心血管疾病患者行拔牙术围手术期的风险评估及管理

Risk assessment and management of exodontia perioperative patients with cardiovascular diseases

目前我国心血管疾病的拔牙患者人数逐年增加,安全性对该类患者至关重要,国内对伴心血管疾病的拔牙患者行拔牙术围手术期的风险评估与管理尚无统一标准.本文参考国内外文献并结合作者临床经验,阐述心血管疾病患者行拔牙术围手术期的风险评估方法,给出拔牙术围手术期血压控制、心功能判定、心律失常识别、血糖管理、口服抗血小板或抗凝药物使用等方面的建议供参考.

The number of tooth extraction patients with cardiovascular disease in our country is increasing year by year.Safety is essential for those patients and there is no uniform standard of risk assessment and management for tooth extraction patients with cardiovascular disease during perioperative period.By referring to literatures and with the clinical experience,the author summarized the risk assessment methods for tooth extraction patients with cardiovascular disease during perioperative period.Blood pressure control,cardiac function determination,arrhythmia recognition,blood glucose management,oral antiplatelet or anticoagulant medicine use,etc,were proposed in this article.