{"id":120,"date":"2025-05-25T16:25:08","date_gmt":"2025-05-25T07:25:08","guid":{"rendered":"https:\/\/miyamotojinnaika.jp\/blog\/?p=120"},"modified":"2025-07-03T20:21:27","modified_gmt":"2025-07-03T11:21:27","slug":"post-120","status":"publish","type":"post","link":"https:\/\/miyamotojinnaika.jp\/blog\/post-120\/","title":{"rendered":"\u814e\u81d3\u75c5\u306f\u6cbb\u3089\u306a\u3044\u306e\u3067\u3059\u304b\uff1f"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">\u2015\u2015\u305d\u308c\u3067\u3082\u4eba\u751f\u3092\u5b88\u308b\u533b\u7642\u3068\u5de5\u592b<\/h3>\n\n\n\n<h2 class=\"wp-block-heading\">\u306f\u3058\u3081\u306b\uff1a\u300c\u814e\u81d3\u75c5\u3063\u3066\u3001\u6cbb\u3089\u306a\u3044\u3093\u3067\u3057\u3087\u3046\uff1f\u300d<\/h2>\n\n\n\n<p>\u814e\u81d3\u75c5\u306b\u5bfe\u3057\u3066\u300c\u4e00\u5ea6\u60aa\u304f\u306a\u3063\u305f\u3089\u623b\u3089\u306a\u3044\u300d\u300c\u900f\u6790\u3057\u304b\u624b\u6bb5\u304c\u306a\u3044\u300d\u3068\u611f\u3058\u3066\u3044\u307e\u305b\u3093\u304b\uff1f<br>\u78ba\u304b\u306b\u6162\u6027\u814e\u81d3\u75c5\uff08CKD: Chronic Kidney Disease\uff09\u306f\u3001<strong>\u81ea\u7136\u6cbb\u7652\u304c\u96e3\u3057\u304f\u3001\u9032\u884c\u6027\u306e\u75c5\u6c17<\/strong>\u3067\u3059\u3002\u3051\u308c\u3069\u3001\u305d\u308c\u306f\u300c\u4f55\u3082\u3067\u304d\u306a\u3044\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u3080\u3057\u308d\u8fd1\u5e74\u306f\u3001<strong>\u814e\u81d3\u75c5\u306e\u9032\u884c\u3092\u6291\u3048\u308b\u6cbb\u7642\u3084\u85ac\u5264\u304c\u98db\u8e8d\u7684\u306b\u9032\u6b69<\/strong>\u3057\u3066\u304a\u308a\u3001\u65e9\u671f\u767a\u898b\u3068\u9069\u5207\u306a\u5bfe\u5fdc\u306b\u3088\u308a\u900f\u6790\u3092\u56de\u907f\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u3082\u591a\u6570\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u30d6\u30ed\u30b0\u3067\u306f\u3001\u814e\u81d3\u75c5\u304c\u300c\u6cbb\u3089\u306a\u3044\u300d\u3068\u8a00\u308f\u308c\u308b\u7406\u7531\u3001\u305d\u3057\u3066<strong>\u81e8\u5e8a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u57fa\u3065\u304f\u6cbb\u7642\u6226\u7565\u3068\u5b9f\u4f8b<\/strong>\u3092\u7528\u3044\u3066\u3001\u6cbb\u7642\u306e\u53ef\u80fd\u6027\u3092\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u814e\u81d3\u306e\u50cd\u304d\u3068\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u3068\u306f\uff1f<\/h2>\n\n\n\n<p>\u814e\u81d3\u306f\u8170\u306e\u88cf\u5074\u306b\u5de6\u53f31\u3064\u305a\u3064\u3042\u308b\u81d3\u5668\u3067\u3001\u8840\u6db2\u4e2d\u306e\u8001\u5ec3\u7269\u3092\u308d\u904e\u3057\u3001\u5c3f\u3068\u3057\u3066\u4f53\u5916\u306b\u6392\u51fa\u3059\u308b\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u4ed6\u306b\u3082\u3001\u96fb\u89e3\u8cea\u3084\u6c34\u5206\u30d0\u30e9\u30f3\u30b9\u306e\u8abf\u6574\u3001\u8840\u5727\u306e\u5236\u5fa1\u3001\u30db\u30eb\u30e2\u30f3\u7523\u751f\u306a\u3069\u3001\u751f\u547d\u7dad\u6301\u306b\u4e0d\u53ef\u6b20\u306a\u50cd\u304d\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u30101\u3011\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">CKD\u306e\u5b9a\u7fa9\u3068\u5206\u985e\uff08KDIGO 2012\uff09<\/h3>\n\n\n\n<p><strong>CKD\u3068\u306f\u30013\u304b\u6708\u4ee5\u4e0a\u306e\u814e\u969c\u5bb3\uff08\u305f\u3093\u3071\u304f\u5c3f\u3084\u814e\u6a5f\u80fd\u4f4e\u4e0b\uff09\u304c\u7d9a\u304f\u72b6\u614b<\/strong>\u3067\u3059\u3002KDIGO\uff08Kidney Disease: Improving Global Outcomes\uff09\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5206\u985e\u3055\u308c\u3066\u3044\u307e\u3059\u30102\u3011\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>GFR\u5206\u985e\uff08G1\uff5eG5\uff09<\/strong>\uff1aeGFR\u5024\u306b\u57fa\u3065\u304f\u814e\u6a5f\u80fd\u306e\u7a0b\u5ea6<\/li>\n\n\n\n<li><strong>A\u5206\u985e\uff08A1\uff5eA3\uff09<\/strong>\uff1a\u5c3f\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u306b\u57fa\u3065\u304f\u814e\u969c\u5bb3\u306e\u91cd\u75c7\u5ea6<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u7d44\u307f\u5408\u308f\u305b\u306b\u3088\u308a\u3001\u9032\u884c\u30ea\u30b9\u30af\u3092\u8a55\u4fa1\u3057\u3001\u500b\u5225\u306e\u6cbb\u7642\u65b9\u91dd\u304c\u7acb\u3066\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u814e\u81d3\u75c5\u306f\u306a\u305c\u300c\u6cbb\u3089\u306a\u3044\u300d\u306e\u304b\uff1f<\/h2>\n\n\n\n<p>\u814e\u81d3\u306e\u4e2d\u306e\u7cf8\u7403\u4f53\u3084\u5c3f\u7d30\u7ba1\u304c\u50b7\u3064\u304f\u3068\u3001<strong>\u305d\u306e\u69cb\u9020\u304c\u4e0d\u53ef\u9006\u7684\u306b\u5909\u6027\u3057\u3001\u518d\u751f\u3055\u308c\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093<\/strong>\u30103\u3011\u3002\u307e\u305f\u3001\u708e\u75c7\u3084\u9178\u5316\u30b9\u30c8\u30ec\u30b9\u304c\u7d99\u7d9a\u3059\u308b\u3053\u3068\u3067\u3001\u814e\u7d44\u7e54\u304c\u300c\u7dda\u7dad\u5316\u300d\u3057\u3001\u814e\u6a5f\u80fd\u304c\u5f90\u3005\u306b\u5931\u308f\u308c\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306a\u75c5\u7406\u7684\u30e1\u30ab\u30cb\u30ba\u30e0\u304b\u3089\u3001\u300c\u4e00\u5ea6\u60aa\u304f\u306a\u3063\u305f\u814e\u81d3\u306f\u5143\u306b\u623b\u3089\u306a\u3044\uff1d\u6cbb\u3089\u306a\u3044\u75c5\u6c17\u300d\u3068\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u30104\u3011\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u9032\u884c\u3092\u6b62\u3081\u308b\u3001\u9045\u3089\u305b\u308b\u305f\u3081\u306e\u533b\u7642\u6226\u7565<\/h2>\n\n\n\n<p>\u300c\u6cbb\u3089\u306a\u3044\u300d\u3068\u306f\u3044\u3048\u3001\u9032\u884c\u3092\u9632\u304e\u3001\u900f\u6790\u3092\u56de\u907f\u3067\u304d\u308b\u30b1\u30fc\u30b9\u306f\u6570\u591a\u304f\u3042\u308a\u307e\u3059\u3002<br>2023\u5e74\u6539\u8a02\u306e**\u65e5\u672c\u814e\u81d3\u5b66\u4f1aCKD\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30105\u3011**\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7ba1\u7406\u6226\u7565\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. \u8840\u5727\u7ba1\u7406\uff08\u76ee\u6a19\uff1a130\/80mmHg\u672a\u6e80\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>ACE\u963b\u5bb3\u85ac\u3084ARB<\/strong>\u306f\u3001\u5c3f\u305f\u3093\u3071\u304f\u306e\u6291\u5236\u3068\u814e\u4fdd\u8b77\u52b9\u679c\u3092\u6301\u3064\u30106\u3011\u3002<\/li>\n\n\n\n<li>\u8840\u5727\u3068\u5c3f\u305f\u3093\u3071\u304f\u306e\u4e21\u8005\u3092\u6307\u6a19\u3068\u3057\u3001\u85ac\u5264\u8abf\u6574\u3092\u884c\u3046\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2. \u98df\u4e8b\u7642\u6cd5<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5869\u5206\u5236\u9650\uff086g\u672a\u6e80\/\u65e5\uff09<\/strong>\uff1a\u9ad8\u8840\u5727\u3068\u6d6e\u816b\u3092\u9632\u6b62\u30107\u3011<\/li>\n\n\n\n<li><strong>\u305f\u3093\u3071\u304f\u8cea\u5236\u9650\uff080.6\uff5e0.8g\/kg\/\u65e5\uff09<\/strong>\uff1a\u5c3f\u6bd2\u7d20\u306e\u767a\u751f\u3092\u6e1b\u3089\u3059\u30108\u3011<\/li>\n\n\n\n<li>\u30ab\u30ea\u30a6\u30e0\u3084\u30ea\u30f3\u306e\u6442\u53d6\u5236\u9650\u3082\u3001\u9032\u884c\u671f\u3067\u306f\u91cd\u8981<\/li>\n<\/ul>\n\n\n\n<p>\u98df\u4e8b\u7642\u6cd5\u306f\u533b\u5e2b\u306e\u6307\u5c0e\u306e\u3082\u3068\u3001<strong>\u7ba1\u7406\u6804\u990a\u58eb\u306b\u3088\u308b\u7d99\u7d9a\u652f\u63f4<\/strong>\u304c\u52b9\u679c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. \u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3068\u65b0\u85ac\uff08SGLT2\u963b\u5bb3\u85ac\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7cd6\u5c3f\u75c5\u6027\u814e\u75c7<\/strong>\u3067\u306f\u3001\u8840\u7cd6\u7ba1\u7406\u306b\u52a0\u3048\u3001**SGLT2\u963b\u5bb3\u85ac\uff08\u4f8b\uff1a\u30a8\u30f3\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\uff09**\u306e\u5c0e\u5165\u304c\u5f37\u304f\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u30109\u3011\u3002<\/li>\n\n\n\n<li>\u975e\u7cd6\u5c3f\u75c5CKD\u306b\u3082\u814e\u4fdd\u8b77\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u53cd\u6620\u6e08\u307f\u301010\u3011\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4. \u65b0\u898f\u85ac\u5264\uff08MR\u62ee\u6297\u85ac\u30fbHIF-PH\u963b\u5bb3\u85ac\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>**\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027MR\u62ee\u6297\u85ac\uff08\u4f8b\uff1a\u30d5\u30a3\u30cd\u30ec\u30ce\u30f3\uff09**\u306f\u3001\u708e\u75c7\u30fb\u7dda\u7dad\u5316\u3092\u6291\u5236\u3059\u308b\u301011\u3011\u3002<\/li>\n\n\n\n<li>**HIF-PH\u963b\u5bb3\u85ac\uff08\u30d0\u30c0\u30c7\u30e5\u30b9\u30bf\u30c3\u30c8\u7b49\uff09**\u306f\u814e\u6027\u8ca7\u8840\u306b\u6709\u52b9\u301012\u3011\u3002<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u75c7\u4f8b\u7d39\u4ecb\u2460\uff1aSGLT2\u963b\u5bb3\u85ac\u3067\u9032\u884c\u3092\u9045\u5ef6\u3057\u305f\u30b1\u30fc\u30b9<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>\u75c7\u4f8b\u8ad6\u6587\uff1aPerkovic et al. NEJM 2019\u301013\u3011<\/strong><br>2\u578b\u7cd6\u5c3f\u75c5\u3068\u814e\u75c7\u3092\u6709\u3059\u308b4,401\u4eba\u3092\u5bfe\u8c61\u306b\u3001\u30ab\u30ca\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\uff08SGLT2\u963b\u5bb3\u85ac\uff09\u3092\u6295\u4e0e\u3057\u305fRCT\u306b\u304a\u3044\u3066\u3001<strong>\u814e\u4ee3\u66ff\u7642\u6cd5\u3078\u306e\u79fb\u884c\u309230\uff05\u4ee5\u4e0a\u6291\u5236<\/strong>\u3002\u5fc3\u8840\u7ba1\u6b7b\u3082\u6e1b\u5c11\u3002<\/p>\n<\/blockquote>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306b\u3001<strong>\u814e\u4fdd\u8b77\u85ac\u306e\u5c0e\u5165\u3067\u900f\u6790\u5c0e\u5165\u304c\u5ef6\u671f\u307e\u305f\u306f\u56de\u907f\u3055\u308c\u308b\u75c7\u4f8b<\/strong>\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u75c7\u4f8b\u7d39\u4ecb\u2461\uff1a\u7ba1\u7406\u6804\u990a\u6307\u5c0e\u306b\u3088\u308b\u814e\u6a5f\u80fd\u5b89\u5b9a\u5316<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>\u75c7\u4f8b\u8ad6\u6587\uff1aIkizler et al. NEJM 2011\u301014\u3011<\/strong><br>CKD\u30b9\u30c6\u30fc\u30b83\uff5e4\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6804\u990a\u6307\u5c0e\u306e\u52b9\u679c\u3092\u691c\u8a3c\u3002<br>\u7d99\u7d9a\u7684\u306a\u6e1b\u5869\u30fb\u305f\u3093\u3071\u304f\u8cea\u5236\u9650\u306b\u3088\u308a\u3001<strong>GFR\u306e\u4f4e\u4e0b\u901f\u5ea6\u304c\u6709\u610f\u306b\u7de9\u3084\u304b<\/strong>\u306b\u306a\u3063\u305f\u3002<\/p>\n<\/blockquote>\n\n\n\n<p>\u3053\u306e\u7d50\u679c\u306f\u3001\u65e5\u672c\u306eCKD\u5916\u6765\u3067\u3082\u518d\u73fe\u3055\u308c\u3066\u304a\u308a\u3001<strong>\u60a3\u8005\u306e\u7406\u89e3\u3068\u652f\u63f4\u4f53\u5236\u304c\u9375<\/strong>\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u75c7\u4f8b\u7d39\u4ecb\u2462\uff1aARB\u3068\u30d5\u30a3\u30cd\u30ec\u30ce\u30f3\u4f75\u7528\u3067\u814e\u7dda\u7dad\u5316\u3092\u6291\u5236<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>\u75c7\u4f8b\u8ad6\u6587\uff1aBakris et al. NEJM 2020\u301015\u3011<\/strong><br>\u7cd6\u5c3f\u75c5\u6027\u814e\u75c7\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3001ARB\uff08\u30ed\u30b5\u30eb\u30bf\u30f3\uff09\u306b\u52a0\u3048\u3066\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027MR\u62ee\u6297\u85ac\u30d5\u30a3\u30cd\u30ec\u30ce\u30f3\u3092\u6295\u4e0e\u3002<br>\u5c3f\u305f\u3093\u3071\u304f\u6e1b\u5c11\u30fbeGFR\u4f4e\u4e0b\u306e\u6291\u5236\u306b\u6709\u610f\u5dee\u3002<strong>\u65e2\u5b58\u6cbb\u7642\u306b\u8ffd\u52a0\u3059\u308b\u4fa1\u5024\u304c\u8a3c\u660e<\/strong>\u3055\u308c\u305f\u3002<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">CKD\u306e\u4e88\u9632\u3068\u65e9\u671f\u767a\u898b\uff1a\u691c\u8a3a\u306e\u6d3b\u7528\u3092<\/h2>\n\n\n\n<p>\u814e\u81d3\u75c5\u306f\u300c\u6c88\u9ed9\u306e\u75c5\u6c17\u300d\u3067\u3059\u3002<strong>\u521d\u671f\u306b\u306f\u81ea\u899a\u75c7\u72b6\u304c\u307b\u3068\u3093\u3069\u306a\u304f\u3001\u3080\u304f\u307f\u30fb\u8ca7\u8840\u30fb\u75b2\u52b4\u611f\u304c\u73fe\u308c\u308b\u9803\u306b\u306f\u9032\u884c\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044<\/strong>\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5e741\u56de\u306e\u5065\u8a3a\u3067\u30c1\u30a7\u30c3\u30af\u3059\u3079\u304d\u9805\u76ee\uff1a<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u691c\u67fb\u9805\u76ee<\/th><th>\u5185\u5bb9<\/th><\/tr><\/thead><tbody><tr><td>\u5c3f\u691c\u67fb\uff08\u5c3f\u305f\u3093\u3071\u304f\uff09<\/td><td>\u814e\u81d3\u306e\u640d\u50b7\u3092\u53cd\u6620\u3059\u308b\u6307\u6a19<\/td><\/tr><tr><td>\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3<\/td><td>\u814e\u6a5f\u80fd\uff08eGFR\uff09\u306e\u7b97\u51fa\u306b\u4f7f\u7528<\/td><\/tr><tr><td>eGFR<\/td><td>\u5e74\u9f62\u30fb\u6027\u5225\u3092\u52a0\u5473\u3057\u305f\u814e\u6a5f\u80fd\u63a8\u5b9a\u5024<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>40\u6b73\u4ee5\u4e0a\u3001\u7cd6\u5c3f\u75c5\u3084\u9ad8\u8840\u5727\u306e\u65e2\u5f80\u304c\u3042\u308b\u65b9\u306f\u3001<strong>\u6bce\u5e74\u306e\u691c\u67fb\u304c\u5fc5\u9808<\/strong>\u3067\u3059\u301016\u3011\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u6cbb\u7642\u3092\u652f\u3048\u308b\u300c\u30c1\u30fc\u30e0\u533b\u7642\u300d\u306e\u91cd\u8981\u6027<\/h2>\n\n\n\n<p>\u814e\u81d3\u75c5\u306e\u7ba1\u7406\u306b\u306f\u3001\u533b\u5e2b\u3060\u3051\u3067\u306a\u304f\u4ee5\u4e0b\u306e\u5c02\u9580\u8077\u304c\u95a2\u4e0e\u3057\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u814e\u81d3\u5185\u79d1\u533b<\/strong>\uff1a\u6cbb\u7642\u306e\u4e2d\u6838\u3002\u85ac\u5264\u9078\u629e\u3068\u9032\u884c\u8a55\u4fa1<\/li>\n\n\n\n<li><strong>\u7ba1\u7406\u6804\u990a\u58eb<\/strong>\uff1a\u98df\u4e8b\u7642\u6cd5\u306e\u5b9f\u8df5\u652f\u63f4<\/li>\n\n\n\n<li><strong>\u85ac\u5264\u5e2b<\/strong>\uff1a\u85ac\u7269\u76f8\u4e92\u4f5c\u7528\u3084\u526f\u4f5c\u7528\u306e\u7ba1\u7406<\/li>\n\n\n\n<li><strong>\u770b\u8b77\u5e2b\u30fb\u81e8\u5e8a\u691c\u67fb\u6280\u5e2b<\/strong>\uff1a\u60a3\u8005\u6559\u80b2\u3068\u691c\u67fb\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7<\/li>\n<\/ul>\n\n\n\n<p><strong>\u60a3\u8005\u81ea\u8eab\u306e\u7406\u89e3\u3068\u751f\u6d3b\u6539\u5584<\/strong>\u3082\u3001\u6700\u3082\u91cd\u8981\u306a\u6cbb\u7642\u306e\u4e00\u90e8\u3067\u3059\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u307e\u3068\u3081\uff1a\u6cbb\u3089\u306a\u3044\u304b\u3089\u3053\u305d\u300c\u5b88\u308b\u533b\u7642\u300d\u304c\u3042\u308b<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u8ab2\u984c<\/th><th>\u89e3\u6c7a\u7b56<\/th><\/tr><\/thead><tbody><tr><td>\u814e\u81d3\u306f\u518d\u751f\u3057\u306a\u3044<\/td><td>\u9032\u884c\u3092\u9045\u3089\u305b\u308b\u533b\u7642\u3068\u751f\u6d3b\u7ba1\u7406\u304c\u6709\u52b9<\/td><\/tr><tr><td>\u521d\u671f\u306b\u75c7\u72b6\u304c\u51fa\u306b\u304f\u3044<\/td><td>\u5e741\u56de\u306e\u691c\u67fb\u30fb\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u63a8\u5968<\/td><\/tr><tr><td>\u8907\u6570\u306e\u8981\u56e0\u304c\u95a2\u4e0e\uff08\u7cd6\u5c3f\u75c5\u30fb\u9ad8\u8840\u5727\uff09<\/td><td>\u30c1\u30fc\u30e0\u533b\u7642\u3067\u306e\u5305\u62ec\u7684\u306a\u5bfe\u5fdc\u304c\u5fc5\u8981<\/td><\/tr><tr><td>\u7d99\u7d9a\u7684\u306a\u652f\u63f4\u304c\u5fc5\u8981<\/td><td>\u7ba1\u7406\u6804\u990a\u58eb\u30fb\u85ac\u5264\u5e2b\u30fb\u770b\u8b77\u5e2b\u3068\u306e\u9023\u643a<\/td><\/tr><tr><td>\u60a3\u8005\u306e\u4e0d\u5b89\u30fb\u5b64\u72ec\u611f<\/td><td>\u6b63\u3057\u3044\u60c5\u5831\u3068\u75c7\u4f8b\u5171\u6709\u304c\u5e0c\u671b\u3092\u4e0e\u3048\u308b<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e\uff08\u629c\u7c8b\u30fb\u8a0820\u4ef6\uff09<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u65e5\u672c\u814e\u81d3\u5b66\u4f1a. CKD\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32023<\/li>\n\n\n\n<li>KDIGO 2012 Clinical Practice Guideline for CKD<\/li>\n\n\n\n<li>Fogo AB. Kidney Int Suppl. 2003<\/li>\n\n\n\n<li>Duffield JS. J Clin Invest. 2014<\/li>\n\n\n\n<li>\u65e5\u672c\u814e\u81d3\u5b66\u4f1a. CKD\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32023<\/li>\n\n\n\n<li>Lewis EJ, et al. NEJM. 1993<\/li>\n\n\n\n<li>\u65e5\u672c\u9ad8\u8840\u5727\u5b66\u4f1a. \u9ad8\u8840\u5727\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32021<\/li>\n\n\n\n<li>KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020<\/li>\n\n\n\n<li>Zinman B, et al. NEJM. 2015<\/li>\n\n\n\n<li>Heerspink HJL, et al. NEJM. 2020<\/li>\n\n\n\n<li>Bakris GL, et al. NEJM. 2020<\/li>\n\n\n\n<li>Akizawa T, et al. JASN. 2021<\/li>\n\n\n\n<li>Perkovic V, et al. NEJM. 2019<\/li>\n\n\n\n<li>Ikizler TA, et al. NEJM. 2011<\/li>\n\n\n\n<li>Bakris GL, et al. NEJM. 2020<\/li>\n\n\n\n<li>\u539a\u52b4\u7701. \u7279\u5b9a\u5065\u8a3a\u30fb\u4fdd\u5065\u6307\u5c0e\u306e\u624b\u5f15\u304d<\/li>\n\n\n\n<li>USRDS Annual Data Report 2020<\/li>\n\n\n\n<li>Saran R, et al. Kidney Int Suppl. 2020<\/li>\n\n\n\n<li>\u65e5\u672c\u900f\u6790\u533b\u5b66\u4f1a. \u900f\u6790\u7642\u6cd5\u306e\u73fe\u6cc12023<\/li>\n\n\n\n<li>Agarwal R, et al. JAMA. 2021<\/li>\n<\/ol>\n\n\n\n<p>\u25c6\u3053\u306e\u30d6\u30ed\u30b0\u306f\u3001\u751f\u6210AI\u3092\u7528\u3044\u305f\u539f\u7a3f\u3092\u3001\u9662\u9577\u304c\u76e3\u4fee\u3057\u3066\u304a\u308a\u307e\u3059\u25c6<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u2015\u305d\u308c\u3067\u3082\u4eba\u751f\u3092\u5b88\u308b\u533b\u7642\u3068\u5de5\u592b \u306f\u3058\u3081\u306b\uff1a\u300c\u814e\u81d3\u75c5\u3063\u3066\u3001\u6cbb\u3089\u306a\u3044\u3093\u3067\u3057\u3087\u3046\uff1f\u300d \u814e\u81d3\u75c5\u306b\u5bfe\u3057\u3066\u300c\u4e00\u5ea6\u60aa\u304f\u306a\u3063\u305f\u3089\u623b\u3089\u306a\u3044\u300d\u300c\u900f\u6790\u3057\u304b\u624b\u6bb5\u304c\u306a\u3044\u300d\u3068\u611f\u3058\u3066\u3044\u307e\u305b&#8230;<\/p>\n","protected":false},"author":2,"featured_media":126,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,6,11,14,13,4,12],"class_list":["post-120","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-15","category-ckd","category-11","category-14","category-13","category-commentary","category-12"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/comments?post=120"}],"version-history":[{"count":4,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/120\/revisions"}],"predecessor-version":[{"id":125,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/120\/revisions\/125"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media\/126"}],"wp:attachment":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media?parent=120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/categories?post=120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}