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目的:了解丙泊酚联合舒芬太尼麻醉行无痛清宫术患者术中记忆（梦、幻觉和术中知晓）的发生状况并分析其影响因素。方法:对2017年1月至2018年9月在双桥医院应用丙泊酚联合舒芬太尼麻醉行无痛清宫术患者的改良Brice问卷调查结果进行回顾性分析，评价患者从麻醉诱导到麻醉结束后意识恢复期间的记忆，计算做梦、幻觉（包括性幻觉）和术中知晓的发生率，对丙泊酚联合舒芬太尼麻醉后术中记忆的可能影响因素（包括患者的年龄、体重、手术时间、丙泊酚初始剂量及总剂量和舒芬太尼总剂量等）进行logistic回归分析。结果:共纳入2 142例患者，年龄（28.3±7.4）岁，体重（61.8±10.2）kg，孕周（7.8±1.3）周，中位手术时间5（3，28）min；丙泊酚初始剂量为（94.1±20.9）mg，总剂量为（110.0±39.8）mg；舒芬太尼总剂量为（9.9±0.4）μg。2 142例患者中1 038例（48.5%）患者存在从麻醉诱导到麻醉结束后意识恢复期间的记忆，其中1 019例（98.2%）被定义为“做梦”，19例（1.8%）为“幻觉”，无1例发生“术中知晓”。1 038例患者中有11例被定义为性幻觉，其发生率为0.5%。患者术中记忆的发生与年龄、体重、手术时间、丙泊酚初始剂量及总剂量和舒芬太尼总剂量间均无明显相关性（均n P>0.05）。n 结论:丙泊酚联合舒芬太尼的麻醉方案可能导致无痛清宫术患者发生梦和幻觉，其中应特别警惕性幻觉的发生。“,”Objective:To understand the occurrence of intraoperative memory (dream, halluci- nation, and intraoperative awareness) following anesthesia with propofol and sufentanil and analyze its influen- cing factors in patients undergoing painless curettage of the uterine cavity.Methods:The modified Brice questionnaire survey results in patients who underwent painless curettage of the uterine cavity under propofol and sufentanil anesthesia in Shuangqiao Hospital from January 2017 to September 2018 were retrospectively analyzed. The memory of patients from anesthesia induction to consciousness recovery after anesthesia was evaluated, and the incidences of dream, hallucination (including sexual hallucination), and intraoperative awareness were calculated. The possible influencing factors (including age, weight, operation time, initial and total dose of propofol, and total dose of sufentanil) of intraoperative memory after anesthesia with propofol and sufentanil were analyzed using logistic regression method.Results:A total of 2 142 patients were enrolled, aged (28.3±7.4) years and weighing (61.8±10.2) kg, with gestational age of (7.8±1.3) weeks and a median operation time of 5 (3-28) min; the initial dose of propofol was (94.1±20.9) mg, with a total dose of (110.0±39.8) mg; the total dose of sufentanil was (9.9±0.4) μg. Among the 2 142 patients, 1 038 (48.5%) had memory from anesthesia induction to consciousness recovery after anesthesia, 1 019 (98.2%) of which were defined as dreams, 19 (1.8%) as hallucinations, and no one had intraoperative awareness. Eleven of 1 038 patients were defined as having sexual hallucinations and the incidence was 0.5%. There was no significant correlation between the occurrence of intraoperative memory and age, weight, operation time, initial dose and total dose of propofol, and total dose of sufentanil ( n P>0.05 for all).n Conclusion:The anesthesia of propofol combined with sufentanil may lead to dreams and hallucinations in patients undergoing painless curettage of the uterine cavity, and occurrence of sexual hallucinations should be more paid attention to.