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术中意识检测方法:一项随机对照研究。

Detection method of intraoperative awareness: a randomized comparative study.

机构信息

Department of Anesthesiology and Reanimation, Ankara Training and Research Hospital, Ankara, Turkey.

Department of Anesthesiology and Reanimation, Etlik Zübeyde Hanım Women's Health Training and Research Hospital, Ankara, Turkey.

出版信息

Turk J Med Sci. 2022 Dec;52(6):1997-2003. doi: 10.55730/1300-0144.5548. Epub 2022 Dec 21.

Abstract

BACKGROUND

: The incidence of intraoperative awareness varies in a wide range in the literature. The reasons for these different results include the questioning method used and the questioning time. The goal of this study is to compare the effectiveness of different questioning methods and times used in intraoperative awareness research for detecting the incidence.

METHODS

We recruited patients between the ages of 18-70 years, with normal cognitive functions and able to speak after general anesthesia to the study. The patients were randomly divided into two groups. In Group 1 we applied the modified Brice questionnaire in the first 2 h and 24 h after surgery for investigating intraoperative awareness. In Group 2, 24 h after surgery, we asked about anesthesia satisfaction and patients' complaints, if any.

RESULTS

There was no statistically significant difference between the groups in terms of age (p = 0.514).The proportion of women was significantly higher (p = 0.002), the duration of anesthesia was shorter, and the rate of narcotic analgesic use was higher in Group 2 (p < 0.001). The assessment in the first 2 h showed the frequency of awareness was statistically higher in Group 1 than in Group 2 (p = 0.016). In the postoperative 24-h assessment, we found no significant difference in the incidence of intraoperative awareness between the groups (p < 0.05). In Group 1, there was no statistically significant difference in terms of incidence of awareness according to evaluation time (p = 250).

DISCUSSION

The incidence of intraoperative awareness in Group 1 was significantly higher than in Group 2 in the evaluation conducted in the first 2 h. There was no significant difference in the determination of intraoperative awareness between questioning times in group 1.

摘要

背景

术中知晓的发生率在文献中差异很大。造成这些不同结果的原因包括所使用的提问方法和提问时间。本研究的目的是比较术中意识研究中使用的不同提问方法和时间对检测发生率的有效性。

方法

我们招募了年龄在 18-70 岁之间、认知功能正常且全身麻醉后能够说话的患者参加研究。将患者随机分为两组。在第 1 组中,我们在手术后的前 2 小时和 24 小时应用改良 Brice 问卷调查术中知晓情况。在第 2 组中,在手术后 24 小时,我们询问麻醉满意度和患者的任何投诉。

结果

两组在年龄方面无统计学差异(p = 0.514)。女性比例明显较高(p = 0.002),麻醉时间较短,且第 2 组中使用麻醉性镇痛药的比例较高(p < 0.001)。前 2 小时的评估显示,第 1 组中意识的发生率明显高于第 2 组(p = 0.016)。在术后 24 小时评估中,两组之间术中意识的发生率无统计学差异(p < 0.05)。在第 1 组中,根据评估时间,意识发生率无统计学差异(p = 250)。

讨论

第 1 组在第 2 小时评估中的意识发生率明显高于第 2 组。在第 1 组中,不同的询问时间对术中意识的确定没有显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d76a/10390120/c0e96fd17847/turkjmedsci-52-6-1997f1.jpg

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