【糖尿病患者拔牙】。

Odontostomatologike proodos Pub Date : 1990-02-01
F Fragiskos, G B Massoulas, N Vagenas
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引用次数: 0

摘要

对糖尿病患者进行拔牙是一个复杂的问题,这与糖尿病的类型以及与糖尿病相关的各种并发症有关。主要关注的是避免术中出现急性高血糖或低血糖昏迷,并确保术后顺利,即不受干扰的拔管后愈合。在本研究中,80例到口腔齿科拔牙的糖尿病患者被分为两组:1型糖尿病患者和2型糖尿病患者。在所有患者到达时,测量血液中葡萄糖和尿液中丙酮的含量,并根据各自的结果将第一类患者分为三组,第二类患者分为四组。在对糖尿病患者采取常规措施的同时,对每一类患者进行了具体的指导,以防止手术过程中氨基甲酸酯过高或过低的发生。对于有糖尿病慢性并发症史的患者,进一步给予适当的指导。在我们的研究中,基于上述分类和组的拔牙方法未出现任何并发症。
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[Tooth extraction on diabetic patients].

Performing extractions on diabetic patients is a complicated problem, which is connected with the type of diabetes and the various complications related to this disease. The main concern is to avoid acute incidents hyper or sub-glycemic comas during the operation and to secure a smooth post- operational course, namely an undisturbed post- extracture healing. In this study, 80 diabetic patients who came for extractions to the escodental department were divided into two categories: patients suffering from diabetes type I and patients suffering from diabetes type II. On the arrival of all patients, the contents of glycose in blood and acetone in urine were measured, and depending on the respective results patients of the first category were classified into three groups and patients of the second category were classified into four groups. Along with the normal measures usually taken for diabetic patients, specific instructions were given for the groups of each category, in order to prevent hyper- or sub-glycaminate incidents, during the operation. Proper instructions were further given for those patients, who had history chronical complications from diabetes. Extractions based on th method of classifying the patients into the above mentioned categories and groups have presented no complications whatever in our study.

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