巻号一覧
65 巻 (2001 - 2002)
- 4 号 p. 187-
- 3 号 p. 121-
- 2 号 p. 73-
- 1 号 p. 3-
前身誌
65 巻, 3 号
選択された号の論文の6件中1～6を表示しています
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大塚 吉則, 中谷 純, 及川 隆司2002 年 65 巻 3 号 p. 121-127
発行日: 2002年
公開日: 2010/08/06
ジャーナル フリーIt is reported that changes in immunological system are one of the underlining mechanisms of balneotherapy effects. Since there is no study concerning the mechanisms how balneotherapy with a simple thermals works, we tried to examine both the changes of immunological functions and stress relieving effect of balneotherapy. Fourteen inpatients (mean age 63 years) suffering from such as cerebrovascular diseases participated in the present study. Before and after 6-week balneotherapy, lymphocyte subset counts, levels of cytokines (IL-4, IL-6, IF-γ etc.) were determined and lymphocyte blastogenetic tests were also performed. In addition, stress barometers (urinary 17-ketosteroidsulfate (17KSS)/17hydroxycorticosteroid (17OHCS)) were measured. As a result, no significant changes in cytokine levels were observed. Percentage of T cell count decreased and that of B cell increased. Percentage of suppressor T cell count decreased and that of helper and killer T cell tended to increase (not significant). Lymphocyte blastogenetic tests by ConA and PWM showed enhanced responses and urinary 17KSS/17OHCS levels increased after balneotherapy. From these findings, it is suggested that 6-week balneotherapy with a simple thermals has a potential of augmenting immunological functions and also possesses stress relieving effect.抄録全体を表示PDF形式でダウンロード (711K) -
對木 麻里, 吉田 章, 安野 富美子, 會川 義寛, 福田 文彦, 坂井 友実2002 年 65 巻 3 号 p. 128-136
発行日: 2002年
公開日: 2010/08/06
ジャーナル フリーHemiplegia after a cerebrovascular event is a complication that causes problems in daily life such as difficulty of walking and may lead to social disadvantages. Furthermore, various subsequent health issues that accompany hemiplegia tend to hinder rehabilitation. In particular, Shoulder-Hand Syndrome (SHS) is an intractably painful disease with primary symptoms of pain and swelling in the upper limbs of patients. We investigated the effect of the acupuncture treatment on those patients with hemiplegia after a cerebrovascular event who are suspected to have SHS because of such symptoms as pain, swelling, and paresthesia in the upper limb of the affected side by measuring the changes in the numerical scale (NS), Gibbons' RSD score, and range of motion (ROM) in upper extremities.
The present study consisted of 13 hemiplegic subjects (eight males, five females) with pain, swelling, and paresthesia in the upper limbs. Acupuncture treatment was applied twice a week for over two months. Specifically electrical acupuncture and/or the retaining needle technique was applied to the upper extremities for 20 minutes in each session. Of 13 participants, 10 showed a significant decrease in NS (reduced by five or more points), eight showed improvement of the swelling in the upper limbs, and nine showed reduction in paresthesia.
From these results, we concluded that the acupuncture treatment was effective for SHS that accompanies hemiplegia after a cerebrovascular event and that the improvement of the peripheral blood flow might play an important role in generating treatment effects.抄録全体を表示PDF形式でダウンロード (1121K) -
近赤外分光法による検討坂井 友実, 大崎 紀子, 安野 富美子, 會川 義寛, 矢野 忠2002 年 65 巻 3 号 p. 137-146
発行日: 2002年
公開日: 2010/08/06
ジャーナル フリーPoor circulation is considered to be a cause of stiff shoulders, but there have been no studies on deep hemodynamics and the subjective estimation/palpation of stiff shoulders. We evaluated the relationship between deep hemodynamics and the degree of the subjective estimation/palpation of stiff shoulders by near-infrared spectrophotometry.
The subjects were 146 patients who visited our center and 23 healthy volunteers. Deep hemodynamics (tissue oxygen saturation: StO2, total hemoglobin concentration: total Hb) was measured in the scapular region of the bilateral shoulders using a deep hemodynamics measurement system (PSA-IIIN, Biomedical Science), and its relationship with the severity of the subjective estimation of stiff shoulders (5-grade rating) and that of palpation (4-grade rating) was evaluated. Deep hemodynamic values were affected by the body mass index (BMI) that is highly correlated with subcutaneous fat thickness. Therefore, analysis was performed in 70 patients and 8 healthy volunteers with BMI of 20-24 that does not affect hemodynamic values. Compared with the healthy volunteers, patients who reported marked shoulder stiffness showed a significant decrease in total Hb, and that who reported shoulder stiffness showed a significant decrease in StO2. On the other hand, compared with the healthy volunteers, patients with marked shoulder stiffness observed by palpation showed significant decreases in both StO2 and total Hb; the decreases were more marked with more marked stiffness. These results suggested that deep hemodynamics is a diagnostic parameter of stiff shoulders.抄録全体を表示PDF形式でダウンロード (1278K) -
岩崎 輝雄, 岩崎 洋一, 矢崎 俊樹, 森谷 〓, 阿岸 祐幸2002 年 65 巻 3 号 p. 147-152
発行日: 2002年
公開日: 2010/08/06
ジャーナル フリーWe plotted the distribution of long-lived persons derived from the national register of long-lived persons as of fiscal years of 1980 (N=1, 349) and 2000 (N=17, 740) prepared by the Ministry of Health and Welfare to investigate various factors such as medical climatology and geography on healthy aging. The data were plotted on a map of Japan classified into various living environments, such as coastal areas, forests, and mountainous areas. In addition, we investigated universal elements and transforming elements through year-by-year comparisons over a period of 20 years. Japan was divided into nine climatic districts Hokkaido, the Japan Sea area, the Pacific Ocean area, the Sanriku district, the Tokai district, the inland district, the Seto Inland Sea district, the Northern Kyushu district, the Nankai district, and the South-western Islands.
Consequently, we found a common trend that relatively warm climates and climates in coastal areas are favorable for longevity. However, the following trends were also recognized as transforming elements that cannot be ignored: 1. A remarkable improvements in the rate (number of long-lived people per 100, 000 population) in cold climate regions, i.e., the Japan sea area, inland area, and Hokkaido; 2. A remarkable shift of higher rates from coastal areas, which are contaminated by industrial plants, to inland flat areas.
As a result, it has become clear that research on factors of healthy aging, especially in cold climate regions, have to be made in the future.抄録全体を表示PDF形式でダウンロード (723K) -
ロイコトリエンB4 (LTB4)、C4 (LTC4) 及び気道過敏性との関連芦田 耕三, 光延 文裕, 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2002 年 65 巻 3 号 p. 153-160
発行日: 2002年
公開日: 2010/08/06
ジャーナル フリー気管支喘息64例を対象に、ロイコトリエンB4 (LTB4)、C4 (LTC4) 及び気道過敏性との関連のもとに、その臨床効果について検討を加えた。1. 温泉療法の臨床効果は、著効12例 (18.8%)、有効45例 (70.3%)、やや有効あるいは無効7例 (10.9%) であった。2. メサコリンに対する気道過敏性は、やや有効あるいは無効で最も高い傾向を示したが、著効と有効との間に有意差は認められなかった。3. 白血球によるLTC4産生は、著効 (P<0.01) や有効群 (P<0.001) に比べてやや有効あるいは無効群で有意に高い傾向を示した。しかしLTB4産生に関しては著効群、有効群、及びやや有効あるいは無効群の間に有意の差は認められなかった。4. 温泉療法前には高値を示したLTC4産生は著効群 (P<0.001) 及び有効群 (P<0.01) では温泉療法後に有意に低下する傾向を示したが、無効群では有意の低下は認められなかった。LTB4産生ではいずれの群間にも有意の差は見られなかった。これらの結果より気管支喘息に対する温泉療法の効果は温泉療法の効果はLTC4産生とある程度関係があること、そして温泉療法が有効な症例ではLTC4の低下傾向が見られることが示唆された。抄録全体を表示PDF形式でダウンロード (842K) -
全国調査より延永 正, 片桐 進, 久保田 一雄2002 年 65 巻 3 号 p. 161-176
発行日: 2002年
公開日: 2010/08/06
ジャーナル フリーEffect of balneotherapy is said to be obtained by continuous bathing in hot spring for 2-4 weeks. However, a short staying at spa for bathing therapy is quite usual in Japan nowadays. So we conducted an investigation on the effect of bathing therapy at spa for 3-7 days (short group), comparing with the effect of the therapy for 14 days or more (long group), through the collaboration of balneologists in all over Japan. The total of 215 cases, having rheumatic, cardiovascular, metabolic, psycho-neurological, postoperative, skin or digestive diseases, of whom 135 were in the short group and 80, in the long group, were analysed for the influence of spa therapy on the patient's quality of life (QOL). Both the severity of disease by doctor's evaluation through visual analogue scale method and the patient's QOL state assessed by patient through the Face Scale method were improved significantly in both groups after the spa therapy. The disease severity and the patient's QOL state at the end of spa therapy were not changed significantly thereafter through 1 month in both groups. Patient's activities of daily living (ADL), appetite, sleep, pain, itch and fatigue, which will make up the patient's QOL, were also improved significantly after the spa therapy, if they had been disturbed or present, in both groups. All these states at the end of spa therapy were not changed significantly at 1 month after the end of spa therapy in both groups. These results may substantiate the rightfulness of patient's assessment of QOL. The tendency to normalization was found in the body weight, blood pressure and passage too after the spa therapy in both groups. A skin rash, itching or slight thermal crisis was observed in 13 cases as the side effects of spa therapy. None of them was serious. From the above results it is concluded that a short staying spa therapy for 3-7 days is effective as well as the standard long therapy on patient's QOL, and the effects last about 1 month long at least.抄録全体を表示PDF形式でダウンロード (2068K)
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