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目的研究高血压患者拔牙过程中心率、血压及血氧饱和度的变化规律,为临床上预防高血压患者拔牙术中发生心脑血管意外提供依据。方法选取2012年10月至2014年10月在第四军医大学口腔医院口腔外科需要进行拔牙操作的不同年龄段老年高血压患者100例,在心电监护下进行牙拔除术,分别在麻醉前、麻醉中、麻醉后、拔牙术中、拔牙术后记录患者血压、心率、血氧饱和度的变化。结果在血压变化方面,麻醉中75岁以上的高血压患者血压升高最为明显,尤其以收缩压升高更为显著;在心率变化方面,拔牙术中心率升高最为明显,其次是麻醉中及麻醉前;血氧饱和度监测方面,不同年龄段患者在各个阶段并无显著性变化。结论高血压患者在拔牙过程中血压与心率的波动较大,尤其以麻醉中最为明显,其次是拔牙术中及麻醉前,因此要在以上几个阶段提高警惕,做好预防,避免心脑血管意外的发生。
Objective To study the changes of heart rate, blood pressure and oxygen saturation during the period of tooth extraction in patients with essential hypertension and provide the basis for prevention of cardiovascular and cerebrovascular accidents in patients with essential hypertension. Methods From October 2012 to October 2014, 100 elderly hypertensive patients in different age groups who needed tooth extraction in Department of Stomatology, Stomatological Hospital of the Fourth Military Medical University from October 2012 to October 2014 were enrolled in this study. Before the anesthesia, anesthesia was performed In anesthesia, extraction surgery, extraction of patients recorded blood pressure, heart rate, oxygen saturation changes. Results In the aspect of blood pressure, the blood pressure was the most obvious in patients with hypertension over 75 years old in anesthesia, especially the systolic blood pressure was more significant. In heart rate change, the central rate of extraction was the most obvious, followed by anesthesia and Before anesthesia; oxygen saturation monitoring, patients of different ages did not change significantly in all stages. Conclusion The blood pressure and heart rate fluctuate greatly during tooth extraction in hypertensive patients, especially in anesthesia, followed by tooth extraction and anesthesia. Therefore, vigilance should be raised in the above stages to prevent and prevent cardiovascular and cerebrovascular diseases Accident happened.