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顎変形症患者の周術期における気道通気状態と睡眠呼吸障害の解明
https://doi.org/10.24517/00051609
https://doi.org/10.24517/00051609fbfce214-3bfa-46a4-a7ed-36129fd846da
名前 / ファイル | ライセンス | アクション |
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HO-PR-OOI-K-kaken 2018-4p.pdf (164.7 kB)
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Item type | 報告書 / Research Paper(1) | |||||
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公開日 | 2019-04-19 | |||||
タイトル | ||||||
タイトル | 顎変形症患者の周術期における気道通気状態と睡眠呼吸障害の解明 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Evaluation of perioperative obstructive sleep apnea in patient with dentofacial deformity | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_18ws | |||||
資源タイプ | research report | |||||
ID登録 | ||||||
ID登録 | 10.24517/00051609 | |||||
ID登録タイプ | JaLC | |||||
著者 |
大井, 一浩
× 大井, 一浩 |
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著者別表示 |
Ooi, Kazuhiro
× Ooi, Kazuhiro |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学附属病院歯科口腔外科 | |||||
書誌情報 |
平成29(2017)年度 科学研究費補助金 基盤研究(C) 研究成果報告書 en : 2017 Fiscal Year Final Research Report 巻 2015-04-01 - 2018-03-31, p. 4p., 発行日 2018-05-24 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 顎変形症は成長発育異常や外傷等で骨格性に生じた不正咬合が生じている疾患で、咀嚼、構音、呼吸といった、人が生きていく上で欠かせない重要な機能が障害されている。顎変形症の治療には現在の医療においては手術が必要であり、その偶発症として気道閉塞は最も問題の大きい合併症であるが、その発症リスクは十分に明らかにされていなかった。本研究においては、周術期の睡眠呼吸状態を簡易型睡眠評価装置でモニタリングし、全身麻酔に伴うREMリバウンドが顎矯正手術で認められ、手術直後ではなく術後3、4日目に気道閉塞のリスクが高いこと、オトガイが上方に移動する移動方向ではリスクが低くなることが明らかになった。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Polysomnography was performed before orthographic surgery and sleep state were measured using peripheral arterial tonometry over night during 7 nights after surgery in general anesthesia. Apnea hypopnea index (AHI), lowest arterial oxgen saturation (LoSpO2) and sleep state were measured. AHI: 0.4 ( 0-12.1) /h, LoSpO2 : 92 (85-95)%, REM 20.1 (0-34.1)%, NREM 79.9 (65.9-100 ) %,.One patient was diagnosed mild OSA. AHI during REM 1.8 (0-21) was higher than AHI during NREM 0.2 (0-9.7). The perioperative REM sleep was low until the 3 days after surgery and increased on the 4 days after surgery. pAHI increased from 3days after surgery, the highest in 4 cases on 7days after surgery, SPO 2 was the lowest in 3 cases on 4days after surgery and 5 peoples on 7days after surgery. The perioperative pAHI ( 9.2 (2.7-26.3)) is increase according to high BMI and high preoperative AHI. The perioperative lower SPO 2 (87.7 (74 - 94)) is decrease according to less upward movement of mandibular incisor. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 研究課題/領域番号:15K11310, 研究期間(年度):2015-04-01 - 2018-03-31 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 出典:研究課題「顎変形症患者の周術期における気道通気状態と睡眠呼吸障害の解明」課題番号15K11310 (KAKEN:科学研究費助成事業データベース(国立情報学研究所)) (https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K11310/15K11310seika/)を加工して作成 |
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著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/search/?qm=90451450 | |||||
関連名称 | https://kaken.nii.ac.jp/search/?qm=90451450 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15K11310/ | |||||
関連名称 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15K11310/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K11310/15K11310seika/ | |||||
関連名称 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K11310/15K11310seika/ |