{"id":117531,"date":"2018-03-11T10:47:08","date_gmt":"2018-03-11T10:47:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/protocolo-para-la-realizacion-de-exodoncias-en-pacientes-sometidos-a-terapia-antiagregante-dual\/"},"modified":"2018-03-11T10:47:08","modified_gmt":"2018-03-11T10:47:08","slug":"protocolo-para-la-realizacion-de-exodoncias-en-pacientes-sometidos-a-terapia-antiagregante-dual","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/estomatologia-y-ortodoncia\/protocolo-para-la-realizacion-de-exodoncias-en-pacientes-sometidos-a-terapia-antiagregante-dual\/","title":{"rendered":"Protocolo para la realizaci\u00f3n de exodoncias en pacientes sometidos a terapia antiagregante dual"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Paulino Sanchez Palomino <\/strong><\/h2>\n<p>Objetivos: el prop\u00f3sito de este estudio fue evaluar la eficacia de un protocolo para la realizaci\u00f3n de exodoncias en pacientes que reciben terapia antiagregante para evitar los procesos tromb\u00f3ticos. material y m\u00e9todos: cuarenta y cuatro pacientes sometidos a extracciones dentales fueron incluidos en el estudio. Las variables evaluadas fueron: fracci\u00f3n de col\u00e1geno\/epinefrina, fracci\u00f3n adenosin difosfato\/col\u00e1geno, superficie quir\u00fargica, medidas post-quir\u00fargicos, y los efectos adversos. Se aplic\u00f3 como medida post-quir\u00fargica a todos los pacientes la sutura alveolar y una gasa impregnadas con un agente antifibrinol\u00edtico (\u00e1cido tranex\u00e1mico), que el paciente presiona durante 30 minutos. Se realiz\u00f3 una estad\u00edstica descriptiva en la que se calcularon y analizaron las variables con la prueba t de student para comparar pares de variables cuantitativas; se realiz\u00f3 un an\u00e1lisis de regresi\u00f3n simple utilizando el coeficiente de correlaci\u00f3n de pearson. La significaci\u00f3n estad\u00edstica se estableci\u00f3 en p &lt;0,05. resultados: fracci\u00f3n de col\u00e1geno \/ epinefrina fue 248,13\u00c2\u00b169,619 segundos con un rango de 135 a 300 segundos, y el col\u00e1geno \/ adp fracci\u00f3n fue 113,41\u00c2\u00b145,498 segundos, ambos valores m\u00e1s altos de los valores normales. Como resultado de las medidas post-quir\u00fargicas adoptadas los pacientes no han presentado en ning\u00fan caso hemorragia postoperatoria, hematoma o infecci\u00f3n. conclusiones: la extracci\u00f3n dental en pacientes en terapia antiagregante dual siempre que apliquemos medidas locales que favorezcan la hemostasia (sutura del alveolo) y aplicaci\u00f3n de un agente antifibrinol\u00edtico (una gasa impregnadas con \u00e1cido tranex\u00e1mico, que el paciente presiona durante 30 minutos).  objective: the purpose of this study was to evaluate the efficacy of a protocol for performing dental extraction in patients receiving dual antiplatelet therapy (antiagregant) drugs (clopidogrel and aspirin) to prevent thrombotic processes.  material and methods: fourty-four patients undergoing dental extractions were included in the study. The variables evaluated were: collagen-epinephrine fraction, collagen- adenosine diphosphate fraction, surgical surface, post-surgical measures, and adverse effects. Alveolar sutures and gauzes impregnated with an antifibrinolytic agent (tranexamic acid), which the patient pressed in place for 30 minutes, were applied to all patients as post-surgical measures. Descriptive statistics were calculated and analyzed with student&apos;s t-test to compare pairs of quantitative variables; simple regression analysis was performed using pearson&apos;s correlation coefficient. Statistical significance was set at p&lt;0.05.  results: collagen\/epinephrine fraction was 248,13\u00c2\u00b169,619 seconds with a range of 135 to 300 seconds, and collagen\/adp fraction was 113,41\u00c2\u00b145,498 seconds, both values being higher than normal. As a result of the post-surgical measures taken, no patients presented post-operative bleeding, hematoma or infection.  conclusions: dental extraction was safe for patients receiving dual anti-platelet therapy when using sutures and gauze impregnated with tranexamic acid, which the patient pressed in place for 30 minutes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Protocolo para la realizaci\u00f3n de exodoncias en pacientes sometidos a terapia antiagregante dual<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Protocolo para la realizaci\u00f3n de exodoncias en pacientes sometidos a terapia antiagregante dual <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Paulino Sanchez Palomino <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/05\/2015<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Alberto Rodriguez Archilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis ram\u00f3n Meseguer olmo <\/li>\n<li>Mar\u00eda piedad Ram\u00edrez fern\u00e1ndez (vocal)<\/li>\n<li>Antonio Aguilar-salvatierra raya (vocal)<\/li>\n<li>Javier Guardia mu\u00f1oz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Paulino Sanchez Palomino Objetivos: el prop\u00f3sito de este estudio fue evaluar la eficacia de un protocolo para 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