{"created":"2022-09-05T01:47:15.821106+00:00","id":2000719,"links":{},"metadata":{"_buckets":{"deposit":"d1a499b5-4bb9-45b5-8911-7f78a620b37e"},"_deposit":{"id":"2000719","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2000719"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:02000719","sets":["432:1291:1292:1662342001463","453:456"]},"author_link":[],"item_1627361970403":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-07","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"37","bibliographicPageStart":"33","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"新潟歯学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"We herein report a case of dysphagia following hypoxic ischemic encephalopathy in a 69-year-old woman. She was admitted to Niigata University Medical and Dental Hospital for pneumothorax in November 2015. Six days after admission, she developed tension pneumothorax and cardiac arrest with hypoxic ischemic encephalopathy. The first swallowing function examination performed on 12 January 2016 showed disturbed consciousness (Japan Coma Scale = JCS I-3), insufficient oral hygiene, loss of occlusal support without a denture, impairment of respiratory force, and difficulty of tongue, face, and neck motion. The repetitive saliva swallowing test score was 0. On videoendoscopic examination 60 days after crisis, the secretion remained in the laryngopharynx without aspiration at rest. When the patient ingested thickened water, laryngeal penetration and post-swallow residue in the pharynx were observed. Based on these evaluation findings, the patient was diagnosed with dysphagia with anticipatory, oral, and oropharyngeal disorders. Oral care and indirect therapy were provided. When her respiration had stabilized, direct therapy was started using thickened water. On day 114, denture adjustment was completed and videofluoroscopic examination was performed. Mild penetration was observed during swallowing both water and mildly thickened water. Solid food remained on the posterior tongue and epiglottic vallecula after swallowing although the patient sensed this. Regular meals (once per day) were started. Tongue motion training was performed. Finally, the patient ingested three meals of rice gruel and semisolid side dishes per day.","subitem_description_language":"en","subitem_description_type":"Abstract"},{"subitem_description":"低酸素脳症発症後に嚥下障害を認めた一例を報告する。症例は69歳女性。2015年11月より右気胸にて当院呼吸器感染症内科に入院した。入院6日目に院内で緊張性気胸を再発し，心肺停止に伴う低酸素脳症を発症した。発症58日目に意識レベルの改善を認め，嚥下機能評価のため当科初診となった。指示理解不良で意識レベルはJCSⅠ-3であり，口腔衛生状態は不良で，残存歯は少ないが義歯使用により咬合支持が得られる状態であった。発声・腹式呼吸は不可だった。顎舌顔面の感覚あるものの，舌運動は不良で，呼吸状態不良につき頬ふくらまし・吸引は不可だった。頸部運動は不良で，反復唾液嚥下テストは0回だった。介入3日目(発症60日目)，嚥下内視鏡検査を実施した。安静時より咽頭に分泌物の貯留あり。とろみ摂取時には，喉頭侵入および咽頭残留があったものの誤嚥は認められなかった。先行期から嚥下咽頭期にわたる機能的嚥下障害と診断し，口腔ケア・間接訓練から介入を開始した。呼吸状態安定時のみ少量の直接訓練を実施した。介入57日目(発症114日目)には，義歯調整を行った後に，嚥下造影検査を実施した。液体・ゆるめのとろみにて声門上まで喉頭侵入し，固形物は喉頭蓋谷及び舌背に残留を認めた。ティースプーン一杯量を摂取した際に，患者は咽頭残留を自覚できた。食事による訓練が可能と判断し，全粥・半固形食とろみ付きの食事を開始した。並行して舌運動訓練を実施し，最終的に全粥・半固形食を3食摂取可能となった。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟歯学会","subitem_publisher_language":"ja"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-0153","subitem_source_identifier_type":"PISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"吉原, 翠","creatorNameLang":"ja"},{"creatorName":"Yoshihara, Midori","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"上村, 由紀子","creatorNameLang":"ja"},{"creatorName":"Uemura, Yukiko","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"大口, 繭美","creatorNameLang":"ja"},{"creatorName":"Ohkuchi, Mayumi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"砂田, 悠香子","creatorNameLang":"ja"},{"creatorName":"Sunada, Yukako","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"竹内, 千華子","creatorNameLang":"ja"},{"creatorName":"Takeuchi, Chikako","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"白石, 成","creatorNameLang":"ja"},{"creatorName":"Shiraishi, Naru","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"辻村, 恭憲","creatorNameLang":"ja"},{"creatorName":"Tsujimura, Takanori","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"井上, 誠","creatorNameLang":"ja"},{"creatorName":"Inoue, Makoto","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2022-09-05"}],"displaytype":"detail","filename":"47(1)_33-37.pdf","filesize":[{"value":"383KB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://niigata-u.repo.nii.ac.jp/record/2000719/files/47(1)_33-37.pdf"},"version_id":"d1137210-a971-4f91-a6d1-bd5e47b3dc36"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"低酸素脳症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"hypoxic ischemic encephalopathy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"摂食嚥下リハビリテーション","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"dysphagia rehabilitation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"歯科治療","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"dental treatment","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"直接訓練","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"direct therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"間接訓練","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"indirect therapy","subitem_subject_language":"en","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"低酸素脳症発症後に嚥下障害を認めた一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"低酸素脳症発症後に嚥下障害を認めた一例","subitem_title_language":"ja"},{"subitem_title":"Case report of dysphagia following hypoxic ischemic encephalopathy","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1662342001463"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-09-05"},"publish_date":"2022-09-05","publish_status":"0","recid":"2000719","relation_version_is_last":true,"title":["低酸素脳症発症後に嚥下障害を認めた一例"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2022-12-15T04:14:51.690058+00:00"}