上海口腔医学

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (3): 373-376.

• 临床总结 • 上一篇    下一篇

649例老年患者拔牙前、后血压变化的临床分析

许莹1, 2*, *, 曲晨3, 4*, *, 谭晓3, 4, 李新立1   

  1. 1.南京医科大学第一附属医院 心血管内科,江苏 南京 210029;
    2.南京医科大学附属口腔医院 急诊综合科,江苏 南京 210029;
    3.南京医科大学第二附属医院 老年医学科,江苏 南京 210011;
    4.新疆克孜勒苏柯尔克孜自治州人民医院 急诊中心,新疆 阿图什 845350
  • 收稿日期:2015-07-03 修回日期:2015-09-30 出版日期:2016-06-25 发布日期:2016-07-22
  • 通讯作者: 李新立,E-mail:xinli3267@yeah.net E-mail:xuying。0110@163.com;曲晨(1982-),男,硕士,主治医师
  • 作者简介:许莹(1984-),女,博士,主治医师
  • 基金资助:
    国家自然科学基金青年项目(81501202)

A clinical study on blood pressure changes before and after tooth extraction in 649 elderly patients

XU Ying1, 2, QU Chen3, 4, TAN Xiao3, 4, LI Xin-li1   

  1. 1.Department of Cardiovascular Diseases, First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, Jiangsu Province;
    2.Department of General and Emergency Dentistry, Affiliated Stomatological Hospital of Nanjing Medical University. Nanjing 210029, Jiangsu Province;
    3.Department of Geriatrics, Second Affiliated Hospital of Nanjing Medical University. Nanjing 210011, Jiangsu Province;
    4.Emergency Center, Kizilsu Kirghiz Autonomous Prefecture People's Hospital. Atushi 845350, Xinjiang Uygur Autonomous Region, China
  • Received:2015-07-03 Revised:2015-09-30 Online:2016-06-25 Published:2016-07-22

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摘要： 目的 观察老年拔牙患者手术前、后的血压变化, 探讨老年高血压病患者心电监护拔牙的安全性。方法 将649例老年拔牙患者分为高血压病组和非高血压病组。术前、术中及术后给予心电监护,全程监测并记录血压数值。采用SPSS 18.0 软件包对数据进行统计学分析。结果 2组患者在手术刺激下均出现血压升高。高血压病组患者手术前、后血压波动更加明显。当血压控制在正常范围时,2组患者手术前、后血压波动无显著差异。服用β受体阻滞剂的高血压病患者,手术前、后血压上升幅度最小。结论 控制老年患者的术前血压,是降低患者心电监护拔牙手术风险的重要手段。

关键词: 拔牙, 老年患者, 高血压

Abstract: PURPOSE: To investigate the safety of tooth extraction under ECG monitoring in 649 senile patients with hypertension by observing the blood pressure changes during operation. METHODS: The patients were divided into hypertension group and non-hypertension group. ECG monitoring was carried out during extraction. Blood pressure changes were monitored and recorded. The data was statistically analyzed with SPSS 18.0 software package. RESULTS: The patients' blood pressure in the two groups increased as a result of tooth extraction, and the change was more obvious in patients with hypertension. When blood pressure was controlled to normal range, there was no significant difference in blood pressure between the hypertension group and non-hypertension group. The increase of blood pressure of patients taking β-receptor blockers was minimal. CONCLUSIONS: Preoperative blood pressure control is important for reducing surgical risk in patients with hypertension during ECG monitoring extraction.

Key words: Extraction, Elderly patients, Hypertension

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