老年高血压患者监护治牙安全评估及临床对策

The Safety Assessment and Clinical Countermeasure of the Elderly Hypertensive Patients with ECG Monitoring Dental Treatment

观察在心电监护下局麻治疗急性牙髓炎,对老年高血压患者的影响,为其安全治疗提供参考。监测522名老年高血压患者在急性牙髓炎治疗前后及过程中的血压、心率等变化,将测量结果进行分析。患者血压在麻醉即刻及术中比治疗前明显升高(P<0.05),其中收缩压较舒张压变化更为明显。心率在麻醉即刻及治疗中均明显高于治疗前(P<0.05)。病情稳定的老年高血压患者可在心电监护下治牙,Ⅱ、Ⅲ级高血压,可据情况,静脉给药控制性降压,避免高血压危象的发生,严格掌握老年高血压患者治牙适应症,可明显降低治疗中并发症发生的风险,可提高老年高血压患者治牙的安全系数。

ECG monitoring was observed under local anesthesia treatment of acute pulpitis, the impact on elderly hypertensive patients, and to provide for their safe treatment. Monitoring 522 elderly hypertensive patients’ blood pressure, heart rate and other changes in the treatment of acute pulpitis before and during, the measurement results were analyzed. Patient＇s blood pressure in anesthetized instantly and intraoperative significantly higher than before treatment （P〈0.05）, the change of systolic blood pressure than diastolic blood pressure was more obvious （P〈0.05）. In a stable condition of elderly patients with high blood pressure can be dental treatment under ECG monitor, II and III high blood pressure, can according to the situation, intravenous dosing control step-down, avoid the happening of hypertensive crisis, strictly grasp the indications in elderly patients with hypertension treated teeth, can obviously reduce the risk of complications in the treatment, can improve the elderly cardiovascular disease cure tooth safety coefficient.