在综合护理模式下治疗血友病患者的牙科治疗程序的结果：来自三级护理中心的病例分析。

IF 3 2区医学 Q2 HEMATOLOGY

Haemophilia Pub Date : 2025-05-05 DOI:10.1111/hae.70055

Mathangi Kumar, Sulochana Badagabettu, Keerthilatha M Pai, Annamma Kurien, Archana Mv, Shreemathi S Mayya, Sreejith Govindan

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引用次数: 0

摘要

背景：血友病是一种慢性、终身出血性疾病，需要跨学科的护理来管理和减轻患者一生中的疾病负担。在牙科护理期间管理血友病患者没有普遍接受的协议。目的：评估在三级医疗机构的综合护理模式下，血友病患者接受各种牙科治疗程序的实践状况。方法：检索马尼帕尔Kasturba医院血友病学会档案中的患者资料，系统回顾每位患者的人口学资料、疾病状况和牙科治疗记录。各种牙科治疗程序和结果与血友病的严重程度和牙科治疗程序中使用的预防性浓缩因子的数量相关。结果：研究期间共有73例患者到血友病综合门诊就诊。其中69人接受了84次牙科治疗。对这些患者进行的各种牙科手术包括口腔预防（洗牙）、严重蛀牙的拔牙、龋齿的修复（填充物）、牙髓治疗和其他小型口腔外科手术。在牙科治疗之前给予凝血因子浓缩物的量从250到1500国际单位不等。所有患者在牙科手术后均未出现大量出血。采用SPSS软件进行统计分析，统计学意义为p。结论：标准化各种牙科治疗程序的预防性凝血因子对预防出血性并发症至关重要。印度临床试验注册中心（CTRI）编号：REF/2024/01/077096。

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Outcomes of Dental Treatment Procedures in People With Haemophilia Treated Under a Comprehensive Care Model: An Analysis of Cases From a Tertiary Care Centre.

Background: Haemophilia is a chronic, lifelong bleeding disorder that requires interdisciplinary care to manage and mitigate the disease burden throughout a patient's life. There is no universally accepted protocol for managing haemophilia patients during dental care.

Objective: To evaluate the state of practice employed for people with haemophilia undergoing various dental treatment procedures under a comprehensive care model in a tertiary care setting.

Methods: Patient records from the archives of Haemophilia Society of Kasturba Hospital, Manipal were retrieved, and the demographic data, disease status and dental treatment records of each patient were systematically reviewed. The various dental procedures and the outcomes were correlated with the severity of haemophilia and the quantity of prophylactic factors concentrate utilised for the dental treatment procedures.

Results: A total of 73 patients attended the comprehensive Haemophilia clinic during the study period. Sixty nine of them underwent 84 dental treatment procedures. The various dental procedures that were performed on these patients were oral prophylaxis (scaling), extraction of grossly decayed teeth, restoration (fillings) of carious teeth, endodontic treatment and other minor oral surgical procedures. The amount of clotting factor concentrates given prior to dental treatment ranged from 250 to 1500 IU. None of the patients had excessive haemorrhage following dental procedures. Statistical analyses were performed with SPSS software, and statistical significance was set at p < 0.05. Chi-square and Fisher's exact test were used for the analysis of quantitative variables.

Conclusion: Standardisation of prophylactic clotting factors for various dental treatment procedures is essential to prevent haemorrhagic complications. Trial Registration Clinical Trials Registry - India (CTRI) number: REF/2024/01/077096.

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来源期刊

Haemophilia 医学-血液学

CiteScore

6.50

自引率

28.20%

发文量

226

审稿时长

3-6 weeks

期刊介绍： Haemophilia is an international journal dedicated to the exchange of information regarding the comprehensive care of haemophilia. The Journal contains review articles, original scientific papers and case reports related to haemophilia care, with frequent supplements. Subjects covered include: clotting factor deficiencies, both inherited and acquired: haemophilia A, B, von Willebrand''s disease, deficiencies of factor V, VII, X and XI replacement therapy for clotting factor deficiencies component therapy in the developing world transfusion transmitted disease haemophilia care and paediatrics, orthopaedics, gynaecology and obstetrics nursing laboratory diagnosis carrier detection psycho-social concerns economic issues audit inherited platelet disorders.