{"created":"2023-07-27T06:29:00.404016+00:00","id":13645,"links":{},"metadata":{"_buckets":{"deposit":"1022dc01-dced-4ff5-9a66-05ac41696832"},"_deposit":{"created_by":3,"id":"13645","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"13645"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00013645","sets":["1132:1133:1134"]},"author_link":["1150","22757","1003","22758","140","223","22759"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"72","bibliographicPageStart":"65","bibliographicVolumeNumber":"10","bibliographic_titles":[{"bibliographic_title":"形態・機能 = Structure and function"}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"殿部筋肉内注射部位として推奨されているクラークの点は上殿神経損傷の危険性が低いと 言われているが、注射部位決定の際に用いる上後腸骨棘が触知しづらいという問題がある。 そこで、本研究では上後腸骨棘を用いない注射部位決定法を独自に考案した。上前腸骨棘 を通る水平線と大転子中央上縁を通る垂線との交点を新殿筋注点として、21~25 歳の女性 において、この点が注射部位として適当かを、各点間の距離の計測と、上殿動脈の血流音 聴取から、これに伴行する上殿神経の位置を推測し、検討した。その結果、新殿筋注点は クラークの点より常に約1.2 cm 下方に位置し、17/26 人 (65.3%) で新殿筋注点はクラーク の点より後方に位置した。新殿筋注点、クラークの点で、上殿動脈の血流音が聴取された のは、それぞれ2/17 人 (11.8%) と1/17 人 (5.9%) であった。残りの14 人 (82.4％) は、 両点の上方、下方で血流音が聴取されたので、上殿動脈の上枝と下枝は、新殿筋注点とク ラークの点を挟むように、フォーク状に走行していると考えられる。これらのことから、 新殿筋注点は殿部筋肉内注射部位として適当であると考えられるが、クラークの点の高さ のほうが神経から遠いので、新殿筋注点の約1 cm 上方では、より安全に殿部筋肉内注射を 実施できると考えられる。さらに血管損傷を考慮する場合は、血流検知器で上殿動脈の位 置を確認することが重要であると思われる。The point of Clark is recommended as the point of intramuscular injection into the gluteal muscle as there is low risk of superior gluteal nerve damage. However, the posterior superior iliac spine is hard to feel when the injection point must be located. Therefore, in this study, we determined a novel intramuscular injection point that is located at the intersection of the horizontal line from the anterior superior iliac spine and the perpendicular line from the middle portion of the trochanter major. This new point can be more easily determined than the point of Clark. In women who are 21~25 years old, we examined if this new point is suitable as an intramuscular injection point by comparing it with the point of Clark and measuring the site of the superior gluteal artery, along with the superior gluteal nerve using an ultrasound blood flowmeter. The novel point was approximately 1.2cm inferior to the point of Clark. The novel point was posterior to the point of Clark in 17 /26 subjects. The ratio of blood flow detected at the novel point and the point of Clark was 2/17 and 1/17, respectively. Since the blood flow was detected at both superior and inferior areas of the both points, the superior and inferior branches of the superior gluteal artery run in a V-shape, sandwiching them in between. These results indicate that our novel intramuscular injection point in the gluteus medius is suitable for injection like the point of Clark, and 1cm higher than the novel site is safer because it is closer to the point of Clark. Moreover, it is important to determine the site of the superior gluteal artery using an ultrasound blood flowmeter in order to perform intramuscular injection.","subitem_description_type":"Abstract"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"コ・メディカル形態機能学研究会"}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://square.umin.ac.jp/co-medsf/index.html","subitem_relation_type_select":"URI"}}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA12137631","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1347-7145","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中島, 由加里"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"向井, 加奈恵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今, 有香"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井内, 映美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"北山, 幸枝"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"大桑, 麻由美"}],"nameIdentifiers":[{},{},{},{}]},{"creatorNames":[{"creatorName":"中谷, 壽男"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-03"}],"displaytype":"detail","filename":"ME-PR-NAKATANI-T-65.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-NAKATANI-T-65.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/13645/files/ME-PR-NAKATANI-T-65.pdf"},"version_id":"27bc7738-805c-4efa-9246-e223d81ceae4"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"新しい殿部筋肉内注射部位「新殿筋注点」と従来のクラークの点との生体における比較から得られた安全な殿部筋肉内注射部位の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"新しい殿部筋肉内注射部位「新殿筋注点」と従来のクラークの点との生体における比較から得られた安全な殿部筋肉内注射部位の検討"},{"subitem_title":"A study of safe site about intramuscular injection based on examination of a novel intramuscular injection point in the gluteal muscle as opposed to the well-known point of Clark","subitem_title_language":"en"}]},"item_type_id":"4","owner":"3","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-03"},"publish_date":"2017-10-03","publish_status":"0","recid":"13645","relation_version_is_last":true,"title":["新しい殿部筋肉内注射部位「新殿筋注点」と従来のクラークの点との生体における比較から得られた安全な殿部筋肉内注射部位の検討"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-28T01:00:58.341883+00:00"}