Gyulaházi Judit, Redl Pál, Karányi Zsolt, Varga Katalin, Fülesdi Béla
Faculty of Medicine, Department of Anesthesiology and Intensive Care, University of Debrecen, Debrecen, Hungary.
Faculty of Dentistry, Department of Maxillofacial Surgery, University of Debrecen, Debrecen, Hungary.
BMC Anesthesiol. 2016 Aug 2;16(1):53. doi: 10.1186/s12871-016-0214-1.
Images evoked immediately before the induction of anesthesia by means of suggestions may influence dreaming during anesthesia. This study is a retrospective re-evaluation of the original prospective randomized trial.
Dream reports were studied in two groups. In group 1. dreams of patients who received suggestions, and in group 2, those of the control group of patients who did not. The incidence of dream reports and the characteristics and the theme of the reported dreams were compared among the groups.
In general, the control and the psychological intervention groups were different in terms of dreaming frequency, and non-recall dreaming. The incidence of dream reports was significantly higher in the suggestion group (82/190 at 10 min and 71/190 at 60 min respectively) than in the control group (16/80 at 10 min and 13/80 at 60 min, respectively; p10 = 0.001 and p60 = 0.002). There were no differences in the nature (thought- like or cinematic), quality (color or B&W) and the mood (positive vs. negative) of the recalled dreams. In general, the contents of the imaginary favorite place and the reported dream were identical in 73.2 %. Among the topics most successfully applied in the operating theater were loved ones (83.8 %), holiday (77.8 %) and sport (63.6 %).
The results of the present study suggest that dreams during anesthesia are influenced by suggestions administered immediately preceding anesthesia.
The study was registered in ClinicalTrials.gov. Identifier: Q1 NCT01839201 , Date: 12 Apr. 2013.
通过暗示在麻醉诱导前即刻唤起的图像可能会影响麻醉期间的梦境。本研究是对原前瞻性随机试验的回顾性重新评估。
对两组的梦境报告进行研究。第1组为接受暗示的患者的梦境，第2组为未接受暗示的对照组患者的梦境。比较两组之间梦境报告的发生率以及所报告梦境的特征和主题。
总体而言，对照组和心理干预组在做梦频率和非回忆性梦境方面存在差异。暗示组的梦境报告发生率（分别在10分钟时为82/190，60分钟时为71/190）显著高于对照组（分别在10分钟时为16/80，60分钟时为13/80；p10 = 0.001，p60 = 0.002）。所回忆梦境的性质（类似思想或电影画面）、质量（彩色或黑白）和情绪（积极与消极）没有差异。总体而言，想象中的最喜欢的地方与所报告梦境的内容在73.2%的情况下是相同的。在手术室中最成功应用的主题中，亲人（83.8%）、假期（77.8%）和运动（63.6%）。
本研究结果表明，麻醉期间的梦境受麻醉前即刻给予的暗示影响。
该研究已在ClinicalTrials.gov注册。标识符：Q1 NCT01839201，日期：2013年4月12日。
