摘要
目的:评价老年心血管病患者在拔牙中监测血压、心率、血氧饱和度临床意义。方法:对205例老年拨牙患者分成心血管病组和非心血管病组,拨牙中分别进行心电监护,观测术前、术中及术后心率、血压、血氧饱和度的变化,并比较两组的差别。结果:所有患者的血压、心率、血氧饱和度3项指标在围拔牙期均发生变化,拔牙术中血压升高,心率加快,血氧饱和度下降;心血管病组患者的变化更明显,与非心血管组患者相比较,有显著差别(P<0.05)。结论:老年心血管病患者在拔牙过程中监测血压、心率、血氧饱和度的变化有利于提高拔牙手术的安全性。
Objective: To evaluate the clinical significance of monitoring of blood pressure, heart rate and arterial oxygen saturation during tooth extraction for elderly patients with cardiovascular disease. Methods: 250 patients were divided into two groups: patients with cardiovascular disease and patients without cardiovascular diseases. Blood pressure, heart rate and oxygen saturation were measured before, during and after tooth extraction. Results: Blood pressure, heart rate and arterial oxygen saturation changed during tooth extraction, blood pressure stepped - up, heart rate accelerated, and arterial oxygen saturation decreased. The values of cardiovascular disease group altered more signifioantly than the non - cardiovascular group. The differences were significant (P<0.05). Conclusion: Monitoring of blood pressure, heart rate and arterial oxygen saturation during tooth extraction for elderly patients with cardiovascular diseases are important to avoid emergency during operation.
出处
《中国临床医学》
2002年第6期684-685,共2页
Chinese Journal of Clinical Medicine
关键词
心血管病
血压
心率
血氧饱和度
拔牙
危象
老年人
Cardiovascular disease Blood pressure Heart rate Oxygen saturation Tooth extraction
