基于虚拟现实技术的目标导向性康复训练在ICU患者中的应用研究

doi:10.3761/j.issn.2096-7446.2026.02.007

摘要/Abstract

摘要：

目的探索基于虚拟现实（virtual reality，VR）技术的目标导向性康复训练在ICU患者中的应用效果。方法选取2024年7月—12月浙江省某三级甲等医院重症医学科收治的60例患者，随机分为试验组和对照组各30例。两组均接受常规康复治疗，试验组在此基础上应用自主研发的VR康复系统进行沉浸式目标导向性康复训练。比较两组患者在转入ICU与转出ICU时医学研究委员会肌力评分（Medical Research Council Scale，MRC）、肌肉厚度（股直肌）的差异，比较干预前、干预1周和干预2周ICU活动量表（ICU Mobility Scale，IMS）评分、下肢主动运动时长及对抗阻力、握力等方面的差异。结果转入ICU时两组患者MRC评分差异无统计学意义（P>0.05），转出ICU时，试验组MRC评分高于对照组（P<0.05）；在IMS评分、握力、下肢主动运动时长及对抗阻力方面，干预前两组患者差异均无统计学意义（P>0.05），干预1周及2周后，试验组各评分均高于对照组（P<0.05）；转入和转出ICU时两组患者肌肉厚度差异均无统计学意义（P>0.05）。结论基于VR技术的目标导向性训练可改善ICU患者的肌力、握力及活动能力，对患者的康复有促进作用。

关键词: 虚拟现实技术, ICU患者, 目标导向性训练, 康复

Abstract:

Objective To explore the application effect of goal-oriented training based on virtual reality（VR） technology in the rehabilitation of ICU patients. Methods Sixty patients admitted to the Department of Critical Care Medicine of a tertiary hospital in Zhejiang Province from July 2024 to December 2024 were selected and randomly divided into 30 cases each in the control group and the experimental group. Both groups received conventional rehabilitation treatment，and the experimental group applied the self-developed bedside VR rehabilitation system for immersive goal-oriented training on this basis. We compared the differences in muscle strength（Medical Research Council Scale，MRC） score and muscle thickness（rectus femoris） between the two groups at the time of transferring into ICU and transferring out of ICU，and compared the ICU Mobility Scale（IMS） score，lower limb stepping trainer active movement duration and grip strength before the intervention，1 week after the intervention，and 2 weeks after the intervention. Results The differences in MRC scores between the two groups were not statistically significant when the patients were transferred to the ICU（P>0.05），and the MRC scores of the experimental group were higher than those of the control group when the patients were transferred out of the ICU（P<0.05）. The differences between the two groups were not statistically significant in terms of the IMS scores，grip strength，the length of active exercise on treadmill，and the resistance before the intervention（P>0.05），and the differences of the scores in the experimental were higher than those of the control group 1 week and 2 weeks after the intervention（P<0.05）. The differences in muscle thickness between the two groups of patients at the time of transfer to and from the ICU were not statistically significant（P>0.05）. Conclusion Goal-oriented training based on VR technology can improve the muscle strength，grip strength and activity ability of ICU patients，and has a promoting effect on their recovery.

Key words: Virtual Reality Technology, ICU Patients, Goal-Oriented Training, Rehabilitation

郑晓晨, 崔鸣欧, 安聪, 刘友省. 基于虚拟现实技术的目标导向性康复训练在ICU患者中的应用研究[J]. 中华急危重症护理杂志, 2026, 7(2): 175-181.

ZHENG Xiaochen, CUI Mingou, AN Cong, LIU Yousheng. Research on the application of goal-oriented rehabilitation training based on virtual reality technology in ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 175-181.

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