항혈소판제 복용 환자의 구강 내 소수술 전 처치에 대한 제안
PROPOSAL FOR PRETREATMENT OF PATIENTS IN ANTIPLATELET THERAPY REQUIRING MINOR ORAL SURGERY
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: Many patients in anti-platelet therapy have been consulted for bleeding risks before minor oral surgery. However, there has not been anestablished pretreatment protocol for treating these patients. The purpose of this study is to make a protocol for the preoperative management forpatients in anti-platelet therapy. Patients and Methods: The existed consultation pattern of patients was examined in the Department of Oral and Maxillofacial Surgery, YonseiDental Hospital. Based on the observation, a protocol including classification of medical status of patients and the type of oral surgery in need wasintroduced. This protocol had been performed for 6 months. Result: Following this protocol, the frequency of consultation for bleeding risk was decreased. The number of minor oral surgeries with concurrentanti-platelet therapy was increased. There was no severe bleeding event observed among minor oral surgeries that were performed while maintaininganti-platelet therapy. Conclusion: This protocol can be used as a guideline for clinical practice of patients in anti-platelet therapy requiring minor oral surgery.
Abstract
Purpose: Many patients in anti-platelet therapy have been consulted for bleeding risks before minor oral surgery. However, there has not been an established pretreatment protocol for treating these patients. The purpose of this study is to make a protocol for the preoperative management for patients in anti-platelet therapy. Patients and Methods: The existed consultation pattern of patients was examined in the Department of Oral and Maxillofacial Surgery, Yonsei Dental Hospital. Based on the observation, a protocol including classification of medical status of patients and the type of oral surgery in need was introduced. This protocol had been performed for 6 months. Result: Following this protocol, the frequency of consultation for bleeding risk was decreased. The number of minor oral surgeries with concurrent anti-platelet therapy was increased. There was no severe bleeding event observed among minor oral surgeries that were performed while maintaining anti-platelet therapy. Conclusion: This protocol can be used as a guideline for clinical practice of patients in anti-platelet therapy requiring minor oral surgery.
참고문헌 (12)
- Perez-Gomez F, "Comparative effects of antiplatelet, anticoagulant, or combined therapy in patients with valvular and nonvalvular atrial fibrillation A randomized multicenter study", J Am Coll Cardiol, 44, pp.1557~1566 (2004)
- Owens CD BM, "Thrombosis and coagulation : operative management of the anticoagulanted patient", Surg Clin North Am, 85, pp.1779~1789 (2005)
- Little JW, "Anltithrombotic agents: implications in dentistry", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 93, pp.544~551 (2002)
- McNeely W, "Triflusal", Drugs, 55, pp.823~833 (1998)
- Hirsh J, "Oral anticoagulants. Mechanism of action, clinical effectiveness, and optimal therapeutic range", Chest, 102, pp.312~326 (1992)
- Wahl MJ, "Dental surgery in anticoagulated patients", Arch Intern Med, 158, pp.1610~1616 (1998)
- Dodson TB, "Strategies for managing anticoagulated patients requiring dental extractions: an exercise in evidence-based clinical practice", J Mass Dent Soc, 50, pp.44~50 (2002)
- Blinder D, "Dental extractions in patients maintained on oral anticoagulant therapy: comparison of INR value with occurrence of postoperative bleeding", Int J Oral Maxillofac Surg, 30, pp.518~521 (2001)
- Miloro M, "Peterson’s Principles of Oral and Maxillofacial Surgery" (2004), BC Decker
- Beirne OR, "Evidence to continue oral anticoagulant therapy for ambulatory oral surgery", J Oral Maxillofac Surg, 63, pp.540~550 (2005)
- McIntyre H, "Management, during dental surgery, of patients on anticoagulants", Lancet, 2, pp.99~100 (1966)
- Wahl MJ, "Myths of dental surgery in patients receiving anticoagulant therapy", J Am Dent Assoc, 131, pp.77~81 (2000)