Sitkin S I, Davydova O B, Kostin I O, Gasparian A L
Tverskaia gosudarstvennaia meditsinskaia akademiia Minzdrava Rossii, 170100, Tver'.
Stomatologiia (Mosk). 2015;94(1):35-36. doi: 10.17116/stomat201594135-36.
Dental implants surgery in patients with hypertension increases the risk of vascular complications. The aim of the study was to examine the effect of analgesia and sedation on blood pressure and postoperative pain in dental implantology. In 76 patients with hypertension implant surgery was performed under local anesthesia only (40 patients) or under local anesthesia with propofol sedation and pre-emptive analgesia with ketorolac (36 patients). Intraoperative systolic blood pressure in the second group was 20% less than in the first group while the intensity of pain in the postoperative period in the second group was three times less than in the first one. Propofol sedation in dental implantology provides hemodynamic stability in patients with concomitant hypertension and preemptive analgesia with ketorolac allows minimizing postoperative pain.
高血压患者进行牙种植手术会增加血管并发症的风险。本研究的目的是探讨镇痛和镇静对牙种植术中血压及术后疼痛的影响。76例高血压患者接受牙种植手术，其中仅在局部麻醉下进行手术的有40例患者，在局部麻醉联合丙泊酚镇静及酮咯酸超前镇痛下进行手术的有36例患者。第二组术中收缩压比第一组低20%，而第二组术后疼痛强度比第一组小三倍。牙种植术中丙泊酚镇静可为合并高血压的患者提供血流动力学稳定性，酮咯酸超前镇痛可将术后疼痛降至最低。
