Malamed S F
Section of Anesthesia and Medicine, University of Southern California School of Dentistry, Los Angeles.
Anesth Pain Control Dent. 1993 Spring;2(2):107-13.
It was assumed that dentists employ a complete system of physical evaluation for all new patients in their dental practices. Results of a survey of 1,588 dentists demonstrated that the use of a written medical history questionnaire was commonplace; however, recording of blood pressure and heart rate and rhythm on all new patients was quite limited. A greater percentage of dentists monitored blood pressure when there was a history of cardiovascular disease or high blood pressure. Monitoring of the heart rate and rhythm, even in patients with cardiovascular disease or high blood pressure, was severely limited in scope. A significant number of dentists still employ racemic epinephrine impregnated gingival retraction cord, and of these, 40% had observed "epinephrine-reactions."
人们认为，牙医在其牙科诊所会对所有新患者采用完整的身体评估系统。对1588名牙医的调查结果表明，使用书面病史问卷很常见；然而，对所有新患者记录血压以及心率和心律的情况非常有限。当有心血管疾病或高血压病史时，有更大比例的牙医会监测血压。即使在患有心血管疾病或高血压的患者中，心率和心律的监测范围也极为有限。相当数量的牙医仍在使用浸有消旋肾上腺素的牙龈收缩线，其中40%的人观察到了“肾上腺素反应”。
