アブストラクト
| Title | 心臓外科手術後 |
|---|---|
| Subtitle | 特集 心血管疾患のリハビリテーションup to date |
| Authors | 高橋哲也1), 森沢知之1), 齊藤正和1), 藤原俊之2), 浅井徹3), 天野篤3), 代田浩之4) |
| Authors (kana) | |
| Organization | 1)順天堂大学保健医療学部, 2)順天堂大学大学院医学研究科リハビリテーション医学, 3)順天堂大学大学院医学研究科心臓血管外科学, 4)順天堂大学大学院医学研究科循環器内科学 |
| Journal | JOURNAL OF CLINICAL REHABILITATION |
| Volume | 29 |
| Number | 8 |
| Page | 770-779 |
| Year/Month | 2020 / 7 |
| Article | 報告 |
| Publisher | 医歯薬出版 |
| Abstract | 「内容のポイントQ&A」 (Q1) 急性期リハビリテーションはどのように行うか? 心臓外科手術後の早期離床・リハビリテーション(以下リハ)により, 術後合併症の減少, 身体機能の改善, 入院期間の短縮, 睡眠状態の改善が報告されている. わが国では高齢患者の増加とともに, 手術後の呼吸理学療法について再検証が必要である. 高齢患者では, 歩行距離を伸ばし生活範囲の拡大の安全性を確認するプログラムに加えて, 生活機能向上のためのリハプログラムが重要である. (Q2) 回復期リハビリテーションはどのように行うのか? 心臓外科手術後の回復期リハは, 他の心疾患同様, 有酸素運動による運動療法が主たるプログラムとなる. 一方, 胸骨正中切開術後の胸骨保護の観点からは, 上肢を使ったレジスタンストレーニングや体幹をねじるような運動の再開には慎重を期すべきで, 手術後5〜6週間後から無負荷での上肢の関節運動をはじめ, 10〜12週間後から低い強度での上肢や上半身の運動が可能になる. |
| Practice | 臨床医学：外科系 |
| Keywords | 心臓外科手術後, リハビリテーション, 高齢者 |
- 全文ダウンロード： 従量制、基本料金制の方共に1,243円(税込) です。
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