牙科焦虑症对心血管病患者拔牙心率及血压增幅的影响  

Influence of dental anxiety in patients with cardiovascular disease on blood pressure and heart rate during tooth extraction

作　　者：崔涛[1] 薛振恂[1] 侯锐[1] 居云[1] 程晓兵[1] 

机构地区：[1]西安第四军医大学口腔医学院颌面外科,710032

出　　处：《实用口腔医学杂志》2004年第2期229-231,共3页Journal of Practical Stomatology

摘　　要：目的 :研究牙科焦虑症 (DA)对心血管病患者拔牙心率及血压增幅的影响 ,为术前进行心理治疗和护理提供指导。方法 :采用改良的牙科焦虑量表 (DAS)对 13 8例心血管病患者拔牙术前的DA进行调查 ,对拔牙全过程进行心电监护 ,对DAS得分与心率及血压增幅的相关关系进行统计学分析。结果 :DAS得分与心率增幅相关系数r =0 .0 2 3 ,P =0 .790 ;与收缩压增幅r =0 .2 17,P =0 .0 11;与舒张压增幅r =0 .177,P =0 .0 3 7。结论 :对于心血管病拔牙患者 ,需要术前进行心理治疗 ,以减轻DA ,避免或减少拔牙时血压升高 ,确保手术的安全。Objective: To investigate the effect of dental anxiety (DA) in patients with a documented history of cardiovascular disease on blood pressure(BP) and hart rate (HR) during tooth extraction so as to provide psychotherapy and nursing for them before extraction. Methods: 138 patients with cardiovascular disease were asked to complete a questionnaire modified from dental anxiety score (DAS) before tooth extraction , HR and BP were measured and recorded during the procedure. Then the correlation between DAS and the changes of HR or BP was analysed. Results:The correlation between DAS and change of HR was not significant(r=-0.023, P=0.790), the correlation between DAS and change of BP was significant(SBP: r=0.217, P=0.011; DBP:r=0.177, P=0.037). Conclusion:Psychotherapy should be given to the patients with cardiovascular disease before tooth extraction to reduce DA and to prevent their BP from rising during tooth extraction.

关 键 词：牙科焦虑症 心血管病 拔牙 心率 血压 

分 类 号：R782.11[医药卫生—口腔医学]