口腔颌面外科杂志2023，Vol.33Issue(6)：394-396,3.DOI:10.12439/kqhm.1005-4979.2023.06.007
服用抗凝剂对心脏瓣膜置换术后行拔牙术的临床观察
Tooth extraction in patients with anticoagulant therapy after heart valve replacement:A clinical observation
胡莹莹 1张建华 1薛昌敖 1吴新 1张瑞1
作者信息
- 1. 南京医科大学附属南京医院(南京市第一医院)口腔科,南京 210000
- 折叠
摘要
Abstract
Objective:To investigate the application and security of anticoagulants during the perioperative period of tooth extraction in patients after heart valve replacement.Methods:A case-control study was carried out on patients with molar teeth extraction from the Department of Stomatology,Nanjing First Hospital from January 2019 to December 2021.The patients in the research group(n=66)took warfarin anticoagulation after heart valve replacement;the control group consisted of 150 patients didn't take anticoagulant.Perioperative medication and hemostasis were performed to compare bleeding and wound healing after tooth extraction.Results:There was no significant difference between the two groups in the bleeding rate after operation and the healing of tooth extraction wounds 7 days after operation(P>0.05).Conclusion:The replacement therapy with low molecular weight heparin can not only ensure the safety of the perioperative period,but also prevent the complications caused by withdrawal of the drug.关键词
心脏瓣膜置换/华法林/抗凝治疗/拔牙术Key words
heart valve replacement/warfarin/anticoagulant therapy/tooth extraction分类
医药卫生引用本文复制引用
胡莹莹,张建华,薛昌敖,吴新,张瑞..服用抗凝剂对心脏瓣膜置换术后行拔牙术的临床观察[J].口腔颌面外科杂志,2023,33(6):394-396,3.
