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麻醉与镇痛 2010年第3期6卷 95-100页

作者： Makiko Komori, md Katsumi Takada, md yasuko tomizawa, md Keiko Nishiyama, md Izumi Kondo, md Miwako Kawamata, md Makoto Ozaki, md 谢珺田(译) 宋文阁(校) Department of Anesthesiology Medical Center East Tokyo Women's Medical University Nishiogu Arakawa-ku Tokyo Japan Departments of Anesthesiology Cardiovascular Surgery School of Medicine Tokyo Women's Medical University I(awadacho Shinjuku-ku Tokyo Japan 不详

背景据报道针灸和光照疗法有镇痛和改善微循环的作用。然而，尚未见直接研究周围血管变化的报道，包括客观评估或定量研究。我们以直视下观察小动脉血流量对针灸刺激和光疗的反应对这些方法的效果进行评估。方法用40只家兔，将兔耳室置... 详细信息

背景据报道针灸和光照疗法有镇痛和改善微循环的作用。然而，尚未见直接研究周围血管变化的报道，包括客观评估或定量研究。我们以直视下观察小动脉血流量对针灸刺激和光疗的反应对这些方法的效果进行评估。方法用40只家兔，将兔耳室置入兔耳廓内，固定于解剖显微镜下。以显微镜摄像头选定小动脉进行观察。静脉注射戊巴比妥，行气管插管并保持自主呼吸。将家兔随机分为针灸组（n=10）、近红外线灯照射组（即灯照组，n=10）、低功率近红外激光照射组（即激光组，n=10）和无照射组（即对照组，n=10）。针灸组将针灸针于耳廓留置20分钟；灯照组以1540mW红外线灯照射1秒继之停顿4秒，再重复操作；激光组以60mW激光连续照射。灯照组和激光组，均用接触探头照射耳廓（取与针灸相同部位）10分钟。针灸或照射之前和之后60分钟测定小动脉直径和血流速度。以血流速度乘以血管横截面积计算出血流速率。结果与治疗前（100％）比较，针灸组小动脉直径增大至131％±14％（P〈0．005），灯照组增大至129％±19％（P〈0．005），激光组增大至128％±11％（P〈0．005）。针灸刺激结束后20分钟，光照和激光照射结束后10分钟达到最大值。这3组与对照组比较后显示小动脉直径显著增加（P〈0．005）。血流速度和血流量变化与小动脉直径变化相似。治疗效果在刺激和照射结束后持续40～50分钟。结论针灸刺激和光疗直接增加外周小动脉直径并加快血流速度。全身和局部副作用最小的针灸刺激和光照治疗能改善微循环，可成为外周循环不良所致疾病的有效辅助治疗方法。

关键词：循环反应灸刺激光疗红外线灯照射激光照射动脉直径改善微循环血流速度

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Fitness Age Score and the Risk of Long-Term Care Insurance Certification—The Kyoto-Kameoka Longitudinal Study

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Open Journal of Epidemiology 2017年第2期7卷 190-200页

作者： Tsukasa Yoshida Misaka Kimura Yosuke Yamada Keiichi Yokoyama Tatsuro Ishihara yasuko Yoshinaka Aya Itoi Yuya Watanabe Noriyuki Kida Teruo Nomura Graduate School of Science and Technology Kyoto Institute of Technology Kyoto Japan Department of Nutrition and Metabolism National Institutes of Biomedical Innovation Health and Nutrition Tokyo Japan Senior Citizen’s Welfare Section Kameoka City Government Kyoto Japan Faculty of Health and Medical Sciences Kyoto Gakuen University Kyoto Japan Non-Profit Organization Genki-Up AGE Project Inc. Kyoto Japan Faculty of Economics and Business Administration Kyoto Gakuen University Kyoto Japan Graduate School of Health and Sports Science Doshisha University Kyoto Japan Department of Health Sports and Nutrition Faculty of Health and Welfare Kobe Women’s University Hyogo Japan Faculty of Health and Sports Science Doshisha University Kyoto Japan

Long-Term Care Insurance System has been introduced to provide appropriate care for the elderly who needs nursing care in Japan. Physical function is one of most important function for the elderly to live independently. A previous study had established a Fitness Age Score (FAS) based on a theory for biomarker of aging. This study clarified whether the FAS could be used to predict the need for certification of long-term care (CLTC) in independent elderly people. We included 939 independent, community-dwelling-elderly (average age, 74.4 years) whose physical function was measured and for whom the CLTC was tracked for 24 months. The FAS comprised five physical fitness items: Walking time, grip strength, one-leg standing, vertical jump, and functional reach test. Based on the FAS, we calculated the odds ratio (OR) for the CLTC. Receiver operating characteristic (ROC) curves and the area under the curve (AUC) was used for further analysis. We also used the Youden Index (YI), minimum distance method (md), and two-graph ROC method (TG) to calculate cutoff values (CVs) for screening. We divided subjects into the low and high physical fitness group with CVs. We developed cumulative CLTC curves using the Kaplan-Meier method. Sixteen people could not be tracked for the full 24 months. The measurement of FAS was completed for 798 people, of whom 28 became CLTC. The measurement of FAS was not completed for 125 people, of whom 21 became CLTC. The CLTC OR for people with incomplete FAS was 5.553. The AUC was 0.72 (p md (57.1% and 73.4%), and -0.81 for TG (60.7% and 60.9%). The cumulative CLTC curves according to CVs all showed significant differences (p = 0.000 - 0.020). In conclusion, the FAS can be used to predict CLTC.

关键词： Elderly Physical Function Long-Term Care Screening Fitness Age Score (FAS)

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Laparoscopic Gastrectomy with Preservation of the Vagus Nerve Accompanied by Lymph Node Dissection for Early Gastric Carcinoma

Laparoscopic Gastrectomy with Preservation of the Vagus Nerv...

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胃癌诊治进展学习班

作者： Ichiro Uyama Yoichi Sakurai Yoshiyuki Komori yasuko Nakamura Mitsutaka Syoji Syuhei Tonomura Ikuo Yoshida Toshihiko Masui Masahiro Ochiai Department of Surgery Fujita Health UniversitySchool of MedicineDengakugakuboKutsukake-choToyoakeAichiJapan MD Department of Surgery Fujita Health UniversitySchool of MedicineDengakugakuboKutsukake-choToyoakeAichiJapan MD FACS

Various types of function-preserving gastrectomy and limited gastrectomy have been performed in attempts to improve postoperative quality of life for early gastric *** with preservation of the vagus nerve, which is one of the noteworthy procedures, is performed in Japan to reduce occurrence of cholelithiasis and minimize loss of digestive and absorptive function. Because it is less invasive, the laparoscopic approach is used to treat early gastric *** are few reports in the English literature of laparoscopic

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