@article{oai:seirei-univ.repo.nii.ac.jp:00001695,
 author = {鈴木, 敏彦 and 吉本, 好延 and SUZUKI, Toshihiko and YOSHIMOTO, Yoshinobu},
 journal = {リハビリテーション科学ジャーナル, Journal of Rehabilitation Sciences},
 month = {Mar},
 note = {P(論文), 外科的ストレスによって誘発される炎症症状や疼痛の遅延，うつ症状の増悪など機能障害は，術後のリハビリテーションを実施する上で重大な阻害因子になることから，手術後のストレス反応に影響する因子を明らかにし，何らかの対策を講じる必要がある．しかし，整形外科疾患手術後の外科的ストレスと機能障害の関連性については未だ十分な検討がなされておらず，現状までに何がどこまで明らかになっているのか知見を整理する必要があった．高齢者に頻発する整形外科疾患である大腿骨近位部骨折を代表疾患として，外科的ストレスと機能障害との関連について先行研究の整理を行った結果，大腿骨近位部骨折術後の抑うつが，機能予後に影響するメカニズムは示されているものの，手術前の抑うつが，外科的ストレスを増悪させるメカニズムを証明するための十分な臨床研究がなされていない現状が明らかになった．今後，大腿骨近位部骨折患者の抑うつと外科的ストレスについて臨床研究を進める必要性があると考えられた．, Inflammatory symptoms and delay in pain induced by surgical stress could become a significant inhibitor when conducting a post-surgical rehabilitation, causing worsening of depressive symptoms and functional disorders. As such, factors that impact post-surgery stress reaction need to be clarified, as well as countermeasures need to be developed. However, the relationship between surgical stress from post-orthopedic surgery and functional disorders has not yet been fully examined. Thus, there is a necessity to examine the findings that have been reported to date. Using proximal femoral fracture, an orthopedic injury that occurs frequently among the elderly, as a representative disorder, prior studies on the relationship between surgical stress and functional disorders were analyzed. Results showed that although the mechanism in which depression following the proximal femoral fracture surgery impacts the functional prognosis has been indicated, current clinical research data is not sufficient to validate the mechanism by which post-surgery depression exacerbates surgical stress. In future, it is believed that clinical research into depression of proximal femoral fracture patients and surgical stress needs to be advanced., 総説, Review articles},
 pages = {113--121},
 title = {外科的ストレスと抑うつとの関連性},
 volume = {12},
 year = {2017},
 yomi = {スズキ, トシヒコ and ヨシモト, ヨシノブ}
}