Sex differences in dreaming during short propofol sedation for upper gastrointestinal endoscopy
Sex differences in dreaming during short propofol sedation for upper gastrointestinal endoscopy
复制标题
上消化道内镜短时丙泊酚镇静做梦的性别差异
DOI：
10.1097/wnr.0b013e3283644b66
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发表时间：
2013-10-02
期刊：
影响因子：
1.7
通讯作者：
Wang, Kai
中科院分区：
文献类型：
--
作者：
Xu, Guanghong;Liu, Xuesheng;Wang, Kai
先前的研究表明，在麻醉状态下做梦可能存在性别差异，但他们的结果并不确定。本研究探讨了上消化道内窥镜检查中丙泊酚短时间镇静期间梦的发生率和内容的性别差异，并调查了性别差异或梦的内容是否影响患者对镇静的满意度。共200例接受上消化道内镜检查的患者（100例男性和100例女性）参加了本研究。采用改良Brice问卷调查患者梦的发生率和内容，并评估患者对镇静的满意度。结果表明，男性做梦的发生率（31%）显著高于女性（17%）（P=0.02），但恢复时间相似。在男性中，45%（14/31）的做梦者报告了积极的情感内容，只有6%（2/31）报告了消极的情感内容。相反，在女性中，18%（3/17）报告阳性内容，29%（5/17）报告阴性内容（P=0.04）。男性报告的梦更生动，更有意义，更熟悉，更难忘（P<0.01）。在梦的情绪强度方面没有观察到显著的性别差异，并且情绪内容不影响患者的满意度。总之，在短时间异丙酚镇静期间，尽管恢复时间相似且年龄匹配，但做梦存在性别差异。男性报告做梦的频率更高，并且对他们的梦境叙述有更高的回忆率。特别是，男性报告了更多积极的情感内容，更少的消极情感内容和更有意义的内容。做梦者对镇静剂的满意度不受性或梦境内容的影响。
Previous reports suggest that sex differences may exist in dreaming under anesthesia, but their results were inconclusive. The current study explored sex differences in the incidence and content of dreams during short propofol sedation for upper gastrointestinal endoscopy and investigated whether sex differences or dream content affect patient satisfaction with sedation. A total of 200 patients (100 men and 100 women) undergoing upper gastrointestinal endoscopy participated in this study. Patients were interviewed with the modified Brice questionnaire about the incidence and the content of dreams, and satisfaction with sedation was assessed. The results showed that the incidence of dreaming was significantly higher in men (31%) than in women (17%) (P=0.02), but recovery time was similar. In men, 45% (14/31) of dreamers reported positive emotional content and only 6% (2/31) reported negative emotional content. In contrast, in women, 18% (3/17) reported positive and 29% (5/17) reported negative content (P=0.04). Men reported dreams that were more vivid, meaningful, familiar, and memorable (P<0.01). No significant sex differences were observed in the emotional intensity of dreams, and emotional content did not influence patients’ satisfaction. In sum, sex differences existed in dreaming during short propofol sedation despite similar recovery time and matching in terms of age. Men reported dreaming more frequently and had a higher incidence of recall for their dream narratives. In particular, men reported significantly more positive emotional content, less negative emotional content, and more meaningful content. Dreamer satisfaction with sedation was not influenced by sex or dream content.