{"id":251,"date":"2026-03-17T21:05:27","date_gmt":"2026-03-17T12:05:27","guid":{"rendered":"https:\/\/miyamotojinnaika.jp\/blog\/?p=251"},"modified":"2026-03-17T21:05:29","modified_gmt":"2026-03-17T12:05:29","slug":"post-251","status":"publish","type":"post","link":"https:\/\/miyamotojinnaika.jp\/blog\/post-251\/","title":{"rendered":"eGFR\u3068\u306f\u4f55\u304b\uff1f"},"content":{"rendered":"\n

\u2015 \u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3068\u30b7\u30b9\u30bf\u30c1\u30f3C\u306e\u9055\u3044\u3001\u65e5\u672c\u306e\u8a08\u7b97\u5f0f\u306e\u80cc\u666f\u3068\u81e8\u5e8a\u7684\u610f\u7fa9 \u2015<\/p>\n\n\n\n

\u306f\u3058\u3081\u306b<\/h2>\n\n\n\n

\u5065\u5eb7\u8a3a\u65ad\u3084\u4eba\u9593\u30c9\u30c3\u30af\u3067\u300ceGFR\u304c\u4f4e\u3044\u300d\u300c\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u300d\u3068\u6307\u6458\u3055\u308c\u3001\u4e0d\u5b89\u3092\u611f\u3058\u3066\u53d7\u8a3a\u3055\u308c\u308b\u60a3\u8005\u3055\u3093\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u3002\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u306f\u65e5\u672c\u3067\u7d041,300\u4e07\u4eba\u306b\u306e\u307c\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u900f\u6790\u3084\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u3068\u3082\u5bc6\u63a5\u306b\u95a2\u9023\u3059\u308b\u91cd\u8981\u306a\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n

\u305d\u306e\u8a55\u4fa1\u306e\u4e2d\u5fc3\u3068\u306a\u308b\u306e\u304c\u300ceGFR\uff08\u63a8\u7b97\u7cf8\u7403\u4f53\u6ffe\u904e\u91cf\uff09\u300d\u3067\u3059\u3002eGFR\u306f\u5358\u306a\u308b\u814e\u6a5f\u80fd\u306e\u6307\u6a19\u306b\u3068\u3069\u307e\u3089\u305a\u3001CKD\u306e\u8a3a\u65ad\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u4e88\u6e2c\u3001\u3055\u3089\u306b\u306f\u85ac\u5264\u6295\u4e0e\u91cf\u306e\u8abf\u6574\u306b\u3082\u7528\u3044\u3089\u308c\u308b\u3001\u81e8\u5e8a\u4e0a\u6975\u3081\u3066\u91cd\u8981\u306a\u30d1\u30e9\u30e1\u30fc\u30bf\u3067\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3eGFR\u3068\u30b7\u30b9\u30bf\u30c1\u30f3C eGFR\u306e\u9055\u3044\u3001\u65e5\u672c\u4eba\u306b\u304a\u3051\u308b\u8a08\u7b97\u5f0f\u306e\u6b74\u53f2\u3068\u305d\u306e\u80cc\u666f\u3001\u3055\u3089\u306b\u81e8\u5e8a\u4e0a\u306e\u610f\u7fa9\u3068\u9650\u754c\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

eGFR\u3068\u306f\u4f55\u304b<\/h2>\n\n\n\n

\u814e\u81d3\u306f\u8840\u6db2\u4e2d\u306e\u8001\u5ec3\u7269\u3084\u4f59\u5206\u306a\u6c34\u5206\u3092\u308d\u904e\u3059\u308b\u81d3\u5668\u3067\u3042\u308a\u3001\u305d\u306e\u50cd\u304d\u3092\u62c5\u3046\u306e\u304c\u300c\u7cf8\u7403\u4f53\u300d\u3067\u3059\u3002GFR\uff08glomerular filtration rate\uff09\u306f\u3001\u3053\u306e\u7cf8\u7403\u4f53\u304c1\u5206\u9593\u306b\u3069\u308c\u3060\u3051\u8840\u6db2\u3092\u308d\u904e\u3067\u304d\u308b\u304b\u3092\u793a\u3059\u6307\u6a19\u3067\u3042\u308a\u3001\u814e\u6a5f\u80fd\u8a55\u4fa1\u306e\u4e2d\u5fc3\u7684\u306a\u6982\u5ff5\u3067\u3059\u3002<\/p>\n\n\n\n

\u7406\u8ad6\u4e0a\u3001GFR\u306f\u30a4\u30cc\u30ea\u30f3\u30fb\u30af\u30ea\u30a2\u30e9\u30f3\u30b9\u306a\u3069\u3067\u6b63\u78ba\u306b\u6e2c\u5b9a\u3067\u304d\u307e\u3059\u304c\u3001\u81e8\u5e8a\u3067\u306f\u624b\u9593\u3084\u30b3\u30b9\u30c8\u306e\u554f\u984c\u304b\u3089\u65e5\u5e38\u7684\u306b\u306f\u884c\u308f\u308c\u307e\u305b\u3093\u3002\u305d\u306e\u305f\u3081\u3001\u8840\u6db2\u4e2d\u306e\u30de\u30fc\u30ab\u30fc\uff08\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3084\u30b7\u30b9\u30bf\u30c1\u30f3C\uff09\u3092\u7528\u3044\u3066\u63a8\u5b9a\u3057\u305f\u5024\u3001\u3059\u306a\u308f\u3061\u300ceGFR\u300d\u304c\u5e83\u304f\u4f7f\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3068\u305d\u306e\u9650\u754c<\/h2>\n\n\n\n

\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306f\u7b4b\u8089\u7531\u6765\u306e\u4ee3\u8b1d\u7523\u7269\u3067\u3001\u4e00\u5b9a\u306e\u901f\u5ea6\u3067\u7523\u751f\u3055\u308c\u3001\u4e3b\u306b\u814e\u81d3\u304b\u3089\u6392\u6cc4\u3055\u308c\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u8840\u4e2d\u6fc3\u5ea6\u306f\u814e\u6a5f\u80fd\u306e\u6307\u6a19\u3068\u3057\u3066\u53e4\u304f\u304b\u3089\u7528\u3044\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u91cd\u8981\u306a\u9650\u754c\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305a\u3001\u7b4b\u8089\u91cf\u306e\u5f71\u97ff\u3092\u5f37\u304f\u53d7\u3051\u308b\u70b9\u3067\u3059\u3002\u7b4b\u8089\u91cf\u304c\u591a\u3044\u4eba\u3067\u306f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u304c\u9ad8\u304f\u306a\u308a\u3084\u3059\u304f\u3001\u9006\u306b\u9ad8\u9f62\u8005\u3084\u3084\u305b\u578b\u306e\u65b9\u3067\u306f\u4f4e\u304f\u898b\u3048\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u98df\u4e8b\uff08\u7279\u306b\u8089\u6442\u53d6\uff09\u3084\u904b\u52d5\u306e\u5f71\u97ff\u3082\u53d7\u3051\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u5c3f\u7d30\u7ba1\u5206\u6ccc\u304c\u5897\u52a0\u3057\u3001\u5b9f\u969b\u306eGFR\u3088\u308a\u3082\u826f\u597d\u306b\u898b\u3048\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u3053\u306e\u3088\u3046\u306b\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5358\u72ec\u3067\u306f\u6b63\u78ba\u306a\u814e\u6a5f\u80fd\u8a55\u4fa1\u304c\u96e3\u3057\u3044\u305f\u3081\u3001\u5e74\u9f62\u3084\u6027\u5225\u306a\u3069\u3092\u52a0\u5473\u3057\u305feGFR\u304c\u958b\u767a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

eGFR\uff08\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\uff09\u306e\u9032\u5316\u3068\u65e5\u672c\u4eba\u5f0f<\/h2>\n\n\n\n

eGFR\u306e\u8a08\u7b97\u5f0f\u306f\u6b27\u7c73\u3067\u767a\u5c55\u3057\u3066\u304d\u307e\u3057\u305f\u3002\u4ee3\u8868\u7684\u306a\u3082\u306e\u306bMDRD\u5f0f\u3084CKD-EPI\u5f0f\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u3089\u306f\u4e3b\u306b\u6b27\u7c73\u4eba\u30c7\u30fc\u30bf\u306b\u57fa\u3065\u3044\u3066\u304a\u308a\u3001\u65e5\u672c\u4eba\u306b\u305d\u306e\u307e\u307e\u9069\u7528\u3059\u308b\u3068GFR\u3092\u904e\u5927\u8a55\u4fa1\u3059\u308b\u50be\u5411\u304c\u3042\u308b\u3053\u3068\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u305d\u306e\u305f\u3081\u3001\u65e5\u672c\u814e\u81d3\u5b66\u4f1a\u306f\u65e5\u672c\u4eba\u30c7\u30fc\u30bf\u3092\u7528\u3044\u305f\u72ec\u81ea\u306e\u63a8\u7b97\u5f0f\u3092\u958b\u767a\u3057\u307e\u3057\u305f\u30022009\u5e74\u306bMatsuo\u3089\u304c\u767a\u8868\u3057\u305f\u5f0f\u306f\u73fe\u5728\u3082\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u304a\u308a\u3001\u65e5\u672c\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u3082\u63a1\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u5f0f\u3067\u306f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u306b\u52a0\u3048\u3066\u5e74\u9f62\u3068\u6027\u5225\u3092\u88dc\u6b63\u3059\u308b\u3053\u3068\u3067\u3001\u65e5\u672c\u4eba\u306e\u4f53\u683c\u3084\u7b4b\u8089\u91cf\u306e\u9055\u3044\u3092\u53cd\u6620\u3057\u305f\u3088\u308a\u6b63\u78ba\u306a\u8a55\u4fa1\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u3055\u3089\u306b\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u6e2c\u5b9a\u306fIDMS\u6a19\u6e96\u5316\u304c\u9032\u3093\u3060\u3053\u3068\u3067\u3001\u65bd\u8a2d\u9593\u306e\u3070\u3089\u3064\u304d\u304c\u6e1b\u5c11\u3057\u3001eGFR\u306e\u4fe1\u983c\u6027\u306f\u5927\u304d\u304f\u5411\u4e0a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u30b7\u30b9\u30bf\u30c1\u30f3C\u3068\u306f\u4f55\u304b<\/h2>\n\n\n\n

\u8fd1\u5e74\u3001\u3088\u308a\u7cbe\u5ea6\u306e\u9ad8\u3044\u814e\u6a5f\u80fd\u6307\u6a19\u3068\u3057\u3066\u6ce8\u76ee\u3055\u308c\u3066\u3044\u308b\u306e\u304c\u30b7\u30b9\u30bf\u30c1\u30f3C\u3067\u3059\u3002\u30b7\u30b9\u30bf\u30c1\u30f3C\u306f\u5168\u8eab\u306e\u6709\u6838\u7d30\u80de\u304b\u3089\u4e00\u5b9a\u901f\u5ea6\u3067\u7523\u751f\u3055\u308c\u308b\u30bf\u30f3\u30d1\u30af\u8cea\u3067\u3001\u7cf8\u7403\u4f53\u3067\u81ea\u7531\u306b\u308d\u904e\u3055\u308c\u305f\u5f8c\u3001\u5c3f\u7d30\u7ba1\u3067\u518d\u5438\u53ce\u30fb\u5206\u89e3\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u6700\u5927\u306e\u7279\u5fb4\u306f\u3001\u7b4b\u8089\u91cf\u3084\u98df\u4e8b\u306e\u5f71\u97ff\u3092\u307b\u3068\u3093\u3069\u53d7\u3051\u306a\u3044\u70b9\u3067\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u7279\u306b\u9ad8\u9f62\u8005\u3084\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\uff08\u7b4b\u8089\u91cf\u4f4e\u4e0b\uff09\u306e\u3042\u308b\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3088\u308a\u3082\u6b63\u78ba\u306b\u814e\u6a5f\u80fd\u3092\u53cd\u6620\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u30b7\u30b9\u30bf\u30c1\u30f3C eGFR\u306e\u81e8\u5e8a\u7684\u610f\u7fa9<\/h2>\n\n\n\n

\u30b7\u30b9\u30bf\u30c1\u30f3C\u3092\u7528\u3044\u305feGFR\u306f\u3001\u3044\u304f\u3064\u304b\u306e\u70b9\u3067\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3088\u308a\u512a\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305a\u3001\u65e9\u671f\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u691c\u51fa\u80fd\u529b\u304c\u9ad8\u3044\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3067\u306f\u6b63\u5e38\u7bc4\u56f2\u5185\u3067\u3082\u3001\u30b7\u30b9\u30bf\u30c1\u30f3C\u3067\u306f\u3059\u3067\u306b\u4f4e\u4e0b\u304c\u691c\u51fa\u3055\u308c\u308b\u30b1\u30fc\u30b9\u306f\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n

\u3055\u3089\u306b\u91cd\u8981\u306a\u306e\u306f\u4e88\u5f8c\u4e88\u6e2c\u80fd\u3067\u3059\u3002\u30b7\u30b9\u30bf\u30c1\u30f3C\u306f\u814e\u6a5f\u80fd\u306e\u307f\u306a\u3089\u305a\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u3084\u5168\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u3068\u3082\u5f37\u304f\u95a2\u9023\u3059\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u305f\u3081\u3001KDIGO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001eGFR\u304c45\u301c59\u306e\u5883\u754c\u57df\u3067\u8a3a\u65ad\u306e\u78ba\u5b9f\u6027\u3092\u9ad8\u3081\u308b\u76ee\u7684\u3067\u30b7\u30b9\u30bf\u30c1\u30f3C\u306e\u6e2c\u5b9a\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u307e\u305f\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3068\u30b7\u30b9\u30bf\u30c1\u30f3C\u3092\u4f75\u7528\u3057\u305f\u300ccombined equation\u300d\u306f\u3001\u6700\u3082\u7cbe\u5ea6\u304c\u9ad8\u3044GFR\u63a8\u5b9a\u6cd5\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

eGFR\u306e\u81e8\u5e8a\u7684\u306a\u4f7f\u3044\u65b9<\/h2>\n\n\n\n

eGFR\u306f\u5358\u306b\u814e\u6a5f\u80fd\u3092\u793a\u3059\u3060\u3051\u3067\u306a\u304f\u3001\u3055\u307e\u3056\u307e\u306a\u81e8\u5e8a\u5224\u65ad\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002eGFR\u304c60\u672a\u6e80\u306e\u72b6\u614b\u304c3\u304b\u6708\u4ee5\u4e0a\u7d9a\u304f\u3068\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u3001eGFR\u306e\u4f4e\u4e0b\u306f\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u72ec\u7acb\u3057\u305f\u30ea\u30b9\u30af\u56e0\u5b50\u3067\u3042\u308a\u3001\u65e9\u671f\u304b\u3089\u306e\u4ecb\u5165\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n

\u3055\u3089\u306b\u3001\u85ac\u5264\u6295\u4e0e\u306b\u304a\u3044\u3066\u3082eGFR\u306f\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u6297\u51dd\u56fa\u85ac\uff08DOAC\uff09\u3001\u6297\u83cc\u85ac\u3001\u9020\u5f71\u5264\u306a\u3069\u3001\u591a\u304f\u306e\u85ac\u5264\u3067\u814e\u6a5f\u80fd\u306b\u5fdc\u3058\u305f\u6295\u4e0e\u91cf\u8abf\u6574\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

eGFR\u306e\u9650\u754c\u3068\u6ce8\u610f\u70b9<\/h2>\n\n\n\n

eGFR\u306b\u3082\u9650\u754c\u304c\u3042\u308a\u307e\u3059\u3002\u6025\u6027\u814e\u969c\u5bb3\uff08AKI\uff09\u306e\u3088\u3046\u306b\u814e\u6a5f\u80fd\u304c\u6025\u6fc0\u306b\u5909\u5316\u3057\u3066\u3044\u308b\u5834\u5408\u3001eGFR\u306f\u6b63\u78ba\u306a\u8a55\u4fa1\u304c\u3067\u304d\u307e\u305b\u3093\u3002\u307e\u305f\u3001\u6975\u7aef\u306a\u7b4b\u8089\u91cf\u306e\u5897\u6e1b\uff08\u30dc\u30c7\u30a3\u30d3\u30eb\u30c0\u30fc\u3084\u9ad8\u5ea6\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\uff09\u3067\u306f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3eGFR\u306e\u89e3\u91c8\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n

\u4e00\u65b9\u3067\u30b7\u30b9\u30bf\u30c1\u30f3C\u3082\u4e07\u80fd\u3067\u306f\u306a\u304f\u3001\u708e\u75c7\u3001\u7532\u72b6\u817a\u6a5f\u80fd\u7570\u5e38\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u4f7f\u7528\u306a\u3069\u306e\u5f71\u97ff\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u5358\u4e00\u306e\u6307\u6a19\u306b\u4f9d\u5b58\u305b\u305a\u3001\u8907\u6570\u306e\u6307\u6a19\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n

\u4eca\u5f8c\u306e\u814e\u6a5f\u80fd\u8a55\u4fa1\u306e\u5c55\u671b<\/h2>\n\n\n\n

\u8fd1\u5e74\u306fNGAL\u3084KIM-1\u306a\u3069\u306e\u65b0\u898f\u30d0\u30a4\u30aa\u30de\u30fc\u30ab\u30fc\u3001\u3055\u3089\u306b\u306fAI\u3092\u7528\u3044\u305f\u814e\u6a5f\u80fd\u4e88\u6e2c\u30e2\u30c7\u30eb\u306e\u7814\u7a76\u3082\u9032\u3093\u3067\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u30a6\u30ed\u30e2\u30b8\u30e5\u30ea\u30f3\u306e\u3088\u3046\u306a\u65b0\u3057\u3044\u6307\u6a19\u3082\u6ce8\u76ee\u3055\u308c\u3066\u304a\u308a\u3001\u5c06\u6765\u7684\u306b\u306f\u3088\u308a\u65e9\u671f\u306e\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3092\u691c\u51fa\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u307e\u3068\u3081<\/h2>\n\n\n\n

eGFR\u306f\u814e\u6a5f\u80fd\u8a55\u4fa1\u306e\u4e2d\u5fc3\u7684\u306a\u6307\u6a19\u3067\u3042\u308a\u3001CKD\u8a3a\u7642\u306b\u304a\u3044\u3066\u6b20\u304b\u305b\u306a\u3044\u5b58\u5728\u3067\u3059\u3002\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306f\u7c21\u4fbf\u3067\u5e83\u304f\u666e\u53ca\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u7b4b\u8089\u91cf\u306a\u3069\u306e\u5f71\u97ff\u3092\u53d7\u3051\u308b\u3068\u3044\u3046\u9650\u754c\u304c\u3042\u308a\u307e\u3059\u3002\u4e00\u65b9\u3001\u30b7\u30b9\u30bf\u30c1\u30f3C\u306f\u3088\u308a\u6b63\u78ba\u306a\u8a55\u4fa1\u3084\u4e88\u5f8c\u4e88\u6e2c\u306b\u512a\u308c\u3066\u304a\u308a\u3001\u4e21\u8005\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u3067\u8a3a\u65ad\u7cbe\u5ea6\u306f\u3055\u3089\u306b\u5411\u4e0a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u65e5\u672c\u3067\u306f\u65e5\u672c\u4eba\u306b\u9069\u3057\u305feGFR\u8a08\u7b97\u5f0f\u304c\u7528\u3044\u3089\u308c\u3066\u304a\u308a\u3001\u3053\u308c\u306b\u3088\u308a\u3088\u308a\u6b63\u78ba\u306a\u814e\u6a5f\u80fd\u8a55\u4fa1\u304c\u53ef\u80fd\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u91cd\u8981\u306a\u306e\u306f\u3001eGFR\u306e\u6570\u5024\u3060\u3051\u3067\u5224\u65ad\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u305d\u306e\u80cc\u666f\u3084\u5909\u5316\u306e\u7d4c\u904e\u3092\u542b\u3081\u3066\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n

\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306f\u65e9\u671f\u306b\u767a\u898b\u3057\u3001\u9069\u5207\u306b\u5bfe\u5fdc\u3059\u308b\u3053\u3068\u3067\u9032\u884c\u3092\u6291\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u6c17\u306b\u306a\u308b\u6570\u5024\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u65e9\u3081\u306e\u53d7\u8a3a\u3068\u7d99\u7d9a\u7684\u306a\u30d5\u30a9\u30ed\u30fc\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\n\n\n\n

\u53c2\u8003\u6587\u732e\uff08\u6d77\u5916\u4e3b\u898120\u672c\uff09<\/h2>\n\n\n\n
    \n
  1. Smith\u00a0HW.\u00a0The\u00a0kidney:\u00a0structure\u00a0and\u00a0function.\u00a0Oxford\u00a0University\u00a0Press, 1951<\/li>\n\n\n\n
  2. Perrone\u00a0RD,\u00a0et\u00a0al.\u00a0Serum\u00a0creatinine\u00a0as\u00a0an\u00a0index\u00a0of\u00a0renal\u00a0function.\u00a0Clin\u00a0Chem, 1992<\/li>\n\n\n\n
  3. Stevens\u00a0LA,\u00a0et\u00a0al.\u00a0Assessing\u00a0kidney\u00a0function.\u00a0N\u00a0Engl\u00a0J\u00a0Med, 2006<\/li>\n\n\n\n
  4. Levey\u00a0AS,\u00a0et\u00a0al.\u00a0A\u00a0more\u00a0accurate\u00a0method\u00a0to\u00a0estimate\u00a0GFR.\u00a0Ann\u00a0Intern\u00a0Med, 1999<\/li>\n\n\n\n
  5. Levey\u00a0AS,\u00a0et\u00a0al.\u00a0CKD-EPI\u00a0equation.\u00a0Ann\u00a0Intern\u00a0Med, 2009<\/li>\n\n\n\n
  6. Matsuo\u00a0S,\u00a0et\u00a0al.\u00a0Revised\u00a0equations\u00a0for\u00a0eGFR\u00a0in\u00a0Japan.\u00a0Am\u00a0J\u00a0Kidney\u00a0Dis, 2009<\/li>\n\n\n\n
  7. Myers\u00a0GL,\u00a0et\u00a0al.\u00a0Creatinine\u00a0standardization.\u00a0Clin\u00a0Chem, 2006<\/li>\n\n\n\n
  8. Laterza\u00a0OF,\u00a0et\u00a0al.\u00a0Cystatin\u00a0C:\u00a0an\u00a0improved\u00a0estimator.\u00a0Clin\u00a0Chem, 2002<\/li>\n\n\n\n
  9. Shlipak\u00a0MG,\u00a0et\u00a0al.\u00a0Cystatin\u00a0C\u00a0versus\u00a0creatinine.\u00a0N\u00a0Engl\u00a0J\u00a0Med, 2013<\/li>\n\n\n\n
  10. Shlipak\u00a0MG,\u00a0et\u00a0al.\u00a0Cystatin\u00a0C\u00a0and\u00a0mortality.\u00a0N\u00a0Engl\u00a0J\u00a0Med, 2005<\/li>\n\n\n\n
  11. Inker\u00a0LA,\u00a0et\u00a0al.\u00a0Estimating\u00a0GFR\u00a0from\u00a0cystatin\u00a0C.\u00a0N\u00a0Engl\u00a0J\u00a0Med, 2012<\/li>\n\n\n\n
  12. KDIGO\u00a0Clinical\u00a0Practice\u00a0Guideline\u00a0for\u00a0CKD.\u00a0Kidney\u00a0Int\u00a0Suppl, 2013<\/li>\n\n\n\n
  13. KDIGO 2024\u00a0Clinical\u00a0Practice\u00a0Update<\/li>\n\n\n\n
  14. Coresh\u00a0J,\u00a0et\u00a0al.\u00a0CKD\u00a0prevalence.\u00a0JAMA, 2007<\/li>\n\n\n\n
  15. Go\u00a0AS,\u00a0et\u00a0al.\u00a0CKD\u00a0and\u00a0cardiovascular\u00a0risk.\u00a0N\u00a0Engl\u00a0J\u00a0Med, 2004<\/li>\n\n\n\n
  16. Nyman\u00a0HA,\u00a0et\u00a0al.\u00a0Drug\u00a0dosing\u00a0and\u00a0renal\u00a0function.\u00a0Clin\u00a0Pharmacol, 2011<\/li>\n\n\n\n
  17. Waikar\u00a0SS,\u00a0et\u00a0al.\u00a0Creatinine\u00a0in\u00a0AKI.\u00a0J\u00a0Am\u00a0Soc\u00a0Nephrol, 2009<\/li>\n\n\n\n
  18. Knight\u00a0EL,\u00a0et\u00a0al.\u00a0Cystatin\u00a0C\u00a0determinants.\u00a0Kidney\u00a0Int, 2004<\/li>\n\n\n\n
  19. Vaidya\u00a0VS,\u00a0et\u00a0al.\u00a0Biomarkers\u00a0of\u00a0kidney\u00a0injury.\u00a0Nat\u00a0Rev\u00a0Nephrol, 2008<\/li>\n\n\n\n
  20. Porrini\u00a0E,\u00a0et\u00a0al.\u00a0Precision\u00a0medicine\u00a0in\u00a0CKD.\u00a0Nat\u00a0Rev\u00a0Nephrol, 2017<\/li>\n<\/ol>\n\n\n\n

    \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":"

    \u2015 \u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3068\u30b7\u30b9\u30bf\u30c1\u30f3C\u306e\u9055\u3044\u3001\u65e5\u672c\u306e\u8a08\u7b97\u5f0f\u306e\u80cc\u666f\u3068\u81e8\u5e8a\u7684\u610f\u7fa9 \u2015 \u306f\u3058\u3081\u306b \u5065\u5eb7\u8a3a\u65ad\u3084\u4eba\u9593\u30c9\u30c3\u30af\u3067\u300ceGFR\u304c\u4f4e\u3044\u300d\u300c\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u300d\u3068…<\/p>\n","protected":false},"author":2,"featured_media":252,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[43,47,15,6,11,14,13,4,12],"class_list":["post-251","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-43","category-c","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\/251","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=251"}],"version-history":[{"count":1,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/251\/revisions"}],"predecessor-version":[{"id":253,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/posts\/251\/revisions\/253"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media\/252"}],"wp:attachment":[{"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/media?parent=251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/miyamotojinnaika.jp\/blog\/wp-json\/wp\/v2\/categories?post=251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}