伴心脑血管疾病患者牙周治疗的风险及防范对策  

Risks and preventive strategy of periodontal treatments for patients with cardiovascular and cerebrovascular diseases

作　　者：丁芳[1] 杨红霞[2] 孟焕新[3] Ding Fang;Yang Hongxia;Meng Huanxin(Department of Stomatology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Periodontology,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)

机构地区：[1]首都医科大学附属北京安贞医院口腔科,北京100029 [2]首都医科大学附属北京安贞医院综合心内科,北京100029 [3]北京大学口腔医学院·口腔医院牙周科,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

出　　处：《中华口腔医学杂志》2022年第6期563-568,共6页Chinese Journal of Stomatology

基　　金：国家自然科学基金(81870773);卫生部部署(管)医院临床学科重点项目(2010—2012)。

摘　　要：我国心脑血管疾病患病率和死亡率目前均处于上升阶段,伴心脑血管疾病的牙周病患者日益增多。对此类患者进行牙周治疗时,由于其全身状况的特殊性,应该遵循一定的治疗原则。牙周专科医师和非牙周专科的口腔医师需联合心内科医师,在牙周治疗前评估治疗的风险与获益,选择合理的治疗时机与方案;治疗过程中实时监测患者心率、血压等各项生命指标,避免发生急性心脑血管事件。由心内科医师决定具体的心内科药物的应用、停用及调整。The prevalence and mortality of the patients who suffer cardiovascular and cerebrovascular diseases are rising in China,and the number of periodontitis patients with cardiovascular and cerebrovascular diseases is growing.Certain principles should be followed during periodontal treatments for these patients due to their particular health conditions.Stomatologists should cooperate with cardiovascular physicians to evaluate the risks and benefits of periodontal treatments in advance,and to select reasonable treatment timings and plans.During treatments,the heart rates,blood pressures and other vital indicators are monitored in real time to avoid acute cardiovascular and cerebrovascular events.The application,discontinuation and adjustment of specific cardiovascular drugs are determined by cardiovascular physicians.

关 键 词：牙周炎 心血管疾病 脑血管疾病 牙周基础治疗 诊疗风险防范 

分 类 号：R781.4[医药卫生—口腔医学] R743[医药卫生—临床医学] R54