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目的 :观察老年拔牙患者手术前、后的血压变化,探讨老年高血压病患者心电监护拔牙的安全性。方法 :将649例老年拔牙患者分为高血压病组和非高血压病组。术前、术中及术后给予心电监护,全程监测并记录血压数值。采用SPSS 18.0软件包对数据进行统计学分析。结果:2组患者在手术刺激下均出现血压升高。高血压病组患者手术前、后血压波动更加明显。当血压控制在正常范围时,2组患者手术前、后血压波动无显著差异。服用β受体阻滞剂的高血压病患者,手术前、后血压上升幅度最小。结论:控制老年患者的术前血压,是降低患者心电监护拔牙手术风险的重要手段。
OBJECTIVE: To observe the changes of blood pressure before and after the operation in elderly patients with tooth extraction, and to explore the safety of extracting ECG from elderly patients with essential hypertension. Methods: 649 elderly patients with tooth extraction were divided into hypertension group and non-hypertension group. Preoperative, intraoperative and postoperative ECG monitoring, full monitoring and recording of blood pressure values. Data were statistically analyzed using SPSS 18.0 software package. Results: Two groups of patients underwent surgery to stimulate blood pressure. Hypertensive patients before and after surgery, blood pressure fluctuations more pronounced. When the blood pressure control in the normal range, two groups of patients before and after the blood pressure fluctuations no significant difference. Hypertensive patients taking β-blockers, surgery before and after the minimum increase in blood pressure. Conclusion: The control of blood pressure in elderly patients is an important means to reduce the risk of electrocardiographic monitoring during operation.