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目的探讨心电监护提高心血管疾病患者拔牙安全性的作用。方法对290例心血管病患者(非健康组)及100例无心血管病的患者(健康组)在拔牙过程中全程心电监护,分别观察两组患者拔牙过程中心率、血压、血氧饱和度、心电图的变化。结果无论患者是否伴有心血管疾病,在麻醉中及拔牙中,血压显著升高(P<0.01),心率显著加快(P<0.01),但血压组间差异无统计学意义;心率在拔牙中组间差异有统计学意义(P<0.01);血氧饱和度和心电图变化组间差异有统计学意义(P<0.01),即伴有心血管疾病的患者出现血氧饱和度降低和出现心律失常的比例明显高于无心血管疾病的患者。并且非健康组术中一过性ST-T改变较多,而健康组术中未出现ST-T改变。结论心血管病患者在心电监护下接受拔牙手术能够明显提高安全性,具有一定的必要性。
Objective To investigate the role of ECG in improving the safety of tooth extraction in patients with cardiovascular diseases. Methods 290 patients with cardiovascular disease (non-healthy group) and 100 patients without cardiovascular disease (healthy group) were enrolled in this study. The heart rate, blood pressure, blood oxygen saturation , ECG changes. Results No matter whether the patient was accompanied by cardiovascular disease, the blood pressure increased significantly (P <0.01) and the heart rate significantly increased (P <0.01) during anesthesia and extraction, but there was no significant difference between the two groups (P <0.01). The difference between oxygen saturation and electrocardiogram was significant (P <0.01), that is, patients with cardiovascular disease had decreased blood oxygen saturation and arrhythmia The proportion was significantly higher than those without cardiovascular disease. And non-healthy group intraoperative transient ST-T changes more, while the healthy group did not appear ST-T changes. Conclusion Cardiovascular patients undergoing electrocardiographic monitoring of tooth extraction surgery can significantly improve the safety, with a certain degree of necessity.