156例老年高血压患者拔牙临床研究  

A clinical study of 156 elderly patients with hypertension receiving tooth extraction

作　　者：卢丽虹[1] 胡顺广[1] 魏远坚[1] 

机构地区：[1]广东省汕头市第二人民医院口腔科,广东汕头515011

出　　处：《中国医药科学》2014年第15期154-155,164,共3页China Medicine And Pharmacy

摘　　要：目的探讨老年高血压患者拔牙安全有效的降压策略。方法回顾性分析156例拔牙治疗的老年高血压患者的临床资料,患者均在拔牙前采用药物控制性降压,将采用硝苯地平+安定者76例纳入观察组,单独应用硝苯地平者80例纳入对照组,比较两组患者治疗前后收缩压(SBP)、舒张压(DBP)及心率(HR)的变化。结果本研究156例老年高血压患者均顺利地完成了拔牙,无严重并发症发生。其中观察组SBP、DBP下降效果明显优于对照组,而心率变化小于对照组,差异均有统计学意义(P<0.05)。结论老年高血压患者拔牙前采用硝苯地平联合安定有利于控制围手术期血压、心率的平稳,减少拔牙围手术期血压严重升高等意外情况的发生。Objective To explore and summarize a safe and effective strategy of decreasing blood pressure for elderly patients with hypertension receiving tooth extraction. Methods Clinical data of 156 elderly patients with hypertension receiving tooth extraction were analyzed retrospectively. Patients all received medicine to control their blood pressure before tooth extraction. 76 Patients receiving nifedipine plus diazepam were allocated to an observation group, and 80 patients receiving nifedipine alone were allocated to a control group. Changes of SBP, DBP and HR before and after the treatment were compared between the two groups. Results The 156 elderly patients with hypertension successfully received tooth extraction without severe complications occurred. Decrease of SBP and DBP in the observation group was significantly greater than that in the control group, and the change of HR was smaller than that in the control group. The differences were statistically significant（P 〈 0.05）. Conclusion Application of nifedipine combined with diazepam for elderly patients with hypertension before tooth extraction is beneficial to control peri-operative blood pressure and keep a stable heart rate, and to reduce emergencies such as severe elevation of blood pressure during peri-operative period of tooth extraction.

关 键 词：老年 高血压 拔牙 安全性 

分 类 号：R782.11[医药卫生—口腔医学]