Zhang J, Su G H, Zhang X D, Xu K, Wang Z M, Deng X L, Zhu Y Q, Chen Y J, Gao C Z, Xie H, Pan X, Yin L, Xu B H, Fei W, Zhou J, Shao D, Zhang Z H, Zhang K, Wang X, Cheng X, Wang X, Chen L L
Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2022 May 9;57(5):462-473. doi: 10.3760/cma.j.cn112144-20220311-00102.
With the aging process of population in the society, the prevalence of cardiovascular diseases (CVD) in China is increasing continuously and the number of dental patients with CVD is increasing gradually too. Due to the lack of guidelines for dental patients with CVD in our country, how to implement standardized preoperative evaluation and perioperative risk prevention remains a problem to be solved for dentists at present. The present expert consensus was reached by combining the clinical experiences of the expert group of the Fifth General Dentistry Special Committee, Chinese Stomatological Association and respiratory and cardiology experts in diagnosis and treatment for CVD patients, and by systematically summarizing the relevant international guidelines and literature regarding the relationship between CVD and oral diseases and the diagnosis and treatment of dental patients with heart failure, hypertension and antithrombotic therapy. The consensus aims to provide, for the dental clinicians, the criteria on diagnosis and treatment of CVD in dental patients in China so as to reduce the risk and complications, and finally to improve the treatment levels of dental patients with CVD in China.
随着社会人口老龄化进程,我国心血管疾病(CVD)的患病率持续上升,患有心血管疾病的牙科患者数量也在逐渐增加。由于我国缺乏针对患有心血管疾病的牙科患者的指南,目前对于牙医而言,如何进行标准化的术前评估以及围手术期风险预防仍是有待解决的问题。本专家共识是结合中华口腔医学会第五届口腔全科专业委员会专家组的临床经验以及呼吸科和心内科专家对心血管疾病患者的诊治经验,通过系统总结有关心血管疾病与口腔疾病关系以及心力衰竭、高血压牙科患者的诊断和治疗的相关国际指南和文献而达成的。该共识旨在为我国牙科临床医生提供患有心血管疾病的牙科患者的诊断和治疗标准,以降低风险和并发症,最终提高我国患有心血管疾病的牙科患者的治疗水平。