摘要
目的探讨老年人拔牙术前不停服阿司匹林的可行性。方法600例均为拔除非阻生单颗牙的60岁以上患者，300例使用利多卡因局麻，其中200例未服用阿司匹林者为空白对照组I，100例长期服用阿司匹林且术前不停药者为观察组I；300例使用复方阿替卡因局麻，其中200例未服用阿司匹林者为空白对照组Ⅱ，100例长期服用阿司匹林且拔牙术前不停药者为观察组Ⅱ。观察研究对象拔牙创不同时间段出血情况，分析口服阿司匹林对拔牙术后不同时间段出血的影响。结果观察组I与空白对照组I拔牙术后5、10、30min、24h出血比较，差异均无统计学意义（P〉0．05）；观察组Ⅱ拔牙术后5min出血发生率（19．0％）显著高于空白对照组Ⅱ（6．5％），但两组拔牙术后10、30min、24h出血比较，差异均无统计学意义（P〉0．05）。结论口服阿司匹林对老年人非阻生单颗牙拔除术后出血无影响，拔牙术前可不停服阿司匹林。
Objective To investigate the feasibility of continuation of aspirin before tooth extraction in the elderly. Methods The patients enrolled in this study were the elderly requiring a single non-impacted tooth extraction. 300 elderly outpatients used lidocaine local infiltration anesthesia, 200 patients without using aspirin before tooth extraction served as control group I , 100 patients with prolong use of aspirin before tooth extraction as observation group I . 300 elderly outpatients used compound articaine local infiltration anesthesia, 200 patients without using aspirin before tooth extraction served as control group Ⅱ , 100 patients with prolong use of aspirin before tooth extraction as observation group Ⅱ. Bleedings at 5, 10, 30 min, 24 h after tooth extraction were observed and the relationship between postoperative bleeding and intake of aspirin was analyzed. Results There was no significant difference at 5, 10,30 min,24 h in postoperative bleeding after extraction between control group I and observation group. The incidence of bleeding of observation group Ⅱ after tooth extraction at 5 min was higher than that of control group lI and there was no significant difference at 10,30 min, 24 h between the two groups. Conclusions Continuation of aspirin have no influence on postoperative bleeding. Therefore we suggest that there was no indication to discontinue aspirin for the elderly before a single non-impacted tooth extraction.
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
2013年第5期262-265,共4页
Chinese Journal of Stomatology
基金
基金项目：中央保健委员会办公室资助课题（B20098004）
