336例高龄老人口腔残根不能拔除原因调查分析  

Investigation and analysis on the causes of failure to extract oral residual roots in 336 elderly people

作　　者：沈华 SHEN Hua(Stomatology Department,Funing People's Hospital of Jiangsu Province,Yancheng 224400,China)

机构地区：[1]江苏省阜宁县人民医院口腔科,江苏盐城224400

出　　处：《临床医学研究与实践》2024年第35期6-9,共4页Clinical Research and Practice

摘　　要：目的分析高龄老人口腔残根不能拔除的原因,寻找对应方法。方法选取2018年1月至2021年6月就诊于我院口腔科门诊的387例高龄患者(80~98岁)为研究对象,共812颗病变残根。针对无禁忌证者常规拔除残根,不能拔除者给予对症处理。结果387例高龄老人中,51例(107颗)给予残根拔除,占比13.2%;6例(11.8%)出现轻微并发症。336例(86.8%,705颗)因高龄及合并内科疾病原因未能拔除残根,具体内科疾病原因包括高血压、糖尿病、无临床症状心电图异常、冠心病稳定型心绞痛、卒中后遗症、慢性阻塞性肺疾病、心功能不全、长期服用抗凝药物等。结论高龄老人口腔残根拔除率较低的原因与以内科疾病为主的禁忌证有关,但存在禁忌证评估过严现象,需要口腔科与内科合作,适当把握禁忌证,提高高龄老人残根拔除率;高龄老人残根拔除后的轻微并发症发生率较高。Objective To analyze the causes of failure to extract oral residual roots of elderly people,and to find corresponding methods.Methods A total of 387 elderly patients(80-98 years old)who visited the outpatient of stomatology department in our hospital from January 2018 to June 2021 were selected as the research objects,with a total of 812 diseased residual roots.For those without contraindications,the residual roots were routinely removed,and those who could not be removed were given symptomatic treatment.Results Among the 387 elderly people,51 cases(107 teeth)were given residual roots extraction,accounting for 13.2%;mild complications occurred in 6 cases(11.8%).Three hundred and thirty-six cases(86.8%,705 teeth)failed to extract residual roots due to advanced age and combined medical diseases,the specific causes of medical diseases included hypertension,diabetes,asymptomatic electrocardiogram abnormalities,stable angina pectoris of coronary heart disease,stroke sequelae,chronic obstructive pulmonary disease,cardiac insufficiency,long-term use of anticoagulant drugs,etc.Conclusion The reason for the low extraction rate of oral residual roots in elderly people is related to the contraindications based on medical diseases,but there is a phenomenon of excessive evaluation of contraindications.It is necessary to cooperate with the stomatology department and the internal medicine department to properly grasp the contraindications and improve the extraction rate of residual roots in elderly people.The incidence of minor complications after residual roots extraction in elderly people is high.

关 键 词：口腔残根 高龄老人 高血压 牙拔除术 

分 类 号：R780.1[医药卫生—口腔医学]