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大腸穿孔患者の腹部 CT を用いた大腰筋断面積と歩行能力との関連
https://doi.org/10.24517/00064875
https://doi.org/10.24517/0006487513334183-a947-42f1-aa52-b8fb45b0563d
名前 / ファイル | ライセンス | アクション |
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ME-PR-SOMEYA-F-23_554.pdf (510.5 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-03-11 | |||||
タイトル | ||||||
タイトル | 大腸穿孔患者の腹部 CT を用いた大腰筋断面積と歩行能力との関連 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | The relationship between cross-sectional area of the psoas major muscle and ambulation ability using abdominal CT in colon perforation patients | |||||
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_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24517/00064875 | |||||
ID登録タイプ | JaLC | |||||
著者 |
渡辺, 伸一
× 渡辺, 伸一× 大野, 美香× 森田, 恭成× 鈴木, 秀一× 染矢, 富士子 |
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著者別表示 |
Watanabe, Shinichi
× Watanabe, Shinichi× Ohno, Mika× Morita, Yasunari× Suzuki, Shuichi× Someya, Fujiko |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域保健学系 | |||||
書誌情報 |
日本集中治療医学会雑誌 en : Journal of the Japanese Society of Intensive Care Medicine 巻 23, 号 5, p. 554-560, 発行日 2016-09-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1340-7988 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1882-966X | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN10474053 | |||||
出版者 | ||||||
出版者 | 日本集中治療医学会 The Japanese Society of Intensive Care Medicine | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 【目的】大腸穿孔患者の退院時の歩行自立の可否と腰部主要筋の断面積との関連性を明らかにすることを目的とした。【方法】調査対象は,外科で大腸穿孔に対して緊急開腹術を施行し,術後ICU管理を行った63症例のうち,除外基準に相当する31例を除いた32例に対し,歩行自立群(n=21)と歩行非自立群(n=11)の2群に分類した。【結果】ロジスティック回帰分析にて歩行自立と関連する要因として抽出された項目は,APACHE IIスコア,転帰,大腰筋面積の1日当たりの変化率であった。【結論】ICU管理中での大腰筋断面積の低下はICU退室後の歩行能力の獲得に対して悪影響を及ぼす可能性があるため,できる限りICUでの早期離床を目指し,離床が困難な症例については,ベッド上で行える筋力トレーニングを積極的に行うことで,大腰筋の筋力低下を予防する必要があると思われた。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: This study was conducted to examine the relationship between ambulation independence and cross-sectional area of the lumbar major muscle in patients with colon perforation. Methods: We retrospectively examined the cases of 32 colon perforation patients who underwent emergency laparotomy. We divided the patients into two groups: ambulation independence (n=21) and ambulation dependence (n=11). Results: A logistic regression analysis revealed that the APACHE II score, outcome, and the rate of change of the area of the psoas major were factors relevant to ambulation independence. Conclusion: As decreases in the cross-sectional area of the psoas major during intensive care possibly affect patients' gait ability after being discharged from the ICU, it may be necessary to prevent any loss of the psoas major muscle strength by promoting early mobilization whenever possible or, if not possible, actively providing in-bed muscle training even for ICU patients. | |||||
権利 | ||||||
権利情報 | Copyright © 日本集中治療医学会 The Japanese Society of Intensive Care Medicine | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/browse/jsicm/-char/ja/ | |||||
関連名称 | https://www.jstage.jst.go.jp/browse/jsicm/-char/ja/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.jsicm.org/ | |||||
関連名称 | http://www.jsicm.org/ |