伴心脑血管疾病患者牙周治疗的风险及防范对策

Risks and preventive strategy of periodontal treatments for patients with cardiovascular and cerebrovascular diseases

我国心脑血管疾病患病率和死亡率目前均处于上升阶段,伴心脑血管疾病的牙周病患者日益增多。对此类患者进行牙周治疗时,由于其全身状况的特殊性,应该遵循一定的治疗原则。牙周专科医师和非牙周专科的口腔医师需联合心内科医师,在牙周治疗前评估治疗的风险与获益,选择合理的治疗时机与方案;治疗过程中实时监测患者心率、血压等各项生命指标,避免发生急性心脑血管事件。由心内科医师决定具体的心内科药物的应用、停用及调整。

The prevalence and mortality of the patients who suffer cardiovascular and cerebrovascular diseases are rising in China,and the number of periodontitis patients with cardiovascular and cerebrovascular diseases is growing.Certain principles should be followed during periodontal treatments for these patients due to their particular health conditions.Stomatologists should cooperate with cardiovascular physicians to evaluate the risks and benefits of periodontal treatments in advance,and to select reasonable treatment timings and plans.During treatments,the heart rates,blood pressures and other vital indicators are monitored in real time to avoid acute cardiovascular and cerebrovascular events.The application,discontinuation and adjustment of specific cardiovascular drugs are determined by cardiovascular physicians.