{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001205337713664.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.7792/jlspm.7.53"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"026308905"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/026308905"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I026308905"}},{"identifier":{"@type":"NAID","@value":"130005064181"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2016151509"}}],"dc:title":[{"@language":"ja","@value":"創傷被覆材による創傷管理─難治性下肢潰瘍における治療上の注意点─"},{"@language":"en","@value":"Topical management for foot ulcers using dressings"},{"@value":"難治性創傷の最新治療(5)創傷被覆材による創傷管理 : 難治性下肢潰瘍における治療上の注意点"},{"@language":"ja-Kana","@value":"ナンチセイ ソウショウ ノ サイシン チリョウ(5)ソウショウ ヒフクザイ ニ ヨル ソウショウ カンリ : ナンチセイ カシ カイヨウ ニ オケル チリョウ ジョウ ノ チュウイテン"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"For topical management to skin ulcers, dressings are useful materials. There are some types of dressings, hydro-fiber, polyurethane form and hydrocolloid dressings. We should choice the proper dressings aiming at exudate fluid quantity. Some dressings include silver for reducing local infection. On the other hand, foot ulcers are caused by various backgrounds. Ischemic ulcers are contraindication for dressings because these wounds never work healing process. Keeping the moist conditions, dressings facilitate the wound bed preparation to the “curable” ulcers. Conversely, the indication of dressings is limited for “incurable” wounds. We should consider the suitable indication of dressings to refractory foot ulcers."},{"@language":"ja","@value":"要旨：創傷の局所管理法のなかで創傷被覆材は外用剤とともに重要な位置をしめる．創傷被覆材には多くの素材があり，特に滲出液の吸収力に違いがある．さらに近年では銀含有製材も開発され抗菌作用も考慮した選択が可能となっている．一方で血流低下等により創傷治癒機転が働かない難治性足潰瘍に用いると密閉することによる感染の惹起などを生じる可能性が高い．外用療法も含めて創傷に応じた適切な局所療法を選択することが重要である．本稿では特に下肢の難治性潰瘍に対してどのような場合に創傷被覆材を用いるべきか，用いるべきでないかを概説する．血流低下の潰瘍には創傷被覆材は用いるべきでなく下肢難治性潰瘍に対して創傷被覆材の使用はより慎重であるべきである．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001205337713664","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000257934311"}],"foaf:name":[{"@language":"ja","@value":"安田 浩"},{"@language":"en","@value":"Yasuda Hiroshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Plastic and Reconstructive Surgery, Hospital of University of Occupational and Environmental Health"},{"@language":"ja","@value":"産業医科大学病院形成外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"1883857X"},{"@type":"LISSN","@value":"1883857X"},{"@type":"EISSN","@value":"21871957"},{"@type":"NDL_BIB_ID","@value":"000010067881"},{"@type":"ISSN","@value":"1883857X"},{"@type":"NCID","@value":"AA12678449"}],"prism:publicationName":[{"@language":"en","@value":"The Journal of Japanese Society of Limb Salvage and Podiatric Medicine"},{"@value":"日本下肢救済・足病学会誌"},{"@language":"en","@value":"J Jpn Soc Limb Salvage Podiatr Med"},{"@language":"ja","@value":"日本下肢救済・足病学会誌"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society of Limb Salvage and Podiatric Medicine"},{"@language":"ja","@value":"日本下肢救済・足病学会"}],"prism:publicationDate":"2015","prism:volume":"7","prism:number":"1","prism:startingPage":"53","prism:endingPage":"58"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/026308905"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I026308905"},{"@id":"https://search.jamas.or.jp/link/ui/2016151509"}],"availableAt":"2015","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E9%9B%A3%E6%B2%BB%E6%80%A7%E7%9A%AE%E8%86%9A%E6%BD%B0%E7%98%8D","dc:title":"難治性皮膚潰瘍"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%89%B5%E5%82%B7%E8%A2%AB%E8%A6%86%E6%9D%90","dc:title":"創傷被覆材"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%8A%80%E5%90%AB%E6%9C%89%E5%89%B5%E5%82%B7%E8%A2%AB%E8%A6%86%E6%9D%90","dc:title":"銀含有創傷被覆材"},{"@id":"https://cir.nii.ac.jp/all?q=dressing","dc:title":"dressing"},{"@id":"https://cir.nii.ac.jp/all?q=refractory%20foot%20ulcer","dc:title":"refractory foot ulcer"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001206335679104","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Total Management of Diabetic Foot Ulcerations - Kobe Classification as a New Classification of Diabetic Foot Wounds"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2000565008"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I026308905"},{"@type":"CROSSREF","@value":"10.7792/jlspm.7.53"},{"@type":"CIA","@value":"130005064181"}]}