Gortzak R A, Abraham-Inpijn L, Peters G
Academic Center for Dentistry Amsterdam, Netherlands.
Clin Prev Dent. 1992 Sep-Oct;14(5):5-10.
The study involved 53 patients aged 18 to 67 (mean age 38.8, SD 13.6), 26 male and 27 female, who were monitored by means of a 27-hour non-invasive ambulant blood pressure registration, using the Oxford Monitoring System. All patients had been under dental supervision by the same dentist for more than one year, and were familiar with the procedure during checkups. This study showed a significant rise in systolic blood pressure (8.6 mmHg) and a tendency towards increased diastolic pressure (2.9 mmHg) during dental checkups in comparison with the values recorded 24 hours earlier during normal daily activity. These results were independent of the blood pressure classification (normotensive, borderline or hypertensive) of the patients and are comparable to the increases measured during a visit to the GP. Neither the sex nor the manner of the dentist had any significant influence on either the systolic or diastolic pressure values during the checkup. Nor did the phobic level of the patients significantly influence blood pressure values during the dental checkup. On the basis of the results of this study, it may be concluded that regardless of whether the patient is phobic or non-phobic, and regardless of the sex and manner of the dentist, blood pressure measurements taken during dental checkups are reliable and can be used for referral decisions.
该研究纳入了53名年龄在18至67岁之间（平均年龄38.8岁，标准差13.6岁）的患者，其中男性26名，女性27名，采用牛津监测系统对他们进行了27小时的无创动态血压记录监测。所有患者均在同一位牙医的牙科监护下超过一年，并且熟悉检查过程。该研究表明，与24小时前正常日常活动期间记录的值相比，牙科检查期间收缩压显著升高（8.6 mmHg），舒张压有升高趋势（2.9 mmHg）。这些结果与患者的血压分类（正常血压、临界血压或高血压）无关，并且与就诊全科医生时测得的血压升高情况相当。无论是患者的性别还是牙医的操作方式，在检查期间对收缩压或舒张压值均无显著影响。患者的恐惧程度在牙科检查期间对血压值也无显著影响。基于这项研究的结果，可以得出结论，无论患者是否有恐惧症，也无论牙医的性别和操作方式如何，牙科检查期间进行的血压测量都是可靠的，可用于转诊决策。
