全科医学临床与教育
全科醫學臨床與教育
전과의학림상여교육
Clinical Education of General Practice
2015年
5期
526-528
,共3页
丙泊酚%无痛人流%梦境
丙泊酚%無痛人流%夢境
병박분%무통인류%몽경
propofol%analgesia artifical abortion%dreamland
目的：研究单独使用丙泊酚对行无痛人工流产妇女梦境的影响。方法选择行无痛人工流产的妇女180例，术前一周询问做梦情况，并且进行评分，手术开始时给予丙泊酚2 mg/kg，待睫毛反射消失、OAA/S评分为0时开始手术，待手术结束后，患者苏醒，OAA/S评分为5时开始问卷调查，内容包括是否做梦、梦境的特征、麻醉满意度视觉模拟评分（VAS）、焦虑视觉模拟评分（ AVAT）等。结果做梦组的患者近一周的做梦评分高于未做梦组，差异有统计学意义（χ2=8.35，P＜0.05）。两组患者丙泊酚用量和手术时间之间比较，差异均无统计学意义（t分别=0.60、1.25，P均＞0.05），做梦组的清醒时间短于未做梦组，差异有统计学意义（t=10.33，P＜0.05）。两组患者VAS评分和AVAT评分结果无统计学意义（t分别=1.85、1.69，P均＞0.05）。结论术中应用丙泊酚的患者梦境发生率较高，与近一周做梦频率有关，并且能带来愉悦的体验和心情，做梦性质与生理状态下相似。做梦可以减少术后恢复清醒时间。做梦与否不影响对麻醉满意度。
目的：研究單獨使用丙泊酚對行無痛人工流產婦女夢境的影響。方法選擇行無痛人工流產的婦女180例，術前一週詢問做夢情況，併且進行評分，手術開始時給予丙泊酚2 mg/kg，待睫毛反射消失、OAA/S評分為0時開始手術，待手術結束後，患者囌醒，OAA/S評分為5時開始問捲調查，內容包括是否做夢、夢境的特徵、痳醉滿意度視覺模擬評分（VAS）、焦慮視覺模擬評分（ AVAT）等。結果做夢組的患者近一週的做夢評分高于未做夢組，差異有統計學意義（χ2=8.35，P＜0.05）。兩組患者丙泊酚用量和手術時間之間比較，差異均無統計學意義（t分彆=0.60、1.25，P均＞0.05），做夢組的清醒時間短于未做夢組，差異有統計學意義（t=10.33，P＜0.05）。兩組患者VAS評分和AVAT評分結果無統計學意義（t分彆=1.85、1.69，P均＞0.05）。結論術中應用丙泊酚的患者夢境髮生率較高，與近一週做夢頻率有關，併且能帶來愉悅的體驗和心情，做夢性質與生理狀態下相似。做夢可以減少術後恢複清醒時間。做夢與否不影響對痳醉滿意度。
목적：연구단독사용병박분대행무통인공유산부녀몽경적영향。방법선택행무통인공유산적부녀180례，술전일주순문주몽정황，병차진행평분，수술개시시급여병박분2 mg/kg，대첩모반사소실、OAA/S평분위0시개시수술，대수술결속후，환자소성，OAA/S평분위5시개시문권조사，내용포괄시부주몽、몽경적특정、마취만의도시각모의평분（VAS）、초필시각모의평분（ AVAT）등。결과주몽조적환자근일주적주몽평분고우미주몽조，차이유통계학의의（χ2=8.35，P＜0.05）。량조환자병박분용량화수술시간지간비교，차이균무통계학의의（t분별=0.60、1.25，P균＞0.05），주몽조적청성시간단우미주몽조，차이유통계학의의（t=10.33，P＜0.05）。량조환자VAS평분화AVAT평분결과무통계학의의（t분별=1.85、1.69，P균＞0.05）。결론술중응용병박분적환자몽경발생솔교고，여근일주주몽빈솔유관，병차능대래유열적체험화심정，주몽성질여생리상태하상사。주몽가이감소술후회복청성시간。주몽여부불영향대마취만의도。
Objective To explore the effect of using propofol on dreamland in analgesia artifical abortion female. Meth-ods A total of 180 women who underwent analgesia artifical abortion were selected and investigated the information about dream. At the beginning of surgery, the patients were given propofol 2 mg/kg. And then the surgery was underwent when the eyelash reflex disappeared and the score of OAA/S was zero. After the surgery, the questionnaire including whether dreaming or not, dream features, the score of VAS and AVAT was investigated when the score of OAA/S was five. Results The dream's score of dream group at one week before surgery was significantly higher than non-dream group (χ2=8.35,P<0.05).The differences of propofol dosage and the time of surgury between two groups was not statistically significant as well as the score of VAS and AVAT (t=0.60,1.25,1.85,1.69,P>0.05). But the difference of recovery time between two groups was statistically significant (t=10.33,P<0.05). Conclusion The patients who used propofol in surgery have a high rate of dreaming. And it contact with the frequency of dreaming one week ago and take a pleasure feel. Dreaming in the surgery will shorten the awake time.
