关于现代化技术优化慢性疼痛多维度诊疗的实践分析

夏 雨, 王 迪, 俞菲 菲*
云南医药健康职业学院

摘要

随着科技的不断进步以及现代化生活方式的推进，慢性疼痛愈发凸显，现代化技术在慢性疼痛的多维度诊疗中发
挥着越来越重要的作用。本文旨在分析现代化技术在优化慢性疼痛多维度诊疗中的实践应用，包括数字疗法、虚拟现实技术、
机器人技术、物理治疗技术等，探讨其优势、所遇挑战以及后续发展的趋向。本文综述近年来现代化技术在慢性疼痛中的
实践应用，以期为慢性疼痛的临床诊疗与康复提供全新的思考方向与解决途径。

关键词

慢性疼痛；现代化技术；多维度诊疗；数字疗法；机器人技术；虚拟现实技术

参考

[1] 季和宇 , 崔旭蕾 , 黄宇光 . 数字疗法在慢性疼痛诊疗

中的应用进展 [J]. 协和医学杂志 ,2023,14(5):1046

[ 2 ] H o n g J S , W a s d e n C , H a n D H . I n t r o d u c t i o n o f

d i g i t a l t h e r a p e u t i c s [ J ] . C o m p u t M e t h o d s P r o g r a m s

Biomed,2021,209:106319.

[3]Manini TM,Mendoza T,Battula M,et al.Perception of Older

Adults Toward Smartwatch Technology for Assessing Pain and

Related Patient-Reported Outcomes:Pilot Study [J].JMIR Mhealth

Uhealth,2019,7:e10044.

[4]Yang J,Weng L,Chen Z,et al.Development and Testing

of a Mobile App for Pain Management Among Cancer Patients

Discharged From Hospital Treatment:Randomized Controlled

Trial [J].JMIR Mhealth Uhealth,2019,7:e12542.

[5]Morris N A,Wang Y,Felix R B,et al.Adjunctive virtual

reality pain relief after traumatic injury:a proof-of-concept

within-person randomized trial [J].Pain,2023,164(9):2122-2129.

[6] 麦王向，张朝霞。虚拟现实技术在脑卒中患者步态

康复中的应用进展。中国康复理论与实践，2016,22(4):433-

437.

[7] 陈妍君 , 李杨 . 虚拟现实技术在疼痛管理中的应用研

究进展 [J]. 护理研究 ,2020,34(22):4015-4018.

[8] 裴菊红 , 王瑞 , 杨婷 . 虚拟现实技术在慢性疼痛患者

中的应用进展 [J]. 中国护理管理 ,2021,21(1):102

[9] 吴辰 , 张高丽 , 马超 , 等 . 虚拟现实技术在疼痛治疗

领域的研究进展 [J]. 协和医学杂志 ,2024,15(2):272-278.

[10]BIRNIE K A,CHAMBERS C T,SPELLMAN C

M.Mechanisms of distraction in acute pain perception and

modulation[J].Pain,2017,158(6):1012-1013.

[ 1 1 ] S A T O K , F U K U M O R I S , M A T S U S A K I T , e t

al.Nonimmersive virtual reality mirror visual feedback therapy

and its application for the treatment of complex regional pain

syndrome:An open-label pilot study[J].Pain Med,2010,11(4):622-

629.

[12]Ahmadpour N,Randall H,Choksi H,et al.Virtual reality

interventions for acute and chronic pain management [J].Int J

Biochem Cell Biol,2019,114:105568.

[13]Hoffman H G,Patterson D R,Carrougher G J,et al.Ef-

fectiveness of virtual reality-based pain control with multiple

treaments [J]. Clin J Pain,2001,17(3):229-235.

[14]Hoffman H G,Patterson D R,Carrougher G J.Use of

virtual reality for adjunctive treatment of adult burn pain during

physical therapy:a controlled study [J].Clin J Pain,2000,16(3):244-

250.

[15]Schmitt Y S,Hoffman H G,Blough D K,et al.A

randomized,controlled trial of immersive virtual reality

analgesia,during physical therapy for pediatric burns [J].

Burns,2011,37(1):61-68.

[16]Carrougher G J,Hoffman H G,Nakamura D,et al.The

effect of virtual reality on pain and range of motion in adults with

burn injuries [J].J Burn Care Res,2009,30(5):785-791.

[17]Furman E,Jasinevicius T R,Bissada N F,et

al.Virtual reality distraction for pain control during

periodontal scaling and root planing procedures [J].J Am Dent

Assoc,2009,140(12):1508-1516.

[18]Magora F,Cohen S,Shochina M,et al.Virtual reality

immersion method of distraction to control experimental ischemic

pain [J].Isr Med Assoc J,2006,8(4):261-265.

[19]Chirico A,Lucidi F,De Laurentiis M,et al.Virtual

reality in health system:beyond entertainment.a minireview

on the efficacy of VR during cancer treatment [J].J Cell

Physiol,2016,231(2):275-287.

[20]Shiri S,Feintuch U,Weiss N,et al.A virtual reality

system combined with biofeedback for treating pediatric chronic

headachea pilot study [J].Pain Med,2013,14(5):621-627.

[21]Tejera D M,Beltran-Alacreu H,Cano-De-La-

Cuerda R,et al.Effects of virtual reality versus exericse on pain

,functional,somatosensory and psychosocial outcomes in patients

with non-specific chronic neck pain:a randmized clinical trial [J].

Int J Environ Res Public Health,2020,17(16):5950.

[22]Garcia L M,Birchead B J,Krishnamurthy P,et al.An

8-week self-administered at-home behavioral skills-based

virtual reality program for chronic low back pain:double-

blind,randomized,placebo-controlled trial conducted during

COV-ID-19 [J].J Med Internet Res,2021,23(2):e26292.

[23]Deo N,Khan K S,Mak J,et al.Virtual reality for acute

pain in outpatient hysteroscopy:a randomised controlled trial [J].

BJOG,2021,128(1):87-95.

[24]Weynants L,Chys B,D’hulst P,et al. Virtual reality

for pain control during schock wave lithotripsy:a randomized

controlled study [J].World J Urol,2023,41(2):589-594.

[25]Merlot B,Elie V,Périgord A,et al.Pain reduction

with an immersive digital therapeutic in women living

with endo-metriosis-related pelvic pain:at-home self-

administered randomized controlled trial [J].J Med Internet

Res,2023,25:e47869.

[26]Gold J I,SooHoo M,Laikin A M,et al. Effect of an

immersive virtual reality intervention on pain and anxiety

associated with peripheral intravenous catheter placement in

the pediatric setting:a randomized clinical trial [J].JAMA Netw

Open,2021,4(8):e2122569.

[27]Angela Higgins,Alison Llewellyn,Emma Dures.

Robotics Technology for Pain Treatment and Management: A

Review[J].2023.

[28] 刘智岚 , 贺桂萍 , 袁景 , 等 . 手功能机器人镜像疗法

对脑卒中后复杂性区域性疼痛综合征患者手功能的疗效 [J].

中国康复 ,2024,39(8),461-464.

[29] 国家卫生健康委能力建设和继续教育中心疼痛病诊

疗专项能力提升项目专家组 . 中国慢性创伤后疼痛诊疗指南

(2023 版 )[J]. 全科医学临床与教育 ,2023,21(11),964-967.