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目的探讨老年人拔牙术后出血的有效护理措施。方法回顾性研究2013年5月~2014年2月在我院拔牙的老年人96例的临床病例资料,分析老年人拔牙原因、出血原因和出血时间并总结有效的拔牙术后出血的护理措施。结果老年人主要拔牙原因是由于牙周病松动牙、修复需要拔除牙、创伤拔除牙和病灶残根牙;拔牙术后出血的老年人中,牙龈损伤32例,牙糟窝残留肉芽及异物16例,牙糟窝血管损伤23例,心血管疾病21例,血液病4例;老年人均在拔牙后12 h内出血,经过局部和全身对症处理后,出血老年人均有效止血。结论老年人因为局部和全身因素均可引起拔牙术后出血,牙科医生在为老年人拔牙前应先详细询问其病史,应用微创拔牙术,采取有效的护理措施,可以有效减少老年人拔牙术后出血。
Objective To explore effective nursing measures for bleeding after tooth extraction in the elderly. Methods The clinical data of 96 elderly patients who had extracted teeth in our hospital from May 2013 to February 2014 were retrospectively analyzed. The causes of tooth extraction, causes of bleeding and bleeding time were analyzed in the elderly and the effective nursing measures of bleeding after tooth extraction were summarized. Results The main causes of tooth loss in the elderly were periodontal disease, loose tooth, repair need to remove the tooth, traumatic removal of the tooth and the residual root remnant. In the elderly with bleeding after tooth extraction, there were 32 cases of gingival injury, residual granulation and foreign body 16 Twenty-three cases of vascular injury, 21 cases of cardiovascular disease and 4 cases of hematological disease were found in the tooth-bad-nests. The elderly patients were all bleeding within 12 hours after tooth extraction. After local and systemic symptomatic treatment, the bleeding was effectively stopped in the elderly. Conclusion Elderly people can cause bleeding after tooth extraction because of local and systemic factors. Dentists should ask their medical history before tooth extraction for the elderly. Using minimally invasive extraction and effective nursing measures can effectively reduce the risk of tooth extraction in the elderly After bleeding.