巻号一覧
60 巻 (1996 - 1997)
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- 2 号 p. 61-
- 1 号 p. 3-
前身誌
60 巻, 2 号
選択された号の論文の7件中1～7を表示しています
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久保田 一雄, 田村 耕成, 倉林 均, 武 仁, 白倉 卓夫, 田村 遵一1997 年 60 巻 2 号 p. 61-68
発行日: 1997年
公開日: 2010/04/30
ジャーナル フリーTo clarify possible involvement of hot spring bathing in the occurrence of acute myocardial infarction and cerebral infarction at Kusatsu, its effects on blood pressure, heart rate, plasma cortisol and hematocrit were examined in 9 healthy young men. Abrupt increase in systolic blood pressure was observed immediately after starting a 3-minute 47°C or a 10-minute 42°C hot-spring bath. Both systolic and diastolic blood pressure were abruptly decreased one minute after completing either 47°C or 42°C bathing. The heart rate was increased gradually after the start of either 47°C or 42°C bathing and was decreased gradually after the completion of either 47°C or 42°C bathing. It was considered that the plasma Cortisol level was increased 15 minutes after starting 47°C bathing and the hematocrit was increased 15 minutes after starting 42°C bathing. We have already reported that fibrinolytic activity was decreased and platelet function was activated by 47°C bathing. Taken together, it is suggested that the mechanism of the occurrence of thrombotic diseases after hot spring bathing may be explained by considering transient changes in blood pressure, heart rate, blood viscosity, fibrinolytic activity and platelet function induced by hyperthermal stress.抄録全体を表示PDF形式でダウンロード (926K) -
大塚 吉則, 高山 茂, 薮中 宗之, 中馬 孝容, 真野 行生, 阿岸 祐幸, 植田 理彦, 岩崎 輝雄, 中里 馨, 中林 生貴1997 年 60 巻 2 号 p. 69-74
発行日: 1997年
公開日: 2010/04/30
ジャーナル フリーIn this study, 10 healthy students were subjected to experiments. They bathed in plain hot spring water and hot spring water with 2% Togol mud at 39°C for 10min at an interval of 1 week. No difference in the change rates of pulse rate and blood pressure was observed between the two types of bathing. Forehead and oral temperatures decreased slightly after bathing in plain hot spring water. However, after bathing in hot spring water with Togol mud, the forehead temperature tended to be higher than that before bathing while the oral temperature increased significantly after bathing. Skin surface temperatures on the chest wall, left instep, and right forearm increased significantly after both types of bathing. Changes in the skin temperature after bathing in hot spring water with Togol mud tended to be greater than those after bathing in plain hot spring water. Eight out of 10 students felt warmer after bathing in hot spring water with Togol mud. These findings suggest that bathing in hot spring water with Togol mud is useful for medical care.抄録全体を表示PDF形式でダウンロード (574K) -
前田 真治, 正木 かつら, 頼住 孝二, 糠沢 達志, 松岡 正敬, 横山 巖1997 年 60 巻 2 号 p. 75-82
発行日: 1997年
公開日: 2010/04/30
ジャーナル フリー人工炭酸泉浴剤による脳血流に対する効果を99mTc-HSA静脈内注入法による脳血流シンチを用いて検討した。
その結果, 一回吸入法でも連浴においても第1回脳循環時間 (FMTT), 脳循環時間 (BTT) とも短縮する例が多いことが認められ, 二酸化炭素に対する頚部血管の反応や脳内血管の拡張によるとも考えられた。延長している例では, 皮膚や全身血管の拡張や脳損傷部位の大きさの要因が考えられた。連浴の結果からは統計学的な有意差はないものの, 連浴により健常側血管が反応し, 心臓から脳への血流速度および脳内の血流速度は速くなっている可能性があり, 二酸化炭素の長期反復刺激による血管拡張や, 抗血栓性作用による血液粘度の低下も否定できない。FMTTの遅延を生じているのは病巣の大きい例であることは, 健常側と病側の血管の反応の違いが考えられるが, 広範な病巣をもつ例に対しては炭酸泉浴に際して注意が必要であると思われた。
また, 連浴は健常側の血流速度が増すことから, 健常側のもつ機能をさらに向上させ, ひいては残存能力を向上させることにつながる可能性があるように思われた。さらに血流速度の増加は血液粘度の低下を生じている可能性も高く, 脳卒中再発予防の見地から中等度以下の大きさの病巣を持つ脳血管障害患者には人工炭酸泉連浴は有用であると考えられた。抄録全体を表示PDF形式でダウンロード (1186K) -
倉林 均, 久保田 一雄, 白倉 卓夫1997 年 60 巻 2 号 p. 83-88
発行日: 1997年
公開日: 2010/04/30
ジャーナル フリーA total of 422 patients who were hospitalized in the Division of Rehabilitation, Kusatsu Branch Hospital of the Gunma University Hospital from 1986 to 1996 was analysed with respect to the patients' sex, age, place of residence, disease, complications, day from onset to admission to our hospital, days of treatment in the hospital, outcome, reason to receive rehabilitation, persons who took care of the patient, and family members. Of the 422 cases, 262 (62.1%) were 65 or more years old. 193 patients (45.7%) were residents of Kusatsu, and 143 patients (33.9%) were from outside Gunma Prefecture.
With respect to diseases, cerebral diseases had the highest percentage (148 cases, 35.1%) and 277 (65.6%) cases had complications. The mean days of treatment in the hospital were 73 days. Hot-spring bathing was used for rehabilitation in 351 (83.2%) cases, resulting in improvement of clinical symptoms and quality of life in almost all cases. As to reason to receive rehabilitation in our hospital, 202 (47.9%) came of own will, 79 (18.7%) were recommended by doctors of other hospitals, and 68 (16.1%) were emergency admissions. Most patients lived alone or had only one family member of an old age and 83.2% of the persons who took care of patients were female family members. Many patients still wanted to receive rehabilitation even long after the onset of their impairment. These findings suggest that hot-spring bathing is effective for rehabilitation of various kinds of diseases. Although it has been found that many patients came to our hospital from various areas in the country expecting to rehabilitation using hot-spring water, it is difficult to follow up on them and to contact their family members for instructions.抄録全体を表示PDF形式でダウンロード (672K) -
浅沼 義英1997 年 60 巻 2 号 p. 89-95
発行日: 1997年
公開日: 2010/04/30
ジャーナル フリー8名の慢性閉塞性肺疾患患者 (COPD) と8名の健常者で, 立位で水浸漬をしたときに呼吸時間のタイミングと胸郭・腹部の呼吸運動を, 電磁誘導プレチスモグラフィー (RIP) によって測定し, 空気中と比較した。
呼吸時間のタイミングは, 両方のグループで水浸漬による変化はみられなかった。
RIPによる腹部と胸郭の呼吸運動の比は, COPD患者では頸部まで水浸漬したとき空気中にくらべて有意に増加した (3.8対1.2)。
これらの結果は, 水浸漬によってCOPD患者で, 健常者と同等な吸気時の横隔膜の活動性が得られたことを示している。抄録全体を表示PDF形式でダウンロード (656K) -
Technetium-99m ethyl cysteinate dimer 使用の Patlak plot 法による定量的検討渡邊 弘美, 頼住 孝二1997 年 60 巻 2 号 p. 96-100
発行日: 1997年
公開日: 2010/04/30
ジャーナル フリーWe studied the effects of bathing in warm water on cerebral blood flow (CBF). Seven healthy male volunteers were subjected to experiments. The subjects were bathed in warm water at 39°C for 20 minutes in a sitting position immersed up to the neck. Each subject received two CBF examinations: one under normal conditions and the other after taking a bath mentioned above. There was an interval of at least seven days between the two examinations. To measure CBF, we used the Patlak plot method with technetium-99m ethyl cysteinate dimer (99m-Tc ECD). To examine CBF after bathing, 99m-Tc ECD was injected within 10 minutes after bathing. Brain perfusion index (BPI) and regional CBF (rCBF) were used as indexes for evaluating CBF. The body temperature, pulse, blood pressure, arterial oxygen and carbon dioxide pressure, and hematocrit were also measured. Wilcoxon's signed rank test was used for statistical analyses. The following were observed:
1) BPI increased significantly after bathing (p<0.05).
2) rCBF in the cerebral cortex, particularly in the frontal lobe, tended to increase after bathing (p<0.05). No definite changes were observed in the cerebellar cortex, caudate nucleus, or thalamus.
3) The body temperature and pulse increased significantly after bathing. No definite changes were observed in blood pressure, arterial oxygen and carbon dioxide pressure, or hematocrit. From the above, we conclude that bathing in warm water causes the cerebral blood flow to increase in healthy subjects.抄録全体を表示PDF形式でダウンロード (553K) -
A. FALKENBACH1997 年 60 巻 2 号 p. 101-110
発行日: 1997年
公開日: 2010/04/30
ジャーナル フリーSince hydrogalvanic baths have been used for treatment various diseases have been claimed to be positively influenced by the so-called Stanger-bath. Its analgesic properties are generally accepted. It is also common practice to use “ascending” direct currents (cathode near the head, anode near the feet) for the stimulation and the reverse polarization (“descending”) for the relaxation of the patient, although there are hardly any controlled studies on this issue. In three test series “ascending” and “descending” Stanger-baths were compared. The effects on the autonomous nervous system, on the reaction time, on the concentration capability and on the subjective state of relaxation and well-being were evaluated in healthy volunteers. In none of the trials there was a significant difference between “ascending” and “descending” Stanger-baths.
The data do not confirm the common practice to use “ascending” Stanger-baths for stimulation and “descending” Stanger-baths for relaxation.抄録全体を表示PDF形式でダウンロード (974K)
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