@article{oai:hama-med.repo.nii.ac.jp:00000482,
 author = {堀口, 寛子 and HORIGUCHI, Hiroko and 鈴木, 一也 and SUZUKI, Kazuya and 沖田, 善光 and OKITA, Yoshimitsu and 長谷川, 敏彦 and HASEGAWA, Toshihiko and 平田, 寿 and Hirata, Hishashi and 木村, 元彦 and KIMURA, Motohiko and 数井, 輝久 and KAZUI, Teruhisa and 杉浦, 敏文 and SUGIURA, Toshifumi},
 issue = {46},
 journal = {電子情報通信学会技術研究報告. MBE, MEとバイオサイバネティックス, IEICE technical report. ME and bio cybernetics},
 month = {May},
 note = {外科医が手術中にどのようにストレスを感じているのかを観察するために, 心拍変動解析を行うことにより自律神経活動の変化を調べた.測定は手術中の執刀医と助手(3名, 計5例)の心拍変動と血圧について行った.心拍数は経験年数が長い外科医は手術中に少し高くなるのに対し, 経験年数が短い外科医は手術開始前から高く, 手術の経過と共に減少していく傾向が見られた.交感神経と副交感神経活動のバランス指標であるLF/HFは, 執刀医と助手の両者において手術中いくつかのピークが見られ, 副交感神経指標であるHF/TOは外科医の経験年数に関わらず手術中に小さくなる傾向を示したが, 熟練者ほど大きい傾向を示した.手術の難易度によって状況は変化するが, 大体の傾向において心拍変動周波数解析結果は外科医の緊張度に関する有用な示唆を与えていると思われる., To observe how and when surgeons feel stress during surgical operation, we examined the changes in an autonomic nervous activities by analyzing heart rate variability. We measured heart rate variability and blood pressure of surgeons and assistants throughout surgeries. Heart rates of an experienced surgeon began to increase at the start of surgery while those of less experienced surgeon increased well before the start. Balance between sympathetic and parasympathetic nervous activities, LF/HF, which also shows the level of sympathetic nervous activity, was relatively higher in both surgeons and assistants throughout the surgery and temporarily increased during crucial operation. Though the index of parasympathetic nervous activity, HF/TO, was rather low throughout the surgery despite of years of experience, that of an experienced surgeon was higher than the less inexperienced.},
 pages = {9--12},
 title = {手術中における外科医のストレス評価の試み ―自律神経活動と血圧変化―},
 volume = {105},
 year = {2005}
}