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在不间断的单一或双重抗血小板治疗期间拔牙后出血时间的评估 - - 一项比较研究
Nitin Anand Krishnan1, S Vijay Kumar2, Aarya H Nair1
1Department of Oral Medicine and Radiology, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Annals of maxillofacial surgery
|February 17, 2025
概括
与单抗血小板治疗相比,牙提取对接受双抗血小板治疗 (DAPT) 的患者造成更高的出血风险. 局部措施可以控制出血,但可能建议改变DAPT.
科学领域:
- 心脏病学 心脏病学
- 在口腔外科手术.
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗血小板治疗对于预防血栓事件至关重要.
- 牙提取可能导致严重的术后出血,特别是在服用抗血小板药物的患者中.
研究的目的:
- 评估单抗血小板治疗 (DAPT) 和双抗血小板治疗 (DAPT) 患者的牙提取后的出血持续时间.
- 在牙科手术中使用的各种抗血小板剂中比较出血时间.
主要方法:
- 出血时间被分类 (在30分钟内,1小时内,24小时内).
- 用奇方位分析进行比较.
- 评估了阿司匹林,克洛皮多格雷尔,提卡格雷勒和组合药物.
主要成果:
- 双重抗血小板治疗 (DAPT) 与显著更长的出血时间有关.
- 拔牙数量的增加与出血持续时间的增加相关.
- 所有长期出血发作都通过局部静血措施成功管理.
结论:
- 对于单次抗血小板治疗的患者和可用的局部止血措施的患者来说,简单的牙提取通常是安全的.
- 改变双重抗血小板疗法 (DAPT) 可能对由于出血风险增加而经历牙提取的患者有益.
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