探索牙科手术和三角心脏反射之间的相关性
Tsao-Li Chuang1, Yu-Ting Li1, Tai-Wei Feng1
1Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan.
Journal of dental sciences
|July 14, 2025
概括
常规的牙科手术,如根管治疗,可以触发三角形心脏反射 (TCR),导致心率和血压下降. 牙缩放不太可能导致TCR,而拔牙也可能引起TCR.
科学领域:
- 心血管生理学心血管生理学
- 牙科麻醉学 牙科麻醉学
- 神经科学是一个神经科学.
背景情况:
- 三胞胎心脏反射 (TCR) 涉及心率 (HR) 和平均动脉血压 (MABP) 的降低三胞胎神经刺激后.
- 在日常牙科手术中TCR的作用尚未得到充分证实.
- 本研究调查了在各种牙科干预期间的TCR发生率.
研究的目的:
- 为了检查常见的牙科手术和三角心脏反射 (TCR) 之间的关联.
- 评估动物模型实验性牙科干预期间的生理反应,特别是HR和MABP变化.
主要方法:
- 来自动物手术 (2016-2023) 的生理监测数据 (HR,MABP) 的分析.
- 对比格尔犬和Lee-Sung小型猪在缩放,根管治疗,拔牙和植入物放置期间的反应的评估.
主要成果:
- 缩放程序显示没有显著的HR或MABP变化.
- 根管治疗显示TCR发生率最高 (9.6%>15%降低,5.6%>20%降低).
- 拔牙在2.7%的病例中触发了TCR;植入物放置显示HR波动,但没有显著的MABP/HR下降.
结论:
- 牙脱落的不适不太可能导致TCR.
- 根管治疗,由于物理和化学刺激,更有可能触发TCR.
- 拔牙可能会引发TCR;植入物放置可能会通过HR波动显示早期TCR迹象.
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