国际口腔医学杂志2025，Vol.52Issue(5)：670-676,7.DOI:10.7518/gjkq.2025090
服用抗血栓药物患者牙周基础治疗期间的出血风险管理
Management of patients undergoing basic periodontal therapy while receiving antithrombotic drugs
摘要
Abstract
Periodontal disease is a common chronic inflammatory disease of the oral cavity.Although dentists are expe-rienced in the management of periodontal disease,the treatment of patients receiving long-term antithrombotic therapy presents additional challenges because of their often complex systemic conditions and considerable interindividual varia-bility.The management of antithrombotic medications prior to basic periodontal therapy remains a subject of ongoing de-bate.In clinical practice,patients may independently alter their medication regimens,frequently underestimating the in-creased risk of thrombotic events associated with the discontinuation of these drugs.Comprehensive risk assessment prior to initiating periodontal therapy is essential to minimize bleeding and thrombotic complications.This article reviews cur-rent strategies for developing individualized periodontal treatment plans,outlines precautions related to antithrombotic drug use,and discusses the management of intraoperative and postoperative bleeding.The aim is to support clinicians in formulating rational and patient-specific approaches to basic periodontal treatment for individuals on antithrombotic the-rapy.关键词
牙周炎/牙周基础治疗/抗血栓药物Key words
periodontal disease/basic periodontal therapy/antithrombotic drug分类
医药卫生引用本文复制引用
朱然,严静,孙卫斌,吴文蕾,刘玉..服用抗血栓药物患者牙周基础治疗期间的出血风险管理[J].国际口腔医学杂志,2025,52(5):670-676,7.基金项目
General Program of National Natural Science Foundation of China(51972167) （51972167）
Jiangsu Provincial Cadre Health Care Research Projects(BJ21006) （BJ21006）
"3456"Cultivation Program for Junior Talents of Nanjing Stomatological Hospital,Medical School of Nanjing University(0222E304) （0222E304）
Nanjing Health Science and Technology Development Spe-cial Fund Project(GAX24300) 国家自然科学基金面上项目(51972167) （GAX24300）
江苏省干部保健科研课题(BJ21006) （BJ21006）
南京大学医学院附属口腔医院"3456"育才计划(0222E304) （0222E304）
南京市卫生科技发展专项资金项目(GAX24300) （GAX24300）
