835例拔牙患者术中血压变化

Observation of the change of blood pressure in 835 patients during extraction of teeth

目的:对835例拔牙患者在手术中的血压变化情况进行观察,了解血压变化与手术时间的关系。方法:随机选取825例门诊拔牙患者,否认既往高血压病史者,即实施拔牙手术,行拔牙全过程监测,重点观察局麻后、手术中及拔牙刚结束时的血压变化。结果:827例患者术后平均血压升高:收缩压升高45 mmHg,舒张压升高26 mmHg。另有出现心律失常3例,其他不良反应5例。结论:在实施困难牙拔除时,患者血压应低于140／90 mmHg。

PURPOSE:To observe the change of blood pressure during extraction of teeth. METHODS:Patients without hypertension who needed extraction were randomly selected, tooth extraction was carried out. The blood pressure and the patient's response to operation were observed and recorded during the procedure. RESULTS:The blood pressure in 825 patients increased significantly. The average increased blood pressure was 45/26 mmHg, 3 patients had arrhythmia, 5 patients had adverse reaction. CONCLUSION:The patient's blood pressure must be fewer than 140/90 mmHg , before a difficult extraction of teeth.