Explaining what virtual particles and quantum fluctuations are in intuitive terms is difficult, because they are inherently complicated mathematically. But I can maybe address your question "How can something that does not exist in reality (just math), but still influence the real world?" without getting into the physics, because this is common to much simpler mathematical problems.
Say we want to solve the quadratic equation $x^2-6x+5=0$. The numbers in the equation represent real physical quantities in our problem, it doesn't matter what. We initially only know how to solve equations of the form $x^2-2a+a^2=(x-a)^2=b$, with solution $x-a=\pm \sqrt{b}$. Our given equation doesn't fit this pattern, but if we insert a $+9-9$ in the middle, it does. $x^2-6x+9-9+5=0$ goes to $(x-3)^2-9+5=0$ goes to $(x-3)^2=4$ so $x-3=\pm \sqrt{4}$.
What are these $+9-9$ terms we inserted in the middle? They add up to zero, so they seemingly "popped out of nothing". The $5$ in the original equation represents something physically real, but these $9$'s are entirely fictional (and may even be physically impossible, e.g. if the constant terms represent some quantity required to be positive). It's "just math". But this fiction allowed us to turn a situation we don't know how to solve into one we already understand.
We have a similar problem in quantum field theory. The theory of a charged particle is a non-linear differential equation - the motion of the charged particle's field affects the electromagnetic field, which affects the charged field, which affects the electromagnetic field, and so on. We need to know how the charge moves to figure out how the electromagnetic field will behave, and we need to know the electromagnetic field to figure out how the charge moves. We can't generally solve that sort of problem. (In linear problems we can find a convenient basis of solutions, and then add combinations of them together to solve the equation. But in nonlinear problems superposition of basis solutions doesn't work.)
So we do it a step at a time. We start with a free electron moving without any electromagnetic field, then we add in the effect of the particle on the electromagnetic field (inserting virtual photons representing disturbances of the electromagnetic field), then we add the effect of the modified electromagnetic field on the particle field (by adding new virtual particles), and so on. Each stage of the calculation is formally incorrect - we are always neglecting the highest-order effects of one field on the other. We use Feynman diagrams to keep track of them. Each step involves a separate multidimensional integral - but each one is wrong (and may even diverge) because it represents a physically impossible, inconsistent situation. However, when we add them all up, the wrongnesses and divergences cancel out (hopefully!) and we get the right answer.
So what we are doing is taking a simplified equation we know how to solve, and adding an infinite series of unreal, "just math" terms to turn it into the real problem we have been given. Like our $+9-9$ terms above, these represent modelled physical entities that "pop out of nowhere". But if we think of the problem perturbatively, as an infinite series of simple linear interactions bouncing back and forth rather than two fields that simply interact nonlinearly together, then it is as if these intermediate states and particles really existed, interacting with the real particles. The $+5$ term is physically real, the $+9-9$ terms are not, and taken together cancel out, but they all appear together in the equation on the same footing, and the virtual bits "influence the real world" in the sense that the calculation process works by treating them as if they do.