在办公室口腔和面外科手术中进行手术前实验室检查的合理必要性
Mi Hyun Seo1, Mi Young Eo1, Kezia Rachellea Mustakim1
1Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
概括
手术前的血液检查对于牙科手术至关重要,检测患者病史中错过的隐藏疾病. 这些测试提高了患者的安全性和专业的牙科护理.
科学领域:
- 在口腔外科手术.
- 医学诊断 医学诊断 医学诊断
- 患者安全 患者安全
背景情况:
- 患者对手术病史的自我报告可能是不可靠的.
- 牙医可能并不总是识别潜在的健康问题.
- 需要在牙科实践中进行更可靠的手术前评估.
研究的目的:
- 评估在办公室牙科手术前进行例行手术前血液检测的必要性.
- 为了确定血液检查是否揭示了从患者病史中看不见的情况.
主要方法:
- 分析了接受抽取或植入手术的5022名患者的手术前血液测试数据 (CBC,化学,电解质,血清学,凝血).
- 根据报告的全身性疾病 (B组) 与没有报告的病史 (A组) 进行分类的患者.
- 使用奇平方测试的组之间血液测试异常率的比较.
主要成果:
- 17%的患者已知有系统性疾病; 83%报告没有特定的病史.
- 在两组之间观察到全血细胞计 (CBC),凝血,电解质和化学面板的显著差异.
- 一小部分没有报告病史的患者表现出血液检测异常,需要改变程序.
结论:
- 手术前的血液检查对于识别患者病史中错过的隐秘疾病至关重要.
- 常规的血液检测提高了牙科治疗的专业性和患者的信任.
- 这些测试有助于防止在办公室牙科手术期间出现意想不到的并发症.
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