{"id":29619,"date":"2025-04-25T12:06:07","date_gmt":"2025-04-25T03:06:07","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=29619"},"modified":"2025-04-25T12:06:07","modified_gmt":"2025-04-25T03:06:07","slug":"%e9%ab%98%e8%a1%80%e5%9c%a7%e3%81%ae%e8%96%ac%e3%82%a2%e3%83%b3%e3%82%b8%e3%82%aa%e3%83%86%e3%83%b3%e3%82%b7%e3%83%b3%e5%8f%97%e5%ae%b9%e4%bd%93%e6%8b%ae%e6%8a%97%e8%96%ac%ef%bc%88arb%ef%bc%89","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=29619","title":{"rendered":"\u9ad8\u8840\u5727\u306e\u85ac\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\uff08ARB\uff09\u306f\u672c\u5f53\u306b\u5fc5\u8981\u306a\u85ac\u304b\uff1f\u3000\u305d\u306e1"},"content":{"rendered":"

\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\uff08ARB\uff09\u306f\u9ad8\u8840\u5727\u306e\u85ac\u3067\u3042\u308a\u3001\u8840\u5727\u3092\u4e0b\u3052\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u814e\u81d3\u3084\u5fc3\u81d3\u3092\u4fdd\u8b77\u3059\u308b\u52b9\u679c\u304c\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3067\u3082\u672c\u5f53\u306b\u52b9\u679c\u304c\u3042\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n

ARB\u306f\u7b2c\u4e00\u9078\u629e\u85ac\u306e\u4e00\u3064\u3067\u3059\u3002\u3053\u306e\u85ac\u306e\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306b\u5bfe\u3059\u308b\u52b9\u679c\u306f\u3069\u3046\u306a\u3093\u3067\u3057\u3087\u3046\uff1f<\/p>\n

LIFE\u8a66\u9a13\u3068\u3044\u3046\u7814\u7a76\u3067\u306f\u3001\u9ad8\u9f62\u60a3\u8005\u306e\u5fc3\u8840\u7ba1\u4fdd\u8b77\u3092\u4fc3\u9032\u3059\u308b\u52b9\u679c\u306e\u306a\u3044\u30d9\u30fc\u30bf\u906e\u65ad\u85ac\u3067\u3042\u308b\u30a2\u30c6\u30ce\u30ed\u30fc\u30eb\u3068ARB\u306e\u30ed\u30b5\u30eb\u30bf\u30f3\uff08\u5546\u54c1\u540d\u30cb\u30e5\u30fc\u30ed\u30bf\u30f3\uff09\u3092\u6bd4\u8f03\u3057\u307e\u3057\u305f\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff099193\u4eba\u3092\u5bfe\u8c61\u306b\u3001\u30ed\u30b5\u30eb\u30bf\u30f3\u307e\u305f\u306f\u30a2\u30c6\u30ce\u30ed\u30fc\u30eb\u3092\u30d9\u30fc\u30b9\u3068\u3057\u305f1\u65e51\u56de\u964d\u5727\u85ac\u3092\u5c11\u306a\u304f\u3068\u30824\u5e74\u9593\u6295\u4e0e\u3055\u308c\u3001\u305d\u306e\u3046\u30611040\u4eba\u304c\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u6b7b\u4ea1\u3001\u5fc3\u7b4b\u6897\u585e\u3001\u307e\u305f\u306f\u8133\u5352\u4e2d\uff09\u3092\u767a\u75c7\u3059\u308b\u307e\u3067\u6295\u4e0e\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u305d\u306e\u7d50\u679c\u3001\u4e3b\u8981\u8907\u5408\u30a8\u30f3\u30c9\u30dd\u30a4\u30f3\u30c8\u306f\u3001\u30a2\u30c6\u30ce\u30ed\u30fc\u30eb\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u3001\u30ed\u30b5\u30eb\u30bf\u30f3\u7fa4\u306e\u30ea\u30b9\u30af\u306f0.87\u500d\u3068\u6709\u610f\u306b\u4f4e\u4e0b\u3057\u307e\u3057\u305f\u3002\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u3088\u308b\u6b7b\u4ea1\u306f\u3001\u30a2\u30c6\u30ce\u30ed\u30fc\u30eb\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u6709\u610f\u5dee\u306a\u3057\u3002\u81f4\u6b7b\u6027\u307e\u305f\u306f\u975e\u81f4\u6b7b\u6027\u306e\u8133\u5352\u4e2d\u306f0.75\u500d\u3068\u30ea\u30b9\u30af\u4f4e\u4e0b\u3057\u307e\u3057\u305f\u304c\u3001\u5fc3\u7b4b\u6897\u585e\uff08\u975e\u81f4\u6b7b\u6027\u304a\u3088\u3073\u81f4\u6b7b\u6027\uff09\u306f\u6709\u610f\u5dee\u306a\u3057\u3067\u3057\u305f\u3002<\/p>\n

\u3061\u3087\u3063\u3068\u306f\u3001\u30a2\u30c6\u30ce\u30ed\u30fc\u30eb\u3088\u308a\u307e\u3057\u306a\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u5bfe\u3059\u308b\u52b9\u679c\u3067\u3059\u306d\u3002<\/p>\n

VALUE\u8a66\u9a13\u3068\u3044\u3046\u7814\u7a76\u3092\u898b\u3066\u307f\u307e\u3057\u3087\u3046\u3002\u3053\u3053\u3067\u306f\u30d0\u30eb\u30b5\u30eb\u30bf\u30f3\uff08\u5546\u54c1\u540d\u30c7\u30a3\u30aa\u30d0\u30f3\uff09\u3068\u3044\u3046ARB\u3068\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u3068\u3044\u3046\u30ab\u30eb\u30b7\u30a6\u30e0\u62ee\u6297\u85ac\u3068\u306e\u6bd4\u8f03\u3067\u3059\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff09\u4e3b\u8981\u8907\u5408\u30a8\u30f3\u30c9\u30dd\u30a4\u30f3\u30c8\u306f\u3001\u30d0\u30eb\u30b5\u30eb\u30bf\u30f3\u7fa4\u3068\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u7fa4\u3067\u6709\u610f\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n

\u3067\u306f\u3001\u3044\u304f\u3089\u306a\u3093\u3067\u3082\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u305f\u3089\u3001\u304b\u306a\u308a\u9055\u3044\u304c\u51fa\u308b\u306e\u306f\u305a\u3067\u3059\u3088\u306d\uff1f<\/p>\n

\u3042\u308b\u7814\u7a76\uff08\u3053\u3053<\/a>\u53c2\u7167\u3001\u56f3\u3082\u3053\u3053\u3088\u308a\uff09\u3067\u306f\u30012\u578b\u7cd6\u5c3f\u75c5\u60a3\u80054,447\u4eba\u3092\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\uff08\u5546\u54c1\u540d\u30aa\u30eb\u30e1\u30c6\u30c3\u30af\uff09\uff0840mg\u30921\u65e51\u56de\uff09\u307e\u305f\u306f\u30d7\u30e9\u30bb\u30dc\u306b\u5272\u308a\u4ed8\u3051\u3001\u4e2d\u592e\u50243.2\u5e74\u9593\u6295\u4e0e\u3057\u307e\u3057\u305f\u3002\u305d\u306e\u7d50\u679c\u3001\u5fae\u91cf\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u306b\u95a2\u3057\u3066\u306f\u3001\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa4\u306e8.2%\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u306e9.8%\u3067\u767a\u73fe\u3057\u3001\u5fae\u91cf\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u767a\u73fe\u307e\u3067\u306e\u6642\u9593\u306f\u3001\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u6295\u4e0e\u7fa4\u306723%\u5ef6\u9577\u3057\u307e\u3057\u305f\u3002\u5fae\u91cf\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u767a\u73fe\u306e\u30ea\u30b9\u30af\u306f0.77\u500d\u306b\u4f4e\u4e0b\u3057\u305f\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n

\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u306f\u5404\u7fa4\u306e1%\u306e\u60a3\u8005\u3067\u500d\u5897\u3057\u3001\u81f4\u6b7b\u7684\u3067\u306f\u306a\u3044\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u8d77\u3053\u3057\u305f\u60a3\u8005\u306f\u6709\u610f\u5dee\u306a\u3057\u3067\u3057\u305f\u3002<\/p>\n

\u3057\u304b\u3057\u3001\u81f4\u6b7b\u7684\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u8d77\u3053\u3057\u305f\u60a3\u8005\u306f\u3001\u4e0b\u306e\u56f3\u306e\u3088\u3046\u306b\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa4\u306e\u307b\u3046\u304c\u591a\u304f\u300115\u4eba (0.7%) \u306b\u5bfe\u3057\u3001\u30d7\u30e9\u30bb\u30dc\u3067\u306f3\u4eba (0.1%) \u3067\u3057\u305f\u3002\u306a\u3093\u30684.94\u500d\u3082\u30ea\u30b9\u30af\u304c\u5897\u52a0\u3057\u3066\u3057\u307e\u3063\u305f\u306e\u3067\u3059\u3002\u3053\u306e\u5dee\u306f\u3001\u51a0\u52d5\u8108\u75be\u60a3\u306e\u65e2\u5f80\u6b74\u304c\u3042\u308b\u60a3\u8005\u306b\u304a\u3051\u308b\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u3088\u308b\u6b7b\u4ea1\u7387\u304c\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa4\u306e\u65b9\u304c\u30d7\u30e9\u30bb\u30dc\u7fa4\u3088\u308a\u9ad8\u304b\u3063\u305f\u306e\u3067\u3059\u3002 (564\u4eba\u4e2d11\u4eba [2.0%] vs. 540\u4eba\u4e2d1\u4eba [0.2%])<\/p>\n

\"\"<\/a><\/p>\n

\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u4e88\u9632\u306b\u6709\u52b9\u3001\u5fc3\u81d3\u3092\u4fdd\u8b77\u3059\u308b\u306a\u3093\u3066\u3068\u3066\u3082\u8a00\u3048\u306a\u3044\u30ec\u30d9\u30eb\u3067\u3059\u3088\u306d\uff1f\u3068\u3044\u3046\u3088\u308a\u3082\u30d7\u30e9\u30bb\u30dc\u3088\u308a\u5fc3\u8840\u7ba1\u6b7b\u304c\u591a\u3044\u306e\u3067\u3059\u304b\u3089\u3001\u6709\u5bb3\u3067\u3059\u3088\u306d\uff1f<\/p>\n

\u3082\u3046\u4e00\u3064\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u3068\u30d7\u30e9\u30bb\u30dc\u306e\u7814\u7a76\u3092\u898b\u3066\u3044\u307e\u3057\u3087\u3046\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff09\u3059\u3067\u306b\u814e\u969c\u5bb3\u3092\u6709\u3059\u308b2\u578b\u7cd6\u5c3f\u75c5\u3067\u9ad8\u8840\u5727\u306e\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005577\u4eba\u304c\u5bfe\u8c61\u3067\u3059\u3002\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u9ad8\u8840\u5727\u6cbb\u7642\u306e73.5\uff05\u306f\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3\u5909\u63db\u9175\u7d20\u963b\u5bb3\u5264 (ACEI) \u3067\u3057\u305f\u3002\u305d\u306e\u60a3\u8005\u306b3.2\u5e74\u9593\u306b\u308f\u305f\u308a\u3001\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\uff0810\uff5e40 mg\uff091\u65e51\u56de\u6295\u4e0e\u307e\u305f\u306f\u30d7\u30e9\u30bb\u30dc\u304c\u6295\u4e0e\u3055\u308c\u307e\u3057\u305f\u3002\u4e3b\u8981\u8907\u5408\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306e\u500d\u52a0\u3001ESRD\uff08\u30af\u30ec\u30a2\u30c1\u30cb\u30f3 >5 mg\/dl\uff09\u3001\u6162\u6027\u900f\u6790\u3001\u79fb\u690d\u3001\u304a\u3088\u3073\u5168\u6b7b\u4ea1\u306e\u521d\u56de\u30a4\u30d9\u30f3\u30c8\u767a\u751f\u307e\u3067\u306e\u6642\u9593\u3068\u3057\u307e\u3057\u305f\u3002<\/p>\n

\u7d50\u679c\u3001\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa4\u306b\u304a\u3051\u308b\u4e3b\u8981\u814e\u8907\u5408\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u30ea\u30b9\u30af\u306f0.97\u500d\u3068\u30d7\u30e9\u30bb\u30dc\u3068\u6709\u610f\u5dee\u306a\u3057\u3067\u3057\u305f\u3002\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306e\u500d\u52a0\u3082\u672b\u671f\u814e\u4e0d\u5168\u3082\u6709\u610f\u5dee\u306a\u3057\u3067\u3057\u305f\u3002<\/p>\n

\u5fc3\u8840\u7ba1\u4e8c\u6b21\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u3064\u3044\u3066\u306f\u4e0b\u306e\u56f3\u306e\u3088\u3046\u306b\u3001\u8907\u5408\u3057\u305f\u3082\u306e\u3067\u306f\u3001\u6709\u610f\u306b\u30d7\u30e9\u30bb\u30dc\u306e\u65b9\u304c\u767a\u75c7\u30ea\u30b9\u30af\u304c\u591a\u304f\u306a\u308a\u3001\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa4\u306f\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u30660.64\u500d\u3067\u3057\u305f\u3002<\/p>\n

\"\"<\/a><\/p>\n

\u3057\u304b\u3057\u3001\u5fc3\u8840\u7ba1\u6b7b\u306f\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa410\u4eba (3.5%) \u3001\u30d7\u30e9\u30bb\u30dc3\u4eba (1.1%)\u3068\u6709\u610f\u5dee\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u304c\u3001\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa4\u30673\u500d\u3082\u5fc3\u8840\u7ba1\u6b7b\u304c\u591a\u3044\u306e\u3067\u3059\u3002<\/p>\n

\u305d\u306e\u4ed6\u3001\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u306b\u3088\u308b\u4e2d\u6b62\u7387\u306f\u3001\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u7fa4\u306e\u65b9\u304c\u30d7\u30e9\u30bb\u30dc\u7fa4\u3088\u308a\u9ad8\u304f\u300126\u4eba\uff089.2%\uff09\u5bfe15\u4eba\uff085.3%\uff09\u3067\u3001ACEI\u6295\u4e0e\u7fa4\u3067\u306f\u305d\u308c\u305e\u308c11.7%\u5bfe7.2%\u3001ACEI\u975e\u6295\u4e0e\u7fa4\u3067\u306f\u305d\u308c\u305e\u308c2.6%\u5bfe0%\u3067\u3057\u305f\u3002<\/p>\n

\u3053\u306e\u7814\u7a76\u3067\u3082\u3001ARB\u306f\u5fc3\u81d3\u8840\u7ba1\u6b7b\u3092\u5897\u52a0\u3055\u305b\u3066\u3057\u307e\u3044\u307e\u3057\u305f\u3002<\/p>\n

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\"\"<\/a><\/p>\n

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\"\"<\/a><\/p>\n

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\"\"<\/a><\/p>\n

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\"\"<\/a><\/p>\n

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\"\"<\/a><\/p>\n

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\"\"<\/a><\/p>\n

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