著者

俵 由美子 松本 睦子 濱井 和子 齋藤 愛 島谷 智彦

出版者

一般社団法人 日本看護研究学会

雑誌

日本看護研究学会雑誌 (ISSN:21883599)

巻号頁・発行日

vol.35, no.3, pp.3_226, 2012-06-07 (Released:2019-02-15)

著者

長尾 有佳里 鈴木 一弘 新保 暁子 坂堂 美央子 齋藤 愛 廣村 勝彦 安藤 智子

出版者

日本産科婦人科内視鏡学会

雑誌

日本産科婦人科内視鏡学会雑誌 (ISSN:18849938)

巻号頁・発行日

vol.31, no.2, pp.399-405, 2016 (Released:2016-05-17)

参考文献数

10

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Anti-N-methyl-D-aspartate (NMDA)-receptor encephalitis is a paraneoplastic encephalitide that causes various symptoms. It occurs especially in young women, with about 60% of cases being associated with ovarian teratoma.   We report two cases of emergency laparoscopic surgeries for anti-NMDA-receptor encephalitis associated with ovarian teratoma.Case 1: A 17-year-old woman had headache, fever and vomiting. A week later, she also had abnormal behavior and hallucination and entered hospital. CT scan detected left ovarian teratoma. As anti-NMDA-receptor encephalitis was suspected, she underwent laparoscopic left ovarian cystectomy. She needed post-operative respirator management for 2.5 months. Although discharged after 4.5 months, she was sent to a psychiatrist after 7 months because of domestic violence. The pathological diagnosis was an immature teratoma, but there is no sign of recurrence.Case 2: A 26-year-old woman had fever, headache and fatigue. A few days later, she also had memory disorder and entered hospital. CT scan detected right ovarian teratoma. As anti-NMDA-receptor encephalitis was suspected, she underwent single incision laparoscopic right salpingo-oophorectomy. She needed post-operative respirator management for 9 months and left hospital after 1 year. The pathological diagnosis was a mature teratoma.  Antibodies against NMDA-receptor were positive in both cerebrospinal fluids.  Early diagnosis and surgery are important for quick recovery of anti-NMDA-receptor encephalitis associated with ovarian teratoma. Even so, patients don't necessarily recover quickly without aftereffects. We should review operative methods, because the patient is young and cannot agree and immature teratoma prevalence is high. Whether a tumor is benign or malignant, it is important to prevent leakage of tumor contents whenever possible.

著者

松本 睦子 俵 由美子 濵井 和子 齋藤 愛 大田 奈緒 島谷 智彦

出版者

広島国際大学看護学部

雑誌

広島国際大学看護学ジャーナル (ISSN:13495917)

巻号頁・発行日

vol.14, no.1, pp.3-17, 2017

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我々は、笑顔での介護介入後に対象者のLF/HF(交感神経活動)が有意に抑制され、HF(副交感神経活動)が有意に増加することを報告した。本研究では、SC(皮膚コンダクタンス)を分析に加え、LF/HFとSCが同様の反応を示すかどうか検討した。さらに、笑顔での看護介入がもたらす自律神経活動の変化に男女差があるかどうかを明らかにする目的で、対象者34名(男性18名 ,女性16名)の心拍変動とSCのデータを男女別に比較した。安静時のLF/HFと心拍数は、男性が女性より有意に高値で、HFは男性が女性より有意に低値であった。LF/HFとSCは看護介入時に一過性上昇を示したが、ベースラインに戻るまでの時間に違いがあった。笑顔介入後のLF/HF,SC,心拍数,呼吸数は、男性より女性が有意に高値であり、HFは男性より女性が有意に低値であった。これらのことから、心拍変動とSCの応答には男女差があり、男性のほうが笑顔の介入でリラクセーション効果を得やすいことが示唆された。 We reported that LF/HF ratio (the index of sympathetic nerve activities)was significantly decreased by the nursing intervention with expression of smile,and HF(the index of parasympathetic nerve activities)was significantly increased by nurse's smile.In this study,we analyzed the skin conductance (SC) to determine whether the response in SC shows a similar time course to that in LF/HF. In addition,to clarify the relationship with gender differences and the changes in autonomic nerve activities caused by nurse's smile,the data of heart rate variability (HRV) and SC were evaluated in 34 healthy subjects(18 men and 16 women).The baseline value of LF/HF and heart rate (HR) in men were significantly higher than those in women,and the value of HF in men was lower than that in women.LF/HF and SC showed the transitory increase during nursing intervention .After the intervention ,LF/HF recovered quickly to the baseline level while SC returned slowly to that level.LF/HF,SC,HR,and respiration rate in men were significantly lower than those in women after the nursing intervention with smile.On the other hand ,the value of HF in men was higher than that in women.The responses in HRV and SC were different between men and women.The nursing intervention with smile may produce an effect on the relaxation in men rather than women.