{"created":"2023-05-15T16:42:14.990596+00:00","id":17179,"links":{},"metadata":{"_buckets":{"deposit":"ffbe5a88-fb67-4b25-9987-5c48f3f075ef"},"_deposit":{"created_by":2,"id":"17179","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"17179"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00017179","sets":["29:30"]},"author_link":["66984","66989","66988","66985","66986","66987"],"item_2_alternative_title_19":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Risk Factors of Postoperative Pulmonary Complications in Patients with Thoracic Surgery"}]},"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1995-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"48","bibliographicPageStart":"43","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"理学療法学"},{"bibliographic_title":"The Journal of Japanese Physical Therapy Association","bibliographic_titleLang":"en"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"今回われわれは, 真淵らによって提唱された外科術前術後呼吸評価表を当院の開胸術患者評価に適用し, 危険因子の中でも最も重要視しなければならない項目とその呼吸理学療法の対策について検討した。対象は開胸術を施行し, 併せて術前後に呼吸理学療法を行った患者162名の中で, 術後肺合併症が発生した患者13例と, その対照群として非肺合併症患者20例である。方法は危険因子として年齢, 呼吸器疾患の既往の有無, 喫煙状況, 肥満度, 術前肺機能検査(%FVC, FEV_<1.0>%), 術前動脈血ガス検査(PaO_2, PaCO_2), 術前呼吸能力, 手術時間, 出血量, 術後意識状態, 術後呼吸能力, 創部痛, 喀痰排出能力を評価した。その結果, 肺合併症群ではBrinkman指数が高く, 術後呼吸能力と術後喀痰排出能力が低かった。以上のことから術前の評価では特にBrinkman指数, 術後は呼吸能力と喀痰排出能力を評価することが重要である。これらを考慮した上で呼吸理学療法を実施すべきである。","subitem_description_type":"Abstract"},{"subitem_description":"We have applied the Estimation Table of Surgical Pre-and Post-Operative Respiration, as proposed by Mabuchi . to patients who received thoracotomy in our hospital to examine those items on which should be given the greatest importance among risk factors and counterplans for them by means of chest physical therapy. The subjects were 13 patients with postoperative pulmonary complications, 20 patients therewithout, and control group out of 162 patients receiving thoracotomy and pre- and post-operative chest physical therapy. Estimation was made on age, past history of respiratory disease, smoking condition, obesity, preoperative pulmonary function test (%FVC, FEV<1.0>%), preoperative arterial blood gas analysis (Pa0_2, PaCO_2), preoperative respiratory capacity, operating time, bleeding volume, postoperative state of consciousness, postoperative respiratory capacity, wound pain and expectorating capacity. As a result, the pulmonary complication group showed high Brinkman index and low postoperative respiratory capacity and expectorating capacity. From the above, pre- and post-operative estimations are important especially on Brinkman index, and respiratory and expectorating capacities. Chest physical therapy should be applied to patients especially in consideration of these results.","subitem_description_type":"Abstract"}]},"item_2_description_63":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"理学療法学. 22(2), p.43-48: 1995","subitem_description_type":"Other"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"66987","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Maemoto, Hideki"}]},{"nameIdentifiers":[{"nameIdentifier":"66988","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kozu, Ryo"}]},{"nameIdentifiers":[{"nameIdentifier":"66989","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Senju, Hideaki"}]}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"社団法人日本理学療法士協会"}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"社団法人日本理学療法士協会"},{"subitem_rights":"本文データは学協会の許諾に基づきCiNiiから複製したものである"}]},"item_2_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10146032","subitem_source_identifier_type":"NCID"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"02893770","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_16":{"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":"前本, 英樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"神津, 玲"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"千住, 秀明"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-23"}],"displaytype":"detail","filename":"rigaku22_2_43_48.pdf","filesize":[{"value":"465.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"rigaku22_2_43_48.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/17179/files/rigaku22_2_43_48.pdf"},"version_id":"03644a2b-3079-4012-98e0-899fb7bd8433"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"開胸術","subitem_subject_scheme":"Other"},{"subitem_subject":"術後肺合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"危険因子","subitem_subject_scheme":"Other"}]},"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":"開胸術患者における術後肺合併症の危険因子の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"開胸術患者における術後肺合併症の危険因子の検討"}]},"item_type_id":"2","owner":"2","path":["30"],"pubdate":{"attribute_name":"公開日","attribute_value":"2009-03-05"},"publish_date":"2009-03-05","publish_status":"0","recid":"17179","relation_version_is_last":true,"title":["開胸術患者における術後肺合併症の危険因子の検討"],"weko_creator_id":"2","weko_shared_id":-1},"updated":"2023-05-17T20:22:26.814616+00:00"}