心血管病患者拔牙的临床分析及治疗

目的 探讨提高心血管疾病患者拔牙安全性的措施.方法 回顾性分析256例心血管疾病患者拔牙的临床资料.结果 本组256例心血管病患者拔牙均顺利完成,仅26例术中出现恐惧、心率加快,6例出现暂时血压升高,对症处理后缓解,无严重并发症发生.结论 心血管疾病患者拔牙术前充分心理辅导,术中麻醉确切、手术操作快速准确和术后观察可有效防止并发症的发生.

Clinical study of tooth extraction in patients with cardiovascular diseases

Objective To investigate the clinical experience and methods of enhancing the safety of tooth extraction for patients with cardiovascular disease. Methods Two hundred and fifty-six patients with cardiovascular disease needing tooth extraction were selected. Results All the patients completed tooth extraction successfully. The fear and heart rate increasing took place in 26 cases. Blood pressure elevated temporarily in 6 cases during the tooth extraction. No patient had severed complication.Conclusions Patients with cardiovascular diseases have risk in tooth extraction. While the safety of tooth extraction for these patients could be enhanced by strict case screening, effective psychotherapy pre-operation, keeping emotion stability, good anaesthesia during the operation, perfect technique of tooth extraction and careful observation post-operation.