{"id":143,"date":"2015-08-07T09:49:04","date_gmt":"2015-08-07T00:49:04","guid":{"rendered":"http:\/\/promea2014.com\/blog\/?p=143"},"modified":"2015-08-07T09:56:46","modified_gmt":"2015-08-07T00:56:46","slug":"post-143","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=143","title":{"rendered":"\u9ad8\u9f62\u8005\u306e\u8840\u5727\u304c\u9ad8\u3044\u306e\u306f\u610f\u5473\u304c\u3042\u308b\u3002\u4f55\u3067\u3082\u6b63\u5e38\u5024\u306b\u3059\u308b\u5371\u967a\u6027\u3002"},"content":{"rendered":"

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\u9ad8\u9f62\u8005\u306e\u8840\u5727\u304c\u9ad8\u3044\u306e\u3082\u3001\u305d\u308c\u306b\u306f\u305d\u308c\u3067\u610f\u5473\u304c\u3042\u308b\u306e\u3067\u3059\u3002\u91cd\u8981\u306a\u81d3\u5668\u306b\u8840\u6db2\u3092\u9001\u308b\u305f\u3081\u306b\u3001\u52d5\u8108\u786c\u5316\u306e\u9032\u3093\u3060\u9ad8\u9f62\u8005\u3067\u306f\u9ad8\u3044\u8840\u5727\u304c\u5fc5\u8981\u306a\u3093\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u3001\u7570\u5e38\u306a\u9ad8\u8840\u5727\u306f\u8133\u51fa\u8840\u306a\u3069\u3092\u3082\u305f\u3089\u3057\u3001\u305d\u308c\u306f\u305d\u308c\u3067\u5371\u967a\u3067\u3059\u304c\u3001\u904e\u5ea6\u306b\u6b63\u5e38\u5024\u307e\u3067\u6301\u3063\u3066\u3044\u304f\u3088\u3046\u306a\u6cbb\u7642\u306f\u8133\u306e\u6a5f\u80fd\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u307e\u3059\u3002<\/p>\n

\u305d\u306e\u3088\u3046\u306a\u89b3\u70b9\u306e\u6d77\u5916\u306e\u5831\u544a\u3092\u8f09\u305b\u307e\u3059\u3002<\/p>\n

\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u3092\u6709\u3059\u308b\u9ad8\u9f62\u8005\u306e\u964d\u5727\u85ac\u306b\u3088\u308b\u904e\u5ea6\u306e\u964d\u5727\u304c\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u306e\u9032\u884c\u3068\u95a2\u4fc2<\/span><\/h1>\n

<\/span><\/p>\n

\n

\u3000\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u3092\u6709\u3059\u308b\u9ad8\u9f62\u8005\u306e\u964d\u5727\u85ac\u306b\u3088\u308b\u904e\u5ea6\u306e\u964d\u5727\u306f\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3092\u65e9\u3081\u308b\u3068\u3059\u308b\u7814\u7a76\u7d50\u679c\u304c\uff0c\u30a4\u30bf\u30ea\u30a2\u306e\u30b0\u30eb\u30fc\u30d7\u306b\u3088\u308aJAMA Intern Med<\/i>\u306e4\u6708\u53f7\u306b\u767a\u8868\u3055\u308c\u305f\u3002<\/span><\/p>\n

\u3000\u8a8d\u77e5\u75c7\u60a3\u8005\u306b\u304a\u3051\u308b\u8840\u5727\u9ad8\u5024\u307e\u305f\u306f\u7a4d\u6975\u7684\u964d\u5727\u306e\u4e88\u5f8c\u3078\u306e\u5f71\u97ff\u306f\u660e\u3089\u304b\u3067\u306f\u306a\u3044\u3002\u540c\u30b0\u30eb\u30fc\u30d7\u306f\uff0c\u8a8d\u77e5\u75c7\u307e\u305f\u306f\u8efd\u5ea6\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\uff08MCI\uff09\u3092\u6709\u3059\u308b\u9ad8\u9f62\u60a3\u8005172\u4f8b\uff08\u5e73\u5747\u5e74\u9f6279\u6b73\uff09\u3092\u4e2d\u592e\u5024\u30679\u30ab\u6708\u9593\u8ffd\u8de1\u3002\u5916\u6765\u8840\u5727\uff0c\u81ea\u7531\u884c\u52d5\u4e0b\u8840\u5727\uff0c\u964d\u5727\u85ac\u306e\u4f7f\u7528\u3068\uff0cMini-Mental State Examination\uff08MMSE\uff09\u30b9\u30b3\u30a2\u306e\u5909\u5316\u3067\u8a55\u4fa1\u3057\u305f\u8ffd\u8de1\u4e2d\u306e\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3068\u306e\u95a2\u4fc2\u3092\u691c\u8a0e\u3057\u305f\u3002<\/span><\/p>\n

\u3000117\u4f8b\u304c\u8a8d\u77e5\u75c7\uff0c55\u4f8b\u304cMCI\u3067\uff0c\u5168\u4f53\u306e69.8\uff05\u304c\u964d\u5727\u85ac\u306b\u3088\u308b\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u305f\u3002\u767b\u9332\u6642\u306e\u5e73\u5747MMSE\u30b9\u30b3\u30a2\u306f22.1\u3060\u3063\u305f\u3002\u89e3\u6790\u306e\u7d50\u679c\uff0c\u81ea\u7531\u884c\u52d5\u4e0b\u306e\u65e5\u4e2d\u306e\u53ce\u7e2e\u671f\u8840\u5727\uff08SBP\uff09\u304c128mmHg\u4ee5\u4e0b\u306e\u6700\u4f4e\u4e09\u5206\u4f4d\u7fa4\u306b\u304a\u3051\u308bMMSE\u30b9\u30b3\u30a2\u306e\u5e73\u5747\u5909\u5316\u306f\uff0d2.8\u3067\uff0c\u4e2d\u4e09\u5206\u4f4d\u7fa4\uff08SBP 129\u301c144mmHg\uff09\u306e\uff0d0.7\uff08P\uff1d0.002\uff09\uff0c\u6700\u9ad8\u4e09\u5206\u4f4d\u7fa4\uff08\u540c145mmHg\u4ee5\u4e0a\uff09\u306e\uff0d0.7\uff08P\uff1d0.003\uff09\u3068\u6bd4\u3079\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\u304c\u6709\u610f\u306b\u5927\u304d\u304b\u3063\u305f\u3002\u3053\u306e\u95a2\u4fc2\u306f\uff0c\u964d\u5727\u85ac\u306b\u3088\u308b\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005\u306b\u304a\u3044\u3066\u306e\u307f\u6709\u610f\u3067\u3042\u3063\u305f\u3002<\/span><\/p>\n

\u3000\u5e74\u9f62\uff0c\u767b\u9332\u6642\u306eMMSE\u30b9\u30b3\u30a2\uff0c\u8840\u7ba1\u4f75\u5b58\u75c7\u30b9\u30b3\u30a2\u3092\u88dc\u6b63\u3057\u305f\u591a\u5909\u91cf\u89e3\u6790\u3067\u306f\uff0c\u65e5\u4e2d\u306eSBP\u4f4e\u5024\u3068\u964d\u5727\u85ac\u6cbb\u7642\u306f\u3044\u305a\u308c\u3082\u72ec\u7acb\u3057\u3066\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u306e\u5927\u304d\u3055\u3068\u95a2\u4fc2\u3057\u3066\u3044\u305f\u3002\u5916\u6765SBP\u306f\uff0cMMSE\u30b9\u30b3\u30a2\u306e\u5909\u5316\u3068\u306e\u95a2\u4fc2\u306f\u5f31\u304b\u3063\u305f\u3002<\/span><\/p>\n

Mossello E, et al. JAMA Intern Med<\/i> 2015; 175: 578-585.<\/span><\/p>\n<\/div>\n

<\/div>\n
MTPro 2015\u5e744\u670823\u65e5\uff08VOL.48 NO.17\uff09 p.11 \u3088\u308a\u629c\u7c8b<\/span><\/div>\n
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