{"created":"2023-07-27T06:38:43.081416+00:00","id":26881,"links":{},"metadata":{"_buckets":{"deposit":"2aa8ff3a-f732-42e9-8f72-7f7139807184"},"_deposit":{"created_by":3,"id":"26881","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"26881"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00026881","sets":["1761:1762:1763"]},"author_link":["21302","21577","68","21766","21576","45424","45422","45312","45423"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1992-01-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"55","bibliographicPageStart":"51","bibliographicVolumeNumber":"4","bibliographic_titles":[{"bibliographic_title":"老年消化器病 = Journal of geriatric gastroenterology"}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当教室では, 術後侵襲を最小限にするために, 高齢者に対して積極的に小切開による胆嚢摘出術を行っている. そこで胆石術が高齢者のQuality of Lifeにどのように影響するのか, 高齢者の術後長期にわたる愁訴について検討した. 方法は金沢大学医学部附属病院第二外科で, 昭和55年から平成元年までに, 胆嚢摘出術を受けた316名を対象に, はがきによるアンケート調査と電話による面接を行った. その結果, 以下の3点が明らかになった. 1)胆石症術後の愁訴の発生率は, 手術時年齢が30歳以上では差がなかったが, 75歳以上になると, やや増加した. 2)愁訴は65歳以上において長期に持続する傾向があり, 特に, 創部痛において顕著であった. 3)小切開の方が大切開に比較して愁訴の発生が少なかった. 以上より高齢者の胆嚢摘出術では, 術後愁訴がQuality of Lifeにほとんど影響を及ぼさず, 小切開による効果が出ていることが示唆された. 高齢者における胆石保有率は近年次第に増加の傾向にあり, 手術症例は10年前の約2倍に達するといわれている.","subitem_description_type":"Abstract"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"老年消化器病研究討論会編 / 医学図書出版"}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.igakutosho.co.jp/","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 医学図書出版 | 許可を得て登録"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10131385","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0914-8590","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_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"真田, 弘美"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"永川, 宅和"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"上野, 桂一"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"太田, 哲生"}],"nameIdentifiers":[{},{},{},{}]},{"creatorNames":[{"creatorName":"萱原, 正都"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"森, 和弘"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中野, 達夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹田, 弘弥"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮崎, 逸夫"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-05"}],"displaytype":"detail","filename":"ME-PR-OHTA-T-51.pdf","filesize":[{"value":"2.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-OHTA-T-51.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/26881/files/ME-PR-OHTA-T-51.pdf"},"version_id":"9fb158d0-f3c5-4066-9e00-28836e1b6f2b"}]},"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":"高齢者の胆石症術後愁訴に関する検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"高齢者の胆石症術後愁訴に関する検討"},{"subitem_title":"Evaluation of the complaints after cholecystectomy in the aged Patients","subitem_title_language":"en"}]},"item_type_id":"4","owner":"3","path":["1763"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-05"},"publish_date":"2017-10-05","publish_status":"0","recid":"26881","relation_version_is_last":true,"title":["高齢者の胆石症術後愁訴に関する検討"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-27T21:17:10.028782+00:00"}