항혈소판제 복용 환자의 구강 내 소수술 전 처치에 대한 제안
PROPOSAL FOR PRETREATMENT OF PATIENTS IN ANTIPLATELET THERAPY REQUIRING MINOR ORAL SURGERY
최지욱, 최세경, 김남균, 최의영, 차인호, 김형준,
소속 상세정보
최지욱 ( Choi Ji-Wook ) - 연세대학교 치과대학 구강악안면외과학교실
최세경 ( Choi Se-Kyung ) - 연세대학교 치과대학 구강악안면외과학교실
김남균 ( Kim Nam-Kyun ) - 연세대학교 치과대학 구강악안면외과학교실
최의영 ( Choi Eui-Young ) - 연세대학교 의과대학 내과학교실
차인호 ( Cha In-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
김형준 ( Kim Hyung-Jun ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 0355620090350060426
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.
키워드
anti-platelet therapy;surgery;bleeding;aspirin;consultation
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