日本温泉気候物理医学会雑誌
Online ISSN : 1884-3697
Print ISSN : 0029-0343
ISSN-L : 0029-0343
47 巻 , 2 号
選択された号の論文の6件中1~6を表示しています
  • 菅井 芳郎
    1984 年 47 巻 2 号 p. 77-83
    発行日: 1984年
    公開日: 2010/08/06
    ジャーナル フリー
    It was said that balneotherapy caused an elevation of peak values of plasma cortisol (PC) at 0400 in the patients with rheumatoid arthritis (RA), but there has been no study on plasma aldosterone (PA).
    From five patients, 35-77 years old, with mild or inactive RA blood was withdrawn in supine position every four hours one day from 1200 to 1200. After regular bathing (20min. in 39°C hot spring water twice a day) during two weeks a second circadian rhythm study was performed under the same way.
    Cosinor method was used as a rhythm analysis.
    Normal circadian rhythmicity of PA and PC was preserved in all patients both before and after balneotherapy.
    Elevation of peak PC value after balneotherapy was found in all patients but PA was in four only. As for increase of amplitude (obtained from single cosinor method) it was the same as above.
    Acrophase of PA circadian rhythm was shifted to earlier in the day in three patients and that of PC was shifted in four patients.
    According to group cosinor method, PA amplitude was altered from 29 to 33pg/ml and PC amplitude was altered from 4.5 to 6.5μg/dl. Acrophase of PA was also changed from -97 to -86 deg., PC was from -96 to -82 deg. after balneotherapy respectively.
    Conclusion: PA amplitude of circadian rhythm was less affected by two weeks balneotherapy than PC amplitude although a small change may be related to an improvement of autonomic nervous function in chronic disease as RA.
  • 井出 肇, 堺 紘, 浅沼 義英, 阿岸 祐幸
    1984 年 47 巻 2 号 p. 84-91
    発行日: 1984年
    公開日: 2010/08/06
    ジャーナル フリー
    Usefulness of balneotherapy in diabetics were discussed. Plasma glucose levels in diabetics treated with insulin decreased significantly after thirty minutes exercise under 38°C hot springs pool. There were positive relationships on plasma glucose levels between before and after exercise in hot springs. Lipids metabolism were improved during three months' balneotherapy. The ratio of VLDL·LDL-cholesterol/HDL-cholesterol decreased. Basal levels of plasma cyclic AMP decreased slightly and plasma cyclic GMP significantly increased. Intrathecal injection of vitamin B12 (mecobalamin, 2500μg) was apparently effective to reduce the pain on under limb in patients with diabetic peripheral neuropathy whose subjective symptom could not improved by any medications. The effect of mecobalamin was increased by bathing in hot springs. Usually, balneotherapeutic hospitals have facilities of rehabilitation system in Japan.
    In conclusion, the balneotherapy by adding physical treatment is very benefit to normalize carbohydrate and lipid metabolism. Tranquilizing function of hot springs are effective on psychological disturbance, diabetic autonomic and peripheral neuropathy.
  • 麻生 宰, 辻 秀男, 菊池 哲茂
    1984 年 47 巻 2 号 p. 92-98
    発行日: 1984年
    公開日: 2010/08/06
    ジャーナル フリー
    Eleven hospitalized patients (mean age of 53 years) who suffered from hepatic cirrhosis with esophageal (or gastric) varices were brought to a physical training program. The program consisted of voluntary walking, stair climbing and exercise on a treadmill or on a bicycle ergometer, lasting for 14 days-3 months.
    All of the 11 patients acquired general well-being after the training program. Six of them who received an exercise testing showed improved physical fitness after the training program as proved by the reduced pulse rate during exercise or increased tolerance to an exercise load. Some of the patients showed slightly or moderately increased values in hepatic function tests, however, none of them showed physical signs indicating aggravation of the disease. Among 6 patients with so-called hepatogenic diabetes mellitus, amount of insulin required was reduced in 4 patients and glucose output in urine was reduced in all of the 6 patients after the training program, indicating an improved glucose metabolism in those patients. All of the patients, including 6 patients who underwent surgical treatment for varices, were discharged from the hospital in good performance status.
    These results indicated that patients with hepatic cirrhosis could safely undergo physical reconditioning which benefits the patients in terms of regaining physical fitness for surgical treatment or for social life.
  • 谷崎 勝朗, 駒越 春樹, 周藤 真康, 岡田 千春, 森永 寛, 大谷 純, 木村 郁郎
    1984 年 47 巻 2 号 p. 99-104
    発行日: 1984年
    公開日: 2010/08/06
    ジャーナル フリー
    気管支喘息では諸種の外界の刺激に対する気道反応が過敏であり, 多くの喘息症例において運動負荷による気管支攣縮の誘発がみられる。特に重症難治性喘息では, その発作は慢性持続型をとることが多く, 運動負荷や環境の変化により容易に気管支攣縮が誘発される。本論文では, 重症難治性喘息を対象に温泉プールでの30分間の水泳訓練を行い, その換気機能に及ぼす影響について検討を加えた。
    30分間の水泳訓練前後の換気機能の変化は以下のごとくであった。
    1. 訓練開始時には水泳訓練によるFEV1.0%の低下傾向はみられなかったが, 訓練開始2ケ月および3ケ月後には, 副腎皮質ホルモンの減量および運動量の増加のためか, 訓練後にごく軽度の低下がみられた。
    2. %V50はFEV1.0%とほぼ同様の傾向を示した。
    3. %V25は訓練開始時には訓線後軽度の低下傾向がみられたが, 訓練3ケ月後には水泳訓練の影響はほとんどみられなかった。
    4. %FVCおよび%PEFRは訓練開始時には訓練後軽度の低下を示したが, その後はほとんど変動はみられなかった。
    以上の結果より, 30分間の水泳訓練は換気機能にほとんど影響を与えないことが示された。
    3ケ月間の水泳訓練の換気機能に及ぼす影響について検討した結果, FEV1.0, V50, V25などの閉塞性換気障害を示す parameter はいずれも3ケ月後に有意の低下傾向を示さず, むしろ改善のみられる症例も観察された。すなわち, 温泉プールでの長期間の水泳訓練により, 自他覚症状の改善と同時に副腎皮質ホルモンの減量が可能であることがある程度示唆された。
  • 大島 良雄
    1984 年 47 巻 2 号 p. 105-107
    発行日: 1984年
    公開日: 2010/08/06
    ジャーナル フリー
    Huaqing Hot Springs are situated 25km north-east of Xian.
    There are four springs. Water temperature: 43°C. Simple radioactive thermals with Radon content of 365.4×10-10c/l.
    In 1964 a sanatorium with 240 beds was established for railway employees. Thermal bath is administered once daily for 20min. at a temperature between 37°-40°C. 15 baths make a series and then a pause of 3-5 days is given. The duration of spa treatment is mostly 3 months.
    Rheumatic diseases, mild hypertension, skin diseases, digestive disorders, and nervous diseases are the chief indications.
    Longmen Hot Springs are situated 14km south of Luoyang. Longmen Grottoes are one of the three most famous caves with stone budha statues in China. A spa sanatorium is built in the last year. Water temperature ranges from 24°-60°C. Transparent and odorless, presumably simple thermals.
  • Alok SANYAL
    1984 年 47 巻 2 号 p. 109-110
    発行日: 1984年
    公開日: 2010/08/06
    ジャーナル フリー
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