心血管疾病患者口腔诊疗风险防范专家共识(2022版)  

Consensus of experts on the medical risk prevention for the patients with cardiovascular diseases during dental treatment(2022 edition)

作　　者：章靖 苏冠华[2] 张晓东 徐凯 王左敏[5] 邓旭亮[6] 朱亚琴[7] 陈永进[8] 高承志[9] 谢洪[10] 潘宣[11] 尹林[12] 徐宝华[13] 费伟[14] 周建 邵丹 张志宏 张凯[18] 王侠[19] 程翔[2] 王霄[20] 陈莉莉[1] Zhang Jing;Su Guanhua;Zhang Xiaodong;Xu Kai;Wang Zuomin;Deng Xuliang;Zhu Yaqin;Chen Yongjin;Gao Chengzhi;Xie Hong;Pan Xuan;Yin Lin;Xu Baohua;Fei Wei;Zhou Jian;Shao Dan;Zhang Zhihong;Zhang Kai;Wang Xia;Cheng Xiang;Wang Xiao;Chen Lili(Department of Stomatology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Cardiology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Stomatology,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Cardiology,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Stomatology,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China;Department of Geriatric Dentistry,Peking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China;Department of General Dentistry,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine&College of Stomatology,Shanghai Jiao Tong University&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Shanghai Key Laboratory of Stomatology,Shanghai 200011,China;Department of General Dentistry&Emergency,School of Stomatology,The Fourth Military Medical University&State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi International Joint Research Center for Oral Diseases,Xi′an 710032,China;Department of Stomatology,Peking University People′s Hospital,Beijing 100044,China;Department of Stomatology,The People′s Hospital of Liaoning Province,Shenyang 110016,China;The First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510080,China;Department of Stomatology,The First Affiliated Hospital With Nanjing Medical Unive

机构地区：[1]华中科技大学同济医学院附属协和医院口腔医学中心,武汉430022 [2]华中科技大学同济医学院附属协和医院心血管内科,武汉430022 [3]北部战区总医院口腔科,沈阳110016 [4]北部战区总医院心内科,沈阳110016 [5]首都医科大学附属北京朝阳医院口腔科,北京100020 [6]北京大学口腔医学院·口腔医院特诊科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心,口腔数字医学北京市重点实验室,北京100081 [7]上海交通大学医学院附属第九人民医院口腔综合科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011 [8]第四军医大学口腔医学院急诊与综合临床科,军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔疾病国际联合研究中心,西安710032 [9]北京大学人民医院口腔科,北京100044 [10]辽宁省人民医院口腔科,沈阳110016 [11]广东药科大学附属第一医院口腔科,广东510080 [12]南京医科大学第一附属医院口腔科,南京210029 [13]中日友好医院口腔科,北京100029 [14]四川省医学科学院·四川省人民医院口腔科,成都610072 [15]首都医科大学口腔医学院特诊特需科,北京100050 [16]青岛西海岸新区中心医院口腔科,青岛266555 [17]中国科学技术大学附属第一医院(安徽省立医院)口腔医学中心,合肥230001 [18]蚌埠医学院第一附属医院口腔科,蚌埠233000 [19]广东省中医院心血管专科,广州510120 [20]北京大学第三医院口腔科,北京100191

出　　处：《中华口腔医学杂志》2022年第5期462-473,共12页Chinese Journal of Stomatology

摘　　要：随着社会老龄化进程,我国心血管疾病(cardiovascular diseases,CVD)患病率处于持续上升阶段,伴CVD的口腔患者逐渐增加。关于口腔医师应如何规范进行CVD患者的治疗前评估和围手术期风险防范,国内尚缺乏有针对性的指南和规范,是目前有待解决的问题。中华口腔医学会第五届全科口腔医学专业委员会专家组联合心内科领域专家组成共识专家组,根据当前国内诊治CVD患者的临床经验,结合国际相关指南及研究,从CVD与口腔疾病之间的关系,心力衰竭、高血压及抗血栓治疗患者口腔诊疗等方面进行系统性总结,形成专家共识,希望逐步实现CVD患者口腔诊疗的规范化与标准化,降低诊疗风险,减少并发症的发生,提高我国口腔医师对CVD患者的诊疗水平。With the aging process of population in the society,the prevalence of cardiovascular diseases(CVD)in China is increasing continuously and the number of dental patients with CVD is increasing gradually too.Due to the lack of guidelines for dental patients with CVD in our country,how to implement standardized preoperative evaluation and perioperative risk prevention remains a problem to be solved for dentists at present.The present expert consensus was reached by combining the clinical experiences of the expert group of the Fifth General Dentistry Special Committee,Chinese Stomatological Association and respiratory and cardiology experts in diagnosis and treatment for CVD patients,and by systematically summarizing the relevant international guidelines and literature regarding the relationship between CVD and oral diseases and the diagnosis and treatment of dental patients with heart failure,hypertension and antithrombotic therapy.The consensus aims to provide,for the dental clinicians,the criteria on diagnosis and treatment of CVD in dental patients in China so as to reduce the risk and complications,and finally to improve the treatment levels of dental patients with CVD in China.

关 键 词：心血管疾病 口腔医学 高血压 心力衰竭 抗血栓治疗 诊疗风险防范 专家共识 

分 类 号：R54[医药卫生—心血管疾病] R78[医药卫生—内科学]