CAJ | 학술논문

目的：探讨老年高血压患者拔牙安全有效的降压策略。方法回顾性分析156例拔牙治疗的老年高血压患者的临床资料，患者均在拔牙前采用药物控制性降压，将采用硝苯地平+安定者76例纳入观察组，单独应用硝苯地平者80例纳入对照组，比较两组患者治疗前后收缩压（SBP）、舒张压（DBP）及心率（HR）的变化。结果本研究156例老年高血压患者均顺利地完成了拔牙，无严重并发症发生。其中观察组SBP、DBP下降效果明显优于对照组，而心率变化小于对照组，差异均有统计学意义（P＜0.05）。结论老年高血压患者拔牙前采用硝苯地平联合安定有利于控制围手术期血压、心率的平稳，减少拔牙围手术期血压严重升高等意外情况的发生。
목적：탐토노년고혈압환자발아안전유효적강압책략。방법회고성분석156례발아치료적노년고혈압환자적림상자료，환자균재발아전채용약물공제성강압，장채용초분지평+안정자76례납입관찰조，단독응용초분지평자80례납입대조조，비교량조환자치료전후수축압（SBP）、서장압（DBP）급심솔（HR）적변화。결과본연구156례노년고혈압환자균순리지완성료발아，무엄중병발증발생。기중관찰조SBP、DBP하강효과명현우우대조조，이심솔변화소우대조조，차이균유통계학의의（P＜0.05）。결론노년고혈압환자발아전채용초분지평연합안정유리우공제위수술기혈압、심솔적평은，감소발아위수술기혈압엄중승고등의외정황적발생。
Objective To explore and summarize a safe and effective strategy of decreasing blood pressure for elderly patients with hypertension receiving tooth extraction. Methods Clinical data of 156 elderly patients with hypertension receiving tooth extraction were analyzed retrospectively. Patients all received medicine to control their blood pressure before tooth extraction. 76 Patients receiving nifedipine plus diazepam were allocated to an observation group, and 80 patients receiving nifedipine alone were allocated to a control group. Changes of SBP, DBP and HR before and after the treatment were compared between the two groups. Results The 156 elderly patients with hypertension successfully received tooth extraction without severe complications occurred. Decrease of SBP and DBP in the observation group was significantly greater than that in the control group, and the change of HR was smaller than that in the control group. The differences were statistically significant(P < 0.05). Conclusion Application of nifedipine combined with diazepam for elderly patients with hypertension before tooth extraction is beneficial to control peri-operative blood pressure and keep a stable heart rate, and to reduce emergencies such as severe elevation of blood pressure during peri-operative period of tooth extraction.