老年心血管病患者心电监护下拔牙306例临床分析

Clinical analysis on 306 cases of tooth extraction under electrocardiographic monitoring in the aged with cardiovascular diseases

目的:对老年心血管病患者心电监护下拔牙问题进行分析研究。方法:对306例老年心血管病患者采取一系列安全措施:筛选病例,服用心血管病专科药,心理诱导,心电监护,麻醉,拔牙,详细记录术前、术中心率、血压变化。结果:拔牙顺利完成患者283例,占92.48%。因各种原因暂停手术拔牙患者23例,占7.52%。结论:老年心血管病患者拔牙具有一定危险性,但严格掌握其适应证禁忌证,安装心电监护,术前、术中采取必要的安全措施,其拔牙可以顺利完成。

Objective： To discuss the experience in tooth extraction under electrocardiographic monitoring in the aged with cardiovascular diseases. Methods： A series of safe measures were adopted for the 306 cases of old patients with cardiovascular diseases, including case screening, cardiovascular drugs delivery, psychological induction, anaesthesia, electrocardiographic monitoring and so on. Results： Tooth extraction was completed smoothly in 283 cases, accounting for 92.5%. Tooth extraction was delayed for various reasons in 23 cases. Conclusion： Old patients with cardiovascular diseases have risk in tooth extraction. Strict case screening, pre-and post-operation preventive measures and electrocardiographic monitoring are the guarantee of successful tooth extraction.