{"created":"2023-06-20T15:50:34.964594+00:00","id":3413,"links":{},"metadata":{"_buckets":{"deposit":"3b36e721-f83d-4aff-a7f7-9b28e0ee7b74"},"_deposit":{"created_by":18,"id":"3413","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3413"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003413","sets":["99:64:118"]},"author_link":["8126","8208","49","48","8085","7660","8209","8128","129","8109"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"15","bibliographicPageStart":"10","bibliographicVolumeNumber":"10","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2002年12月~2003年11月の間の糖尿病教育入院で睡眠時無呼吸症候群(SAS)の合併が認められた5症例の臨床像について検討した.5例とも男性で,年齢46±4歳(Mean±SD),BMI35.3±4.9kg/m2と肥満があり,糖尿病発症は38±6歳と若年であった.4例に高血圧,全例に高脂血症,脂肪肝が合併していた.糖代謝関連検査では,HbA1C8.8±2.1%,FPG146±38mg/dl,IRI10.3±2.1μU/ml,HOMA-IR3.8±0.6,尿中CPR131±63μg/日とインスリン抵抗性の存在を示していた.5例とも網膜症はなく,神経障害は2例,腎症は5例(早期腎症4例)に認められた.動脈硬化関連検査では,頸動脈IMT1.0±0.1mm,baPWV1,437±140cm/秒で,2例は心筋梗塞を若年発症(36,42歳)してい\r\nた.Apnomonitor ではApnea Index45±25/時,最長Apnea99±71秒と全例でnasal CPAP の適応であった.以上,SAS を有する糖尿病では,肥満・インスリン抵抗性・高血圧・脂質代謝異常を若年時より高率に兼有し,早期から大血管障害が急速に進展することが示唆された.","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2005pdf/003.pdf","subitem_relation_type_select":"URI"}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"新谷, 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