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近年来糖尿病病人增多,对这些病人拔牙术前术后的处理颇为重要。作者研究96例糖尿病患者拔牙以后的变化。轻型糖尿病患者(32例)能较好地耐受拔牙术,拔牙后未见全身情况恶化和糖尿病临床症状加重。2例麻醉注射点发生炎症浸润,4例发生牙槽炎。拔牙后即刻血糖增高28.1±2.1mg%(P<0.001),24小时恢复。无尿糖。中型糖尿病患者(Ⅰ级26,Ⅱ级14),拔牙后9例全身无力,4例口干、口渴,7例拔牙处炎症明显、面部肿胀,7例麻醉注射点形成炎症浸润,7例发生牙槽炎。中型Ⅰ级和Ⅱ级糖尿病人的血糖,拔牙后即刻分别增高34.6±3.2和46.6±7.4mg%(P<0.001)。拔牙日一昼夜尿糖分别增加5.4±3.4克(P<
In recent years, an increase in patients with diabetes, tooth extraction surgery in these patients before surgery is quite important. The study of 96 patients with diabetes after tooth extraction changes. Patients with light-type diabetes (32 cases) were better able to tolerate extraction surgery, no worsening of the general condition after tooth extraction and increased clinical symptoms of diabetes. Inflammatory infiltration occurred at 2 anesthetic injection sites and alveolitis occurred in 4 patients. Immediately after tooth extraction blood glucose increased 28.1 ± 2.1mg% (P <0.001), 24 hours recovery. No urine sugar. Nine patients with moderate diabetes mellitus (grade Ⅰ 26, grade Ⅱ 14), generalized weakness after tooth extraction, 4 cases of dry mouth and thirst, 7 cases of inflammation at the tooth extraction site, swollen face, inflamed infiltrates at 7 anesthetic injection sites and 7 cases Alveolitis. The blood glucose of patients with type I and II diabetes mellitus increased 34.6 ± 3.2 and 46.6 ± 7.4 mg% immediately after tooth extraction (P <0.001). Urine sugar increased by 5.4 ± 3.4 g (P <