心血管病患者口腔科拔牙危险性的估价

The risk evaluation in these patients with hypertension and cardiovascular disease undergoing minor oral surgery(tooth extraction)

目的 探讨心率血压乘积 (Cardiacrate -pressureproductRPP)这种心肌耗氧量监测方法在口腔科治疗中的可行性 ;检查在非心血管病患者与心血管病患者中RPP这种监测方法的差异性。方法 通过对 2 0例心血管病患者和 2 0例非心血管病患者拔牙过程中收缩压 (SBP)、心率 (HR)的动态监测 ,对比分析拔牙过程中RPP各个时期的变化。结果 非心血管病患者与心血管病患者拔牙过程中RPP的动态水平测定值有显著差异 (P <0 .0 1)。非心血管病患者拔牙过程中RPP的正常值范围为 1112 0± 3 744。非心血管病患者拔牙过程中RPP各时间点数据无显著差异 (P >0 .0 5 )。RPP在心血管病患者拔牙过程中术中与术前、术后均有差异 (P <0 .0 5 )。结论 RPP的变化能较好的反映心肌耗氧量的变化 。

Objective To examine the variability of RPP in healthy patients and those with a documented history of hypertension, cardiovascular disease.To determine the usefulness of RPP in monitoring patients undergoing dental procedures. Methods Twenty healthy patients and twenty patients with hypertension or /and cardiovascular disease be monitored.To record SBP,HR and RPP. Analyzed the changes of RPP in difference times. Results Comparison of RPP between the healthy patients and the patients with hypertension or /and cardiovascular disease showed significant difference(p<0.01). Comparison of RPP at the patients with hypertension or /and cardiovascular disease in difference times showed difference(p<0.05) too. Conclusion RPP be verified as a highly sensitive and specific indicator of the risk evaluation in these patients with hypertension and cardiovascular disease undergoing minor oral surgery(tooth extraction)