ASAⅢ级心血管疾病患者口腔种植修复的围手术期风险评估与管理

Perioperative risk assessment and management of oral implant restoration in ASAⅢcardiovascular disease patients

随着口腔种植技术的普及,如何能够安全的为全身复杂系统疾病患者实施种植手术是当下种植医生不得不面临的挑战。根据患者身体状况,美国麻醉医师协会(American Society of Anesthesiologists,ASA)将围手术期风险进行分级,ASAⅠ~Ⅱ级的患者手术风险极低,ASAⅣ级以上的患者风险极高,不适合手术。对于ASAⅢ级患者,如何评估围手术期风险、实施种植外科手术、降低围手术期严重并发症是越来越多种植医生关注的问题。本文拟从临床最常见合并心血管疾病的ASAⅢ级患者入手,探讨此类患者口腔种植手术的风险评估、防范及并发症防治,为该类患者安全进行种植修复提供参考。

With the widespread adoption of implant technology,ensuring the safe implementation of implant surgery for patients with complex systemic diseases has become a challenge that implant dentists must confront.Based on the patient's physical condition,the American Society of Anesthesiologists(ASA)classifies the perioperative risk.Patients at ASAⅠ~Ⅱhave an extremely low risk of surgery,while those at ASAⅣand above have a very high risk and are not suitable for surgery.How to assess perioperative risks,perform implant surgery,and reduce serious perioperative complications for ASAⅢpatients is a question that more and more implant doctors are focusing on.This article aims to start with the most common clinical patients with cardiovascular diseases at ASAⅢ,exploring the risk assessment,prevention,complication management of oral implant surgery for such patients,providing a reference for the safe implant restoration for this category of patients.