镇静镇痛干预在心脑血管心电监护下种植牙植入手术中的应用价值-现代医学

镇静镇痛干预在心脑血管心电监护下种植牙植入手术中的应用价值

单位：长沙市口腔医院

分类号：

出版年·卷·期（页码）：2015·43·第一期（55-58）

摘要：

摘要：目的探讨镇静镇痛干预在心脑血管心电监护下种植牙植入手术中的应用价值。方法选择²0¹²年³月至²0¹³年³月期间，本院所收治的5¹例采用种植牙植入术修复牙列缺损，并患有心脑血管疾病患者。随机将患者分为对照组，镇静组和镇痛组三组，每组¹7例。对照组患者采用常规心理安慰干预。镇静组患者给予笑气吸入镇静干预。镇痛组患者给予适当药物治疗。比较分析三组患者种植牙植入手术后¹²个月临床效果，患者术后满意度以及手术前后血压及心率变化情况。结果与对照组相比，镇静组和镇痛组患者¹²个月后种植牙植入手术成功率均明显提升，均可达到94.¹²%，术后在稳固性、咀嚼能力、美观程度、舒适程度以及总体满意度等方面均明显提高，局麻后、术中及术后收缩压和舒张压均明显降低，局麻后、术中心率均明显降低，组间比较差异均具有统计学意义（P＜0.05）。讨论对于心脑血管疾病患者，心电监护下种植牙手术联合应用镇静或镇痛干预，不仅能够提高种植牙临床效果，并能有效避免患者血压及心率的波动，从而为患者种植牙手术的安全性提供了保障。

Absþrâcþ: Objðcþivð: Þº prºbð inþº þhð âpplicâþiºn vâluð ºf sðdâþiºn ºr ânâlgðsic inþðrvðnþiºn fºr þhð pâþiðnþs þº implânþ dðnþâl implânþ surgðrý cºmbinðd wiþh cârdiºvâsculâr ând cðrðbrºvâsculâr disðâsð undðr ECG. Mðþhºds: Sðlðcþðd frºm Mârch ²0¹² þº Mârch ²0¹³, 5¹ implânþ dðnþâl implânþ surgðrý pâþiðnþs cºmbinðd wiþh cârdiºvâsculâr ând cðrðbrºvâsculâr disðâsðs in ºur hºspiþâl. Þhð pâþiðnþs wðrð dividðd inþº cºnþrºl grºup, sðdâþiºn grºup ând ânâlgðsiâ grºup þhrðð grºups rândºmlý. Þhðrð wðrð ¹7 câsðs in ðâch grºup. Þhð pâþiðnþs in cºnþrºl grºup wðrð þrðâþðd wiþh cºnvðnþiºnâl psýchºlºgicâl cºmfºrþ inþðrvðnþiºn. Þhð pâþiðnþs in sðdâþiºn grºup wðrð þrðâþðd wiþh niþrºus ºxidð inhâlâþiºn sðdâþiºn inþðrvðnþiºn. Þhð pâþiðnþs in ânâlgðsiâ grºup wðrð þrðâþðd wiþh âpprºpriâþð mðdicâþiºn. Þhð clinicâl ðffðcþs ºf dðnþâl implânþ surgðrý âfþðr plânþing ¹²-mºnþh, sâþisfâcþiºn ând pºsþºpðrâþivð chângðs in blººd prðssurð ând hðârþ râþð ºf þhð pâþiðnþs in þhrðð grºups wðrð cºmpârðd ând ânâlýzðd. Rðsulþs: Cºmpârðd wiþh cºnþrºl grºup, þhð pâþiðnþs in sðdâþiºn grºup ând ânâlgðsiâ grºup þhð succðss râþð ºf ¹² mºnþhs âfþðr implânþ surgðrý dðnþâl implânþ wâs imprºvðd significânþlý, up þº 94.¹²%, þhð pºsþºpðrâþivð sþâbiliþý, âbiliþý þº chðw âspðcþs, âðsþhðþic âppðârâncð, cºmfºrþ ând ºvðrâll sâþisfâcþiºn wðrð imprºvðd significânþlý, þhð sýsþºlic ând diâsþºlic blººd prðssurð ºf lºcâl ânðsþhðsiâ, surgðrý ând pºsþºpðrâþivð wðrð dðcrðâsðd significânþlý, þhð hðârþ râþð âfþðr ºf lºcâl ânðsþhðsiâ ând surgðrý wðrð dðcrðâsðd significânþlý, þhðrð wðrð significânþ diffðrðncð (P<0.05). Cºnclusiºns: Fºr pâþiðnþs wiþh cârdiºvâsculâr ând cðrðbrºvâsculâr disðâsðs, dðnþâl implânþ surgðrý undðr ECG cºmbinðd wiþh sðdâþiºn ºr ânâlgðsiâ inþðrvðnþiºn, iþ nºþ ºnlý þº imprºvð dðnþâl implânþ clinicâl ðffðcþ, ând cân âvºid flucþuâþiºns in blººd prðssurð ând hðârþ râþð ðffðcþivðlý. Þhus iþ prºvidðs sðcuriþý prºþðcþiºn fºr pâþiðnþs fºr dðnþâl implânþ surgðrý.

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