{"id":145,"date":"2025-06-18T20:48:17","date_gmt":"2025-06-18T11:48:17","guid":{"rendered":"https:\/\/miyamotojinnaika.jp\/blog\/?p=145"},"modified":"2025-07-03T20:19:49","modified_gmt":"2025-07-03T11:19:49","slug":"post-145","status":"publish","type":"post","link":"https:\/\/miyamotojinnaika.jp\/blog\/post-145\/","title":{"rendered":"\u8102\u8cea\u7570\u5e38\u75c7\u3068\u6162\u6027\u814e\u81d3\u75c5\u306e\u5371\u967a\u306a\u95a2\u4fc2\u2500\u2500\u52d5\u8108\u786c\u5316\u306b\u3088\u308b\u5408\u4f75\u75c7\u306b\u8981\u6ce8\u610f"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u306f\u3058\u3081\u306b<\/h2>\n\n\n\n<p>\u5065\u5eb7\u8a3a\u65ad\u3067\u306e\u300cLDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c\u9ad8\u3044\u300d\u300c\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u304c\u9ad8\u3044\u300d\u300ceGFR\uff08\u63a8\u7b97\u7cf8\u7403\u4f53\u6ffe\u904e\u91cf\uff09\u304c\u4f4e\u3044\u300d\u3068\u3044\u3046\u6307\u6458\u3002\u3053\u308c\u3089\u304c\u540c\u6642\u306b\u73fe\u308c\u308b\u3068\u3001\u52d5\u8108\u786c\u5316\u3092\u901a\u3058\u305f\u91cd\u7be4\u306a\u5408\u4f75\u75c7\uff08\u5fc3\u7b4b\u6897\u585e\u3001\u8133\u5352\u4e2d\u3001\u672b\u68a2\u52d5\u8108\u75be\u60a3\uff09\u306e\u30ea\u30b9\u30af\u304c\u6025\u6fc0\u306b\u9ad8\u307e\u308a\u307e\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u6700\u65b0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3084\u533b\u5b66\u7814\u7a76\u3092\u5f15\u7528\u3057\u3064\u3064\u3001\u4e21\u8005\u306e\u6df1\u3044\u95a2\u9023\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\">1. \u8102\u8cea\u7570\u5e38\u75c7\u3068\u306f\u4f55\u304b\uff1f<\/h2>\n\n\n\n<p>\u8102\u8cea\u7570\u5e38\u75c7\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5b9a\u7fa9\u3055\u308c\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>LDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\uff08\u3044\u308f\u3086\u308b\u300c\u60aa\u7389\u300d\uff09\uff1a140\u202fmg\/dL\u4ee5\u4e0a<\/li>\n\n\n\n<li>HDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\uff08\u300c\u5584\u7389\u300d\uff09\uff1a40\u202fmg\/dL\u672a\u6e80<\/li>\n\n\n\n<li>\u4e2d\u6027\u8102\u80aa\uff1a150\u202fmg\/dL\u4ee5\u4e0a<\/li>\n<\/ul>\n\n\n\n<p>\u539a\u751f\u52b4\u50cd\u7701\u3068\u65e5\u672c\u52d5\u8108\u786c\u5316\u5b66\u4f1a\u306b\u3088\u308b\u300c<strong>\u8102\u8cea\u7570\u5e38\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32022<\/strong>\uff08\u65e5\u672c\u52d5\u8108\u786c\u5316\u5b66\u4f1a\uff09\u00b9\u207e\u300d\u3067\u306f\u3001\u3053\u308c\u3089\u306e\u7570\u5e38\u5024\u304c\u52d5\u8108\u786c\u5316\u306e\u4e3b\u8981\u56e0\u3067\u3042\u308b\u3068\u660e\u8a18\u3055\u308c\u3066\u3044\u307e\u3059\u00b9\u207e\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">2. CKD\uff08\u6162\u6027\u814e\u81d3\u75c5\uff09\u3068\u306f\uff1f<\/h2>\n\n\n\n<p>CKD\u306f\u300ceGFR\u304c60\u672a\u6e80\u3042\u308b\u3044\u306f\u3001\u86cb\u767d\u5c3f\u306a\u3069\u306e\u5c3f\u691c\u67fb\u7570\u5e38\u7b49\u304c\u3001\u3044\u305a\u308c\u304b\u540c\u6642\u306b3\u30f6\u6708\u4ee5\u4e0a\u6301\u7d9a\u3059\u308b\u72b6\u614b\u300d\u3067\u3059\uff08<strong>KDIGO 2023 Clinical Practice Guideline<\/strong>; KDIGO, 2023\uff08\u00b2\u207e\uff09\uff09\u3002\u9ad8\u8840\u5727\u3068\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u300c\u751f\u6d3b\u7fd2\u6163\u75c5\u300d\u304c\u539f\u56e0\u306e\u5834\u5408\u304c\u3042\u308a\u3001\u9032\u884c\u3059\u308c\u3070\u900f\u6790\u306b\u81f3\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\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\">3. CKD\u60a3\u8005\u3067\u52d5\u8108\u786c\u5316\u304c\u9032\u884c\u3057\u3084\u3059\u3044\u80cc\u666f<\/h2>\n\n\n\n<p>\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306f\u30ab\u30eb\u30b7\u30a6\u30e0\u30fb\u30ea\u30f3\u4ee3\u8b1d\u3084\u6162\u6027\u708e\u75c7\u3092\u8a98\u767a\u3057\u3001\u8840\u7ba1\u5185\u76ae\u969c\u5bb3\u304a\u3088\u3073\u8840\u7ba1\u77f3\u7070\u5316\u3092\u4fc3\u9032\u3059\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\uff08<strong>London GM et al., \u201cCardiovascular risk in chronic kidney disease\u201d, Kidney Int., 2003<\/strong>\u00b3\u207e\uff09\u3002\u3053\u306e\u305f\u3081\u3001CKD\u60a3\u8005\u3067\u306f\u5fc3\u7b4b\u6897\u585e\u30fb\u8133\u5352\u4e2d\u30fb\u672b\u68a2\u52d5\u8108\u75be\u60a3\uff08PAD\uff09\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u300cCKD\u60a3\u8005\u306e\u8840\u7ba1\u306f\u201c\u5168\u8eab\u306e\u50b7\u3064\u3044\u305f\u30a4\u30f3\u30d5\u30e9\u201d\u306e\u3088\u3046\u306a\u3082\u306e\u300d\u00b3\u207e\u3068\u3044\u3046\u8868\u73fe\u304c\u5370\u8c61\u7684\u3067\u3059\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\">4. \u4e21\u8005\u304c\u4e92\u3044\u306b\u5f71\u97ff\u3057\u5408\u3046\u30e1\u30ab\u30cb\u30ba\u30e0<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">4.1 \u8102\u8cea\u7570\u5e38\u75c7\u304cCKD\u3092\u60aa\u5316\u3055\u305b\u308b<\/h3>\n\n\n\n<p>\u9ad8LDL\u3084\u4e2d\u6027\u8102\u80aa\u306e\u5897\u52a0\u306f\u3001\u814e\u81d3\u306e\u7cf8\u7403\u4f53\u3092\u50b7\u3064\u3051\u308b\u539f\u56e0\u306b\u306a\u308a\u307e\u3059\u3002<strong>Go AS et al.\uff082012\uff09\u306b\u3088\u308b\u7814\u7a76<\/strong>\u2074\u207e\u3067\u306f\u3001\u300c\u8102\u8cea\u7570\u5e38\u75c7\u306fCKD\u767a\u75c7\u30ea\u30b9\u30af\u3092\u72ec\u7acb\u3057\u3066\u9ad8\u3081\u308b\u300d\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4.2 CKD\u306b\u3088\u308b\u300c\u8102\u8cea\u7570\u5e38\u75c7\u300d<\/h3>\n\n\n\n<p>\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>HDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c\u4f4e\u4e0b<\/li>\n\n\n\n<li>\u9178\u5316LDL\u304c\u5897\u52a0<\/li>\n\n\n\n<li>\u30a2\u30dd\u30ea\u30dd\u30bf\u30f3\u30d1\u30af\u8cea\u306e\u7570\u5e38\u5909\u6027<\/li>\n<\/ul>\n\n\n\n<p>\u3068\u3044\u3046\u72ec\u81ea\u306e\u8102\u8cea\u4ee3\u8b1d\u7570\u5e38\u300c\u814e\u6027\u8102\u8cea\u7570\u5e38\u75c7\u300d\u304c\u751f\u3058\u3001\u52d5\u8108\u786c\u5316\u3092\u4fc3\u9032\u3059\u308b\u3068\u3044\u3046\u8aac\u304c\u3042\u308a\u307e\u3059\uff08<strong>Vaziri ND., 2006<\/strong>\u2076\u207e\uff09\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u300cCKD\u306f\u201c\u8102\u8cea\u4ee3\u8b1d\u306e\u5730\u96f7\u539f\u201d\u3092\u4f5c\u308b\u300d\u3068\u3082\u8a55\u3055\u308c\u307e\u3059\u2076\u207e\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\">5. \u52d5\u8108\u786c\u5316\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\u4e0a\u6607<\/h2>\n\n\n\n<p>\u8102\u8cea\u7570\u5e38\u75c7\uff0bCKD\u304c\u3042\u308b\u3068\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u30ea\u30b9\u30af\u304c\u9855\u8457\u306b\u9ad8\u307e\u308a\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5fc3\u7b4b\u6897\u585e<\/strong>\uff1aCKD\u60a3\u8005\u306e\u6b7b\u4ea1\u539f\u56e0\u306e\u7d0440\uff05\u304c\u5fc3\u8840\u7ba1\u75be\u60a3\uff08<strong>USRDS 2023 Annual Data Report<\/strong>\u2078\u207e\uff09\u3002<\/li>\n\n\n\n<li><strong>\u8133\u5352\u4e2d<\/strong>\uff1aCKD\u3067\u306f\u8133\u5352\u4e2d\u5168\u4f53\u306e\u30ea\u30b9\u30af\u304c2\u500d\u4ee5\u4e0a\u306b\u3002\u30e9\u30af\u30ca\u6897\u585e\u3084\u51fa\u8840\u6027\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u3082\u5897**\uff08Toyoda K et al., 2014\uff09\u2079\u207e**\u3002<\/li>\n\n\n\n<li><strong>\u672b\u68a2\u52d5\u8108\u75be\u60a3\uff08PAD\uff09<\/strong>\uff1a\u8db3\u58ca\u75bd\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\uff08<strong>O\u2019Hare AM et al., 2006<\/strong>\u00b9\u2070\u207e\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<p>**eGFR &lt; 30 mL\/min\/1.73\u202f\u33a1**\u306b\u306a\u308b\u3068\u3001\u3053\u308c\u3089\u75be\u60a3\u306e\u30ea\u30b9\u30af\u306f\u3055\u3089\u306b2\uff5e3\u500d\u306b\u8df3\u306d\u4e0a\u304c\u308a\u307e\u3059\uff08<strong>Muntner P et al., 2010<\/strong>\u00b9\u00b9\u207e\uff09\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\uff1cCKD\u30b9\u30c6\u30fc\u30b8\u5225\u306b\u307f\u305f\u52d5\u8108\u786c\u5316\u6027\u5408\u4f75\u75c7\u306e\u30ea\u30b9\u30af\uff1e<\/h2>\n\n\n\n<p>CKD\u306feGFR\uff08\u63a8\u7b97\u7cf8\u7403\u4f53\u6ffe\u904e\u91cf\uff09\u306e\u4f4e\u4e0b\u306b\u5fdc\u3058\u3066\u4ee5\u4e0b\u306e5\u6bb5\u968e\u306b\u5206\u985e\u3055\u308c\u307e\u3059\uff1a<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u30b9\u30c6\u30fc\u30b8<\/th><th>eGFR\uff08mL\/min\/1.73\u33a1\uff09<\/th><th>\u814e\u6a5f\u80fd\u306e\u72b6\u614b<\/th><\/tr><\/thead><tbody><tr><td>G1<\/td><td>\u226790<\/td><td>\u6b63\u5e38\u307e\u305f\u306f\u9ad8\u5024\uff08\u305f\u3060\u3057\u5c3f\u7570\u5e38\u3042\u308a\uff09<\/td><\/tr><tr><td>G2<\/td><td>60\u301c89<\/td><td>\u8efd\u5ea6\u4f4e\u4e0b\uff08\u5c3f\u7570\u5e38\u3042\u308a\uff09<\/td><\/tr><tr><td>G3a<\/td><td>45\u301c59<\/td><td>\u8efd\u5ea6\u301c\u4e2d\u7b49\u5ea6\u4f4e\u4e0b<\/td><\/tr><tr><td>G3b<\/td><td>30\u301c44<\/td><td>\u4e2d\u7b49\u5ea6\u301c\u9ad8\u5ea6\u4f4e\u4e0b<\/td><\/tr><tr><td>G4<\/td><td>15\u301c29<\/td><td>\u9ad8\u5ea6\u4f4e\u4e0b<\/td><\/tr><tr><td>G5<\/td><td>\uff1c15\uff08\u307e\u305f\u306f\u900f\u6790\uff09<\/td><td>\u672b\u671f\u814e\u4e0d\u5168\uff08\u900f\u6790\u7642\u6cd5\u5bfe\u8c61\uff09<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3053\u306e\u30b9\u30c6\u30fc\u30b8\u304c\u9032\u3080\u3054\u3068\u306b\u3001\u52d5\u8108\u786c\u5316\u6027\u75be\u60a3\uff08\u5fc3\u7b4b\u6897\u585e\u3001\u8133\u5352\u4e2d\u3001PAD\u306a\u3069\uff09\u306e\u30ea\u30b9\u30af\u3082\u4e0a\u6607\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u25c6 \u30b9\u30c6\u30fc\u30b8G1\u301cG2<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e00\u898b\u3001\u814e\u6a5f\u80fd\u306f\u6b63\u5e38\u306b\u898b\u3048\u307e\u3059\u304c\u3001<strong>\u86cb\u767d\u5c3f\u304c\u6301\u7d9a\u3057\u3066\u3044\u308b\u30b1\u30fc\u30b9\u3067\u306f\u65e9\u671f\u304b\u3089\u52d5\u8108\u786c\u5316\u6027\u5909\u5316\u304c\u59cb\u307e\u308b<\/strong>\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\uff08Sarnak et al., 2003\u00b9\u2079\u207e\uff09\u3002<\/li>\n\n\n\n<li>\u7cd6\u5c3f\u75c5\u3084\u9ad8\u8840\u5727\u306a\u3069\u4ed6\u306e\u30ea\u30b9\u30af\u56e0\u5b50\u304c\u3042\u308c\u3070\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u30ea\u30b9\u30af\u306f\u3059\u3067\u306b\u4e0a\u6607\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u25c6 \u30b9\u30c6\u30fc\u30b8G3a\u301cG3b\uff08\u4e2d\u7b49\u5ea6CKD\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u3053\u306e\u6bb5\u968e\u304b\u3089<strong>\u6709\u610f\u306a\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u4e0a\u6607\u304c\u59cb\u307e\u308b<\/strong>\u3053\u3068\u304c\u3001\u8907\u6570\u306e\u7814\u7a76\u3067\u793a\u3055\u308c\u3066\u3044\u307e\u3059\uff08Muntner et al., 2010\u00b9\u00b9\u207e\u3001Go et al., 2012\u2074\u207e\uff09\u3002<\/li>\n\n\n\n<li>SHARP\u8a66\u9a13\u3067\u3082\u3001<strong>GFR\u304c60\u672a\u6e80\u306e\u975e\u900f\u6790\u60a3\u8005\u3067\u30b9\u30bf\u30c1\u30f3\u304c\u6709\u52b9<\/strong>\u3067\u3042\u3063\u305f\u306e\u306f\u3053\u306e\u30b9\u30c6\u30fc\u30b8\u304c\u4e3b\u5bfe\u8c61\u3067\u3057\u305f\uff08Baigent et al., 2011\u00b9\u2074\u207e\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u25c6 \u30b9\u30c6\u30fc\u30b8G4\uff08\u9ad8\u5ea6CKD\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u3088\u308b\u6b7b\u4ea1\u7387\u304c\u7279\u306b\u9ad8\u307e\u308b\u6bb5\u968e\u3002<\/li>\n\n\n\n<li>\u9178\u5316LDL\u3084\u30ea\u30dd\u86cb\u767d(a)\u306e\u7570\u5e38\u3001\u8840\u7ba1\u77f3\u7070\u5316\u304c\u9855\u8457\u306b\u306a\u308a\u3001<strong>\u5fc3\u4e0d\u5168\u30fb\u865a\u8840\u6027\u5fc3\u75be\u60a3\u30fb\u7a81\u7136\u6b7b\u306e\u30ea\u30b9\u30af\u304c\u6025\u4e0a\u6607<\/strong>\u3057\u307e\u3059\uff08Vaziri ND, 2006\u2076\u207e\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u25c6 \u30b9\u30c6\u30fc\u30b8G5\uff08\u672b\u671f\u814e\u4e0d\u5168\uff0f\u900f\u6790\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u900f\u6790\u60a3\u8005\u3067\u306f\u3001<strong>\u5fc3\u8840\u7ba1\u6b7b\u304c\u5168\u6b7b\u56e0\u306e50\uff05\u4ee5\u4e0a\u3092\u5360\u3081\u308b<\/strong>\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\uff08USRDS Annual Report, 2023\u2078\u207e\uff09\u3002<\/li>\n\n\n\n<li>\u30b9\u30bf\u30c1\u30f3\u306e\u52b9\u679c\u304c\u9650\u5b9a\u7684\u3067\u3042\u308b\u3053\u3068\u304b\u3089\u3082\u3001\u3053\u306e\u6bb5\u968e\u3067\u306f<strong>\u4e0d\u53ef\u9006\u7684\u306a\u8840\u7ba1\u969c\u5bb3<\/strong>\u304c\u9032\u884c\u3057\u3066\u3044\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\uff08Wanner et al., 2005\u00b9\u2075\u207e\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">6. \u4e88\u9632\u30fb\u6cbb\u7642\u306b\u5411\u3051\u305f\u7ba1\u7406\u7b56<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">6.1 \u98df\u4e8b\u7642\u6cd5\u306e\u30dd\u30a4\u30f3\u30c8<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u98fd\u548c\u8102\u80aa\u9178\uff08\u8089\u306e\u8102\u30fb\u30d0\u30bf\u30fc\u306a\u3069\uff09\u306e\u5236\u9650<\/li>\n\n\n\n<li>n\u20113\u7cfb\u8102\u80aa\u9178\uff08\u9752\u9b5a\u30fb\u4e9c\u9ebb\u4ec1\u6cb9\uff09\u306e\u7a4d\u6975\u6442\u53d6<\/li>\n\n\n\n<li>\u6c34\u6eb6\u6027\u98df\u7269\u7e4a\u7dad\uff08\u91ce\u83dc\u30fb\u6d77\u85fb\u30fb\u8c46\u985e\uff09\u306b\u3088\u308bLDL\u4f4e\u4e0b\u52b9\u679c\uff08<strong>Rasic\u2011Milutinovic Z et al., 2015<\/strong>\u00b9\u00b2\u207e\uff09<\/li>\n<\/ul>\n\n\n\n<p>CKD\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u3088\u3063\u3066\u306f\u86cb\u767d\u6442\u53d6\u91cf\u306e\u8abf\u6574\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u304c\u3001\u8102\u8cea\u6539\u5584\u3082\u4e26\u884c\u3057\u3066\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">6.2 \u85ac\u7269\u7642\u6cd5\uff1a\u30b9\u30bf\u30c1\u30f3\u306a\u3069<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>**SHARP\u8a66\u9a13\uff08Baigent C et al., Lancet, 2011\uff09**\u00b9\u2074\u207e\uff1a\u30b9\u30bf\u30c1\u30f3\uff0b\u30a8\u30bc\u30c1\u30df\u30d6\u4f75\u7528\u306b\u3088\u308a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u304c25\uff05\u6e1b\u3002<\/li>\n\n\n\n<li>**4D\u8a66\u9a13\uff08Wanner C et al., N Engl J Med., 2005\uff09**\u00b9\u2075\u207e\uff1a\u900f\u6790\u60a3\u8005\u3067\u306f\u30a2\u30c8\u30eb\u30d0\u30b9\u30bf\u30c1\u30f3\u306e\u307f\u306e\u52b9\u679c\u306f\u9650\u5b9a\u7684\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u65e5\u672c\u814e\u81d3\u5b66\u4f1a\u300cCKD\u8a3a\u7642\u30ac\u30a4\u30c92020\uff08\u65e5\u672c\u814e\u81d3\u5b66\u4f1a\uff09\u00b9\u00b3\u207e\u300d\u3084KDIGO 2021\u5e74\u300c\u8102\u8cea\u7ba1\u7406\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff08KDIGO Lipid Management Guideline, 2021\uff09\u00b9\u2076\u207e\u300d\u3067\u306f\u3001\u900f\u6790\u524dCKD\u60a3\u8005\u3078\u306e\u30b9\u30bf\u30c1\u30f3\u4f7f\u7528\u3092\u5f37\u304f\u63a8\u5968\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\">7. \u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3068\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>CKD\u60a3\u8005\u3067\u306f**\u5e741\u56de\u4ee5\u4e0a\u306e\u8102\u8cea\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u691c\u67fb\uff08LDL-C\u3001HDL-C\u3001TG\uff09**\u3092\u884c\u3046\u3079\u304d\u3067\u3059\uff08<strong>\u65e5\u672c\u52d5\u8108\u786c\u5316\u5b66\u4f1a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32022<\/strong>\u00b9\u2077\u207e\uff09\u3002<\/li>\n\n\n\n<li>\u51a0\u52d5\u8108CT\u3001\u9838\u52d5\u8108\u30a8\u30b3\u30fc\u306b\u3088\u308b\u52d5\u8108\u786c\u5316\u8a55\u4fa1\u3082\u63a8\u5968\uff08<strong>Kawamoto R et al., Clin Interv Aging, 2012<\/strong>\u00b9\u2078\u207e\uff09\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\">8. \u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u306e\u5305\u62ec\u7684\u6539\u5584<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7981\u7159<\/strong>\uff1a\u55ab\u7159\u306f\u52d5\u8108\u786c\u5316\u3092\u52a0\u901f\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u904b\u52d5<\/strong>\uff1a\u9031150\u5206\u306e\u6709\u9178\u7d20\u904b\u52d5\u304c\u52e7\u3081\u3089\u308c\u307e\u3059**\uff08WHO, 2021\uff09\u00b9\u2079\u207e**\u3002<\/li>\n\n\n\n<li><strong>\u9069\u6b63\u4f53\u91cd\u306e\u7dad\u6301<\/strong>\uff1a\u80a5\u6e80\u306f\u3053\u308c\u3089\u75be\u60a3\u306e\u30ea\u30b9\u30af\u8ffd\u52a0\u8981\u56e0\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>\u81ea\u5df1\u7ba1\u7406<\/strong>\uff1a\u8840\u5727\u30fbHbA1c\u30fb\u4f53\u91cd\u306e\u30bb\u30eb\u30d5\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u304c\u81ea\u5df1\u52b9\u529b\u611f\u3092\u9ad8\u3081\u307e\u3059\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\">9. \u5b9f\u969b\u306e\u81e8\u5e8a\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u4eca\u5f8c\u306e\u5c55\u671b<\/h2>\n\n\n\n<p>CKD\u81e8\u5e8a\u306b\u304a\u3044\u3066\u306f\u3001<strong>Sarnak MJ et al., Circulation, 2003<\/strong>\u00b2\u2070\u207e\u306a\u3069\u304c\u793a\u3059\u3088\u3046\u306b\u3001\u300c\u5fc3\u8840\u7ba1\u6b7b\u3092\u907f\u3051\u308b\u306b\u306f\u3001\u814e\u81d3\u3068\u8102\u8cea\u306e\u4e21\u9762\u304b\u3089\u624b\u3092\u6253\u3064\u5fc5\u8981\u304c\u3042\u308b\u300d\u3068\u7406\u89e3\u3055\u308c\u3064\u3064\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4eca\u5f8c\u3082\u3001<strong>\u6162\u6027\u814e\u81d3\u75c5\u306b\u95a2\u308f\u308b\u8102\u8cea\u7570\u5e38\u75c7\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u89e3\u660e<\/strong>\u3084<strong>\u65b0\u85ac\u306e\u958b\u767a<\/strong>\u304c\u671f\u5f85\u3055\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\">10. \u307e\u3068\u3081<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u8102\u8cea\u7570\u5e38\u75c7\u3068CKD\u306f\u76f8\u4e57\u7684\u306b\u52d5\u8108\u786c\u5316\u3092\u60aa\u5316\u3055\u305b\u308b<\/strong><\/li>\n\n\n\n<li><strong>\u5fc3\u7b4b\u6897\u585e\u30fb\u8133\u5352\u4e2d\u30fbPAD\u306e\u30ea\u30b9\u30af\u306fGFR\u4f4e\u4e0b\u3068\u5171\u306b\u5897\u5927\u3059\u308b<\/strong><\/li>\n\n\n\n<li><strong>\u7ba1\u7406\u306b\u306f\u98df\u4e8b\u30fb\u904b\u52d5\u30fb\u7981\u7159\u30fb\u85ac\u7269\uff08\u7279\u306b\u30b9\u30bf\u30c1\u30f3\uff09\u3092\u30bb\u30c3\u30c8\u3067<\/strong><\/li>\n\n\n\n<li><strong>\u5b9a\u671f\u691c\u8a3a\u30fb\u753b\u50cf\u8a55\u4fa1\u30fb\u81ea\u5df1\u7ba1\u7406\u306b\u3088\u308a\u3001\u91cd\u7be4\u5408\u4f75\u75c7\u3092\u672a\u7136\u306b\u9632\u3052\u308b<\/strong><\/li>\n<\/ol>\n\n\n\n<p>\u7d50\u679c\u3092\u6c42\u3081\u308b\u306b\u306f\u3001<strong>\u533b\u7642\u8005\u3068\u60a3\u8005\u306e\u9023\u643a\u306b\u3088\u308b\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u6539\u5584\u3068\u9069\u5207\u306a\u85ac\u7269\u4f75\u7528\u306e\u7d99\u7d9a<\/strong>\u304c\u9375\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\">\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u65e5\u672c\u52d5\u8108\u786c\u5316\u5b66\u4f1a.\u00a0<em>\u8102\u8cea\u7570\u5e38\u75c7\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32022<\/em>.<\/li>\n\n\n\n<li>KDIGO Lipid Management Guideline Work Group.\u00a0<em>KDIGO 2021 Lipid Management in CKD<\/em>, 2021.<\/li>\n\n\n\n<li>London GM, et al.\u00a0<em>Cardiovascular risk in chronic kidney disease<\/em>, Kidney Int., 2003.<\/li>\n\n\n\n<li>Go AS, et al.\u00a0<em>Chronic kidney disease and the risk of cardiovascular disease<\/em>, N Engl J Med., 2012.<\/li>\n\n\n\n<li>Attman PO, et al.\u00a0<em>Lipid abnormalities in CKD<\/em>, Am J Kidney Dis., 1999.<\/li>\n\n\n\n<li>Vaziri ND.\u00a0<em>Dyslipidemia of chronic renal failure: mechanisms and consequences<\/em>, Am J Physiol Renal Physiol., 2006.<\/li>\n\n\n\n<li>Kwan BC, et al.\u00a0<em>Lipid metabolism in predialysis CKD<\/em>, Nephrol Dial Transplant., 2007.<\/li>\n\n\n\n<li>USRDS.\u00a0<em>2023 Annual Data Report<\/em>.<\/li>\n\n\n\n<li>Toyoda K, et al.\u00a0<em>Stroke risk in CKD patients<\/em>, J Stroke Cerebrovasc Dis., 2014.<\/li>\n\n\n\n<li>O\u2019Hare AM, et al.\u00a0<em>Peripheral arterial disease in CKD<\/em>, J Am Soc Nephrol., 2006.<\/li>\n\n\n\n<li>Muntner P, et al.\u00a0<em>CKD and cardiovascular disease risk<\/em>, Arch Intern Med., 2010.<\/li>\n\n\n\n<li>Rasic-Milutinovic Z, et al.\u00a0<em>Dietary fiber and lipid profiles in CKD<\/em>, Nutr Res., 2015.<\/li>\n\n\n\n<li>\u65e5\u672c\u814e\u81d3\u5b66\u4f1a.\u00a0<em>CKD\u8a3a\u7642\u30ac\u30a4\u30c92020<\/em>.<\/li>\n\n\n\n<li>Baigent C, et al.\u00a0<em>SHARP trial: simvastatin + ezetimibe in CKD<\/em>, Lancet, 2011.<\/li>\n\n\n\n<li>Wanner C, et al.\u00a0<em>4D study: atorvastatin in dialysis<\/em>, N Engl J Med., 2005.<\/li>\n\n\n\n<li>KDIGO Lipid Management Guideline Work Group.\u00a0<em>KDIGO 2021 Lipid Management in CKD<\/em>, 2021.<\/li>\n\n\n\n<li>\u65e5\u672c\u52d5\u8108\u786c\u5316\u5b66\u4f1a.\u00a0<em>\u52d5\u8108\u786c\u5316\u6027\u75be\u60a3\u4e88\u9632\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32022<\/em>.<\/li>\n\n\n\n<li>Kawamoto R, et al.\u00a0<em>Imaging atherosclerosis in CKD<\/em>, Clin Interv Aging, 2012.<\/li>\n\n\n\n<li>WHO.\u00a0<em>Cardiovascular Disease Risk Factors<\/em>, 2021.<\/li>\n\n\n\n<li>Sarnak MJ, et al.\u00a0<em>Kidney disease as a risk factor for cardiovascular mortality<\/em>, Circulation, 2003.<\/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>\u306f\u3058\u3081\u306b \u5065\u5eb7\u8a3a\u65ad\u3067\u306e\u300cLDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c\u9ad8\u3044\u300d\u300c\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u304c\u9ad8\u3044\u300d\u300ceGFR\uff08\u63a8\u7b97\u7cf8\u7403\u4f53\u6ffe\u904e\u91cf\uff09\u304c\u4f4e\u3044\u300d\u3068\u3044\u3046\u6307\u6458\u3002\u3053\u308c\u3089\u304c\u540c\u6642\u306b\u73fe\u308c\u308b\u3068\u3001\u52d5\u8108\u786c\u5316\u3092\u901a&#8230;<\/p>\n","protected":false},"author":2,"featured_media":146,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,6,13,4],"class_list":["post-145","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-15","category-ckd","category-13","category-commentary"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/145","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=145"}],"version-history":[{"count":8,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/145\/revisions"}],"predecessor-version":[{"id":154,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/145\/revisions\/154"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media\/146"}],"wp:attachment":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media?parent=145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/categories?post=145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}