目的:分析口腔急诊患者全身健康状况的特点,以指导口腔急诊患者应急处理和治疗,预防突发事件发生。方法:对2013年2月至 11月间就诊于北京大学口腔医学院急诊科初诊成年患者的临床资料进行回顾性研究,分析总结患者的基本信息、全身健康状况、美国麻醉医师协会(American Society of Anesthesiologists, ASA)分级以及口腔诊疗信息。结果:心脑血管疾病(6.4%)、高血压(13.4%)、内分泌系统疾病(4.2%)是口腔急诊成人患者最常见的全身系统疾病。随着年龄增长,合并全身系统疾病数目以及ASA分级都在增加。根尖周疾病(24.6%)、牙髓疾病(24.4%)、牙周疾病(18.0%)约占口腔急诊病例的2/3。结论:口腔急诊患者的全身健康状况随着年龄的增加而恶化,口腔医师应该在治疗前进行风险评估。ASA分级系统可帮助医师预测患者的治疗风险,提前采取防治措施有助于减少突发事件的发生。
Objective: To analyze the clinical features of oral emergency patients in general health, and to guide the oral emergency patients in the treatment, and prevention of accidents. Methods: The retrospective study was performed on the day visits to the emergency department in Peking University School and Hospital of Stomatology from February to November 2013.The basic information of the newly diagnosed adult, their overall health status, American society of anesthesiologists(ASA) classification and oral diagnosis information were analyzed and summarized.Results:The cardiovascular and cerebrovascular diseases(6.4%), hypertension(13.4%), endocrine system diseases(4.2%)were most common in the patients. With the increase of age, the associated systemic diseases had increased in number and in ASA classification. Periapical disease(24.6%), dental pulp disease(24.4%), and periodontal disease(18.0%) accounted for about 2/3. Conclusion:The general health status of patients with oral emergency worsened with the increase of age. Oral surgeons should make risk assessment before treatment. ASA classification system can help doctors predict the patient risk, take corresponding measures in advance, and help to reduce the occurrence of accidents.