Department of Anesthesiology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan.
Clinical Study Support Center, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan.
J Anesth. 2021 Aug;35(4):576-580. doi: 10.1007/s00540-021-02942-8. Epub 2021 May 5.
Patients frequently report having dreams during general anesthesia, and the dreams are often reported to be pleasant dreams. However, factors associated with the quality of dreams during general anesthesia have not been clarified. The aim of this study was to determine the relationships between the quality of dreams during general anesthesia and perioperative factors. This prospective observational study included patients scheduled for elective surgery under general anesthesia. Preoperative mental status was assessed by the Hospital Anxiety and Depression Scale (HADS). A postoperative interview was carried out in the operating room after recovery from general anesthesia. Dreams and awareness during general anesthesia were assessed by a modified Brice interview. The quality of dreams was classified in accordance with the patient's own opinion as pleasant, indifferent, or unpleasant. A total of 1100 patients were included in the study, and 293 (25.4%) of the patients reported having dreams during anesthesia. Half of the patients who experienced dreams during anesthesia (50.2%, 147/293 patients) reported having a pleasant dream. Multivariate logistic regression analysis revealed that only HADS-depression score of less than 11 was related to pleasant dreams (OR: 3.3 [95% CI 1.3-10.0]).
患者在全身麻醉时常会报告有梦境，且这些梦境通常被报告为愉快的梦。然而，与全身麻醉期间梦境质量相关的因素尚未阐明。本研究旨在确定全身麻醉期间梦境质量与围手术期因素之间的关系。这项前瞻性观察研究纳入了计划在全身麻醉下接受择期手术的患者。术前精神状态采用医院焦虑和抑郁量表（HADS）进行评估。全身麻醉恢复后在手术室进行术后访谈。通过改良 Brice 访谈评估全身麻醉期间的梦境和意识。根据患者自己的意见将梦境质量分类为愉快、中性或不愉快。共有 1100 例患者纳入研究，其中 293 例（25.4%）患者在麻醉期间报告有梦境。在麻醉期间有梦境的患者中，有一半（50.2%，147/293 例）报告有愉快的梦。多变量逻辑回归分析显示，只有 HADS 抑郁评分<11 与愉快的梦有关（OR：3.3 [95% CI 1.3-10.0]）。
