›› 2019, Vol. 39 ›› Issue (7): 609-611.

• 临床研究 • 上一篇    下一篇

老年心血管疾病伴放化疗患者拔牙的临床观察

袁毅1,章若琪1,陈晓萍2,袁华1   

  1. 1. 南京医科大学附属口腔医院
    2. 江苏省口腔医院
  • 收稿日期:2018-08-10 修回日期:2018-09-27 出版日期:2019-07-28 发布日期:2019-08-07
  • 通讯作者: 袁毅 E-mail:xpyywy@126.com

Clinical observation of tooth extraction for elderly patients with cardiovascular disease who underwent radiotherapy and chemotherapy treatment

  • Received:2018-08-10 Revised:2018-09-27 Online:2019-07-28 Published:2019-08-07

摘要: 【摘要】目的:为保证老年心血管疾病伴放化疗患者可以安全拔牙,提供相对完善的就诊流程作为参考。方法:17名患者术前常规化验检查,术前口腔清洁及预防性服用抗生素;术中微创无痛拔牙,全程监测心电图及血压、心率变化;术后患者电话回访。结果:根据术前检查结果排除拔牙禁忌;术中患者心率,血压,心电图无显著改变;患者术后愈合良好。结论:病情稳定的老年心血管疾病伴放化疗患者可遵循一定的就诊流程安全拔牙。

Abstract: Objective: To provide a procedure of tooth extraction for patients underwent radiotherapy and chemotherapy treatment. Methods: Seventeen patients who had received radiotherapy and chemotherapy were routinely examined bofore tooth extraction and treated with preoperative oral cleaning and prophylactic antibiotics. Minimally invasive tooth extraction with analgesia was ensured and blood pressure, heart rate and electrocardiogram were mornitored and recorded. Postoperative follow up was routinely carried out.Results: According to the preoperative examination results, the tooth extraction contraindications were excluded. The heart rate, blood pressure and electrocardiogram of the patients did not change significantly during the treatment period; the patients recovered well after surgery. Conclusion: Patients with stable condition after chemoradiotherapy can achieve safe tooth extraction if follow a certain treatment procedure.

中图分类号: