巻号一覧
68 巻 (2004 - 2005)
- 4 号 p. 191-
- 3 号 p. 139-
- 2 号 p. 81-
- 1 号 p. 1-
前身誌
68 巻, 3 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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白倉 卓夫2005 年 68 巻 3 号 p. 139-140
発行日: 2005年
公開日: 2010/04/30
ジャーナル フリーPDF形式でダウンロード (274K) -
堀井 雅恵, 鏡森 定信, 麻野井 英次, 山田 邦博2005 年 68 巻 3 号 p. 141-149
発行日: 2005年
公開日: 2010/04/30
ジャーナル フリーFrequently occurred sudden deaths in the bath have become to serious problem in Japan. Sudden death in the bath possibly concerned with neurally mediated syncope. During and after bathing, bather is possibly tended to occur orthostatic intolerance by thermal stress to the circulatory dynamics. The experiment was performed focused on changes in cerebral and cardiovascular hemodynamics by postural change in the bathing to discuss the safe way of bathing.
On 9 healthy young subjects, 41±1°C bathing was performed 15 minutes, change in oxidized hemoglobin (ΔOxyHb) on the forehead as an indicator of cerebral blood flow was monitored by near-infrared spectroscopy method at interval of 0.5s through the experiment. In sitting and upright position, blood pressure and heart rate were measured before bathing, at 5 minutes, 10 minutes and 15 minutes (upright with head down) after immersion and after bathing.
Some subjects felt dizziness at upright during and/or after bathing. It suggests that orthostatic stress under heat stress is implicative even for healthy young. ΔOxyHb for subjects with dizziness at upright during bathing is significant lower below the baseline than it for subject without dizziness.
Degrees of depression of systolic blood pressure, elevation of heart rate and depression of cerebral blood flow by standing at 10 minutes after starting immersion were significant larger than their values before bathing. Degree of elevation of heart rate and depression of cerebral blood flow by standing with head down were significant smaller than their value at standing without head down. It suggests that upright with head down reduce the orthostatic stress to the cerebral and cardiovascular hemodynamics.抄録全体を表示PDF形式でダウンロード (1030K) -
星野 綾美, 田村 遵一, 伊藤 克彦, 森平 和明, 倉林 均, 久保田 一雄2005 年 68 巻 3 号 p. 150-154
発行日: 2005年
公開日: 2010/04/30
ジャーナル フリーWe investigated the effect of season or meteorological phenomena, on chief complaints and disorders of outpatients, by way of clarification of relationship between weather and health. This study covered the new outpatients of our division, and carried out on February '03 and June '03 (February: 72 males, 106 females, aged 49.9±18.5, June: 98 males, 109 females, aged 47.6±19.5). We categorized their clinical data into chief complaints (pain, headache, discomforts, fever, cough, vertigo/stagger, palsy) and disorders (gastrointestinal, mental, inflammatory, orthopedic, infection, respiratory, circulatory, tumorous, urinary, autoimmune/allergic, dental/oral, gynecological), then, compared the clinical data of February with June, in terms of seasonal disease. Additionally, we investigated the relationship between weather data and clinical data of February and June, from a perspective of meteoropathy. The average of meteorological phenomena (air pressure, air temperature, relative humidity, velocity of wind, day length, rainfall level) of a week before first visit, were used as weather data. The main results of analysis about seasonal disease, showed that the complaint of discomfort were more frequent in June than February (p=0.005). The orthopedic disorder was more frequent in June than February (p=0.012). Infection was more frequent in February than June (p=0.011). The analyses in terms of meteoropathy, showed that the complaint of cough were more frequent after cold temperature in February (p=0.014). The gastrointestinal disorders were more frequent after humid (p=0.018) and pluvious days (p=0.016) in February. The complaint of headache was liable to be frequent after pluvious weather in June.
The relationship between weather and health is known in the prior an, and our study anew demonstrated the effect of season or meteorological phenomena, on chief complaints and disorders of outpatients, as statistical evidence.抄録全体を表示PDF形式でダウンロード (461K) -
部分浴としての前腕浴の有効性大重 匡2005 年 68 巻 3 号 p. 155-165
発行日: 2005年
公開日: 2010/04/30
ジャーナル フリー部分浴としての前腕浴と下腿浴、43℃、20分の深部体温、皮膚血流、循環動態等に及ぼす効果を比較検討した。
対象は、健常若年者23名 (女性15名、男性8名、平均年齢20.5±1.4歳) である。
部分浴の方法は、椅子座位で充分な安静後に43℃の単純泉に両前腕部の部分浴 (前腕浴) を20分間行い、更に約4時間後に両下腿部の部分浴 (下腿浴) を20分間行った。なお、前腕浴と下腿浴の施行はランダムにおこなった。測定項目は、皮膚血流量、表在温、舌下温、静脈血液ガス、心拍数、血圧、酸素消費量、主観的作業強度、入浴部表面積である。
結果、前腕浴と下腿浴の皮膚血流量は、上腕や大腿部では入浴前の測定値 (以下 control) から約2倍程度の増加であったが、湯に浸漬した指先と足趾の皮膚血流量は、control の約4～5倍にまで著増したが、前腕浴時の足趾、下腿浴時の手指でも同レベルに著増した。前腕浴と下腿浴の比較では、前腕浴が下腿浴よりやや優れている結果となった。表在温は足趾が前腕浴で31.5℃から35.7℃へ約4℃上昇した。舌下温は下腿浴より前腕浴が有意に約0.6℃も上昇した (p<0.01)。肘静脈血は、前腕浴が下腿浴よりpO2では有意に上昇し、pCO2では有意に下降し、pHでは有意にアルカリ化を示した。
平均血圧は、前腕浴で有意に低下した (p<0.01) が、下腿浴ではほとんど低下しなかった。心拍数の変化は、両群ともに約10拍有意に上昇し (p<0.01)、前腕浴の心拍数の上昇は、ほぼ全員で下腿浴の上昇より大きかった (p<0.01)。Mets 数は、両群とも入浴20分目で約1.3Metsであったことから身体にかかる負担度は非常にわずかであった。入浴の温感については、下腿浴が前腕浴より有意に“熱い”という結果になった (p<0.05)。
以上より、前腕浴は、その面積、温感とも下腿浴より小さいにも拘わらず、より大きな深部体温上昇とそれに基づく、血管拡張と循環機能の促進がみられ、下腿浴よりもより簡便で有効性の高い部分浴であると考える。抄録全体を表示PDF形式でダウンロード (1158K) -
芦田 耕三, 光延 文裕, 保崎 泰弘, 濱田 全紀, 岩垣 尚史, 藤井 誠, 高田 真吾, 谷崎 勝朗2005 年 68 巻 3 号 p. 166-174
発行日: 2005年
公開日: 2010/04/30
ジャーナル フリー気管支喘息23例を対象に、温泉療法を開始した1年間 (1997年) と開始3年後 (2000年) の1年間の薬剤費を比較することによって、長期温泉療法による薬剤費の削減の可能性について検討を加えた。なお、気管支喘息の重症度は国際分類に準じ、ステージ1から4までの4段階で行った。1. 温泉療法による総薬剤費の1年間の平均削減は、ステージ1では\31,910、ステージ2では\74,900、3では\113,450、4では\180,910であった。これを削減率で表すと、それぞれステージ1では34.2%、2では46.3%、3では37.1%、4では42.4%であり、温泉療法による薬剤費の削減は、金額では喘息の重症度が高くなるにつれて多くなること、また、削減率ではステージ2と4で40%以上の高い削減率が示された。2. 温泉療法による薬剤の種類別の薬剤費の削減では、気管支拡張薬、副腎皮質ホルモン、抗アレルギー薬、粘液溶解薬、抗生物質などの薬剤費は、いずれもステージ3および4の症例では有意の減少を示した。しかし、これらの薬剤費の減少はステージ1および2では、推計学的には有意の差ではなかった。3. これらの薬剤の削減率は、推計学的に有意差の見られるステージ3では、粘液溶解薬と抗生物質、またステージ4では気管支拡張薬、抗アレルギー薬、粘液溶解薬、抗生物質で50%以上の削減率が観察された。以上の結果より、気管支喘息のうち重症度の高い症例では、温泉療法により薬剤費の削減が可能であ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 (1123K) -
赤嶺 卓哉, 山中 隆夫, 田口 信教, 中村 直文2005 年 68 巻 3 号 p. 175-180
発行日: 2005年
公開日: 2010/04/30
ジャーナル フリーWe investigated the effects of underwater exercise plus hot-spring bathing on middle aged people.
Twenty-five subjects (mean age: 59.6±8.9 years) were divided into three groups (A, B, and C) and examined. Group A (three males, seven females) was subjected to underwater exercise and hot-spring bathing. Group B (eight females) was subjected to underwater exercise and fresh water bathing. Group C (seven females) was a control group (no exercise and no bathing).
Group A and B performed underwater exercise consisting of underwater walking, basic exercise, and swimming for 70 minutes. Group A was then subjected to hot-spring bathing (sodium bicarbonate spring, PH 8.0, 39°C) for 20min, and while Group B was subjected to fresh-water bathing (30°C).
Blood pressure was measured and blood tests were conducted early in the morning on the day of exercise plus bathing and on the following day. Further, Profile of Mood Status (POMS) tests were also conducted on the day following the exercise with bathing and data were compared.
The findings were as follows.
1) On the day following the exercise plus bathing, group A (underwater exercise plus hot-spring bathing) had significantly lower diastolic blood pressure, total cholesterol, CD4, red blood cells, hematocrit and total protein when compared with values before treatment (p<0.05).
2) After the exercise plus bathing, group A (underwater exercise plus hot-spring bathing) had significantly lower levels of depression-dejection, anger-hostility and confusion in POMS tests when compared with those of Group C (control group, no exercise and no bathing) (p<0.05).
We concluded that underwater exercise plus hot-spring bathing has good effects on the health of middle aged people.抄録全体を表示PDF形式でダウンロード (922K) -
松熊 秀明, 仲西 宏元, 河原 佐智代, 宮澤 正顯, 矢野 忠2005 年 68 巻 3 号 p. 181-188
発行日: 2005年
公開日: 2010/04/30
ジャーナル フリーObjectives—We tested the effect of a clinically applicable dose of moxibustion on adjuvant-induced arthritis (AIA) of rat, an experimental model of rheumatoid arthritis.
Methods—Male Lewis rats were inoculated with Mycobacterium butyricum suspended in paraffin oil into the right hind paw to induce arthritis. Moxibustion (60°C) was applied to the right hind limb point, Tsu-san-Li (ST36), twice a week for 4 consecutive weeks. The efficacy of the above treatment was determined by the measurements of paw swelling, arthritic score. The effects of moxibustion upon immune and inflammatory responses were analyzed by enumerating peripheral blood leukocyte subsets. The data were analyzed with Mann-Whitney U-test between the experimental and control groups.
Results—Moxibustion significantly suppressed paw swelling in the systemic phase, but not in the acute phase, of arthritis. Moxibustion also significantly suppressed the increase in T lymphocyte numbers in the late acute phase and that of neutroplils in the systemic phase.
Conclusion—After the treatment with moxibustion, significant alterations were observed in the numbers of peripheral blood leukocyte subsets in AIA, along with the amelioration of clinical signs. These observations suggest that suppression of AIA with moxibustion may be mediated through the suppression of proliferating number of T-cell and acceleration of decrease in number of neutrophils in the peripheral blood.抄録全体を表示PDF形式でダウンロード (827K)
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