老年高血压患者拔牙前后血压水平与创口愈合效果的关系

doi:10.20047/j.issn1673-7210.2023.20.32

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (604 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the relationship between blood pressure level before and after tooth extraction and wound healing in elderly patients with hypertension. Methods A total of 115 elderly patients with hypertension admitted to Beijing Puren Hospital from January 2019 to December 2021 were selected as the study objects, and all patients were treated with tooth extraction. The wound healing of patients one week after tooth extraction was counted, and they were divided into poor healing group and good healing group according to the wound healing condition. The clinical data and the difference of systolic blood pressure and diastolic blood pressure before and after tooth extraction between two groups were compared; the influencing factors of wound healing effect in elderly hypertension patients were analyzed; the predictive value of blood pressure level before and after tooth extraction for wound healing was evaluated. Results There were 94 cases of good wound healing and 21 cases of bad wound healing in 115 elderly patients with hypertension. The level of serum interleukin-6 (IL-6) and the difference of systolic blood pressure and diastolic blood pressure before and after extraction in poor healing group were higher than those in good healing group (P＜0.05). IL-6, the difference of systolic blood pressure and diastolic blood pressure before and after tooth extraction were risk factors for poor wound healing in elderly patients with hypertension (OR=3.080, 2.954, 3.350, P＜0.05). The area under the curve of combined systolic blood pressure and diastolic blood pressure before and after tooth extraction was higher than that of each single prediction (P＜0.05). Conclusion The blood pressure level before and after tooth extraction is related to the wound healing effect in elderly patients with hypertension, and the combined measurement of the difference of systolic blood pressure and diastolic blood pressure before and after tooth extraction can predict the wound healing effect in elderly patients with hypertension.

Key words： Elderly Hypertension Tooth extraction Blood pressure level Wound healing Predictive effectiveness

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LI Jingrong1 XING Yujing2 ZENG Wenjun3

Cite this article:

LI Jingrong1 XING Yujing2 ZENG Wenjun3. Relationship between blood pressure level before and after tooth extraction and wound healing effect in elderly patients with hypertensive[J]. 中国医药导报, 2023, 20(20): 146-149.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.20.32 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I20/146

[1] 孙欣怡，陈晗，马丁，等.老年心血管疾病患者心理状态与拔牙围手术期不良事件的相关性研究[J].老年医学与保健，2022，28（2）：274-278.
[2] Qin Z，Zhou C，Zhu Y，et al. Virtual Reality for Hypertension in Tooth Extraction：A Randomized Trial [J]. J Dent Res，2022， 101（4）：400-406.
[3] 管其帅，陈子强，黄国倩，等.无痛技术在心血管疾病患者心电监护下拔牙中的应用效果评价[J].口腔颌面外科杂志，2020，30（5）：320-323.
[4] 周红华，张志翔，曹颖光，等.浓缩生长因子活化AMPK实现拔牙窝早期免疫炎性调节的实验研究[J].临床口腔医学杂志，2022，38（4）：203-206.
[5] 袁毅，章若琪，陈晓萍，等.老年心血管疾病伴放化疗患者拔牙的临床观察[J].口腔医学，2019，39（7）：609-611.
[6] 刘海燕，蔡文玮，陈谊，等.老年高血压病患者牙科焦虑症对血压及心率的影响[J].老年医学与保健，2020，26（4）：546-549，558.
[7] 《中国高血压防治指南》修订委员会.中国高血压防治指南2018年修订版[J]. 心脑血管病防治，2019，19（1）：1-44.
[8] 曹永洁.糖尿病患者拔牙创口愈合影响因素及处置方法的改进[J].现代消化及介入诊疗，2019，40（2）：2556-2557.
[9] Sung YT，Wu JS. The visual analogue scale for rating，ranking and paired-comparison（vas-rrp）：a new technique for psychological measurement [J]. Behav Res Methods，2018， 50（4）：1694-1715.
[10] 刘鹏，许永伟，吴鹏.中老年心血管病患者口腔麻醉前后的血压和心率变化[J].中国循环杂志，2020，35（1）：82-85.
[11] 郑玲，王瑜婷，王芳芳，等.1119例心血管病患者心电监护下拔牙的临床观察[J].中华老年口腔医学杂志，2019， 17（4）：215-218，251.
[12] 郑冬冬，付欣，魏娜，等.拔牙后保留炎性肉芽组织对拔牙窝愈合效果的影响分析[J].临床和实验医学杂志，2022， 21（14）：1562-1566.
[13] 田昕彤，马腾，孙璇，等.老年高血压临床指南现状分析及质量评价[J].中国全科医学，2022，25（34）：4259-4266， 4285.
[14] 王磊，沈敏华，黄伟琴，等.口服抗凝药物老年患者拔牙术中的临床治疗体会[J].中华老年口腔医学杂志，2020， 18（1）：26-29.
[15] 陶冶，温伟生.同期拔除多颗牙对老年患者生存质量的影响[J].中华老年口腔医学杂志，2021，19（4）：233-236.
[16] 何成果，方小可，王岱岱.老年综合评估在老年高血压患者综合治疗中的应用价值[J].心脑血管病防治，2021，21（3）：288-290.
[17] Imaculada de Queiroz Rodrigues M，Ohana de Lima Martins J，Silva PGB，et al. Tocilizumab，a potent interleukin-6 receptor inhibitor，decreases bone resorption and increases the rate of bacterial infection after tooth extraction in rats [J]. J Oral Maxillofac Surg，2020，78（12）：2138-2146.
[18] Guidotti G，Scarlata C，Brambilla L，et al. Tumor necrosis fa- ctor alpha in amyotrophic lateral sclerosis：friend or foe [J]. Cells，2021，10（3）：518-521.
[19] Agani Z，Ahmedi J，Ademi Abdyli R，et al. The changes in levels of blood cortisol，glucose，and oxygen saturation in type 2 diabetic patients during tooth extraction [J]. Clin Exp Dent Res，2022，31（8）：57-62.
[20] Hu JY，Zhou QM，Li WJ，et al. Effects of preoperative anxiety status on haemodynamic changes during and after tooth extraction in middle-aged and elderly patients with hypert- ension：a prospective repeated-measures cohort study [J]. Chin J Dent Res，2021，24（4）：267-274.
[21] Galloway SS，Earley ET. Minimizing equine tooth extraction complications [J]. Vet Clin North Am Equine Pract，2020， 36（3）：641-658.
[22] Koutroumpas DC，Lioumi E，Vougiouklakis G. Tooth Extraction in Antiquity [J]. J Hist Dent，2020，68（3）：127-144.
[23] Lajolo C，Gioco G，Rupe C，et al. Tooth extraction before radiotherapy is a risk factor for developing osteoradionecrosis of the jaws：A systematic review [J]. Oral Dis，2021，27（7）：1595-1605.
[24] Yamashita K，Uto A，Uchino M，et al. Sympathetic nerve ac- tivity during tooth extraction in women is related to dental anxiety immediately after surgery [J]. J Oral Maxillofac Surg， 2021，79（11）：2268-2269.
[25] 胡莹莹，张建华，张瑞.对长期口服抗栓药物患者拔牙围手术期的临床研究[J].口腔颌面外科杂志，2022，32（4）：236-239.