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
64 巻 , 4 号
選択された号の論文の7件中1~7を表示しています
  • 早坂 信哉, 石川 鎮清, 岡山 雅信, 梶井 英治, 中村 好一, 小栗 重統, 岡山 明, 柳川 洋
    2001 年 64 巻 4 号 p. 173-181
    発行日: 2001年
    公開日: 2010/04/30
    ジャーナル フリー
    To determine the background of aged people who need bathing assistance, we analyzed data of the Survey on Demand for Health and Welfare Services of Japan as of 1997. The survey covered 21, 723 persons aged 65 years or older, and 1, 193 caregivers who provide care to persons 65 years or older throughout Japan. The main parameters were aged people's sex, age, marital status, health condition, degree of bed rest, and needs of care in daily life; relation between caregivers and aged people; life with care giver; job; family composition; use of home care services; demand for home care services; caregivers' sex, age, health condition, and employment status; and demand for home care services. Subjects were divided into three groups, those who need bathing assistance, those who do not need bathing assistance, and those who do not need care in daily life, and the rate was shown for each item. The results indicated that the rate of those who need bathing assistance was higher among (1) aged people who were older, have poor health, and are in bed alweys or almost alweys, (2) aged people who needed care in daily life, used home care service, and required home care service, and (3) aged people whose caregivers required home care services.
    Aged people who need bathing assistance are subject to frequent bathing accidents, so we need to pay attention to safe bathing service.
  • 光延 文裕, 御舩 尚志, 保崎 泰弘, 芦田 耕三, 拓野 浩史, 岡本 誠, 西田 典数, 横井 正, 高田 真吾, 谷崎 勝朗, 越智 ...
    2001 年 64 巻 4 号 p. 182-190
    発行日: 2001年
    公開日: 2010/04/30
    ジャーナル フリー
    The patients with asthma or pulmonary emphysema who were admitted at our hospital for last 9 years (1992-2000) were examined in relation to frequency of disease, patient age, and areas where patients came.
    1. Of 1271 patients (141.2 patients/year) with respiratory disease admitted for last 9 years, 808 (63.6%, 97.8 patients/year) were patients with asthma, and 157 (12.4%, 17.4 patients/year)) were those with pulmonary emphysema.
    2. The frequency of patients with asthma for all patients with respiratory desease tended to decease from 82.1% in 1992 to 51.3% in 2000, while the frequency of those with pulmonary emphysema increased from 2.8% in 1992 to 24.4% in 2000.
    3. The number of patients with asthma over the age of 70 years was larger in those inside Tottori prefecture, and the number of patients between the ages of 60 and 69 years was larger in those from distant areas. The age was more than 50 years in all patients with pulmonary emphysema.
    4. The number of patients with asthma from distant areas (outside Tottori prefecture) was larger (456 patients; 56.4%) than the number of those inside Tottori prefecture (352 patients) for 9 years. The number of patients from Okayama, Hiroshima, Hyogo and Osaka was larger than the number from other distant areas.
  • 前田 真治, 佐々木 麗, 長澤 弘, 清水 忍, 田中 かつら, 大渕 修一, 柴 喜崇, 外 須美夫
    2001 年 64 巻 4 号 p. 191-198
    発行日: 2001年
    公開日: 2010/04/30
    ジャーナル フリー
    高濃度人工炭酸水温浴の除痛効果の機序を調べるために, CPT装置を用いて電流知覚閾値 (CPT) の測定を行い水道水と炭酸水温浴を比較検討した。対象は健常女性 (炭酸水温浴13名, 水道水温浴11名) とし全身温浴を行い, 表在皮膚温, 深部体温計, 組織血流量, CPTなどを測定した。
    皮膚温, 血流量の検討から水道水温浴に比較し炭酸水温浴の方が38℃以上で有意に組織循環が増加し代謝改善がはかれていた。また, Aβ・Aδ線維は, 35, 38, 41℃のいずれの水温においてもCPTに変化はみられなかったが, C線維は, 水温41℃でCPTが有意に上昇していた。このことは, 炭酸自体には神経を介した除痛の特異的作用はないと示唆するものであった。
    したがって, 高濃度人工炭酸水温浴の除痛機序は, 35℃では血管拡張作用によるもので, 38℃以上で循環改善による代謝改善効果が加わり, 41℃においては神経の知覚閾値上昇もさらに加わり相乗的に除痛すると考えられた。
    臨床的には水温41℃15分間の高濃度炭酸水温浴を血圧下降に注意しながら施行することが, 循環代謝改善に加え, C線維由来の鈍痛を緩和するのに有効で, 鈍痛などの疼痛改善に有効な治療法であると思われた。
  • 倉林 均, 田村 耕成, 久保田 一雄, 田村 遵一
    2001 年 64 巻 4 号 p. 199-202
    発行日: 2001年
    公開日: 2010/04/30
    ジャーナル フリー
    The circumferences of chest, abdomen, thigh and calf during head-out water immersion up to chin level were measured in 8 healthy male subjects (age 35.4±1.6years old, body mass index 23.7±1.6kg/m2) in standing and sitting positions. The circumferences of chest, abdomen, thigh and calf decreased significantly during immersion in standing position. The circumferences of chest, abdmen and thigh decreased significantly in sitting position. The circumference of chest decreased from 90.6±3.4 to 90.1±3.1cm, that of abdomen decreased from 81.4±2.8 to 80.6±2.5cm, that of thigh decreased from 47.1±1.6 to 46.6±1.8cm, and that of calf decreased from 37.7±1.8 to 37.2±1.8cm during immersion in standing position. As the body surface area is about 1.6m2, the decrease in the volume of human body is considered to be 730cm3 or less when the body shape change during immersion is not taken into considerarion.
  • 芦田 耕三, 光延 文裕, 御舩 尚志, 保崎 泰弘, 柘野 浩史, 岡本 誠, 西田 典数, 高田 真吾, 横井 正, 谷崎 勝朗
    2001 年 64 巻 4 号 p. 203-209
    発行日: 2001年
    公開日: 2010/04/30
    ジャーナル フリー
    High resolution computed tomography (HRCT) 上の-950HU以下の low attenuation area (LAA) は, 肺の気腫化傾向を示すと言われている。本論文では, 気管支喘息9例を対象に, 温泉療法のLAAに及ぼす影響を中心にその臨床効果について若干の検討を加えた。1. HRCT上の肺の第2レベル (下葉気管支の入口部の高さ) および第3レベル (横隔膜上3cmの高さ) における%LAAは, 温泉療法前に比べ療法後に有意の減少傾向を示した (p<0.05)。2. CT numberも-924.4HUから-915.5HUへと有意に増加した (p<005)。3. %LAAは深呼気時および吸気/呼気比では, 温泉療法後で有意の差は見られなかった。
    4. %FVCや%FEV1.0値は, 温泉療法後に増加する傾向が見られたが, これらの症例では, 温泉療法前と比べ有意の増加ではなかった。5. 平均%残気量 (%RV) は, 温泉療法後に187.7%から142.5%へと有意の減少を示した (p<0.05)。6. %DLco値では, 温泉療法前後で有意の変化は見られなかった。
    以上の結果より, 温泉療法によるHRCT上の%LAAの減少は, %RVの減少とある程度関連していることが示唆された。
  • ディリシャト ヤ, マリア サ, アイトルン ツ, アイカン サ, 関根 道和, 鏡森 定信
    2001 年 64 巻 4 号 p. 210-212
    発行日: 2001年
    公開日: 2010/04/30
    ジャーナル フリー
    Sand bathing is a method of Uighur medical treatment that use natural conditions to treat diseases at Turpan, China. Its effects on heart rate, blood pressure, body temperature, body weight and rheumatoid arthritis were discussed in various patients. Reduction in body weight (absolute decrease 1.46±3.8kg) was observed one hour after completing at 50-60°C sand bathing. The heart rate (absolute increase 16.33±7.5/min), systolic blood pressure (absolute increase 4.05±16.6mmHg) and body temperature (absolute increase 1.02±0.2°C) inceased gradually after 10 minute sand bathing and decreased gradually in 10 minutes after the sand bathing in 91 patients. Since heart rate and blood pressure could not recover after completing the sand bathing in a small part of patients, we considered that hypertensive patients should pay attention to taking the sand bathing. For 21 patients (70.0%) of 30 rheumatoid arthritis patiens treated by serial sand bathing for 15 days, joint pain was relieved signifcantly. However, for 5patients (16.7%) treated by the serial sand bathing, joint pain was not changed. For 4 patients (13.3%) treated by the sand bathing joint pain was worsened. From the above results it was considered that sand bathing may exert rather benfcial effects on rheumatoid arthritis patients.
  • 久保田 一雄, 倉林 均, 田村 遵一
    2001 年 64 巻 4 号 p. 213-214
    発行日: 2001年
    公開日: 2010/04/30
    ジャーナル フリー
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