中国实用口腔科杂志 ›› 2026, Vol. 19 ›› Issue (3): 267-272.DOI: 10.19538/j.kq.2026.03.003

• 专题笔谈 • 上一篇    下一篇

老年人口腔外科门诊手术常见并发症或不良反应的影响因素与舒适化治疗探讨

刘大明,陈克难,许向亮   

  1. 北京大学口腔医学院·口腔医院口腔颌面外科,国家口腔医学中心,口腔疾病国家临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心,北京 100081
  • 出版日期:2026-05-30 发布日期:2026-05-30
  • 通讯作者: 许向亮
  • 作者简介:许向亮,主任医师、副教授、博士研究生导师。现任北京大学口腔医院口腔颌面外科门诊主任。兼任中华口腔医学会镇静镇痛专业委员会常务委员、牙及牙槽外科专业委员会委员、颞下颌关节病学及𬌗学专业委员会委员,北京口腔医学会牙及牙槽外科专业委员会常务委员。在国内率先开展内窥镜辅助拔除复杂下颌智齿临床新技术。主持省部级科研项目3项。以第一作者或通信作者发表学术论文26篇,其中SCI收录论文18篇。参编参译学术专著11部。
  • 基金资助:
    北京市自然科学基金(L242059)

  • Online:2026-05-30 Published:2026-05-30

摘要: 老年人口腔疾病患病率高,部分疾病需接受口腔外科门诊手术治疗;其受增龄性生理改变、慢性病、多重用药等因素影响,术后并发症或不良反应发生率较高。目前老年人口腔外科门诊手术常见并发症或不良反应种类繁多,以出血、感染、疼痛较为常见,直接影响患者预后和治疗舒适度。舒适化治疗以技术结合人文关怀与心理舒缓为主,是改善老年患者诊疗体验及降低不良事件的重要方式。文章结合国家人口老龄化现状、既往文献及临床经验,从患者自身因素、手术相关因素、麻醉与围术期管理因素三方面,分析讨论出血、感染、疼痛三大常见并发症或不良反应的影响因素,并探讨舒适化治疗在老年患者口腔门诊手术中的应用价值。

关键词: 老年人, 口腔外科, 并发症, 不良反应, 舒适化治疗

Abstract: The prevalence of oral diseases is high in the elderly population,and some of these diseases require outpatient oral surgery. However,due to age-related physiological changes,chronic diseases,polypharmacy and other factors,the incidence of postoperative complications or adverse reactions is relatively high. At present,there are various types of common complications or adverse reactions in elderly patients undergoing outpatient oral surgery,among which bleeding,infection and pain are more frequent,which directly affect the prognosis and treatment comfort of patients. Combining advanced techniques with humanistic care and psychological relief,comfortable treatment is an important approach to improving the diagnosis and treatment experience and reduce adverse events in elderly patients. Based on the national status of population aging,previous literature and clinical experience,this paper analyzes and discusses the influencing factors of three major common complications or adverse reactions(bleeding,infection and pain)from three aspects:patient-related factors,surgery-related factors,as well as anesthesia and perioperative management factors,and explores the application value of comfortable treatment in outpatient oral surgery for elderly patients.

Key words: elderly, oral surgery, complications, adverse reactions, comfortable treatment

中图分类号: