松本歯科大学歯科麻酔科における外来有病者全身管理の統計学的検討  [in Japanese] A Statistical Study of Medically Compromised Patients at Out-Patient Clinic of Dental Anesthesia in Matsumoto Dental College Hospital  [in Japanese]

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Abstract

歯科麻酔科における有病者全身管理の実態を把握するために統計的検討を行った。対象は, 1985年4月から1994年3月までの9年間に院内他科から患者の状態評価や歯科処置中の安全のための全身管理依頼を受け, 歯科麻酔科外来を受診した有病者とした。結果は次のごとくであった。<BR>1. 1985年4月より1994年3月までの9年間の松本歯科大学病院を受診外来患者で歯科麻酔科に依頼があり当科で全身管理を行った有病者について臨床統計的検討を行った。<BR>2. 全身管理を行った有病者数は425例で男女比はほぼ同一であった。平均年齢は56.4±15.3歳で, 当科受診の健常者の平均年齢27.3±11.2より高齢であった。<BR>3. 基礎疾患では高血圧症 (42.2%), 循環器系疾患 (32.2%) の両者で全体の14.4%となり, 特に高血圧症と他の基礎疾患との合併率が高かった (35.1%)。<BR>4. 処置では抜歯術 (65.5%) を含む観血的処置が全体の78.1%であった。<BR>5. 全身管理法はStand by群 (58.5%) が最も多く以下IS群 (28.4%), IV群 (13.1%) の順となった。<BR>6. 術中RPPが12,000を上回った症例はStand by群 (34.5%), IV群 (43.1%), IS群 (49.5%) となった。

A statistical study was made for the understand of the actual states in the management for the medically compromised patients at the clinic of dental anesthesia. The subjects were the patients who visited to our out-patient clinic as the request from the other clinics in the hospital for the evaluation of the present states or general care for the safety in the dental procedure, for the last 9 years (from April '85 to march '94).<BR>Results were as follows:<BR>1) The medically compromised patients were 44.8% (425 cases) among the total 1055 cases who were treated as the out-patients.<BR>2) The ratio of male to female was 50.6% (215 cases) /49.4% (210 cases) which was appeared in no significantly deference. But the average of age was 56.4±15.3 year-old which was significantly higher than 27.3±17.2 year-old of those normal heaethy patients.<BR>3) Among systemic diseases, both hypertension and cardiovascular diseases reached to 74.4%. And hypertensive patients were frequent complicated with multiple systemic diseases.<BR>4) As the dental treatment, oral surgery including teeth extraction amounted to 78.7%.<BR>5) The general management were made under N<SUB>2</SUB>0 inhalation sedation or intravenous sedation with minor tranquilizers, monitoring cardiac and respiratory function, and SpO<SUB>2</SUB>.<BR>6) In 121cases among patients with hypertension and cardiovascular diseases, positive treatment for hypertensive crisis was done during the operation using vasodilators such as diltiazem, nifedipine and nitroglycerine.

Journal

  • Journal of Japanese Society of Dentistry for Medically Compromised Patient  

    Journal of Japanese Society of Dentistry for Medically Compromised Patient 4(2), 94-99, 1996-04-30 

    Japanese Society of Dentistry for Medically Compromised Patient

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Codes

  • NII Article ID (NAID)
    10018997409
  • NII NACSIS-CAT ID (NCID)
    AN10401297
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    09188150
  • Data Source
    CJP  CJPref  J-STAGE 
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