本文对54名健康人和58例高血压患者进行了拔牙时血压和心率的动态观察,发现血压和心率的均位变化呈双峰曲线,使用含或不合肾上腺素的局麻药无显著是异;高血压患者和健康人拔牙时血压和心率剧烈发动的发生率分别为18.2%(12/66)和8.6%(5/58)。本文讨论了高血压患者的拔牙指征,对拔牙时的监护重点提出了建议。 In this paper, 54 healthy subjects and 58 hypertensive patients underwent dynamic observation of blood pressure and heart rate during tooth extraction and found that the mean change of blood pressure and heart rate showed a bimodal curve. The use of local anesthetics with or without epinephrine was not significantly different; The incidence of severe blood pressure and heart rate in hypertensive and healthy subjects during tooth extraction were 18.2% (12/66) and 8.6% (5/58), respectively. This article discusses the indications for the extraction of teeth in hypertensive patients and makes recommendations for the focus of care during tooth extraction.