アブストラクト
Title | 65歳以上の入院心不全患者におけるフレイル有症率とリハビリテーション効果の検討 |
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Subtitle | 原著 |
Authors | 矢野博義*1, 西功*2,*3, 宮本高明*1, 一色滉平*1, 関澤貴信*1, 竹中勇輔*1, 門奈芳生*1, 鈴木祥司*3, 小池朗*4 |
Authors (kana) | やのひろよし, にしいさお, みやもとたかあき, いっしきこうへい, せきざわたかのぶ, たけなかゆうすけ, もんなよしお, すずきしょうじ, こいけあきら |
Organization | *1独立行政法人国立病院機構霞ヶ浦医療センターリハビリテーション科, *2筑波大学附属病院土浦市地域臨床教育センター循環器内科, *3独立行政法人国立病院機構霞ヶ浦医療センター循環器内科, *4筑波大学医学医療系 |
Journal | 心臓リハビリテーション |
Volume | 26 |
Number | 1 |
Page | 88-94 |
Year/Month | 2020 / |
Article | 原著 |
Publisher | 日本心臓リハビリテーション学会 |
Abstract | 「要旨」【目的】65歳以上の心不全患者におけるフレイル有症例の背景と, 入院中の心臓リハビリテーション(心リハ)介入による身体機能への効果について, 後ろ向きに調査した. 【対象・方法】Short Physical Performance Battery (SPPB)を用いフレイル評価を施行した44例でフレイルの有症率を, 退院時にSPPBの再評価を行えた25例で, 心リハ効果を調査した. 【結果】44例のうち, 38例(86%)でフレイルと判定された. 身体機能を再評価した25例では, SPPB, 等尺性膝伸展筋力, および歩行速度が有意に改善した. 21例ではSPPBの改善を認め, うち5例(20%)ではフレイル状態からの改善を認めた. 【結論】本研究におけるフレイル有症率は86%と, 高率にフレイルを認めた. また, フレイル合併高齢心不全患者への運動介入は, 心不全を悪化させることなく, 身体機能の改善を認めた. |
Practice | 臨床医学:内科系 |
Keywords | 高齢心不全, フレイル, 心臓リハビリテーション |
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