, while the observation group received virtual reality technology on the basis of the control group. The preoperative anxiety level, intraoperative pain level, blood pressure, heart rate and satisfaction with nursing care of two groups of patients were compared. Results After the intervention, the preoperative Spielberg state trait anxiety inventory and dental anxiety scale scores of the observation group were lower than those of the control group, and the difference was statistically significant (P < 0.05). At the beginning of tooth extraction, during bone removal and tooth separation, and during suturing, the HR, SBP, and DBP of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). During the operation, the VAS of pain in the observation group was lower than that in the control group [(2.75±0.46) points vs. (3.84±1.01) points, t=7.339, P < 0.001]. After surgery, the nursing satisfaction rate of the observation group was 98.2% (55/56), while that of the control group was 96.4% (53/55), with no statistically significant difference (P>0.05). Conclusion Preoperative virtual reality technology can effectively reduce anxiety in patients undergoing obstructed wisdom tooth extraction on the basis of routine care, and is also beneficial for stabilizing the surgical center rate and blood pressure, as well as reducing intraoperative pain in patients.
- Obstructed wisdom teeth /
- Virtual reality technology /
- Preoperative anxiety /
- Pain

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表 1 2组下颌阻生智齿拔除患者一般资料比较

Table 1. Comparison of general information between the two groups of patients undergoing mandibular impacted wisdom tooth extraction

项目	对照组(n=55)	观察组(n=56)	统计量	P值
性别(例)			0.045^a	0.785
男性	24	23
女性	31	33
年龄(x ±s，岁)	28.12±4.66	28.33±4.95	0.230^b	0.818
BMI(x ±s)	21.26±2.75	21.30±3.10	0.072^b	0.943
阻生水平(例)			0.253^c	0.881
低位	21	24
中位	19	18
高位	15	14
倾斜方向(例)			0.246^c	0.884
近中	28	30
垂直	22	20
远中	5	6
注：^a为χ²值，^b为t值，^c为Z值。

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表 2 2组下颌阻生智齿拔除患者术前焦虑情况比较(x ±s，分)

Table 2. Comparison of preoperative anxiety levels between the two groups of patients undergoing mandibular impacted wisdom tooth extraction (x ±s, points)

组别	例数	STAI		DAS
组别	例数	干预前	干预后	干预前	干预后
对照组	55	60.11±4.37	57.73±6.46	14.13±3.16	13.83±3.86
观察组	56	59.78±4.42	44.20±4.53	14.20±3.45	7.96±2.04
统计量		0.395^a	10.106^b	0.114^a	9.533^b
P值		0.693	＜0.001	0.911	＜0.001
注：^a为t值，^b为F值。

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表 3 2组下颌阻生智齿拔除患者心率及血压水平比较(x ±s)

Table 3. Comparison of heart rate and blood pressure levels between the two groups of patients undergoing mandibular impacted wisdom tooth extraction (x ±s)

组别	例数	HR(次/min)
组别	例数	入组时	拔牙开始	去骨分牙时	缝合时
对照组	55	76.31±6.04	90.24±6.38	86.52±5.33	83.72±5.19
观察组	56	77.12±5.88	84.53±6.02	80.46±5.21	78.03±5.06
F值		0.716	4.855	6.057	5.849
P值		0.476	＜0.001	＜0.001	＜0.001

组别	例数	SBP(mmHg)
组别	例数	入组时	拔牙开始	去骨分牙时	缝合时
对照组	55	113.62±11.58	128.92±10.83	125.73±10.66	121.44±9.17
观察组	56	114.01±12.02	121.33±9.13	118.77±8.58	115.93±8.64
F值		0.174	3.995	3.793	3.259
P值		0.862	＜0.001	＜0.001	0.001

组别	例数	DBP(mmHg)
组别	例数	入组时	拔牙开始	去骨分牙时	缝合时
对照组	55	73.08±6.67	78.92±6.19	76.68±5.49	75.52±5.11
观察组	56	73.24±6.11	75.67±5.88	74.33±5.02	73.26±4.55
F值		0.132	2.836	2.354	2.462
P值		0.895	0.005	0.020	0.015
注：1 mmHg=0.133 kPa。

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表 4 2组下颌阻生智齿拔除患者护理满意度比较[例(%)]

Table 4. Comparison of nursing satisfaction between the two groups of patients undergoing mandibular impacted wisdom tooth extraction [cases (%)]

组别	例数	非常满意	满意	一般	不满意	护理满意度
对照组	55	34(61.8)	19(34.6)	1(1.8)	1(1.8)	53(96.4)
观察组	56	42(75.0)	13(23.2)	1(1.8)	0	55(98.2)
注：2组护理满意度比较，χ²=0.001，P=0.987。

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