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牙科中妊娠患者的管理。

Management of pregnant patient in dentistry.

作者信息

Kurien Sophia, Kattimani Vivekanand S, Sriram Roopa Rani, Sriram Sanjay Krishna, Rao V K Prabhakara, Bhupathi Anitha, Bodduru Rupa Rani, N Patil Namrata

机构信息

New Horizon Dental College & Hospital, Department of Oral Medicine and Radiology, Chattisgarh, India.

出版信息

J Int Oral Health. 2013 Feb;5(1):88-97. Epub 2013 Feb 26.

PMID:24155583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3768073/
Abstract

The purpose of this article is to update general dentists and maxillofacial surgeons in the perioperative management of the pregnant patient. Pregnancy results in physiologic changes in almost all organ systems in the body mediated mainly by hormones; which influences the treatment schedule. Understanding these normal changes is essential for providing quality care for pregnant women. The general principles that apply in this situation are discussed, followed by the relevant physiologic changes and their treatment implications, the risks of various medications to the mother and fetus, the management of concomitant medical problems in the pregnant patient, appropriate timing of oral and maxillofacial surgery during pregnancy, and management of emergencies during pregnancy. Information about the compatibility, complications, and excretion of the common drugs during pregnancy is provided. Guidelines for the management of a pregnant patient in the dental office are summarized. How to cite this article: Kurien S, Kattimani V S, Sriram R, Sriram S K, Prabhakar Rao V K, Bhupathi A, Bodduru R, Patil N N. Management of Pregnant Patient in Dentistry. J Int Oral Health 2013; 5(1):88-97.

摘要

本文旨在向普通牙医和口腔颌面外科医生介绍妊娠患者围手术期管理的最新情况。妊娠会导致身体几乎所有器官系统发生生理变化,主要由激素介导;这会影响治疗计划。了解这些正常变化对于为孕妇提供优质护理至关重要。文中讨论了适用于这种情况的一般原则,随后阐述了相关生理变化及其对治疗的影响、各种药物对母亲和胎儿的风险、妊娠患者合并内科问题的管理、孕期口腔颌面外科手术的合适时机以及孕期紧急情况的处理。还提供了孕期常用药物的配伍、并发症及排泄方面的信息。总结了牙科诊所妊娠患者管理的指南。如何引用本文:库里恩 S、卡蒂马尼 V S、斯里拉姆 R、斯里拉姆 S K、普拉巴卡尔·拉奥 V K、布帕蒂 A、博杜鲁 R、帕蒂尔 N N。牙科中妊娠患者的管理。《国际口腔健康杂志》2013 年;5(1):88 - 97。

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本文引用的文献

1
Pregnancy and lactation.怀孕与哺乳期。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Jun;97(6):672-82. doi: 10.1016/j.tripleo.2004.02.002.
2
Recurrent spontaneous early pregnancy loss and low dose aspirin.复发性自然早期妊娠丢失与低剂量阿司匹林
Minerva Ginecol. 2003 Oct;55(5):441-9.
3
Iron and folate status before pregnancy and anemia during pregnancy.孕前铁和叶酸状况及孕期贫血
Ann Nutr Metab. 2003;47(2):60-3. doi: 10.1159/000069276.
4
Gastroesophageal reflux disease during pregnancy.妊娠期胃食管反流病
Gastroenterol Clin North Am. 2003 Mar;32(1):235-61. doi: 10.1016/s0889-8553(02)00065-1.
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Nausea and vomiting during pregnancy.孕期恶心与呕吐。
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Nutritional assessment and support during pregnancy.孕期的营养评估与支持
Gastroenterol Clin North Am. 2003 Mar;32(1):59-121, v. doi: 10.1016/s0889-8553(02)00132-2.
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Management of the pregnant oral and maxillofacial surgery patient.妊娠口腔颌面外科患者的管理
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8
Pathogenetic roles of angiogenic factors in pyogenic granulomas in pregnancy are modulated by female sex hormones.血管生成因子在妊娠期化脓性肉芽肿中的致病作用受女性性激素调节。
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Gastrointestinal factors in nausea and vomiting of pregnancy.妊娠恶心和呕吐中的胃肠道因素。
Am J Obstet Gynecol. 2002 May;186(5 Suppl Understanding):S198-203. doi: 10.1067/mob.2002.122598.
10
Nausea and vomiting of pregnancy in an evolutionary perspective.从进化角度看妊娠呕吐
Am J Obstet Gynecol. 2002 May;186(5 Suppl Understanding):S190-7. doi: 10.1067/mob.2002.122593.