老年心血管疾病患者一次性拔除多颗牙齿的回顾性分析  

A retrospective analysis on a one-time extraction of multiple teeth of elderly patients with cardiovascular disease under electrocardiographic monitoring

作　　者：王维丽[1] 马洁[2] 常颖[1] 李鑫[2] 张晶[1] 宫琳[1] 

机构地区：[1]航天中心医院口腔科,副主任医师北京100049 [2]锦州医科大学航天中心医院研究生培养基地,硕士生北京100049

出　　处：《中华老年口腔医学杂志》2017年第3期138-141,174,共5页Chinese Journal of Geriatric Dentistry

基　　金：航天科工集团公司医疗卫生科研项目(项目编号:2015-LCYL-008)

摘　　要：目的:对于老年心血管疾病患者心电监护下一次性拔除多颗牙齿的问题进行分析研究,为临床安全拔牙提供参考。方法:监测215例患者拔牙过程中血压、心率、血氧饱和度变化,进行分析。结果:215例患者均完成手术。血压、心率在麻醉时及术中均明显升高(P<0.05),术后心率较麻醉中显著降低(P<0.05),术后2小时血压会恢复至术前水平。3例术中出现血压过高,心率过快。所有患者术后拔牙创均无明显出血。结论:只要术前准备充分、术中严密监护、术后镇痛及加强护理,老年心血管疾病患者一次性拔除多颗牙齿是安全可行的。通过延长心电监护时间发现当手术时间延长及手术难度增加时,老年患者的血压会持续到术后2小时恢复至术前水平。Objective： To summarize and analyze the feasibility when the elderly patients with cardiovascular diseases extracted multiple teeth per time under the ECG monitoring. Methods： The heart rate （HR）,blood pressure （BP）, oxygen saturation （SpO2） of 215 patients were monitored and analyzed. Results： 215 patients completed the surgery. BP and HR were significantly increased during anesthesia and operation （P〈0.05）, and the postoperative HR was significantly lower than that during anesthesia （P〈 0.05）, BP recovered to the preoperative level in 2 hours of the operation. 3 patients suffered from hyperpiesia and racing HR during operation. Conclusion： Elderly patients with cardiovascular diseases were safe and feasible toextract multiple teeth per time under the condition of preoperative preparation, postoperative analgesia and intensive care. BP of the patients recovered to the preoperative level in 2 hours of the operation.

关 键 词：老年人 拔牙 心电监护 心血管疾病 

分 类 号：R54[医药卫生—心血管疾病] R782.11[医药卫生—内科学]