老年心血管病患者拔牙问题的探讨  

A study on the tooth extraction of the elderly with cardiovascular disease

作　　者：张海军[1] 刘晓辉[1] 赵颖[2] 

机构地区：[1]兰州军区总医院颌面外科,甘肃兰州730050 [2]第四军医大学口腔医学系

出　　处：《临床口腔医学杂志》2009年第11期682-683,共2页Journal of Clinical Stomatology

摘　　要：目的:对老年心血管病患者拔牙麻醉前后心电监测结果进行分析。方法:选择54例具有心血管疾病的老年患者,在心电监护下拔牙,详细记录术前、术后心率、血压的变化。结果:麻醉后较麻醉前80%的患者心率、血压有明显变化。心率平均增加10～19次/min,收缩压平均升高3.45mmHg。结论:严格掌握适应症,监护拔牙治疗的全过程,可提供安全保障,明显降低手术风险。Objective： To analyze the electrocardiogram monitoring data of elderly patients with cardiovascular disease before and after anesthesia for tooth extraction. Method： 54 elderly inpatients with cardiovascular disease were chosen to be extracted tooth under electrocardiogram monitoring. The heart rate and blood pressure before and after operation were recorded in detail. Result： There is significant difference in heart rate and blood pressure of 80% elderly patients between before and after anesthesia. Heart rate increased 10-19 times per minute and systolic pressure increased 3.45 mmHg in average. Conclusion： It will significandy decrease surgical risk and provide security guarantee when we severely select the in- dication and monitor the whole process of tooth extraction.

关 键 词：老年人 心血管 心电监护 拔牙 

分 类 号：R782.11[医药卫生—口腔医学]