200例无痛肠镜患者梦境调查和分析

Dreaming and Recall during Propofol Anaesthesia for Colonoscopy in 200 Patients

观察无痛肠镜患者实施丙泊酚麻醉后的做梦情况。采用问卷调查方法对200例实施无痛肠镜诊疗结束的患者做梦情况进行研究。200例患者分为做梦者(D组)和无梦者(N组)两组。结果200例无痛肠镜患者做梦发生率为32.50%,梦境回忆者有35人(占做梦者的53.85%),其中有3人梦境回忆内容与性梦有关。麻醉状态指数(CSI)无痛肠镜操作开始、操作3min时D组明显低于N组;年龄D组小于N组,丙泊酚用量D组明显高于N组。做梦者发生率与性别、ASA分级、教育程度、种族和睡眠质量相关。无痛肠镜诊疗丙泊酚麻醉梦境发生是一种常见现象,受多种因素影响。给患者提供一个良好愉悦的心理和生理舒适诊疗体验很有必要,使服务更具人性、人伦和人情,让患者在心理和精神层面获得巨大满足。

To investigate dreaming and recall during propofol anaesthesia for colonoscopy . It studied 200 patients by questionnaire interviewing .200 patients were divided into two groups of dream and no dream .General information , monitoring index ,propofol dosage and duration of anesthesia were observed and recorded .The incidence of dream was reported in 32 .5% of patients .Dream recall was reported in 53 .85% dreaming of patients .There were only three dreams even remotely related to sexual content .CSI had significant at begin of operation and 3min after operation （in the dream group） .Age and dosage of propofol had significant in the dream group .Gender ,ASA physical status ,education level , nation and sleep quality had significance on dream recall .Dream recall is a common phenomenon for colonoscopy patients with propofol anesthesia , and is related to various factors .It is necessary to provide patients with a good pleasant psychological and physiological comfort treatment experience and to make the service more human .It has great satisfaction in the mental and spiritual for patients .