Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2009-12-04 |
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タイトル |
長野県在住の筋萎縮性側索硬化症患者の臨床的重症度と療養実態 |
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タイトル |
Clinical Status and Daily-Life Activity of Patients with Amyotrophic Lateral Sclerosis in Nagano Prefecture |
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言語 |
jpn |
DOI |
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関連タイプ |
isIdenticalTo |
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関連識別子 |
https://doi.org/10.11441/shinshumedj.55.181 |
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関連名称 |
10.11441/shinshumedj.55.181 |
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主題 |
amyotrophic lateral sclerosis, age at onset, daily-life activity, bulbar palsy, respiratory failure 筋萎縮性側索硬化症, 発症年齢, 日常生活動作, 球麻痺, 呼吸不全 |
資源タイプ |
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資源 |
http://purl.org/coar/resource_type/c_6501 |
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タイプ |
journal article |
著者 |
吉田, 邦広
矢彦沢, 裕之
田畑, 賢一
大原, 慎司
羽生, 憲直
池田, 修一
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信州大学研究者総覧へのリンク |
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氏名 |
吉田, 邦広 |
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URL |
http://soar-rd.shinshu-u.ac.jp/profile/ja.yhfNHFkh.html |
出版者 |
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出版者 |
信州医学会 |
引用 |
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内容記述 |
信州医学雑誌 55(4): 181-190(2007) |
書誌情報 |
信州医学雑誌
巻 55,
号 4,
p. 181-190,
発行日 2007-08-10
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抄録 |
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内容記述 |
The clinical status and daily-life activity of 136 patients with amyotrophic lateral sclerosis (ALS) living in Nagano prefecture were evaluated. The mean age of the patients was 67.4 ± 10.4 years, and the mean age at onset was 61.0 ± 12.3 years. Thirty-nine patients (29.1%)developed the disease after 70 years of age. The mean duration of disease was 6.5 years (maximum 41 years), and 26 patients showed a duration of disease of over 10 years. Sixteen of these patients did not need artificial nutritional or respiratory support. Sixty-seven patients (49.3%) needed total support for dressing and 54 (39.7%) for walking/moving. Forty-nine (36.3%) were unable to speak, and 49 (36.0%)needed tube feeding. Sixty-six (48.5%)had respiratory difficulties, and 34 needed mechanical ventilation. Only 27 patients (19.9 %)were almost independent. Out of 133 patients, 99 (74.4%)lived in their own home, with the remainder being hospitalized or institutionalized. Of the 34 patients requiring mechanical ventilation, 19 (55.9 %) lived in their own home, 12 were hospitalized, and 3 were institutionalized. A tendency of late-onset for ALS patients, which has been recently reported worldwide, was confirmed in Nagano. There were a significant number of ALS patients who had not developed bulbar palsy or respiratory failure regardless of duration of disease. As expected, artificial respiratory support was a major factor in the confinement of ALS patients to hospitals or nursing institutions. |
資源タイプ(コンテンツの種類) |
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内容記述 |
Article |
ISSN |
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収録物識別子タイプ |
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収録物識別子 |
0037-3826 |
書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AN00120815 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |