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Long-term change and factor analysis of spinal alignment and range of motion after sternum median incision heart surgery

胸骨正中切口心脏手术后脊柱排列和活动范围的长期变化及因素分析

基本信息

批准号：
19K19842
负责人：
伊藤晃洋
金额：
$ 2.16万
依托单位：
International University of Health and Welfare
依托单位国家：
日本
项目类别：
Grant-in-Aid for Early-Career Scientists
财政年份：
2019
资助国家：
日本
起止时间：
2019-04-01 至 2024-03-31
项目状态：
已结题

项目摘要

2022年度は論文作成と学科発表での報告の作成・実施を行った。論文作成に関しては、現在2本の作成が完了し、投稿・査読中である。1本目は昨年度解析を行い、学会発表等で報告した胸骨正中切開前後での脊柱可動域変化の比較と周術期での要因分析を行ったものである。2本目は腹部手術を受けた患者25名を対象として、胸部手術を受けた者と同様の方法で正中位での脊柱アライメントの測定を行ったものである。測定は、術前・術後（退院前）・退院後初回外来時（約3-4週）で行い、3時点での変化を比較するため反復測定分散分析を用いて解析を行った。その結果、術後は腹部に近い部位である腰椎の変化（腰椎前弯の減少）を中心とした前傾姿勢となっていた。さらに、退院後初回外来時では、前傾姿勢のある程度の改善がみられたものの改善には術前と同様まで戻っていないことが明らかとなった。本結果に関しては、2022年度内で学会発表を行った。上記結果から、胸部手術を受けた者と腹部手術を受けた者では、術後の変化が異なることが考えられたため、手術部位の違いによる比較についての解析を行った。結果については、2023年度内で学会発表を行う予定（演題登録済）である。また、同時に論文作成も進めていく。胸部手術を受けた者の術前・術後に退院後（胸骨癒合後）を含めた解析については、小数例での解析を行うこととし、準備を進めている。こちらも2023年度内に報告予定である。

In 2022, the paper was written into a discipline table, and the report was written into an academic report. The article has been written and written, and now 2 books have been completed, and contributions have been made. The purpose of this paper is to analyze yesterday's report report that the sternum was cut in the middle of the sternum before and after the sternum was cut in the middle of the sternum. (2) in this study, 25 patients with abdominal surgery and chest surgery were treated with the same method in the middle of the spinal cord. Before and after surgery (before discharge), during the first return to the outside of the hospital (about 3-4 years), at 3: 00 and 3: 00, it was better to compare the dispersion analysis with the analytical method. The results showed that the proximal part of the abdomen, the lumbar vertebrae (less of the anterior curvature of the lumbar spine), the front position and the front position of the lumbar vertebrae were found in the back. After you leave the hospital, when you first return to the outside world, and when you first return to the outside world after discharge, you will improve the degree of anxiety. You will be able to improve your health before you leave the hospital. The results show that the year 2022 will be completed in the year 2022. The results of the previous study, the patients with chest surgery, the patients with abdominal surgery, the patients with abdominal surgery, the patients with chest surgery, the patients with abdominal surgery, the patients with chest surgery, the patients with chest surgery, the patients with abdominal surgery, the patients with chest surgery, the patients with chest surgery, the patients with abdominal surgery, the patients with chest surgery, the patients with chest surgery, the patients with abdominal surgery, the patients with chest surgery, the patients with chest surgery, the patients with abdominal surgery, the patients with abdominal surgery, the Results in the year 2023, the schedule of the Institute of Medical Sciences will be scheduled for the year 2023. At the same time, the text was written at the same time. Patients with chest surgery were treated before and after surgery and after discharge (after sternum closure). After surgery, a few cases were analyzed and prepared for medical treatment. The report is scheduled for 2023.