振動による重症虚血肢患者の虚血性疼痛緩和と創傷治癒がもたらすQOL向上の検討

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Author: 大桑, 真由美ほか

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Publication date: 2016-05-19

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Note (General)：: 金沢大学医薬保健研究域保健学系末梢動脈疾患（peripheral arteial desease:PAD）患者の中でも重症虚血肢（critical limb ischemia:CLI）を呈する患者が経験する下肢疼痛を「振動ケア」によって緩和できるかを検証した。下肢末梢循環促進効果は60％の対象者に得...

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Material Type: 文書・図像類
Title: 振動による重症虚血肢患者の虚血性疼痛緩和と創傷治癒がもたらすQOL向上の検討
Author/Editor: 大桑, 真由美
Okuwa, Mayumi
Author Heading: 大桑, 真由美
Okuwa, Mayumi
Publication Date: 2016-05-19
Publication Date (W3CDTF): 2016-05-19
Alternative Title: The effects of vibration therapy on lower extremity patients with critical limbischemia
Periodical title: 平成27(2015)年度科学研究費補助金基盤研究(C) 研究成果報告書 = 2015 Fiscal Year Final Research Report
No. or year of volume/issue: 2013-04-01 - 2016-03-31
Volume: 2013-04-01 - 2016-03-31
Pages: 4p.-
Text Language Code: jpn
Subject Heading: 振動
下肢虚血
疼痛緩和
QOL
Target Audience: 一般
Note (General): 金沢大学医薬保健研究域保健学系
末梢動脈疾患（peripheral arteial desease:PAD）患者の中でも重症虚血肢（critical limb ischemia:CLI）を呈する患者が経験する下肢疼痛を「振動ケア」によって緩和できるかを検証した。下肢末梢循環促進効果は60％の対象者に得られた。経皮酸素分圧値では平均8.2mmHg上昇した。自覚症状がある対象者の57％に症状緩和効果があった。QOL調査票による変化では、総合点では有意な変化はなく、2項目（symptom、pain）において有意な変化を認めた。「振動ケア」の有効性が得られた今回の対象者の分析からABI0.8がカットオフ値として見出された。
Peripheral arterial disease (PAD) is chronic arterial occlusion of the lower extremities caused by atherosclerosis. This study investigated the efficacy of vibration therapy for increasing skin blood flow and decreasing pain in PAD patients. A vibrator was used to apply vibration for 15 minutes to the posterior surface of the legs. Data before and after vibration therapy were compared. (1) Changes in transcutaneous oxygen pressure (tcPO2) on the dorsum of the foot were evaluated by ΔtcPO2, (2) changes in a visual analog scale (VAS) for pain were evaluated by ΔVAS and (3)QOL.The value of ΔtcPO2 was significantly greater in the effective group than in the ineffective group(8.2 mmHg). Receiver operating characteristic analysis of the Ankle Brachial Index revealed a cutoff point of 0.8 and an area under the curve of 0.857. (2) The values of ΔVAS and QOL score were no different between the effective group and the ineffective group.
研究課題/領域番号:25463401, 研究期間(年度):2013-04-01 - 2016-03-31
DOI: 10.24517/00050795
Access Restrictions: 限定公開
Related Material: https://kaken.nii.ac.jp/search/?qm=30303291
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-25463401/
https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-25463401/25463401seika/
Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）
https://irdb.nii.ac.jp
Original Data Provider (Database): 金沢大学 : 金沢大学学術情報リポジトリKURA