摘要
目的:调查全身麻醉技术下,术中知晓的发生率并分析其可能原因。方法:行全身麻醉的择期或急症外科手术病人1800例,均未行脑电生理功能监测。术后第1天及第4天随访患者,调查术中知晓发生率。结果:1800例患者中,发生肯定术中知晓的有13例(0.72%),术中做梦者145例(8.1%),145例患者中女性患者为108例(74.5%),接受异丙酚麻醉者114例(78.6%)。结论:术中知晓与ASA分级水平相关,但与年龄、性别无关。而术中做梦的发生与年轻女性及异丙酚麻醉相关。
Objective To investigate the incidence of awareness during general anesthesia in patients undergoing surgery.Methods A total of 1 800 patients who underwent the selected and acute surgery with general anesthesia were enrolled.Brain function monitors were not used.Patients were interviewed twice during 24 h and 96 h postoperat ively to determine intraoperative awareness.Results Of all the inpatients,13（0.72%）reported clear awareness and never forgot anything during the operation;145（8.1%）reported dreaming during anesthesia with doubtful intraoperative recollection.Among the 145 patients,108（74.5%）were females and 114（78.6%）received propofol anesthesia.Conclusion Intraoperative recollections are rare complication of general anesthesia,and are associated with the increased ASA physical status.Age and sex do not influence the incidence of awareness.Dreaming during anesthesia is related to younger females and ropofol maintenance.
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2008年第6期533-536,共4页
Journal of Central South University ：Medical Science
关键词
术中知晓
全身麻醉
ASA分级
异丙酚
intraoperative recollections
general anesthesia
ASA physical status
propofol
作者简介
叶治（1978-），男，湖南长沙人，博士研究生，主要从事基础与临床麻醉研究。
通讯作者（Corresponding author）郑洪，E—mail：doctorhongzheng@hotmail．com.cn
