心血管疾病患者拔牙情况分析

Clinical Study of Monitoring for Tooth Extraction in the Heart-cerebrovascular Disease

目的探讨提高心血管疾病患者拔牙安全性的方法。方法对355例心血管疾病患者与200例非心血管疾病患者行拔牙术全过程连续心电、血压、血氧监护,测定各组血压、心率、心肌耗氧量、平均动脉压、心电图变化。结果除心率变化不明显外,其余各项均有相应变化。结论拔牙术对于心血管疾病患者有一定危险性,但是良好的麻醉、和缓熟练的拔牙过程、和谐的医患关系及正确的拔牙时间、心电监护能够提高心血管疾病患者行拔牙术时的安全性。

Objective To explore the ways of enhancing the safety of tooth extraction in the heart - cerebrovascular disease. Methods 355 patients with the heart- cerebrovascular disease who needed teeth extraction were selected. 200 other patients without heart- cerebrovascular disease were chosen as courol. The change of blood pressure, electrocardiogram, heart rate, and MVO2 were observed, and the data proceeded to statistical analysis. Results There is statistical significance in the change differences of every item （P〉0.05） except heart rate. Conclusion Heart - cerebrovascular disease can increase the dangers of tooth extraction. However, the safety of tooth extraction in the heart - cerebrovascular disease can be enhanced by good anaesthesia with cautious, perfect technique of tooth extraction, keeping emotion stability, restrict the choice of indication and necessary monitoring.