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649例老年患者拔牙前后血压变化的临床研究

[A clinical study on blood pressure changes before and after tooth extraction in 649 elderly patients].

作者信息

Xu Ying, Qu Chen, Tan Xiao, Li Xin-Li

机构信息

First Affiliated Hospital of Nanjing Medical University. Nanjing 210029, Jiangsu Province,China. E-mail:

出版信息

Shanghai Kou Qiang Yi Xue. 2016 Jun;25(3):373-6.

Abstract

PURPOSE

To investigate the safety of tooth extraction under ECG monitoring in 649 senile patients with hypertension by observing the blood pressure changes during operation.

METHODS

The patients were divided into hypertension group and non-hypertension group. ECG monitoring was carried out during extraction. Blood pressure changes were monitored and recorded. The data was statistically analyzed with SPSS 18.0 software package.

RESULTS

The patients' blood pressure in the two groups increased as a result of tooth extraction, and the change was more obvious in patients with hypertension. When blood pressure was controlled to normal range, there was no significant difference in blood pressure between the hypertension group and non-hypertension group. The increase of blood pressure of patients taking β-receptor blockers was minimal.

CONCLUSIONS

Preoperative blood pressure control is important for reducing surgical risk in patients with hypertension during ECG monitoring extraction.

摘要

目的

通过观察649例老年高血压患者拔牙术中血压变化,探讨心电图监测下拔牙的安全性。

方法

将患者分为高血压组和非高血压组。拔牙过程中进行心电图监测。监测并记录血压变化。采用SPSS 18.0软件包对数据进行统计学分析。

结果

两组患者拔牙后血压均升高,高血压患者变化更明显。当血压控制在正常范围时,高血压组与非高血压组血压无显著差异。服用β受体阻滞剂患者的血压升高幅度最小。

结论

术前控制血压对于降低心电图监测下拔牙的高血压患者手术风险很重要。

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