{"id":440,"date":"2025-01-06T23:38:30","date_gmt":"2025-01-06T14:38:30","guid":{"rendered":"https:\/\/nakano-dm.clinic\/blog\/?p=440"},"modified":"2026-03-11T12:24:15","modified_gmt":"2026-03-11T03:24:15","slug":"post-440","status":"publish","type":"post","link":"https:\/\/nakano-dm.clinic\/blog\/post-440\/","title":{"rendered":"1\u670830\u65e5\u306b\u767a\u58f2\u3055\u308c\u308b\u90311\u56de\u76ae\u4e0b\u6295\u4e0e\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u30a2\u30a6\u30a3\u30af\u30ea\u306b\u3064\u3044\u3066"},"content":{"rendered":"\n<p>\u6771\u4eac\u90fd\u4e2d\u91ce\u533a\u306b\u3042\u308b\u300c\u4e2d\u91ce\u99c5\u524d\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af \u7cd6\u5c3f\u75c5\u30fb\u5185\u5206\u6ccc\u5185\u79d1\u300d\u9662\u9577\u3067\u3001\u7cd6\u5c3f\u75c5\u5c02\u9580\u533b\u306e\u5927\u5ead\u5065\u53f2\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306f\u65e5\u3005\u9032\u6b69\u3057\u3066\u304a\u308a\u3001\u6bce\u5e74\u306e\u3088\u3046\u306b\u65b0\u85ac\u304c\u767b\u5834\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u305f\u3073\u3001\u4eca\u6708\u672b\u306b<strong>\u4e16\u754c\u521d\u3068\u306a\u308b\u9031<\/strong><strong>1<\/strong><strong>\u56de\u6295\u4e0e\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u300c\u30a2\u30a6\u30a3\u30af\u30ea\u300d<\/strong>\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u30a4\u30b3\u30c7\u30b0\uff09\u304c\u767a\u58f2\u3055\u308c\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u306e\u30d6\u30ed\u30b0\u306e\u300c<a href=\"https:\/\/nakano-dm.clinic\/blog\/post-336\" title=\"\">5\u670831\u65e5\u306b\u88fd\u9020\u8ca9\u58f2\u627f\u8a8d\u3055\u308c\u305f\u90311\u56de\u76ae\u4e0b\u6295\u4e0e\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u30a2\u30a6\u30a3\u30af\u30ea\u3068\u306f<\/a>\u300d\u3067\u306f\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u306b\u3064\u3044\u3066\u6982\u8981\u3092\u304a\u4f1d\u3048\u3057\u307e\u3057\u305f\u304c\u3001\u4eca\u56de\u306f\u3055\u3089\u306b\u4e00\u6b69\u8e0f\u307f\u8fbc\u307f\u3001\u5177\u4f53\u7684\u306a\u4f7f\u7528\u65b9\u6cd5\u3084\u3001\u3069\u306e\u3088\u3046\u306a\u65b9\u306b\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u4f7f\u7528\u304c\u9069\u3057\u3066\u3044\u308b\u304b\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u304a\u8a71\u3057\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"154\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/Awiqli_300_RBG_2600x500-800x154.webp\" alt=\"\" class=\"wp-image-443\" style=\"width:800px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/Awiqli_300_RBG_2600x500-800x154.webp 800w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/Awiqli_300_RBG_2600x500-400x77.webp 400w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/Awiqli_300_RBG_2600x500.webp 2000w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-right\">(\u51fa\u5178\uff1a\u30ce\u30dc \u30ce\u30eb\u30c7\u30a3\u30b9\u30af \u30d5\u30a1\u30fc\u30de\u3000\u30db\u30fc\u30e0\u30da\u30fc\u30b8)<\/p>\n\n\n\n<p> \u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u7279\u5fb4\u3068\u305d\u306e\u4f7f\u7528\u65b9\u6cd5\u306b\u3064\u3044\u3066<\/strong><\/h2>\n\n\n\n<p><strong>\u30a2\u30a6\u30a3\u30af\u30ea\u306f1\u9031\u9593\u5206\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u30921\u56de\u3067\u6295\u4e0e\u3059\u308b<\/strong>\u305f\u3081\u3001\u30e9\u30f3\u30bf\u30b9\u3084\u30c8\u30ec\u30b7\u30fc\u30d0\u306a\u3069\u5f93\u6765\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u306e\u7d047\u500d\u306e\u6fc3\u5ea6\u3067\u4f5c\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u306e\u9ad8\u6fc3\u5ea6\u306b\u3088\u308a\u3001\u65e2\u5b58\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u304b\u3089\u5207\u308a\u66ff\u3048\u3066\u3082\u76ae\u4e0b\u306b\u6295\u4e0e\u3059\u308b\u85ac\u6db2\u91cf\u306f\u5909\u308f\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305f\u3060\u3057\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u6ce8\u5c04\u5668\u306f1\u76ee\u76db\u304c10\u5358\u4f4d\u3068\u306a\u3063\u3066\u3044\u308b\u305f\u3081\u3001\u5f93\u6765\u88fd\u5264\u3068\u6bd4\u3079\u308b\u3068\u6295\u4e0e\u91cf\u306e\u5fae\u8abf\u6574\u304c\u3084\u3084\u96e3\u3057\u3044\u5370\u8c61\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u5f93\u6765\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u304b\u3089\u30a2\u30a6\u30a3\u30af\u30ea\u3078\u5207\u308a\u66ff\u3048\u308b\u5834\u5408\u3001<strong>\u5f93\u6765\u88fd\u5264\u306e\u6295\u4e0e\u91cf\u306e\u7d047\u500d\u306b\u3059\u308b<\/strong>\u306e\u304c\u57fa\u672c\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u306f8\u9031\u9593\u6295\u4e0e\u5f8c\u306e\u8840\u4e2d\u534a\u6e1b\u671f\u304c\u7d04164\u6642\u9593\u3068\u975e\u5e38\u306b\u9577\u304f\u3001\u52b9\u304d\u76ee\u304c\u3086\u3063\u304f\u308a\u73fe\u308c\u308b\u305f\u3081\u3001\u521d\u56de\u6295\u4e0e\u6642\u306e\u307f\u7d041.5\u500d\u306e\u91cf\u3092\u6295\u4e0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u4e00\u65b9\u3001\u4f4e\u8840\u7cd6\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u60a3\u8005\u3055\u3093\u3067\u306f\u3001\u9077\u5ef6\u6027\u4f4e\u8840\u7cd6\uff08\u6301\u7d9a\u7684\u306a\u4f4e\u8840\u7cd6\uff09\u3092\u907f\u3051\u308b\u305f\u3081\u306b\u521d\u56de\u6295\u4e0e\u91cf\u30921.0\uff5e1.4\u500d\u306b\u8abf\u6574\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u672a\u4f7f\u7528\u306e\u60a3\u8005\u3055\u3093\u306b\u30a2\u30a6\u30a3\u30af\u30ea\u3092\u65b0\u898f\u5c0e\u5165\u3059\u308b\u5834\u5408\u306f\u3001\u8840\u7cd6\u5024\u3084\u4f53\u683c\u306a\u3069\u3092\u8003\u616e\u3057\u306630\uff5e50\u5358\u4f4d\u304b\u3089\u958b\u59cb\u3059\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3059\u3002 <\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u6295\u4e0e\u306f\u3001<strong>\u6bce\u9031\u540c\u3058\u66dc\u65e5\u3067\u3042\u308c\u3070\u6ce8\u5c04\u3059\u308b\u6642\u9593\u304c\u591a\u5c11\u524d\u5f8c\u3057\u3066\u3082\u554f\u984c\u3042\u308a\u307e\u305b\u3093<\/strong>\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305f\u3060\u3057\u3001\u6ce8\u5c04\u3092\u5fd8\u308c\u305f\u5834\u5408\u306f\u6c17\u3065\u3044\u305f\u6642\u70b9\u3067\u76f4\u3061\u306b\u6ce8\u5c04\u3057\u3001\u305d\u306e\u5f8c\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3092\u8abf\u6574\u3057\u307e\u3059\u3002\u6b21\u306e\u6ce8\u5c04\u306f\u3001\u5143\u306e\u66dc\u65e5\u306b\u623b\u3059\u306e\u3067\u306f\u306a\u304f\u30014\u65e5\u4ee5\u4e0a\u306e\u9593\u9694\u3092\u7a7a\u3051\u3066\u304b\u3089\u884c\u3044\u3001\u305d\u306e\u5f8c\u306f\u518d\u30731\u9031\u9593\u3054\u3068\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u306b\u623b\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u81e8\u5e8a\u8a66\u9a13\u306b\u3064\u3044\u3066<\/strong><\/h2>\n\n\n\n<p>\u30a2\u30a6\u30a3\u30af\u30ea\u304c\u88fd\u9020\u8ca9\u58f2\u627f\u8a8d\u3055\u308c\u305f\u80cc\u666f\u306b\u306f\u3001\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u300cONWARDS\u8a66\u9a13\u300d\u306e\u7d50\u679c\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u8a66\u9a13\u306f1\uff5e6\u307e\u3067\u306e6\u3064\u306e\u81e8\u5e8a\u8a66\u9a13\u3067\u69cb\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u308c\u305e\u308c\u306e\u8a66\u9a13\u7d50\u679c\u306b\u3064\u3044\u3066\u4ee5\u4e0b\u3067\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u30fbONWARDS 1<\/strong><strong>\u8a66\u9a13<\/strong><\/p>\n\n\n\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u672a\u4f7f\u7528\u306e2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u3068\u65e2\u5b58\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u3067\u3042\u308b\u30e9\u30f3\u30bf\u30b9\u3092\u6bd4\u8f03\u3057\u305f\u8a66\u9a13\u3067\u3059\u300252\u9031\u9593\u5f8c\u306eHbA1c\u306e\u6e1b\u5c11\u5e45\u306f\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u3067-1.55%\u3001\u30e9\u30f3\u30bf\u30b9\u3067-1.35%\u3068\u306a\u308a\u3001<strong>\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u65b9\u304c\u512a\u308c\u305f\u6709\u52b9\u6027<\/strong>\u3092\u793a\u3057\u307e\u3057\u305f\u3002\u4e00\u65b9\u3067\u3001\u6709\u5bb3\u4e8b\u8c61\u306e\u4e00\u3064\u3067\u3042\u308b\u4f4e\u8840\u7cd6\u306f\u300152\u9031\u9593\u3067\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u65b9\u304c\u7d041.64\u500d\u591a\u304b\u3063\u305f\u3082\u306e\u306e\u3001\u7d71\u8a08\u7684\u306a\u6709\u610f\u5dee\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002(<a href=\"https:\/\/www.nejm.jp\/abstract\/vol389.p297\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/www.nejm.jp\/abstract\/vol389.p297<\/a>)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"370\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/nejmoa2303208_f1-800x370.jpg\" alt=\"\" class=\"wp-image-441\" style=\"width:477px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/nejmoa2303208_f1-800x370.jpg 800w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/nejmoa2303208_f1-400x185.jpg 400w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/nejmoa2303208_f1.jpg 1119w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-right\">(N Engl J Med 2023; 389: 297-308)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u30fbONWARDS 2<\/strong><strong>\u8a66\u9a13<\/strong><\/p>\n\n\n\n<p>\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u4e2d\u306e2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u3068\u65e2\u5b58\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u3067\u3042\u308b\u30c8\u30ec\u30b7\u30fc\u30d0\u3092\u6bd4\u8f03\u3057\u305f\u8a66\u9a13\u3067\u3059\u300226\u9031\u9593\u5f8c\u306eHbA1c\u306e\u6e1b\u5c11\u5e45\u306f\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u3067-0.93%\u3001\u30c8\u30ec\u30b7\u30fc\u30d0\u3067-0.71%\u3068\u3001<strong>\u30a2\u30a6\u30a3\u30af\u30ea\u304c\u512a\u308c\u305f\u7d50\u679c<\/strong>\u3092\u793a\u3057\u307e\u3057\u305f\u3002\u4f4e\u8840\u7cd6\u306b\u3064\u3044\u3066\u306f\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u65b9\u304c\u7d041.93\u500d\u591a\u3044\u7d50\u679c\u3067\u3057\u305f\u304c\u3001\u3053\u3061\u3089\u3082\u7d71\u8a08\u7684\u306a\u6709\u610f\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37148899\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37148899<\/a>)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u30fbONWARDS 3<\/strong><strong>\uff5e5<\/strong><strong>\u8a66\u9a13<\/strong><\/p>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u8a66\u9a13\u30822\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u5b9f\u65bd\u3055\u308c\u3001HbA1c 7.0%\u672a\u6e80\u9054\u6210\u7387\u3084\u6cbb\u7642\u6e80\u8db3\u5ea6\u3067<strong>\u30a2\u30a6\u30a3\u30af\u30ea\u304c\u512a\u308c\u3066\u3044\u308b<\/strong>\u3068\u3044\u3046\u7d50\u679c\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u30fbONWARDS 6<\/strong><strong>\u8a66\u9a13<\/strong><\/p>\n\n\n\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u4e2d\u306e1\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u3068\u30c8\u30ec\u30b7\u30fc\u30d0\u3092\u6bd4\u8f03\u3057\u305f\u8a66\u9a13\u3067\u3059\u300226\u9031\u9593\u5f8c\u306eHbA1c\u306e\u6e1b\u5c11\u5e45\u306f\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u3067-0.47%\u3001\u30c8\u30ec\u30b7\u30fc\u30d0\u3067-0.51%\u3068\u3001<strong>\u4e21\u8005\u306e\u6709\u52b9\u6027\u306f\u540c\u7b49<\/strong>\u3068\u3044\u3046\u7d50\u679c\u3067\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u4f4e\u8840\u7cd6\u306b\u3064\u3044\u3066\u306f\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u65b9\u304c\u7d041.89\u500d\u591a\u3044\u7d50\u679c\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(23)02179-7\/fulltext\">https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(23)02179-7\/fulltext<\/a>)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u4f7f\u7528\u304c\u9069\u3057\u3066\u3044\u308b\u65b9\u3068\u306f<\/strong><\/h2>\n\n\n\n<p>ONWARDS\u8a66\u9a13\u306e\u7d50\u679c\u3092\u8e0f\u307e\u3048\u308b\u3068\u30011\u578b\u7cd6\u5c3f\u75c5\u306e\u65b9\u306b\u306f\u30a2\u30a6\u30a3\u30af\u30ea\u3067\u306f\u306a\u304f\u3001\u65e2\u5b58\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u3067\u3042\u308b<strong>\u30c8\u30ec\u30b7\u30fc\u30d0\u3092\u4f7f\u7528\u3059\u308b\u306e\u304c\u6700\u5584<\/strong>\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u30011\u578b\u7cd6\u5c3f\u75c5\u3068\u985e\u4f3c\u3057\u305f\u75c5\u614b\u3092\u6301\u3064\u81b5\u6027\u7cd6\u5c3f\u75c5\u306a\u3069\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u65b9\u306b\u5bfe\u3057\u3066\u3082\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u4f7f\u7528\u306f\u9069\u3057\u3066\u3044\u306a\u3044\u3068\u8003\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u3001\u30a2\u30a6\u30a3\u30af\u30ea\u306f\u7d71\u8a08\u7684\u306a\u6709\u610f\u5dee\u306f\u306a\u3044\u3082\u306e\u306e\u4f4e\u8840\u7cd6\u306e\u30ea\u30b9\u30af\u304c\u3084\u3084\u9ad8\u3044\u50be\u5411\u306b\u3042\u308b\u305f\u3081\u3001\u65e2\u5b58\u306e\u57fa\u790e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u3068\u6bd4\u8f03\u3057\u3066\u5fc5\u305a\u3057\u3082\u512a\u308c\u3066\u3044\u308b\u3068\u306f\u8a00\u3044\u96e3\u3044\u72b6\u6cc1\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305d\u306e\u305f\u3081\u30012\u578b\u7cd6\u5c3f\u75c5\u306e\u65b9\u306b\u3064\u3044\u3066\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u4f7f\u7528\u304c\u9069\u3057\u3066\u3044\u308b\u30b1\u30fc\u30b9\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a<strong>\u7279\u5b9a\u306e\u6761\u4ef6\u306b\u9650\u3089\u308c\u308b<\/strong>\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30fb\u8a8d\u77e5\u75c7\u306a\u3069\u306b\u3088\u308a\u3001\u60a3\u8005\u81ea\u8eab\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u6ce8\u5c04\u3067\u304d\u305a\u3001\u4ecb\u8b77\u8005\uff08\u5bb6\u65cf\u3084\u8a2a\u554f\u770b\u8b77\u5e2b\u306a\u3069\uff09\u304c\u6ce8\u5c04\u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u308b\u5834\u5408<\/p>\n\n\n\n<p>\u30fb\u6ce8\u5c04\u304c\u82e6\u624b\u3001\u307e\u305f\u306f\u5fc3\u7406\u7684\u30fb\u8eab\u4f53\u7684\u306a\u7406\u7531\u3067\u6bce\u65e5\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u6253\u3064\u3053\u3068\u304c\u56f0\u96e3\u3001\u3082\u3057\u304f\u306f\u5e0c\u671b\u3057\u306a\u3044\u5834\u5408<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u307e\u3068\u3081<\/strong><\/h2>\n\n\n\n<p>\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u767b\u5834\u306b\u3088\u308a\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u306e\u9078\u629e\u80a2\u304c\u5e83\u304c\u308b\u3053\u3068\u306f\u975e\u5e38\u306b\u559c\u3070\u3057\u3044\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u65b0\u85ac\u306b\u3064\u3044\u3066\u306f\u85ac\u4fa1\u57fa\u6e96\u53ce\u8f09\u306e\u7fcc\u6708\u304b\u30891\u5e74\u9593\u306f\u30011\u56de\u306e\u5916\u6765\u53d7\u8a3a\u306714\u65e5\u5206\u307e\u3067\u3057\u304b\u51e6\u65b9\u3067\u304d\u306a\u3044\u3068\u3044\u3046\u5236\u7d04\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u5834\u5408\u3001\u3053\u306e\u5236\u7d04\u306b\u3088\u308a2025\u5e7412\u67081\u65e5\u307e\u3067\u306f\u3001\u6708\u306b2\u56de\u53d7\u8a3a\u53ef\u80fd\u306a\u65b9\u306b\u9650\u308a\u51e6\u65b9\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u30012025\u5e7412\u6708\u4ee5\u964d\u306b\u30a2\u30a6\u30a3\u30af\u30ea\u306e\u4f7f\u7528\u304c\u9069\u3057\u3066\u3044\u308b\u65b9\u306b\u3064\u3044\u3066\u3001\u9806\u6b21\u5207\u308a\u66ff\u3048\u3092\u63a8\u5968\u3057\u3066\u3044\u304f\u4e88\u5b9a\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u4e00\u65b9\u3067\u3001\u65e9\u671f\u306b\u30a2\u30a6\u30a3\u30af\u30ea\u3092\u4f7f\u7528\u3057\u305f\u3044\u3068\u3054\u5e0c\u671b\u306e\u65b9\u306f\u3001\u304a\u65e9\u3081\u306b\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3078\u3054\u76f8\u8ac7\u3044\u305f\u3060\u3051\u308c\u3070\u3068\u601d\u3044\u307e\u3059\u3002\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f\u3001<a href=\"https:\/\/patient.digikar-smart.jp\/institutions\/2bd49dc7-3098-4ceb-a517-56853fdc3403\/reserve\" title=\"\">\u4e88\u7d04\u30da\u30fc\u30b8<\/a>\u3088\u308a\u3054\u4e88\u7d04\u3044\u305f\u3060\u3051\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\uff08\u6587\u8cac\uff1a\u4e2d\u91ce\u99c5\u524d\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af \u7cd6\u5c3f\u75c5\u30fb\u5185\u5206\u6ccc\u5185\u79d1\u3000\u9662\u9577\u30fb\u533b\u5b66\u535a\u58eb\u3000\u5927\u5ead\u5065\u53f2\uff09<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/004n-800x533.jpg\" alt=\"\" class=\"wp-image-442\" style=\"width:457px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/01\/004n-800x533.jpg 800w, 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