摘要
目的:研究急性牙髓炎合并心力衰竭患者于心电监护下行一次性根管治疗的效果与安全性。方法:选择我院2017年1月~2020年6月32例(35颗牙)急性牙髓炎合并心力衰竭患者为病例组;同期32例(36颗牙)无心血管疾病的急性牙髓炎患者为对照组。两组患者均在麻醉后行一次性根管治疗,全程行心电监护,比较两组治疗前、麻醉后即刻、开髓时、根管填充中、治疗结束后血压、心率、心电图变化。结果:病例组治疗前收缩压、舒张压均高于对照组;麻醉后即刻、开髓时、根管填充中心率、收缩压、舒张压增加幅度均大于对照组(P<0.05)。病例组术中心电图改变发生率为28.13%,明显高于对照组(6.25%),差异有统计学意义(P<0.05)。结论:急性牙髓炎合并心力衰竭患者行一次性根管治疗时血压、心率变化大于无心血管疾病患者,但在心电监护下可及时发现心电图异常变化,并及时采取相应的措施确保安全。
Objective:To study the efficacy and safety of single-visit root canal treatment in patients with acute pulpitis and heart failure under electrocardiographic monitoring.Methods:From January 2017 to June 2020 in our hospital,32 patients(35 teeth)with acute pulpitis and heart failure were selected as the case group,32 patients(36 teeth)without cardiovascular disease during the same period with acute pulpitis were set as control group.And single-visit root canal treatment was performed after anesthesia.Both two groups of patients underwent electrocardiographic monitoring throughout the whole process,the changes were compared before treatment,immediately after anesthesia,at the time of pulp opening,during root canal filling,after treatment in blood pressure,heart rate,and electrocardiogram between the two groups.Results:The systolic and diastolic blood pressure of the case group before treatment were higher than those of the control group.The increase in the rate of root canal filling center,systolic blood pressure,and diastolic blood pressure immediately after anesthesia,during pulp opening,root canal filling rate,systolic blood pressure and diastolic blood pressure were all greater than those of the control group(P<0.05).The incidence of electrocardiogram changes in the case group was 28.13%,which was significantly higher than that in the control group(6.25%)(P<0.05).Conclusion:Patients with acute pulpitis and heart failure undergo single-visit root canal treatment with greater changes in blood pressure and heart rate than patients without cardiovascular disease,but abnormal changes in electrocardiogram can be found in time under electrocardiographic monitoring,and corresponding measures can be taken in time to ensure safety.
作者
高琪
刘炀
康静
项海东
GAO Qi;LIU Yang;KANG Jing;XIANG Hai-dong(Hebei Medical University Second Hospital,Department of Stomatology,Hebei Shijiazhuang 050000,China;Jizhong Energy Fengfeng Group General Hospital,Department of Stomatology,Hebei Haiidan 056200,China)
出处
《临床口腔医学杂志》
2021年第4期215-218,共4页
Journal of Clinical Stomatology
基金
河北省卫计委指令行计划项目(20160096)。
关键词
心力衰竭
急性牙髓炎
心电监护
根管治疗
效果
安全性
Heart failure
Acute pulpitis
Electrocardiographic monitoring
Root canal treatment
Effect
Safety
作者简介
通信作者:项海东,E-mail:gaoqo0715@126.com。
