足関節自動運動および間欠的空気圧迫による運動が循環動態に及ぼす影響

URI http://harp.lib.hiroshima-u.ac.jp/hirokoku-u/metadata/12328
File
Title
足関節自動運動および間欠的空気圧迫による運動が循環動態に及ぼす影響
Title Alternative
Influences on cardiovascular responses of active ankle joint exercise and passive exercise using intermittent pneumatic compression
Author
氏名 俵 由美子
ヨミ タワラ ユミコ
別名 Yumiko Tawara
氏名 松本 睦子
ヨミ マツモト ムツコ
別名 Mutsuko Matsumoto
氏名 島谷 智彦
ヨミ シマタニ トモヒコ
別名 Tomohiko Shimatani
Subject
足関節自動運動 ,間欠的空気圧迫法 ,循環動態 ,深部静脈血栓症 ,看護
active ankle joint exercise, intermittent pneumatic compression, cardivascular responses, deep venous thrombosis, nursing care
Abstract

 術後の早期離床に向けて、足関節自動運動の深部静脈血栓塞栓症の予防効果は明らかにされているが、運動効果の面から全身の循環動態への影響を明らかにしたものはない。そこで本研究は、健常者13名(20.4±0.2歳)を対象に、連続指血圧測定装置を用いて、足関節自動運動および間欠的空気圧迫装置での運動15分間、運動終了後15分間の血行動態パラメータの経時的変化を調べ、循環動態への影響を検討した。その結果、足関節自動運動ではHRは運動開始後5分に有意(p<0.01)に上昇し、MBPは運動開始後10分に有意に(p<0.05)上昇し、運動中は高値を持続した。またCOは有意に上昇し、SVとTPRには変化がなかった。一方、間欠的空気圧迫装置ではいずれも有意な変化はなかった。このことから、15分間の運動効果として、足関節自動運動は、HRやMBPに影響することが明らかとなった。

 Much evidence has accumulated suggesting that active ankle joint exercises contribute to preventing deep venous thrombosis in early postoperative ambulation. However, the influence of exercise on cardiovascular responses is unknown. This study was designed to examine the course of cardiovascular changes following active ankle joint exercise and passive exercise using intermittent pneumatic compression. Mean blood pressure (MBP), heart rate (HR),cardiac output (CO),stroke volume (SV),and total peripheral resistance (TPR)were measured at seven time points in 13 healthy subjects (mean age, 20.4±0.2 years):2 min before exercise; at 5,10,and 15min after starting exercise; and at 5,10,and15 min after finishing exercise. During active ankle joint exercise, MBP and HR were significantly increased from baseline levels during exercise(at 10 min in MBP; at 5 min in HR),and HR remained at a higher level during the after starting exercise.CO was significantly increased from baseline at 5 min into active ankle joint exercise(p<0.01) ,while SV and TPR showed no significant difference from baseline. On the other hand , MBP, HR, CO, SV, and TPR showed no changes before, during, or after passive exercise using intermittent pneumatic compression. In conclusion, MBP, HR, and CO were significantly increased following active ankle joint exercise for 15 min, suggesting that active ankle joint exercise may effects as systemic exercise in early postoperative ambulation.

Journal Title
広島国際大学看護学ジャーナル
Volume
14
Issue
1
Spage
31
Epage
43
Published Date
2017年3月31日
Publisher
広島国際大学看護学部
ISSN
1349-5917
Language
jpn
NIIType
Departmental Bulletin Paper
Text Version
出版社版
Sort Key
04
Set
hirokoku-u