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儿童围手术期的梦境与意识

Peri-operative dreaming and awareness in children.

作者信息

Hobbs A J, Bush G H, Downham D Y

机构信息

Alder Hey Children's Hospital, Liverpool.

出版信息

Anaesthesia. 1988 Jul;43(7):560-2. doi: 10.1111/j.1365-2044.1988.tb06687.x.

DOI:10.1111/j.1365-2044.1988.tb06687.x
PMID:3414918
Abstract

Dreaming under anaesthesia was investigated in a prospective study of 120 day case paediatric patients, aged 5-17 years, who underwent a variety of surgical procedures. Patients were anaesthetised using the 'Liverpool technique' of paediatric anaesthesia (nitrous oxide-oxygen-relaxant). No patient reported awareness, but 23 of 120 patients (19%) reported dreams. Analysis of the data revealed that the choice of muscle relaxant, (nondepolarising or depolarising) had a statistically significant effect on the incidence of dreaming (p less than 0.05). It is suggested that the technique of intermittent intravenous suxamethonium may result in increased muscle spindle discharge and cause cerebral arousal and an increased incidence of dreaming.

摘要

在一项针对120名年龄在5至17岁、接受各种外科手术的日间手术儿科患者的前瞻性研究中,对麻醉状态下的梦境进行了调查。患者采用“利物浦小儿麻醉技术”(氧化亚氮-氧气-松弛剂)进行麻醉。没有患者报告有术中知晓,但120名患者中有23名(19%)报告做了梦。数据分析显示,肌肉松弛剂的选择(非去极化或去极化)对做梦发生率有统计学上的显著影响(p小于0.05)。有人认为,间歇性静脉注射琥珀酰胆碱技术可能会导致肌梭放电增加,引起大脑兴奋,从而使做梦发生率增加。

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Peri-operative dreaming and awareness in children.儿童围手术期的梦境与意识
Anaesthesia. 1988 Jul;43(7):560-2. doi: 10.1111/j.1365-2044.1988.tb06687.x.
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Peri-operative dreaming in paediatric patients who receive suxamethonium.接受琥珀胆碱的儿科患者围手术期梦境
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Anaesthesia, amnesia, dreams and awareness.麻醉、失忆、梦境与意识。
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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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Dreaming during anaesthesia in children: incidence, nature and associations.儿童麻醉期间的梦境:发生率、性质及关联
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Awareness, dreams, and hallucinations associated with general anesthesia.与全身麻醉相关的意识、梦境和幻觉。
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引用本文的文献

1
Anesthesia awareness: narrative review of psychological sequelae, treatment, and incidence.麻醉觉醒:心理后遗症、治疗及发生率的叙述性综述
J Clin Psychol Med Settings. 2011 Sep;18(3):257-67. doi: 10.1007/s10880-011-9233-8.
2
[Awareness: a problem in paediatric anaesthesia?].[知晓度:小儿麻醉中的一个问题?]
Anaesthesist. 2006 Oct;55(10):1041-9. doi: 10.1007/s00101-006-1040-5.
3
[Total intravenous anesthesia. On the way to standard practice in pediatrics].[全静脉麻醉。迈向儿科标准实践之路]
Anaesthesist. 2003 Sep;52(9):763-77. doi: 10.1007/s00101-003-0560-5.