日本衛生学雑誌
Online ISSN : 1882-6482
Print ISSN : 0021-5082
ISSN-L : 0021-5082
ミニ特集 第80回日本衛生学会 ミニシンポジウム:胃電図と衛生学
高齢者胃電図と心窩部温罨法の影響
山本 哲也松浦 康之高田 宗樹岩瀬 敏菅屋 潤壹
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2011 年 66 巻 1 号 p. 71-76

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Objectives: Constipation affects as many as 26% of elderly men and 34% of elderly women and is a problem that has been related to a diminished quality of life. The aim of this study was to investigate the influence of aging on electrogastrograms (EGGs). On the basis of the EGGs of elderly individuals, the effect of hot stupe application on the epigastrium was also evaluated.
Methods: The first group included 14 healthy, young participants (age, 20–25 years) and the second group comprised 14 healthy, elderly participants (age, 65–76 years). EGGs were obtained for the first 30 min in a sitting position and for the next period (> 150 min) in a supine position. A hot stupe was placed on the epigastrium of each elderly patient 90 min after the postural change. We evaluated EGGs by spectral analysis and nonlinear analysis.
Results: On comparing the gastrointestinal electrical activity of the elderly group with that of the young group, the activity in the former revealed an overall decrease. With hot stupe application, translation error in the elderly individuals was significantly larger than that without hot stupe application (p < 0.01). We also observed a gender-specific characteristic, wherein the gastrointestinal motility of the young women was likely only influenced by postural change. Moreover, the translation error in the EGGs of the elderly individuals increased during hot stupe heating.
Conclusions: This increase in the translation error suggests that the electrical synergy between the stomach and intestine could be enhanced by the application of a hot stupe. Our findings also indicated that hot stupe application on the epigastrium was effective for improving gastrointestinal motility in elderly individuals.

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