{"id":10720,"date":"2025-09-24T12:43:21","date_gmt":"2025-09-24T03:43:21","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/ed\/?p=10720"},"modified":"2025-09-24T12:43:26","modified_gmt":"2025-09-24T03:43:26","slug":"ed-seikatsu-kaizen","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/ed\/ed-seikatsu-kaizen\/","title":{"rendered":"\u6cbb\u7642\u85ac\u3060\u3051\u3058\u3083\u306a\u3044 ED\u306b\u52b9\u679c\u7684\u306a\u751f\u6d3b\u6539\u5584\u306e\u30dd\u30a4\u30f3\u30c8"},"content":{"rendered":"\n

ED<\/a>\uff08\u52c3\u8d77\u4e0d\u5168<\/a>\uff09\u306f\u3001PDE5\u963b\u5bb3\u85ac\u306e\u670d\u7528\u3067\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u4e00\u65b9\u3001\u6839\u672c\u7684\u306a\u4f53\u8cea\u6539\u5584\u306b\u306f\u751f\u6d3b\u7fd2\u6163\u306e\u898b\u76f4\u3057<\/strong>\u304c\u6b20\u304b\u305b\u307e\u305b\u3093\u3002
\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u306f\u8840\u6d41\u30fb\u30db\u30eb\u30e2\u30f3\u30fb\u795e\u7d4c\u6a5f\u80fd\u306e\u5411\u4e0a\u306b\u76f4\u7d50\u3057\u3001\u85ac\u306e\u52b9\u679c\u3092\u9ad8\u3081\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u518d\u767a\u4e88\u9632\u306b\u3082\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u672c\u8a18\u4e8b\u3067\u306f\u3001ED\u6539\u5584\u306b\u52b9\u679c\u7684\u306a\u751f\u6d3b\u7fd2\u6163\u306e\u30dd\u30a4\u30f3\u30c8\u309210\u9805\u76ee\u4ee5\u4e0a<\/strong>\u306b\u5206\u3051\u3066\u3001\u6700\u65b0\u7814\u7a76\u3092\u3082\u3068\u306b\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

1. ED\u3068\u751f\u6d3b\u7fd2\u6163\u306e\u95a2\u4fc2<\/strong><\/h2>\n\n\n\n

ED\u306f\u8840\u7ba1\u30fb\u795e\u7d4c\u30fb\u30db\u30eb\u30e2\u30f3\u30fb\u5fc3\u7406\u306e\u8907\u5408\u7684\u8981\u56e0\u3067\u8d77\u3053\u308a\u307e\u3059\u304c\u3001\u7279\u306b\u751f\u6d3b\u7fd2\u6163\u75c5\u3068\u306e\u95a2\u9023\u304c\u5f37\u3044<\/strong>\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002
\u52d5\u8108\u786c\u5316\u3084\u5185\u81d3\u8102\u80aa\u84c4\u7a4d\u3001\u55ab\u7159\u3001\u6162\u6027\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u304c\u52c3\u8d77\u6a5f\u80fd\u3092\u4f4e\u4e0b\u3055\u305b\u307e\u3059\u3002<\/p>\n\n\n\n

2. \u904b\u52d5\u7fd2\u6163\u3092\u3064\u3051\u308b\uff1a\u8840\u6d41\u6539\u5584\u306e\u30ab\u30ae<\/strong><\/h2>\n\n\n\n

\u9031150\u5206\u4ee5\u4e0a\u306e\u6709\u9178\u7d20\u904b\u52d5<\/strong>\u306f\u3001\u9670\u830e\u6d77\u7dbf\u4f53\u3078\u306e\u8840\u6d41\u3092\u6539\u5584\u3057\u3001ED\u30ea\u30b9\u30af\u3092\u6700\u592730%\u4f4e\u4e0b\u3055\u305b\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3010Dong JY et al., J Sex Med 2011\u3011\u3002
\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u30fb\u6c34\u6cf3\u30fb\u81ea\u8ee2\u8eca\u306a\u3069\u304c\u52b9\u679c\u7684\u3067\u3001\u7b4b\u30c8\u30ec\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3068\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u5206\u6ccc\u3082\u4fc3\u9032\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n


\n\"\"
\n<\/a><\/figure>\n<\/div>\n\n\n\n

3. \u98df\u751f\u6d3b\u306e\u6539\u5584\uff1a\u8840\u7ba1\u3092\u5b88\u308b\u98df\u4e8b\u6cd5<\/strong><\/h2>\n\n\n\n

\u5730\u4e2d\u6d77\u5f0f\u98df\u4e8b<\/strong>\u306f\u5fc3\u8840\u7ba1\u75be\u60a3\u4e88\u9632\u306b\u6709\u52b9\u3067\u3001ED\u6539\u5584\u306b\u3082\u52b9\u679c\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\u91ce\u83dc\u30fb\u679c\u7269\u30fb\u9b5a\u30fb\u30aa\u30ea\u30fc\u30d6\u30aa\u30a4\u30eb\u3092\u4e2d\u5fc3\u306b\u3057\u305f\u98df\u4e8b\u306f\u3001\u52d5\u8108\u786c\u5316\u306e\u9032\u884c\u3092\u6291\u5236\u3057\u3001\u9577\u671f\u7684\u306b\u6027\u6a5f\u80fd\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u307e\u3059\u3010Esposito K et al., Int J Impot Res 2006\u3011\u3002<\/p>\n\n\n\n

4. \u7981\u7159\u306e\u52b9\u679c\uff1a\u8840\u7ba1\u53ce\u7e2e\u30ea\u30b9\u30af\u306e\u56de\u907f<\/strong><\/h2>\n\n\n\n

\u55ab\u7159\u306f\u8840\u7ba1\u5185\u76ae\u6a5f\u80fd\u3092\u640d\u306a\u3044\u3001ED\u306e\u5927\u304d\u306a\u30ea\u30b9\u30af\u56e0\u5b50\u3067\u3059\u3002
\u7981\u7159\u306b\u3088\u308a3\u304b\u6708\u301c1\u5e74\u3067\u52c3\u8d77\u6a5f\u80fd\u304c\u6539\u5584\u3059\u308b\u4f8b<\/strong>\u3082\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3010Guay AT et al., J Androl 1998\u3011\u3002
ED\u6cbb\u7642<\/a>\u85ac\u306e\u52b9\u679c\u3092\u6700\u5927\u5316\u3059\u308b\u305f\u3081\u306b\u3082\u7981\u7159\u306f\u5fc5\u9808\u3067\u3059\u3002<\/p>\n\n\n\n

5. \u9069\u5ea6\u306a\u98f2\u9152\u3068\u7bc0\u9152\u306e\u91cd\u8981\u6027<\/strong><\/h2>\n\n\n\n

\u5c11\u91cf\u306e\u8d64\u30ef\u30a4\u30f3\u306a\u3069\u30dd\u30ea\u30d5\u30a7\u30ce\u30fc\u30eb\u3092\u542b\u3080\u98f2\u9152\u306f\u8840\u7ba1\u4fdd\u8b77\u306b\u5bc4\u4e0e\u3057\u307e\u3059\u304c\u3001\u904e\u5270\u98f2\u9152\u306fED\u3092\u60aa\u5316<\/strong>\u3055\u305b\u307e\u3059\u3002
\u30a2\u30eb\u30b3\u30fc\u30eb\u306f\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u4f4e\u4e0b\u30fb\u795e\u7d4c\u4f1d\u9054\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3059\u305f\u3081\u3001\u9031\u6570\u56de\u30fb1\u65e51\u301c2\u676f\u7a0b\u5ea6\u306b\u7559\u3081\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n


\n\"\"
\n<\/a><\/figure>\n<\/div>\n\n\n\n

6. \u7761\u7720\u306e\u8cea\u6539\u5584\u3067\u30db\u30eb\u30e2\u30f3\u5206\u6ccc\u3092\u6574\u3048\u308b<\/strong><\/h2>\n\n\n\n

\u7761\u7720\u4e0d\u8db3\u306f\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u4f4e\u4e0b\u3068\u52c3\u8d77\u6a5f\u80fd\u969c\u5bb3\u306b\u76f4\u7d50<\/strong>\u3057\u307e\u3059\u3002
\u5e73\u57477\u6642\u9593\u524d\u5f8c\u306e\u898f\u5247\u7684\u306a\u7761\u7720\u304c\u7406\u60f3\u3067\u3001\u6df1\u591c\u30b9\u30de\u30db\u4f7f\u7528\u3084\u591c\u66f4\u304b\u3057\u306f\u907f\u3051\u308b\u3079\u304d\u3067\u3059\u3010Leproult R et al., JAMA 2011\u3011\u3002<\/p>\n\n\n

\n
\"\u7761\u7720\"<\/figure><\/div>\n\n\n

7. \u30b9\u30c8\u30ec\u30b9\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u3068\u30e1\u30f3\u30bf\u30eb\u30b1\u30a2<\/strong><\/h2>\n\n\n\n

\u6162\u6027\u7684\u30b9\u30c8\u30ec\u30b9\u3084\u3046\u3064\u75c7\u72b6\u306f\u5fc3\u56e0\u6027ED\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002
\u7791\u60f3\u3001\u30e8\u30ac\u3001\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306a\u3069\u3067\u526f\u4ea4\u611f\u795e\u7d4c\u512a\u4f4d\u306e\u72b6\u614b\u3092\u4f5c\u308b\u3053\u3068\u304c\u52c3\u8d77\u529b\u306e\u6539\u5584\u306b\u6709\u52b9\u3067\u3059\u3002
\u5fc3\u7642\u5185\u79d1\u3084\u5fc3\u7406\u58eb\u3068\u306e\u9023\u643a\u3082\u52b9\u679c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n

8. \u4f53\u91cd\u7ba1\u7406\u3068\u5185\u81d3\u8102\u80aa\u5bfe\u7b56<\/strong><\/h2>\n\n\n\n

\u80a5\u6e80\u3001\u7279\u306b\u5185\u81d3\u8102\u80aa\u578b\u80a5\u6e80\u306f\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u4f4e\u4e0b\u30fb\u52d5\u8108\u786c\u5316\u4fc3\u9032\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002
5\u301c10%\u306e\u4f53\u91cd\u6e1b\u5c11<\/strong>\u3067ED\u75c7\u72b6\u304c\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3010Khoo J et al., J Sex Med 2011\u3011\u3002<\/p>\n\n\n\n

9. \u9ad8\u8840\u5727\u30fb\u7cd6\u5c3f\u75c5\u30fb\u8102\u8cea\u7570\u5e38\u75c7\u306e\u7ba1\u7406<\/strong><\/h2>\n\n\n\n

\u751f\u6d3b\u7fd2\u6163\u75c5\u306fED\u306e\u6839\u672c\u539f\u56e0\u3067\u3059\u3002
\u7cd6\u5c3f\u75c5\u7537\u6027\u306e50\u301c75%\u304cED\u3092\u5408\u4f75\u3059\u308b\u3068\u3055\u308c\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u6539\u5584\u306f\u76f4\u63a5\u7684\u306a\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002
\u533b\u5e2b\u306e\u6307\u5c0e\u306e\u3082\u3068\u3067\u306e\u85ac\u7269\u6cbb\u7642\u3068\u751f\u6d3b\u7fd2\u6163\u6539\u5584\u306e\u4f75\u7528\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n


\n\"\"
\n<\/a><\/figure>\n<\/div>\n\n\n\n

10. \u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3068\u6804\u990a\u88dc\u52a9\u306e\u6b63\u3057\u3044\u6d3b\u7528<\/strong><\/h2>\n\n\n\n

\u4e9c\u925b\u30fb\u30a2\u30eb\u30ae\u30cb\u30f3\u30fb\u30aa\u30e1\u30ac3\u8102\u80aa\u9178\u306f\u88dc\u52a9\u7684\u306b\u6709\u52b9\u3067\u3059\u304c\u3001\u904e\u4fe1\u306f\u7981\u7269<\/strong>\u3067\u3059\u3002
\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u9650\u5b9a\u7684\u306a\u3082\u306e\u3082\u591a\u304f\u3001\u5fc5\u305a\u533b\u5e2b\u76f8\u8ac7\u306e\u4e0a\u3067\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

11. \u30d1\u30fc\u30c8\u30ca\u30fc\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u6539\u5584<\/strong><\/h2>\n\n\n\n

\u6027\u751f\u6d3b\u306b\u95a2\u3059\u308b\u5fc3\u7406\u7684\u8ca0\u62c5\u3092\u6e1b\u3089\u3059\u305f\u3081\u3001\u30d1\u30fc\u30c8\u30ca\u30fc\u3068\u306e\u5bfe\u8a71<\/strong>\u306f\u91cd\u8981\u3067\u3059\u3002
\u5171\u540c\u3067\u751f\u6d3b\u6539\u5584\u306b\u53d6\u308a\u7d44\u3080\u3068\u3001\u6cbb\u7642\u7d99\u7d9a\u7387\u3068\u6e80\u8db3\u5ea6\u304c\u5411\u4e0a\u3057\u307e\u3059\u3010Cappelleri JC et al., Health Qual Life Outcomes 2006\u3011\u3002<\/p>\n\n\n\n

12. \u751f\u6d3b\u7fd2\u6163\u6539\u5584\u3068\u85ac\u7269\u6cbb\u7642\u306e\u4f75\u7528\u52b9\u679c<\/strong><\/h2>\n\n\n\n

\u751f\u6d3b\u7fd2\u6163\u6539\u5584\u306e\u307f\u3067\u306e\u6539\u5584\u306f\u8efd\u75c7ED\u3067\u6709\u52b9\u3067\u3059\u304c\u3001\u85ac\u7269\u6cbb\u7642\u3068\u306e\u4f75\u7528\u3067\u6700\u5927\u306e\u52b9\u679c<\/strong>\u304c\u5f97\u3089\u308c\u307e\u3059\u3002
PDE5\u963b\u5bb3\u85ac\u306f\u8840\u6d41\u6539\u5584\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u3001\u751f\u6d3b\u7fd2\u6163\u6539\u5584\u306f\u305d\u306e\u52b9\u679c\u3092\u6301\u7d9a\u3055\u305b\u307e\u3059\u3002<\/p>\n\n\n


\n\"\"
\n<\/a><\/figure>\n<\/div>\n\n\n\n

13. \u3053\u3053\u307e\u3067\u306e\u307e\u3068\u3081\uff1a\u7d99\u7d9a\u7684\u306a\u751f\u6d3b\u6539\u5584\u304cED\u6539\u5584\u306e\u8fd1\u9053<\/strong><\/h2>\n\n\n\n