{"id":758,"date":"2026-05-08T02:29:00","date_gmt":"2026-05-07T17:29:00","guid":{"rendered":"https:\/\/nakano-dm.clinic\/blog\/?p=758"},"modified":"2026-03-10T15:37:43","modified_gmt":"2026-03-10T06:37:43","slug":"post-758","status":"publish","type":"post","link":"https:\/\/nakano-dm.clinic\/blog\/post-758\/","title":{"rendered":"\u7cd6\u5c3f\u75c5\u814e\u75c7\u6cbb\u7642\u306e\u65b0\u305f\u306a\u9078\u629e\u80a2\u3067\u3042\u308bMR\u62ee\u6297\u85ac\u306e\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306b\u3064\u3044\u3066"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>\u76ee\u6b21<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><a href=\"#sec1\">\u306f\u3058\u3081\u306b<\/a><\/li>\n\n\n\n<li><a href=\"#sec2\">\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3068\u306f\u4f55\u304b<\/a><\/li>\n\n\n\n<li><a href=\"#sec3\">\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u304c\u793a\u3057\u305f\u814e\u30fb\u5fc3\u4fdd\u8b77\u52b9\u679c<\/a><\/li>\n\n\n\n<li><a href=\"#sec4\">\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u578bMR\u62ee\u6297\u85ac\u306e\u30df\u30cd\u30d6\u30ed\u3068\u306e\u6bd4\u8f03<\/a><\/li>\n\n\n\n<li><a href=\"#sec5\">\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e\u4f4d\u7f6e\u3065\u3051\u3068\u6ce8\u610f\u70b9<\/a><\/li>\n\n\n\n<li><a href=\"#sec6\">\u307e\u3068\u3081<\/a><\/li>\n<\/ol>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u306f\u3058\u3081\u306b<\/h2>\n\n\n\n<p>\u4e2d\u91ce\u533a\u4e2d\u91ce\u3067\u958b\u696d\u3057\u3066\u3044\u308b\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><strong>\u7cd6\u5c3f\u75c5\u814e\u75c7\u306f\u3001\u308f\u304c\u56fd\u306b\u304a\u3051\u308b\u900f\u6790\u5c0e\u5165\u539f\u56e0\u306e\u7b2c\u4e00\u4f4d\u3068\u306a\u3063\u3066\u3044\u308b\u91cd\u8981\u306a\u7cd6\u5c3f\u75c5\u5408\u4f75\u75c7\u3067\u3059\u3002<\/strong>\u521d\u671f\u306b\u306f\u81ea\u899a\u75c7\u72b6\u304c\u4e4f\u3057\u304f\u3001\u5c3f\u4e2d\u30a2\u30eb\u30d6\u30df\u30f3\u3084\u814e\u6a5f\u80fd\u306e\u6307\u6a19\u3067\u3042\u308beGFR\u306e\u5909\u5316\u306b\u3088\u3063\u3066\u521d\u3081\u3066\u7570\u5e38\u304c\u660e\u3089\u304b\u306b\u306a\u308b\u3053\u3068\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/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=\"600\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/25115383-600x600.jpg\" alt=\"\" class=\"wp-image-761\" style=\"width:322px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/25115383-600x600.jpg 600w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/25115383-300x300.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u814e\u6a5f\u80fd\u306e\u4f4e\u4e0b\u306f\u900f\u6790\u5c0e\u5165\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u5fc3\u7b4b\u6897\u585e\u3084\u5fc3\u4e0d\u5168\u3068\u3044\u3063\u305f\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u767a\u75c7\u7387\u3092\u4e0a\u6607\u3055\u305b\u3001\u751f\u547d\u4e88\u5f8c\u306b\u3082\u5927\u304d\u304f\u5f71\u97ff\u3057\u307e\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\u3001\u814e\u6a5f\u80fd\u304c\u3042\u308b\u7a0b\u5ea6\u4fdd\u305f\u308c\u3066\u3044\u308b\u65e9\u671f\u306e\u6bb5\u968e\u304b\u3089\u3001\u3044\u304b\u306b\u9032\u884c\u3092\u6291\u3048\u308b\u304b\u304c\u6cbb\u7642\u306e\u9375\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u308c\u307e\u3067\u7cd6\u5c3f\u75c5\u814e\u75c7\u6cbb\u7642\u306e\u57fa\u672c\u306f\u3001\u8840\u7cd6\u7ba1\u7406\u3068\u8840\u5727\u7ba1\u7406\u3001\u305d\u3057\u3066\u9ad8\u8840\u5727\u6cbb\u7642\u85ac\u3067\u3042\u308bACE\u963b\u5bb3\u85ac\u3084ARB\uff08\u30a2\u30b8\u30eb\u30d0\u3084\u30df\u30ab\u30eb\u30c7\u30a3\u30b9\u306a\u3069\uff09\u3068\u3044\u3063\u305fRAS\u963b\u5bb3\u85ac\uff08\u30ec\u30cb\u30f3\u30fb\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3\u7cfb\u963b\u5bb3\u85ac\uff09\u306b\u3088\u308b\u814e\u4fdd\u8b77\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u8fd1\u5e74\u3067\u306f\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u3067\u3042\u308bSGLT-2\u963b\u5bb3\u85ac\u304c\u52a0\u308f\u308a\u3001\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u9032\u884c\u6291\u5236\u52b9\u679c\u304c\u660e\u78ba\u306b\u793a\u3055\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>\u3057\u304b\u3057\u3001\u305d\u308c\u3089\u306e\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u3066\u3082\u814e\u75c7\u306e\u9032\u884c\u30ea\u30b9\u30af\u304c\u6b8b\u308b\u60a3\u8005\u3055\u3093\u304c\u4e00\u5b9a\u6570\u5b58\u5728\u3057\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u300c\u6b8b\u4f59\u30ea\u30b9\u30af\u300d\u306b\u5bfe\u3059\u308b\u65b0\u305f\u306a\u6cbb\u7642\u6226\u7565\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/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=\"794\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/782161-1-794x600.jpg\" alt=\"\" class=\"wp-image-762\" style=\"width:386px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/782161-1-794x600.jpg 794w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/782161-1-397x300.jpg 397w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/782161-1.jpg 1276w\" sizes=\"auto, (max-width: 794px) 100vw, 794px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><a id=\"sec2\"><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3068\u306f\u4f55\u304b<\/h2>\n\n\n\n<p>\u305d\u306e\u6b8b\u4f59\u30ea\u30b9\u30af\u306b\u5bfe\u3059\u308b\u65b0\u305f\u306a\u6cbb\u7642\u9078\u629e\u80a2\u304c\u3001\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u578bMR\uff08\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\uff09\u62ee\u6297\u85ac\u3067\u3042\u308b\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306f\u65e5\u672c\u3067\u306f2022\u5e745\u6708\u306b\u767a\u58f2\u3055\u308c\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306b\u5bfe\u3059\u308b\u65b0\u3057\u3044\u4f5c\u7528\u6a5f\u5e8f\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/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=\"600\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/ed117527bde516ff49ff6ec8c0c2e552-600x600.avif\" alt=\"\" class=\"wp-image-764\" style=\"width:350px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/ed117527bde516ff49ff6ec8c0c2e552-600x600.avif 600w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/ed117527bde516ff49ff6ec8c0c2e552-300x300.avif 300w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/ed117527bde516ff49ff6ec8c0c2e552.avif 1378w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-right\">(\u5f15\u7528\uff1a\u30d0\u30a4\u30a8\u30eb\u30d5\u30a1\u30fc\u30de\u30ca\u30d3)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\u306f\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u306e\u4f5c\u7528\u3092\u4ef2\u4ecb\u3057\u3001\u30ca\u30c8\u30ea\u30a6\u30e0\u518d\u5438\u53ce\u3084\u8840\u5727\u4e0a\u6607\u306b\u95a2\u4e0e\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u6162\u6027\u7684\u306a\u708e\u75c7\u3084\u7dda\u7dad\u5316\u3092\u4fc3\u9032\u3059\u308b\u3053\u3068\u304c\u77e5\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>\u7cd6\u5c3f\u75c5\u814e\u75c7\u3067\u306f\u3001\u3053\u306e\u708e\u75c7\u3084\u7dda\u7dad\u5316\u304c\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u91cd\u8981\u306a\u9032\u884c\u56e0\u5b50\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002 <strong>\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306f\u3001\u3053\u306e\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\u3092\u9078\u629e\u7684\u306b\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067\u3001\u708e\u75c7\u3084\u7dda\u7dad\u5316\u3092\u6291\u5236\u3057\u3001\u814e\u81d3\u3084\u5fc3\u81d3\u306b\u5bfe\u3059\u308b\u81d3\u5668\u4fdd\u8b77\u52b9\u679c\u3092\u767a\u63ee\u3057\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u306a\u304a\u3001\u5f93\u6765\u306eMR\u62ee\u6297\u85ac\u3068\u6bd4\u3079\u308b\u3068\u964d\u5727\u4f5c\u7528\u306f\u5f37\u304f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u75c5\u614b\u305d\u306e\u3082\u306e\u306b\u4ecb\u5165\u3059\u308b\u3053\u3068\u3067\u814e\u30fb\u5fc3\u4fdd\u8b77\u52b9\u679c\u3092\u793a\u3059\u70b9\u304c\u5927\u304d\u306a\u7279\u5fb4\u3067\u3059\u3002\u3000<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u304c\u793a\u3057\u305f\u814e\u30fb\u5fc3\u4fdd\u8b77\u52b9\u679c<\/h2>\n\n\n\n<p>\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e\u6709\u52b9\u6027\u306f\u3001FIDELIO-DKD\u8a66\u9a13\u304a\u3088\u3073FIGARO-DKD\u8a66\u9a13\u3068\u3044\u3046\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u3067\u793a\u3055\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>\u9ad8\u8840\u5727\u6cbb\u7642\u85ac\u3067\u3042\u308bACE\u963b\u5bb3\u85ac\u307e\u305f\u306fARB\u3092\u53ef\u80fd\u306a\u9650\u308a\u306e\u6700\u5927\u91cf\u3067\u4f7f\u7528\u3057\u3066\u3044\u308b2\u578b\u7cd6\u5c3f\u75c5\u5408\u4f75\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u3055\u3093\u306b\u304a\u3044\u3066\u3001\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3092\u8ffd\u52a0\u3059\u308b\u3053\u3068\u3067\u3001\u814e\u6a5f\u80fd\u60aa\u5316\u3084\u672b\u671f\u814e\u4e0d\u5168\u3078\u306e\u9032\u884c\u304c\u6709\u610f\u306b\u6291\u5236\u3055\u308c\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u3001\u4e21\u8a66\u9a13\u3092\u7d71\u5408\u3057\u3066\u89e3\u6790\u3057\u305fFIDELITY\u89e3\u6790\u3067\u306f\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u304a\u3088\u3073\u814e\u30a4\u30d9\u30f3\u30c8\u306e\u53cc\u65b9\u306b\u304a\u3044\u3066\u660e\u78ba\u306a\u30ea\u30b9\u30af\u4f4e\u4e0b\u304c\u793a\u3055\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><strong>\u5177\u4f53\u7684\u306b\u306f\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u5fc3\u8840\u7ba1\u6b7b\u3001\u975e\u81f4\u6b7b\u6027\u5fc3\u7b4b\u6897\u585e\u3001\u975e\u81f4\u6b7b\u6027\u8133\u5352\u4e2d\u3001\u5fc3\u4e0d\u5168\u306b\u3088\u308b\u5165\u9662\uff09\u306e\u30ea\u30b9\u30af\u304c\u7d0414\uff05\u6e1b\u5c11\u3057\u3001\u307e\u305f\u814e\u30a4\u30d9\u30f3\u30c8\uff08\u814e\u4e0d\u5168\u308457\uff05\u4ee5\u4e0a\u306e\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306a\u3069\uff09\u306e\u30ea\u30b9\u30af\u3082\u7d0423\uff05\u6e1b\u5c11\u3057\u307e\u3057\u305f\u3002<\/strong>(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35023547\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/pubmed.ncbi.nlm.nih.gov\/35023547<\/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-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"357\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/ehab777f1.jpg\" alt=\"\" class=\"wp-image-765\" style=\"width:575px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/ehab777f1.jpg 773w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2026\/03\/ehab777f1-400x185.jpg 400w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-right\">(\u5f15\u7528\uff1aEur Heart J. 2022 Feb 10;43(6):474-484)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u7d50\u679c\u306f\u3001\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u304c\u814e\u81d3\u3068\u5fc3\u81d3\u306e\u53cc\u65b9\u3092\u4fdd\u8b77\u3059\u308b\u53ef\u80fd\u6027\u3092\u793a\u3059\u30a8\u30d3\u30c7\u30f3\u30b9\uff08\u79d1\u5b66\u7684\u6839\u62e0\uff09\u3067\u3042\u308a\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u6cbb\u7642\u306b\u304a\u3051\u308b\u65b0\u305f\u306a\u67f1\u306e\u4e00\u3064\u3068\u4f4d\u7f6e\u3065\u3051\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><a id=\"sec4\"><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u578bMR\u62ee\u6297\u85ac\u306e\u30df\u30cd\u30d6\u30ed\u3068\u306e\u6bd4\u8f03<\/h2>\n\n\n\n<p>\u540c\u3058\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u578bMR\uff08\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\uff09\u62ee\u6297\u85ac\u3068\u3057\u3066\u3001\u30df\u30cd\u30d6\u30ed\u304c\u3042\u308a\u307e\u3059\u3002\u30df\u30cd\u30d6\u30ed\u306f\u4e3b\u306b\u9ad8\u8840\u5727\u75c7\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u4f7f\u7528\u3055\u308c\u3066\u304a\u308a\u3001\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3068\u540c\u7cfb\u7d71\u306e\u85ac\u5264\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\u3001\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u300c\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3068\u30df\u30cd\u30d6\u30ed\u306e\u3069\u3061\u3089\u3092\u9078\u629e\u3059\u3079\u304d\u304b\u300d\u3068\u60a9\u3080\u5834\u9762\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306f\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u306b\u304a\u3044\u3066\u3001\u814e\u6a5f\u80fd\u60aa\u5316\u3084\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u6291\u5236\u306b\u6709\u52b9\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\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>\u4e00\u65b9\u3001\u30df\u30cd\u30d6\u30ed\u306b\u3064\u3044\u3066\u306f\u5c3f\u4e2d\u30a2\u30eb\u30d6\u30df\u30f3\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u9032\u884c\u6291\u5236\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u3092\u793a\u5506\u3059\u308b\u7814\u7a76\u306f\u5b58\u5728\u3057\u307e\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\u73fe\u6642\u70b9\u3067\u306f\u814e\u4e0d\u5168\u3084\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306a\u3069\u306e\u814e\u30a4\u30d9\u30f3\u30c8\u306e\u767a\u751f\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3053\u3068\u3092\u793a\u3057\u305f\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u3053\u306e\u70b9\u3060\u3051\u3092\u898b\u308b\u3068\u3001\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e\u65b9\u304c\u512a\u308c\u305f\u85ac\u5264\u3067\u3042\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u304b\u3082\u3057\u308c\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\u8840\u5727\u7ba1\u7406\u306f\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u9032\u884c\u4e88\u9632\u306b\u304a\u3044\u3066\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u30df\u30cd\u30d6\u30ed\u306b\u306f\u660e\u78ba\u306a\u964d\u5727\u4f5c\u7528\u304c\u3042\u308b\u4e00\u65b9\u3001\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e\u964d\u5727\u4f5c\u7528\u306f\u6bd4\u8f03\u7684\u9650\u5b9a\u7684\u3067\u3042\u308b\u3053\u3068\u304c\u77e5\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>\u307e\u305f\u3001\u4e21\u85ac\u5264\u3092\u76f4\u63a5\u6bd4\u8f03\u3057\u305f\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u306f\u884c\u308f\u308c\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u30df\u30cd\u30d6\u30ed\u304c\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3088\u308a\u52a3\u3063\u3066\u3044\u308b\u3068\u7d50\u8ad6\u3065\u3051\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305d\u306e\u305f\u3081\u3001\u9ad8\u8840\u5727\u3092\u5408\u4f75\u3057\u3066\u3044\u306a\u3044\u60a3\u8005\u3055\u3093\u3067\u306f\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u691c\u8a0e\u3055\u308c\u308b\u4e00\u65b9\u3001\u9ad8\u8840\u5727\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u3067\u306f\u3001\u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u72b6\u6cc1\u3001\u814e\u6a5f\u80fd\u3001\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u306e\u7a0b\u5ea6\u3001\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u306a\u3069\u3092\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3057\u3066\u85ac\u5264\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\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<h2 class=\"wp-block-heading\">\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306e\u4f4d\u7f6e\u3065\u3051\u3068\u6ce8\u610f\u70b9<\/h2>\n\n\n\n<p>\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306f\u3001ARB\uff08\u30a2\u30b8\u30eb\u30d0\u3084\u30df\u30ab\u30eb\u30c7\u30a3\u30b9\u306a\u3069\uff09\u3084SGLT2\u963b\u5bb3\u85ac\u3092\u3059\u3067\u306b\u4f7f\u7528\u3057\u3066\u3044\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u304c\u6301\u7d9a\u3057\u3066\u3044\u308b\u75c7\u4f8b\u306a\u3069\u3067\u3001\u8ffd\u52a0\u7684\u306b\u814e\u4fdd\u8b77\u52b9\u679c\u3092\u671f\u5f85\u3067\u304d\u308b\u85ac\u5264\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\u964d\u5727\u52b9\u679c\u306f\u5927\u304d\u304f\u306a\u3044\u305f\u3081\u3001\u9ad8\u8840\u5727\u7ba1\u7406\u306e\u4ee3\u66ff\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3002\u307e\u305f\u3001\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u306e\u30ea\u30b9\u30af\u304c\u3042\u308b\u305f\u3081\u3001\u5b9a\u671f\u7684\u306a\u8840\u6db2\u691c\u67fb\u306b\u3088\u308b\u614e\u91cd\u306a\u30d5\u30a9\u30ed\u30fc\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><a id=\"sec6\"><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u307e\u3068\u3081<\/h2>\n\n\n\n<p>\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\u306f\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306b\u5bfe\u3057\u3066\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306e\u9032\u884c\u3092\u6291\u3048\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3053\u3068\u304c\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u3067\u793a\u3055\u308c\u305f\u3001\u975e\u5e38\u306b\u610f\u7fa9\u306e\u3042\u308b\u6cbb\u7642\u85ac\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\u964d\u5727\u4f5c\u7528\u306f\u9650\u5b9a\u7684\u3067\u3042\u308a\u3001\u540c\u3058\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u578bMR\u62ee\u6297\u85ac\u3067\u3042\u308b\u30df\u30cd\u30d6\u30ed\u3068\u306e\u76f4\u63a5\u6bd4\u8f03\u30c7\u30fc\u30bf\u306f\u5b58\u5728\u3057\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305d\u306e\u305f\u3081\u3001\u9ad8\u8840\u5727\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u3069\u3061\u3089\u304c\u7d76\u5bfe\u7684\u306b\u512a\u308c\u3066\u3044\u308b\u3068\u306f\u8a00\u3048\u305a\u3001\u60a3\u8005\u3055\u3093\u306e\u75c5\u614b\u306b\u5fdc\u3058\u305f\u614e\u91cd\u306a\u85ac\u5264\u9078\u629e\u304c\u6c42\u3081\u3089\u308c\u307e\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\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u9032\u884c\u4e88\u9632\u306b\u529b\u3092\u5165\u308c\u3001\u8840\u7cd6\u30fb\u8840\u5727\u30fb\u8102\u8cea\u3092\u5305\u62ec\u7684\u306b\u7ba1\u7406\u3057\u306a\u304c\u3089\u3001\u6700\u65b0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u814e\u6a5f\u80fd\u4f4e\u4e0b\u306f\u65e9\u671f\u4ecb\u5165\u304c\u4f55\u3088\u308a\u91cd\u8981<\/strong>\u3067\u3042\u308a\u3001\u9069\u5207\u306a\u6cbb\u7642\u3092\u7d99\u7d9a\u3059\u308b\u3053\u3068\u3067\u5c06\u6765\u306e\u900f\u6790\u30ea\u30b9\u30af\u3092\u5927\u304d\u304f\u6e1b\u3089\u3059\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002\u5c3f\u30a2\u30eb\u30d6\u30df\u30f3\u3092\u6307\u6458\u3055\u308c\u305f\u65b9\u3084\u814e\u6a5f\u80fd\u304c\u6c17\u306b\u306a\u308b\u65b9\u306f\u3001\u305c\u3072\u4e00\u5ea6\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u3001\u7cd6\u5c3f\u75c5\u306e\u5408\u4f75\u75c7\u306b\u306f\u7cd6\u5c3f\u75c5\u7db2\u819c\u75c7\u3084\u7cd6\u5c3f\u75c5\u795e\u7d4c\u969c\u5bb3\u306a\u3069\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u77e5\u308a\u305f\u3044\u65b9\u306f<a href=\"https:\/\/nakano-dm.clinic\/diabetes.html\" title=\"\">\u3053\u3061\u3089<\/a>\u3082\u3042\u308f\u305b\u3066\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u5916\u6765\u306e\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f<a href=\"https:\/\/patient.digikar-smart.jp\/institutions\/2bd49dc7-3098-4ceb-a517-56853fdc3403\/reserve\" target=\"_blank\" rel=\"noopener\" title=\"\">\u4e88\u7d04\u30da\u30fc\u30b8<\/a>\u3088\u308a\u3054\u4e88\u7d04\u3044\u305f\u3060\u3051\u307e\u3059\u3002\u4e0d\u5b89\u3084\u7591\u554f\u304c\u3042\u308b\u65b9\u3082\u3001\u3069\u3046\u305e\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002\u900f\u6790\u3092\u9060\u3056\u3051\u308b\u305f\u3081\u306e\u6700\u5584\u306e\u6cbb\u7642\u3092\u3001\u5171\u306b\u8003\u3048\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u7cd6\u5c3f\u75c5\u814e\u75c7\u306f\u3001\u65e9\u304f\u898b\u3064\u3051\u3066\u9069\u5207\u306b\u6cbb\u7642\u3059\u308c\u3070\u9032\u884c\u3092\u6291\u3048\u3089\u308c\u308b\u53ef\u80fd\u6027\u306e\u9ad8\u3044\u75c5\u6c17\u3067\u3059\u3002\u814e\u81d3\u3092\u5b88\u308b\u305f\u3081\u306b\u3082\u3001\u6c17\u306b\u306a\u308b\u75c7\u72b6\u3084\u691c\u67fb\u7d50\u679c\u304c\u3042\u308b\u5834\u5408\u306f\u65e9\u3081\u306e\u53d7\u8a3a\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\u3002<\/strong><\/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 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