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通过筛查在牙科领域检测未诊断和治疗不充分的高血压。

Detection of undiagnosed and inadequately treated high blood pressure in dentistry by screening.

作者信息

Kumar Satish, Ram Hari, Atam Isha, Atam Virendra, Sonkar Satyendra Kumar, Patel Munna Lal, Kumar Ajay

机构信息

Department of Endocrinology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2020 Jul-Dec;11(2):248-252. doi: 10.4103/njms.NJMS_31_20. Epub 2020 Dec 16.

Abstract

BACKGROUND

Worldwide, hypertension is considered as an important health issue due to its unbearable complication of cardiovascular, renal, and nervous system diseases.

AIMS AND OBJECTIVE

The aim was to find the prevalence and inadequately treated undiagnosed hypertension in the general population attending the Outpatient Department (OPD) of the Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow.

MATERIALS AND METHODS

A total of 2500 patients were enrolled in the study within the age group of 20-60 years, attending dental clinics. For every patient, blood pressure (BP) was taken three times, and all the readings were grouped into four categories including normal, prehypertensive stage, Stage 1, and Stage 2 of hypertension. In the dental clinic, the BP assessment was done considering parameters such as sex, smoking and alcohol, the effect of local anesthesia, gutkha chewing, age group, and regular exercise.

RESULTS

About 24.39% of undiagnosed hypertensive patients were found among all who attended the OPD of the department of oral and maxillofacial surgery. It was observed that the rise in BP was 16.71% and 2.35% in Stage 1 and Stage 2, respectively, after giving the local anesthesia.

CONCLUSION

This study reveals that early diagnosis of undiagnosed and inadequately treated hypertension among general people notified by dentists is an important role, and this should be promoted and emphasized to restrict fatal life complications.

摘要

背景

在全球范围内,高血压因其引发的心血管、肾脏和神经系统疾病等难以承受的并发症,被视为一个重要的健康问题。

目的

本研究旨在调查在勒克瑙乔治国王医科大学口腔颌面外科门诊部就诊的普通人群中未确诊高血压的患病率及治疗不充分的情况。

材料与方法

本研究共纳入2500名年龄在20至60岁之间、前往牙科诊所就诊的患者。为每位患者测量三次血压,并将所有读数分为四类,包括正常、高血压前期、1期和2期高血压。在牙科诊所,根据性别、吸烟和饮酒情况、局部麻醉效果、嚼食古特卡、年龄组和规律运动等参数进行血压评估。

结果

在所有前往口腔颌面外科门诊部就诊的患者中,约24.39%为未确诊的高血压患者。观察发现,局部麻醉后,1期和2期高血压患者的血压升高分别为16.71%和2.35%。

结论

本研究表明,牙医对普通人群中未确诊及治疗不充分的高血压进行早期诊断具有重要作用,应予以推广和重视,以限制致命的生活并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6daf/8051666/e32bd3f4809a/NJMS-11-248-g001.jpg

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