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全身麻醉下术中知晓情况的调查和分析
引用本文:叶治,郭曲练,郑洪,王锷,潘韫丹,宋宗斌. 全身麻醉下术中知晓情况的调查和分析[J]. 中南大学学报(医学版), 2008, 33(6): 533-536
作者姓名:叶治  郭曲练  郑洪  王锷  潘韫丹  宋宗斌
作者单位:中南大学湘雅医院,麻醉科,长沙,410078;中南大学湘雅二医院,麻醉科,长沙,410011
摘    要:目的:调查全身麻醉技术下,术中知晓的发生率并分析其可能原因.方法:行全身麻醉的择期或急症外科手术病人1 800例,均未行脑电生理功能监测.术后第1天及第4天随访患者,调查术中知晓发生率.结果:1 800例患者中,发生肯定术中知晓的有13例(0.72%),术中做梦者145例(8.1%),145例患者中女性患者为108例(74.5%),接受异丙酚麻醉者114例(78.6%).结论:术中知晓与ASA分级水平相关,但与年龄、性别无关.而术中做梦的发生与年轻女性及异丙酚麻醉相关.

关 键 词:术中知晓  全身麻醉  ASA分级  异丙酚
收稿时间:2008-01-15

Investigation and analysis of the incidence of awareness during general anesthesia
YE Zhi,GUO Qu-lian,ZHENG Hong,WANG E,PAN Yun-dan,SONG Zong-bin. Investigation and analysis of the incidence of awareness during general anesthesia[J]. Journal of Central South University. Medical sciences, 2008, 33(6): 533-536
Authors:YE Zhi  GUO Qu-lian  ZHENG Hong  WANG E  PAN Yun-dan  SONG Zong-bin
Affiliation:1.Department of Anesthesiology, Xiangya Hospital,Central South University, Changsha 410078;
2.Department of Anesthesiology, Second Xiangya Hospital,Central South University, Changsha 410011, China
Abstract:Objective To investigate the incidence of awareness during general anesthesia in patients undergoing surgery.Methods A total of 1 800 patients who underwent the selected and acute surgery with general anesthesia were enrolled.Brain function monitors were not used.Patients were interviewed twice during 24 h and 96 h postoperat ively to determine intraoperative awareness.Results Of all the inpatients,13(0.72%)reported clear awareness and never forgot anything during the operation;145(8.1%)reported dreaming du...
Keywords:intraoperative recollections  general anesthesia  ASA physical status  propofol
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