{"created":"2023-05-15T14:58:45.952330+00:00","id":98,"links":{},"metadata":{"_buckets":{"deposit":"1e9d9904-7197-46e0-8f66-7bbe99d685b7"},"_deposit":{"created_by":10,"id":"98","owners":[10],"pid":{"revision_id":0,"type":"depid","value":"98"},"status":"published"},"_oai":{"id":"oai:meiji-u.repo.nii.ac.jp:00000098","sets":["2:12"]},"author_link":["9","254","256","7","2","255","252","253","3"],"item_10004_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-01-17","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"14","bibliographicPageStart":"7","bibliographic_titles":[{"bibliographic_title":"明治国際医療大学誌"},{"bibliographic_title":"The Bulletin of Meiji University of Integrative Medicine","bibliographic_titleLang":"en"}]}]},"item_10004_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Fontaine分類II度の閉塞性動脈硬化症(ASO)患者(61歳,男性)についての治療経験を報告する.患者は,間欠性跛行の出現以来3年間にわたり鍼灸治療を受けていた.鍼灸治療により下肢痛の軽減がみられるも,再燃することを繰り返していた.今回,症状の悪化と足関節上腕血圧比(API)が低値であったため本学附属病院血管外科に精査を依頼したところASOとの診断を受けた.その後も患者は鍼灸治療の効果を信頼し,鍼灸治療のみを希望した.そのためASO診断後も鍼灸治療を継続し,西洋医学的には経過観察となった.鍼灸治療開始時は随証治療に基づき行い,経過の中で鍼通電を追加した.しかし,喫煙回数の増加や症状が悪化したため薬物治療を勧め,鍼灸治療と薬物との併用治療を行った.その結果,歩行距離がさらに延長し,ASOによる下肢症状が改善された.一方,APIの推移は特に変化は認められなかった.しかし,鍼灸治療の直前直後における患側肢APIを比較すると有意に増加したことより,鍼灸治療の効果が認められた.以上より,鍼灸治療に薬物治療を併用することで,より高い治療効果が得られたことが示された.(著者抄録)","subitem_description_type":"Abstract"}]},"item_10004_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1884-1414","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"東, 美幸"},{"creatorName":"アズマ, ミユキ","creatorNameLang":"ja-Kana"},{"creatorName":"Azuma, Miyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"252","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"福田, 文彦"},{"creatorName":"フクダ, フミヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"253","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"和辻, 直"},{"creatorName":"ワツジ, タダシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"254","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"今井, 賢治"},{"creatorName":"イマイ, ケンジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"2","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"北小路, 博司"},{"creatorName":"キタコウジ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"7","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Fukuda, Fumihiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"255","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Watsuji, Tadashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"256","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Imai, Kenji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kitakoji, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-03-03"}],"displaytype":"detail","filename":"02_azuma.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"02_azuma","url":"https://meiji-u.repo.nii.ac.jp/record/98/files/02_azuma.pdf"},"version_id":"650a6d14-d884-4e42-8058-120860f31be0"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"間欠性跛行","subitem_subject_scheme":"Other"},{"subitem_subject":"閉塞性動脈硬化症（ASO）","subitem_subject_scheme":"Other"},{"subitem_subject":"Fontaine II","subitem_subject_scheme":"Other"},{"subitem_subject":"API","subitem_subject_scheme":"Other"},{"subitem_subject":"鍼灸治療","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":"article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"鍼灸治療を行った閉塞性動脈硬化症1症例における治療経験","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"鍼灸治療を行った閉塞性動脈硬化症1症例における治療経験"},{"subitem_title":"Clinical effects of acupuncture on a patient with arteriosclerosis obliterans","subitem_title_language":"en"}]},"item_type_id":"10004","owner":"10","path":["12"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-03-03"},"publish_date":"2022-03-03","publish_status":"0","recid":"98","relation_version_is_last":true,"title":["鍼灸治療を行った閉塞性動脈硬化症1症例における治療経験"],"weko_creator_id":"10","weko_shared_id":-1},"updated":"2023-05-15T15:49:49.762220+00:00"}