하악매복지치 발거시 혈당변동에 관한 임상적연구

Clinical studies on the variation of blood glucose during extraction of impacted lower third molar

Thirty three healthy adult patients who needed extraction of impacted lower third molar were studied. We focused on the changes of blood glucose and autonomic nervous system during surgical extraction and additionally the psychologic factor using DAS-J was checked to find the relationship wih this study. This study was divided into before operation, immediately before operation and immediatly after operation. The obtained results were as follows: 1. Blood pressure was increased immediatly after operation but not significant. Pulse rate was more increased in immediatly after operation than before operation (p＜0.05). 2. Blood glucose was more increased in immediatly before operation than in before operation (p ＜ 0.05), and it was highly significant in immediatly operation (p ＜ 0.01). 3. The degree of surgical trauma (operation site, amount of local anesthetics and operation time) was not influenced of the changes of blood glucose. 4. The changes of blood glucose and autonomic nervous system were not related to the psychologic factor measured by DAS-J.