Психоэмоциональный и вегетативный статус стоматологических больных на фоне кардиоваскулярной патологии

Abstract

Subject. Studying the psychoemotional and vegetative status of dental patients on the background of cardiovascular pathology. Goal. Evaluation of the dynamics of the clinical state, the author's medical-diagnostic protocol and the effectiveness of specific premedication in the performance of surgical intervention in patients with purulent-inflammatory diseases of the maxillofacial region with cardiovascular pathology. Methodology. 63 patients with HBV HBV on the background of cardiovascular pathol-ogy at the age of over 30 years were subjected to clinical, laboratory and instrumental examinations, including using the Spielberg-Khanin, Korach, and Lusher methods, as-sessing the condition of SAD, periodontal tissue, and hygiene and caries intensity, the conditions of the salivary glands, the regional lymph nodes, the temporomandibular joint, the muscles of the head and neck were assessed, as well as electro-one-tonometry, aimed intraoral contact radiography, orthopantom graphy, computed tomography. Results. In patients with chronic cardiovascular pathology, the level of dental anxiety is almost 2 times higher than in the patients of the control group, they revealed a high level of personal and reactive anxiety, determined the presence of psychoemotional stress in patients with HBV CHO in the background of chronic obscheomatic pathology in contrast from the control group. In all patients with HBV CHO in the background of chronic heart disease, the level of blood pressure before premedication was higher: in patients with AH an average of 15 mm Hg. in patients with ischemic heart disease - by 11 mm Hg. Art. , than their "working" BP, in comparison with the control group, where a low level of anxiety and normal values of blood pressure and Ps were determined. Af-ter premedication, improvements were noted. Conclusions. Patients with HBV CHO in the background of chronic cardiovascular pa-thology have complicated psychoemotional and vegetative status, need complex dental and additional specialized examination. Dental treatment of such patients requires indi-vidual premedication.