{"created":"2023-06-20T16:00:03.649752+00:00","id":18305,"links":{},"metadata":{"_buckets":{"deposit":"338b5ee9-a799-46d0-9ff2-c087451251e8"},"_deposit":{"created_by":49,"id":"18305","owners":[49],"pid":{"revision_id":0,"type":"depid","value":"18305"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018305","sets":["561:562:663"]},"author_link":["55995","69146","69148","69186","69499","69143","69144"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-10","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"9","bibliographicPageStart":"7","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"旭川赤十字病院医学雑誌"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"急性期病院では早期に食事を開始し，如何に嚥下機能の廃用を防止するかが，その後の全身状況の回復を左右する一要因となる。そのため，当院でもスクリーニング検査後の早期食事再開を行っている。しかし，脳梗塞急性期には高率に嚥下障害を合併し，誤嚥性肺炎発生の予防が重要となる。今回，脳卒中により当院に入院し，嚥下造影検査（以下：VF）を実施した患者30名を対象に，大脳皮質・皮質下群と脳幹群の2群にグループを分け，VF結果から誤嚥の有無や咽頭残留，喉頭侵入の有無を調査した。また，脳幹梗塞を橋群と延髄外側群の2群にグループを分け，不顕性誤嚥の発生率について調査した。結果は，大脳皮質・皮質下群と脳幹群では，脳幹群の方が咽頭残留が生じ易い傾向があり，窒息の恐れがあった。また，橋群と延髄外側群では，橋群の方が不顕性誤嚥を認めていた。延髄内側の梗塞でも不顕性誤嚥が頻発する報告があり，窒息と不顕性誤嚥を考慮すると脳幹部損傷者の食事開始前には，VF実施による嚥下動態の確認が必須と考えられた。（著者抄録）","subitem_description_type":"Abstract"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中澤, 肇"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮崎, 美穂"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小野, 智美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西村, 将和"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今未, 咲樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上村, 恵未"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木村, 和久"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-10-18"}],"displaytype":"simple","filename":"asahikawa2021-4臨床2.pdf","filesize":[{"value":"1.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"asahikawa202104","url":"https://redcross.repo.nii.ac.jp/record/18305/files/asahikawa2021-4臨床2.pdf"},"version_id":"b81b58ea-c5a6-4f58-a633-7e40f479e297"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"嚥下造影検査","subitem_subject_scheme":"Other"},{"subitem_subject":"不顕性誤嚥","subitem_subject_scheme":"Other"},{"subitem_subject":"橋梗塞","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"脳卒中による大脳皮質・皮質下損傷と脳幹損傷による嚥下障害の特徴の相違","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"脳卒中による大脳皮質・皮質下損傷と脳幹損傷による嚥下障害の特徴の相違"},{"subitem_title":"Differences in characteristics between cerebral cortex / subcortical injury due to stroke and dysphagia due to brain stem injury","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"49","path":["663"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-10-19"},"publish_date":"2022-10-19","publish_status":"0","recid":"18305","relation_version_is_last":true,"title":["脳卒中による大脳皮質・皮質下損傷と脳幹損傷による嚥下障害の特徴の相違"],"weko_creator_id":"49","weko_shared_id":-1},"updated":"2023-06-20T17:41:45.113970+00:00"}