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麻醉期间梦的回忆是术后恶心呕吐发生的迹象吗?

Is recall of dreaming during anesthesia a sign of occurrence of postoperative nausea and vomiting?

作者信息

Matsuyama Tomonori, Iranami Hiroshi, Fujii Keisuke, Hirayama Michiko, Kawashima Kouhei

机构信息

Department of Anesthesia, Kyoto University Hospital, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

出版信息

J Anesth. 2013 Dec;27(6):945-8. doi: 10.1007/s00540-013-1653-1. Epub 2013 Jun 21.

DOI:10.1007/s00540-013-1653-1
PMID:23793402
Abstract

We examined the relationships between recall of dreaming during anesthesia and postoperative nausea and vomiting (PONV). We found a relationship between PONV within 24 h and age <50 years, use of postoperative epidural analgesia with morphine, and female gender. We also found a relationship between PONV lasting more than 24 h and dream recall. As serotonin plays an important role for both inducing PONV and dream recall, results of the present study may suggest a possible relationship between dream recall and PONV.

摘要

我们研究了麻醉期间梦境回忆与术后恶心呕吐(PONV)之间的关系。我们发现24小时内发生的PONV与年龄<50岁、术后使用吗啡硬膜外镇痛以及女性性别之间存在关联。我们还发现持续超过24小时的PONV与梦境回忆之间存在关联。由于血清素在诱发PONV和梦境回忆中都起着重要作用,本研究结果可能提示梦境回忆与PONV之间存在潜在关联。

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本文引用的文献

1
Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.全身麻醉期间的知晓并伴有回忆:对4001例患者的前瞻性观察性评估
Br J Anaesth. 2008 Aug;101(2):178-85. doi: 10.1093/bja/aen144. Epub 2008 May 30.
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Intraoperative dreams reported after general anaesthesia are not early interpretations of delayed awareness.全身麻醉后报告的术中梦境并非对延迟苏醒的早期解读。
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Remifentanil inhibits rapid eye movement sleep but not the nocturnal melatonin surge in humans.
瑞芬太尼抑制人类快速眼动睡眠,但不抑制夜间褪黑素分泌高峰。
Anesthesiology. 2008 Apr;108(4):627-33. doi: 10.1097/ALN.0b013e3181684bc3.
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Scopolamine prevents dreams during general anesthesia.东莨菪碱可防止全身麻醉期间做梦。
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Anesthesiology. 2007 Jan;106(1):33-42. doi: 10.1097/00000542-200701000-00010.
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Anaesthesia. 2005 Mar;60(3):239-44. doi: 10.1111/j.1365-2044.2004.04087.x.
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SSRI treatment suppresses dream recall frequency but increases subjective dream intensity in normal subjects.选择性5-羟色胺再摄取抑制剂(SSRI)治疗可抑制正常受试者的梦回忆频率,但会增加主观梦境强度。
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Serotonin and the sleep/wake cycle: special emphasis on microdialysis studies.血清素与睡眠/觉醒周期:特别关注微透析研究。
Prog Neurobiol. 2000 Jan;60(1):13-35. doi: 10.1016/s0301-0082(98)00097-5.