腹臥位胸腔鏡食道切除術後の同側肩の痛みの評価
腹臥位胸腔鏡食道癌切除術後の同側肩の痛み（ipsilateral shoulder pain：ISP）の発生率，発生部位，有害事象の発現，右肩関節可動域，術後の離床について検討した．測定項目は，ISP発生率，ISPの程度（Numeric Rating Scale：NRS），発生部位，右肩関節可動域角度，手術時間，腹臥位時間，出血量，有害事象の有無，離床日とした．術後翌日のISP発生率は47.6％，ISP部位別発生率は僧帽筋上部線維が60％で最も発生率が高かった．ISPの有無により手術時間，腹臥位時間，出血量には有意差はなかった．術後の離床はISP群で座位開始日が有意に短かった．有害事象は認めな...
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| Published in | 日本臨床麻酔学会誌 Vol. 40; no. 2; pp. 119 - 127 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本臨床麻酔学会
15.03.2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0285-4945 1349-9149 |
| DOI | 10.2199/jjsca.40.119 |
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| Abstract | 腹臥位胸腔鏡食道癌切除術後の同側肩の痛み（ipsilateral shoulder pain：ISP）の発生率，発生部位，有害事象の発現，右肩関節可動域，術後の離床について検討した．測定項目は，ISP発生率，ISPの程度（Numeric Rating Scale：NRS），発生部位，右肩関節可動域角度，手術時間，腹臥位時間，出血量，有害事象の有無，離床日とした．術後翌日のISP発生率は47.6％，ISP部位別発生率は僧帽筋上部線維が60％で最も発生率が高かった．ISPの有無により手術時間，腹臥位時間，出血量には有意差はなかった．術後の離床はISP群で座位開始日が有意に短かった．有害事象は認めなかった．ISP発生率は約半数の47.6％を認め，ISPの程度や右肩関節可動域はPOD3までに多くが改善傾向であった． |
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| AbstractList | [要旨] 腹臥位胸腔鏡食道癌切除術後の同側肩の痛み (ipsilateral shoulder pain : ISP) の発生率, 発生部位, 有害事象の発現, 右肩関節可動域, 術後の離床について検討した. 測定項目は, ISP発生率, ISPの程度 (Numeric Rating Scale : NRS), 発生部位, 右肩関節可動域角度, 手術時間, 腹臥位時間, 出血量, 有害事象の有無, 離床日とした. 術後翌日のISP発生率は47.6%, ISP部位別発生率は僧帽筋上部線維が60%で最も発生率が高かった. ISPの有無により手術時間, 腹臥位時間, 出血量には有意差はなかった. 術後の離床はISPなし群で座位開始日が有意に短かった. 有害事象は認めなかった. ISP発生率は約半数の47.6%を認め, ISPの程度や右肩関節可動域はPOD3までに多くが改善傾向であった. 腹臥位胸腔鏡食道癌切除術後の同側肩の痛み（ipsilateral shoulder pain：ISP）の発生率，発生部位，有害事象の発現，右肩関節可動域，術後の離床について検討した．測定項目は，ISP発生率，ISPの程度（Numeric Rating Scale：NRS），発生部位，右肩関節可動域角度，手術時間，腹臥位時間，出血量，有害事象の有無，離床日とした．術後翌日のISP発生率は47.6％，ISP部位別発生率は僧帽筋上部線維が60％で最も発生率が高かった．ISPの有無により手術時間，腹臥位時間，出血量には有意差はなかった．術後の離床はISP群で座位開始日が有意に短かった．有害事象は認めなかった．ISP発生率は約半数の47.6％を認め，ISPの程度や右肩関節可動域はPOD3までに多くが改善傾向であった． |
| Author | 岩井, 賢司 森松, 博史 福田, 智美 白川, 靖博 千田, 益生 築山, 尚司 |
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| References | 2) Burgess FW, Anderson DM, Colonna D, et al.：Ipsilateral shoulder pain following thoracic surgery. Anesthesiology 78：365-368, 1993 3) Mac TB, Girard F, Chouinard P, et al.：Acetaminophen decreases early post-thoracotomy ipsilateral shoulder pain in patients with thoracic epidural analgesia：a double-blind placebo-controlled study. J Cardiothorac Vasc Anesth 19：475-478, 2005 7) Blichfeldt-Eckhardt MR, Andersen C, Ørding H, et al.：Shoulder Pain After Thoracic Surgery：Type and Time Course, a Prospective Cohort Study. J Cardiothorac Vasc Anesth 31：147-151, 2017 13) Cowie DA, Shoemaker JK, Gelb AW：Orthostatic hypotension occurs frequently in the first hour after anesthesia. Anesth Analg 98：40-45, 2004 1) 宇都宮初夫：運動科学とSJF，SJF関節ファシリテーション（第2版）．宇都宮初夫編．丸善出版，東京，2014，11 4) Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. The Consensus Committee of the American Autonomic Society and the American Academy of Neurology. Neurology 46：1470, 1996 9) Inokuchi W, Sanderhoff Olsen B, Søjbjerg JO, et al.：The relation between the position of the glenohumeral joint and the intraarticular pressure：an experimental study. J Shoulder Elbow Surg 6：144-149, 1997 8) Miranda AP, de Souza HC, Santos BF, et al.：Bilateral Shoulder Dysfunction Related to the Lung Resection Area After Thoracotomy. Medicine（Baltimore） 94：e1927, 2015 14) 比嘉達也，垣花学：PCEAに伴う副作用対策．日本臨床麻酔学会誌 30：892-896，2010 12) Benvenuto LJ, Krakoff LR：Morbidity and mortality of orthostatic hypotension：implications for management of cardiovascular disease. Am J Hypertens 24：135-144, 2011 5) Misiolek H, Karpe J, Copik M, et al.：Ipsilateral shoulder pain after thoracic surgery procedures under general and regional anesthesia - a retrospective observational study. Kardiochir Torakochirurgia Pol 11：44-47, 2014 11) Hurschler C, Wülker N, Mendila M：The effect of negative intraarticular pressure and rotator cuff force on glenohumeral translation during simulated active elevation. Clin Biomech（Bristol, Avon） 15：306-314, 2000 6) Bamgbade OA, Dorje P, Adhikary GS：The dual etiology of ipsilateral shoulder pain after thoracic surgery. J Clin Anesth 19：296-298, 2007 10) Lind T, Blyme PJ, Strange-Vognsen HH, et al.：Pressure-position relations in the glenohumeral joint. Acta Orthop Belg 58：81-83, 1992 |
| References_xml | – reference: 3) Mac TB, Girard F, Chouinard P, et al.：Acetaminophen decreases early post-thoracotomy ipsilateral shoulder pain in patients with thoracic epidural analgesia：a double-blind placebo-controlled study. J Cardiothorac Vasc Anesth 19：475-478, 2005 – reference: 13) Cowie DA, Shoemaker JK, Gelb AW：Orthostatic hypotension occurs frequently in the first hour after anesthesia. Anesth Analg 98：40-45, 2004 – reference: 12) Benvenuto LJ, Krakoff LR：Morbidity and mortality of orthostatic hypotension：implications for management of cardiovascular disease. Am J Hypertens 24：135-144, 2011 – reference: 4) Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. The Consensus Committee of the American Autonomic Society and the American Academy of Neurology. Neurology 46：1470, 1996 – reference: 11) Hurschler C, Wülker N, Mendila M：The effect of negative intraarticular pressure and rotator cuff force on glenohumeral translation during simulated active elevation. Clin Biomech（Bristol, Avon） 15：306-314, 2000 – reference: 14) 比嘉達也，垣花学：PCEAに伴う副作用対策．日本臨床麻酔学会誌 30：892-896，2010 – reference: 7) Blichfeldt-Eckhardt MR, Andersen C, Ørding H, et al.：Shoulder Pain After Thoracic Surgery：Type and Time Course, a Prospective Cohort Study. J Cardiothorac Vasc Anesth 31：147-151, 2017 – reference: 1) 宇都宮初夫：運動科学とSJF，SJF関節ファシリテーション（第2版）．宇都宮初夫編．丸善出版，東京，2014，11 – reference: 8) Miranda AP, de Souza HC, Santos BF, et al.：Bilateral Shoulder Dysfunction Related to the Lung Resection Area After Thoracotomy. Medicine（Baltimore） 94：e1927, 2015 – reference: 10) Lind T, Blyme PJ, Strange-Vognsen HH, et al.：Pressure-position relations in the glenohumeral joint. Acta Orthop Belg 58：81-83, 1992 – reference: 6) Bamgbade OA, Dorje P, Adhikary GS：The dual etiology of ipsilateral shoulder pain after thoracic surgery. J Clin Anesth 19：296-298, 2007 – reference: 9) Inokuchi W, Sanderhoff Olsen B, Søjbjerg JO, et al.：The relation between the position of the glenohumeral joint and the intraarticular pressure：an experimental study. J Shoulder Elbow Surg 6：144-149, 1997 – reference: 5) Misiolek H, Karpe J, Copik M, et al.：Ipsilateral shoulder pain after thoracic surgery procedures under general and regional anesthesia - a retrospective observational study. Kardiochir Torakochirurgia Pol 11：44-47, 2014 – reference: 2) Burgess FW, Anderson DM, Colonna D, et al.：Ipsilateral shoulder pain following thoracic surgery. Anesthesiology 78：365-368, 1993 |
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| Snippet | 腹臥位胸腔鏡食道癌切除術後の同側肩の痛み（ipsilateral shoulder pain：ISP）の発生率，発生部位，有害事象の発現，右肩関節可動域，術後の離床について検討した．測定項目は，ISP発生率，ISPの程度（Numeric Rating... [要旨] 腹臥位胸腔鏡食道癌切除術後の同側肩の痛み (ipsilateral shoulder pain : ISP) の発生率, 発生部位, 有害事象の発現, 右肩関節可動域, 術後の離床について検討した. 測定項目は, ISP発生率, ISPの程度 (Numeric Rating Scale : NRS),... |
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| SubjectTerms | Ipsilateral shoulder pain 手術体位 腹臥位胸腔鏡食道切除術 |
| Title | 腹臥位胸腔鏡食道切除術後の同側肩の痛みの評価 |
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