{"created":"2023-07-27T06:51:44.137797+00:00","id":45272,"links":{},"metadata":{"_buckets":{"deposit":"c5520d6a-dbb3-4f62-9a52-c3952662052b"},"_deposit":{"created_by":18,"id":"45272","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"45272"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00045272","sets":["2812:2813:2816"]},"author_link":["22372","78753"],"item_9_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-05-24","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"4p.","bibliographicVolumeNumber":"2015-04-01 - 2018-03-31","bibliographic_titles":[{"bibliographic_title":"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"},{"bibliographic_title":"2017 Fiscal Year Final Research Report","bibliographic_titleLang":"en"}]}]},"item_9_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Ooi, Kazuhiro"}],"nameIdentifiers":[{"nameIdentifier":"22372","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"90451450","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=90451450"}]}]},"item_9_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"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。","subitem_description_type":"Abstract"},{"subitem_description":"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.","subitem_description_type":"Abstract"}]},"item_9_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"研究課題/領域番号:15K11310, 研究期間(年度):2015-04-01 - 2018-03-31","subitem_description_type":"Other"},{"subitem_description":"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\n（KAKEN：科学研究費助成事業データベース（国立情報学研究所）） \n（https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K11310/15K11310seika/）を加工して作成","subitem_description_type":"Other"}]},"item_9_description_5":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学附属病院歯科口腔外科","subitem_description_type":"Other"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00051609","subitem_identifier_reg_type":"JaLC"}]},"item_9_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/search/?qm=90451450"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/search/?qm=90451450","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15K11310/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15K11310/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K11310/15K11310seika/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K11310/15K11310seika/","subitem_relation_type_select":"URI"}}]},"item_9_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":"大井, 一浩"}],"nameIdentifiers":[{"nameIdentifier":"78753","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"90451450","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=90451450"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-04-19"}],"displaytype":"detail","filename":"HO-PR-OOI-K-kaken 2018-4p.pdf","filesize":[{"value":"164.7 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"HO-PR-OOI-K-kaken 2018-4p.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/45272/files/HO-PR-OOI-K-kaken 2018-4p.pdf"},"version_id":"ba9f3bb0-22b7-486d-b56d-6943c715cb99"}]},"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":"research report","resourceuri":"http://purl.org/coar/resource_type/c_18ws"}]},"item_title":"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","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"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"},{"subitem_title":"Evaluation of perioperative obstructive sleep apnea in patient with dentofacial deformity","subitem_title_language":"en"}]},"item_type_id":"9","owner":"18","path":["2816"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-04-19"},"publish_date":"2019-04-19","publish_status":"0","recid":"45272","relation_version_is_last":true,"title":["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"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2024-07-01T05:32:27.333117+00:00"}