摘要
目的:分析长期小剂量口服阿司匹林对心脑血管病中老年患者拔牙后出血率的影响。方法:选择2019年度来我院口腔科就诊的中老年拔牙患者189例,年龄60~80岁,分为A、B两组,A组为长期服用小剂量阿司匹林患有心脑血管病的中老年牙病患者,B组为近12个月没有使用抗血栓药物的中老年牙病患者,观察与分析拔牙术后30 min、60 min和24 h后两组患者拔牙窝出血情况。结果:A组拔牙后30 min出血率为22.82%、B组为6.18%;A组拔牙后60 min出血率为9.78%、B组为1.03%;两组拔牙后24 h出血率都为0.00%。A组与B组拔牙后30 min、60 min出血率对比,有显著差异;A组与B组拔牙后24 h出血率对比,无显著差异。结论:长期小剂量口服阿司匹林会增加中老年心脑血管病患者拔牙后的出血率,通过合理的技术运用,在不停用阿司匹林的情况下拔牙也是相对可靠、安全的。
OBJECTIVE To analyze the effect of long-term low-dose oral aspirin on tooth extraction in middle-aged and elderly patients with cardiovascular and cerebrovascular diseases. METHODS 189 middle-aged and elderly tooth extraction patients aged60-80 years who came to the department of stomatology of target hospital in 2019 were selected and divided into group A and group B. Group A was middle-aged and elderly dental patients with cardiovascular and cerebrovascular diseases who had taken a small dose of aspirin for a long time. Group B was middle-aged and elderly dental patients who did not use antithrombotic drugs for nearly12 months. The hemorrhage of tooth extraction alveolus 30 min,60 min and 24 h after tooth extraction operation were observed and analyzed. RESULTS The hemorrhage rate was 22.82% in group A and 6.18% in group B in 30 minutes after extraction,9.78% in group A and 1.03% in group B in 60 minutes after extraction,and 0% in group A and group B in 24 hours after extraction. There was significant difference in the bleeding rate at 30 minutes and 60 minutes after tooth extraction between group A and group B.There was no significant difference in the bleeding rate of 24 hours after tooth extraction between group A and group B. CONCLUSIONS Long-term Aspirin could increase the hemorrhage rate after tooth extraction in middle-aged and elderly patients with cardiovascular and cerebrovascular diseases. Moreover,through the reasonable use of technology,tooth extraction without stopping aspirin was relatively reliable and safe.
作者
范伟强
丁功福
黄均达
FAN Wei-qiang;DING Gong-fu;HUANG Jun-da(Fangta Traditional Chinese Medicine Hospital,Songjiang District,Shanghai,201699,China;不详)
出处
《中国初级卫生保健》
2021年第5期83-85,共3页
Chinese Primary Health Care
关键词
阿司匹林
中老年患者
拔牙
出血
安全性
aspirin
middle-aged and elderly patients
tooth extraction
hemorrhage
safety
