延期治疗高血压在牙科学校诊所的治疗
Sapna Nath1, Tien Jiang1, Jane Barrow1
1Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Journal of dental education
|September 20, 2023
概括
大多数患有高血压的患者在牙医诊所继续治疗,很少有延期. 这表明牙科专业人员可以管理高血压,并考虑在高血压护理中发挥更大的作用.
科学领域:
- 心血管健康 心血管健康
- 牙科公共卫生 牙科公共卫生
- 高血压管理 高血压管理
背景情况:
- 目前美国牙科协会 (ADA) 的指导方针建议推迟对血压升高的患者进行选择性牙科护理.
- 这些指导方针对牙科治疗的影响的频率尚未确立.
- 无症状高血压及其对牙科治疗的影响需要进一步调查.
研究的目的:
- 评估寻求牙科护理的患者无症状高血压的患病率.
- 为了确定由于血压升高而延迟牙科治疗的速度.
- 评估高血压读数对随后的牙科预约的影响.
主要方法:
- 在牙科学校诊所对患者的回顾性图表审查.
- 分析血压读数和治疗决策.
- 在高血压和非高血压患者之间比较牙科手术,诊断间隔时间和药物使用情况.
主要成果:
- 在26,821人中,1265人血压升高.
- 只有4.1%的高血压患者经历了延期治疗.
- 对于推迟治疗,平均延迟时间为88.2天;很少有患者在随访时报告了新的高血压药物.
结论:
- 大多数患有血压升高的患者接受了牙科治疗,没有明显的危害.
- 由于血压升高,推迟牙科护理很少是必要的.
- 口腔卫生提供者应该平衡风险和益处,可能扩大他们在牙科环境中的高血压管理中的作用.
相关概念视频
Hypertension V: Nursing Management
11
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
11
Hypertension IV: Drug Therapy and Lifestyle Modifications
13
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
13
Hypertension III: Clinical Manifestations and Diagnostic Studies
25
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
25
Assessing Blood pressure using a doppler ultrasound
1.4K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.4K
Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595
Hypertension I: Introduction
16
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
16


