Dreaming during Sevoflurane or Propofol Short-Term Sedation: A Randomised Controlled Trial
Dreaming during Sevoflurane or Propofol Short-Term Sedation: A Randomised Controlled Trial
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DOI：
10.1177/0310057x1204000317
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发表时间：
2012-05
影响因子：
1.5
通讯作者：
G. Xu;X. Liu;F. Yu;E. Gu;J. Zhang;K. Wang
中科院分区：
文献类型：
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作者：
G. Xu;X. Liu;F. Yu;E. Gu;J. Zhang;K. Wang
先前的报告表明，麻醉期间的做梦取决于恢复时间。镇静期间做梦可能会影响患者的满意度。本研究探讨了七氟烷或丙泊酚短期镇静期间做梦的发生率和内容，并调查了做梦是否受恢复时间的影响。共有200名接受早期妊娠流产的妇女（美国麻醉医师协会身体状况I）参加了这项研究。患者被随机分配接受七氟烷或丙泊酚进行短期镇静。患者在出现时接受了改良Brice问卷调查。结果显示，七氟醚组和丙泊酚组的做梦发生率分别为60%（60/100）和33%（33/100）（P=0.000）。然而，两组之间的恢复时间没有显著差异。在七氟烷组中，与丙泊酚组相比，更多的做梦者无法回忆起他们所做的梦（P=0.02），更多的患者报告了没有声音（P=0.03）或运动（P=0.001）的梦。大多数参与者报告的梦都有积极的情感内容，这在两组之间没有显着差异。麻醉对患者满意度没有影响。结果表明，做梦的发生率不受恢复时间的影响。患者满意度不受镇静剂选择和/或七氟烷或丙泊酚短期镇静期间做梦发生的影响。
Prior reports suggest that dreaming during anaesthesia is dependent on recovery time. Dreaming during sedation may impact patient satisfaction. The current study explores the incidence and content of dreaming during short-term sedation with sevoflurane or propofol and investigates whether dreaming is affected by recovery time. A total of 200 women undergoing first trimester abortion (American Society of Anesthesiologists physical status I) participated in the study. Patients were randomly assigned to receive either sevoflurane or propofol for short-term sedation. Patients were interviewed upon emergence with the modified Brice questionnaire. The results showed the incidence of dreaming was significantly different between anaesthesia groups with 60% (60/100) of the sevoflurane group and 33% (33/100) of the propofol group (P=0.000). However, recovery time did not significantly differ between groups. In the sevoflurane group, a greater number of dreamers could not recall what they had dreamed about (P=0.02) and more patients reported dreams that had no sound (P=0.03) or movement (P=0.001) compared with dreamers in the propofol group. Most participants reported dreams with positive emotional content and this did not significantly differ between groups. Anaesthesia administered had no effect on patient satisfaction. The results suggest that the incidence of dreaming was not affected by recovery time. Patient satisfaction was not influenced by choice of sedative and/or by the occurrence of dreaming during sevoflurane or propofol short-term sedation.