{"created":"2023-06-20T15:52:51.581302+00:00","id":7214,"links":{},"metadata":{"_buckets":{"deposit":"62134aa6-9e2f-4de8-8f32-9221e0bb5ce2"},"_deposit":{"created_by":34,"id":"7214","owners":[34],"pid":{"revision_id":0,"type":"depid","value":"7214"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00007214","sets":["195:197:201"]},"author_link":["25904","25902","25900","25901","25903"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"28","bibliographicPageStart":"23","bibliographicVolumeNumber":"37","bibliographic_titles":[{"bibliographic_title":"松山赤十字病院医学雑誌"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当院の過去25年間にわたる慢性透析患者の動態を調査することで、問題点を把握して今後の患者指導に活用することを目的とした。1986年から2010年までの25年間に当院で透析を行った患者を対象に、年毎の導入患者数、平均年齢、原疾患、死因を分析した。また、20年以上の検査データが追跡できたヘマトクリット(Hct)、アルブミン(Alb)、β2マイクログロブリン(β2-MG)、尿素Kt/Vの変動を検討した。総導入患者数は1,247名で年々増加し、平均年齢は1986年の49.5歳から2010年には65.4歳へ約15歳上昇した。原疾患は慢性糸球体腎炎(CGN)が減少したが、その一方で糖尿病性腎症(DN)が増加し、2010年には46.5%を占めた。死亡患者数は322名で、そのうち感染症が30.4%と最も高率で、DNは心筋梗塞での死亡が有意に多かった。検査データはHctと尿素Kt/Vで上昇し、Albとβ2-MGで低下した。以上のことから貧血の改善や透析効率の向上がみられたが、感染症死やDNでの心筋梗塞死が増加し、早期発見と治療が重要であると思われた。また、栄養状態は高齢化と入院患者の増加により低下してきており、今後の適切な栄養指導が必要であると考えられた。(著者抄録)","subitem_description_type":"Abstract"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-3888","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":"木船, 博昭"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田安, 伊織"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"水谷, 嘉男"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮田, 安治"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"原田, 篤実"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-03-26"}],"displaytype":"simple","filename":"木船先生-144.pdf","filesize":[{"value":"736.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"matsuyama00016","url":"https://redcross.repo.nii.ac.jp/record/7214/files/木船先生-144.pdf"},"version_id":"96c704e0-06f1-4736-9569-a37a916f8540"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Aging","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Diabetic nephropathy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Malnutrition","subitem_subject_language":"en","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院における慢性透析患者の25年間の変遷","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における慢性透析患者の25年間の変遷"}]},"item_type_id":"10002","owner":"34","path":["201"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-03-26"},"publish_date":"2015-03-26","publish_status":"0","recid":"7214","relation_version_is_last":true,"title":["当院における慢性透析患者の25年間の変遷"],"weko_creator_id":"34","weko_shared_id":-1},"updated":"2023-06-20T20:14:54.800629+00:00"}