Differences in blood pressure before and after administration of local anesthetic among obese adult female patients

Journal of Dentomaxillofacial Science Pub Date : 2021-04-01 DOI:10.15562/jdmfs.v0i0.830

Ahyar Riza, Indra B. Siregardew, Abdullah Oes, Tilagamalar Tilagamalar

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Abstract

This study showed that there was a strong correlation between dental extraction and blood pressure and provedthat using epinephrine in anesthetic solutionshad an effect on blood pressure on female patients with normal BMI and obese. To determine the differences in blood pressure of female patients aged 26-45 years with normal Body Mass Index (BMI) and obesity after administration of local anesthetic containing adrenaline beforedental extraction in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Sumatera Utara.This was an experimental study with a single group pretest-posttest design. Simple random samplingwas used to select the subjects. 16 female patients with normal BMI and 16 female patients with obesity visited the clinic for dental extraction in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of North Sumatera. Blood pressure of each subject was measured before and after administration of anesthesia.Data obtained was statistically analyzed usingDependent T-test.Systolic blood pressure between normal and obese subjects after administration of local anesthetic with adrenaline 1:80000 showed significant differences (p<0.05). Diastolic blood pressure between normal and obese subjects after administration of local anesthetic with adrenaline 1:80000 showed less significant differences (p>0.05).Administration of local anesthetic with adrenaline 1: 80000 can increase the blood pressure in obese patients and patients with normal BMI.Obese subjects had higher systolic blood pressure changes compared to subjects with normal BMI. -------------------------------------------------------------------------------------------------------------------------------------Date of Submission: 26-07-2019 Date of Acceptance: 12-08-2019 -------------------------------------------------------------------------------------------------------------------------------------

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肥胖成年女性患者局麻前后血压的差异

本研究表明拔牙与血压之间存在很强的相关性，并证明在麻醉溶液中使用肾上腺素对BMI正常且肥胖的女性患者的血压有影响。目的观察苏门答腊大学口腔颌面外科26 ~ 45岁体重指数(BMI)正常的肥胖女性患者拔牙前应用肾上腺素局部麻醉后血压的变化。这是一项单组前测后测设计的实验研究。采用简单随机抽样方法选择研究对象。16例BMI正常的女性患者和16例肥胖的女性患者到北苏门答腊大学口腔颌面外科诊所拔牙。测量每位受试者麻醉前后的血压。所得数据采用相关t检验进行统计学分析。正常和肥胖受试者局麻肾上腺素1:8000后收缩压差异有统计学意义(p0.05)。肾上腺素1∶80000局麻药可使肥胖患者和BMI正常患者血压升高。肥胖受试者的收缩压变化高于BMI正常的受试者。------------------------------------------------------------------------------------------------------------------------------------- 提交日期:26-07-2019验收日期:12-08-2019 -------------------------------------------------------------------------------------------------------------------------------------

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