{"id":6743,"date":"2025-10-06T11:45:51","date_gmt":"2025-10-06T02:45:51","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/medicine\/?p=6743"},"modified":"2025-10-06T11:45:52","modified_gmt":"2025-10-06T02:45:52","slug":"comisa-insomnia-apnea","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/medicine\/2025\/10\/06\/comisa-insomnia-apnea\/","title":{"rendered":"\u4e0d\u7720\u3068\u7121\u547c\u5438\u304c\u540c\u6642\u306b\u8d77\u304d\u308b\u539f\u56e0\u3068\u6539\u5584\u6cd5"},"content":{"rendered":"\n<p>\u7720\u308d\u3046\u3068\u3057\u3066\u3082\u5bdd\u3064\u3051\u306a\u3044\u2015\u2015\u305d\u308c\u306b\u52a0\u3048\u3066\u300c\u547c\u5438\u304c\u6b62\u307e\u308b\u300d\u300c\u3044\u3073\u304d\u304c\u5927\u304d\u3044\u300d\u3068\u3044\u3063\u305f\u7121\u547c\u5438\u306e\u5146\u5019\u3092\u611f\u3058\u308b\u3002\u3053\u3046\u3057\u305f\u300c\u4e0d\u7720\u300d\u3068\u300c\u7121\u547c\u5438\u300d\u304c\u540c\u6642\u306b\u8d77\u3053\u308b\u72b6\u614b\u306f\u3001\u5358\u306a\u308b\u7761\u7720\u306e\u60a9\u307f\u3092\u8d85\u3048\u3066\u5065\u5eb7\u30ea\u30b9\u30af\u3092\u4f34\u3046\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br>\u672c\u8a18\u4e8b\u3067\u306f\u3001\u306a\u305c\u3053\u308c\u3089\u304c\u540c\u6642\u306b\u8d77\u3053\u308a\u3046\u308b\u306e\u304b\u3001\u305d\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u7d10\u89e3\u304d\u3064\u3064\u3001\u65e5\u5e38\u3067\u59cb\u3081\u3089\u308c\u308b\u6539\u5584\u6cd5\u3084\u533b\u7642\u7684\u5bfe\u7b56\u3001\u6ce8\u610f\u70b9\u3092\u3054\u6848\u5185\u3057\u307e\u3059\u3002\u3042\u306a\u305f\u306e\u7761\u7720\u306e\u8cea\u3092\u53d6\u308a\u623b\u3059\u305f\u3081\u306e\u6307\u91dd\u3068\u3057\u3066\u3054\u6d3b\u7528\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u4e0d\u7720\uff0b\u7121\u547c\u5438\u4f75\u5b58\uff08COMISA\uff09\u306e\u5b9f\u614b\u3068\u610f\u5473<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\u20111 COMISA\uff08\u30b3\u30e2\u30fc\u30ea\u30c3\u30c9\u4e0d\u7720\uff0b\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\uff09\u3068\u306f<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u75c7\uff08Insomnia\uff09\u3068\u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\uff08Obstructive Sleep Apnea\uff1aOSA\uff09\u304c\u4f75\u5b58\u3059\u308b\u72b6\u614b\u306f\u3001\u8fd1\u5e74\u300cCOMISA\uff08Comorbid Insomnia and Sleep Apnea\uff09\u300d\u3068\u547c\u3070\u308c\u3001\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u8a9e\u6587\u732e\u3067\u3082\u3001\u3053\u306e\u4f75\u5b58\u7387\u306f\u304b\u306a\u308a\u9ad8\u3044\u3068\u3055\u308c\u3066\u304a\u308a\u3001OSA \u60a3\u8005\u306e\u304a\u3088\u305d 30\uff05 \u306b\u4e0d\u7720\u75c7\u72b6\u304c\u898b\u3089\u308c\u3001\u4e0d\u7720\u75c7\u60a3\u8005\u306e\u7d04 30\uff05 \u306b OSA \u3092\u4f34\u3046\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306b\u3069\u3061\u3089\u304b\u4e00\u65b9\u3060\u3051\u3067\u306a\u304f\u3001\u4e21\u8005\u304c\u91cd\u306a\u308b\u3053\u3068\u3067\u3001<strong>\u65e5\u5e38\u751f\u6d3b\u6a5f\u80fd\u969c\u5bb3<\/strong> \u3084 <strong>\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09<\/strong> \u3078\u306e\u5f71\u97ff\u306f\u5358\u72ec\u306e\u5834\u5408\u3088\u308a\u5927\u304d\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\u20112 COMISA \u304c\u3088\u308a\u30ea\u30b9\u30af\u3092\u3082\u305f\u3089\u3059\u7406\u7531<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u75c7\u72b6\u306e\u8907\u96d1\u5316\u30fb\u91cd\u75c7\u5316<\/strong>\uff1a\u4e0d\u7720\u304c\u5f37\u304f\u51fa\u308b\u3068\u3001\u7761\u7720\u69cb\u9020\u304c\u4e0d\u5b89\u5b9a\u306b\u306a\u308a\u3001\u7121\u547c\u5438\u306e\u4e2d\u65ad\uff08\u899a\u9192\u53cd\u5fdc\uff09\u304c\u66f4\u306b\u60aa\u5f71\u97ff\u3092\u53ca\u307c\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<a href=\"https:\/\/www.jstage.jst.go.jp\/article\/jsrcr\/32\/2\/32_111\/_html\/-char\/en?utm_source=chatgpt.com\"><br><\/a><\/li>\n\n\n\n<li><strong>CPAP \u9069\u5408\u6027\u4f4e\u4e0b<\/strong>\uff1a\u4e0d\u7720\u75c7\u72b6\uff08\u7279\u306b\u5165\u7720\u56f0\u96e3\u30fb\u4e2d\u9014\u899a\u9192\uff09\u304c\u5f37\u3044\u3068\u3001CPAP \u88c5\u7f6e\u306e\u7740\u7528\u7d99\u7d9a\u7387\uff08\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\uff09\u304c\u4f4e\u4e0b\u3059\u308b\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002<a href=\"https:\/\/www.jstage.jst.go.jp\/article\/jsrcr\/32\/2\/32_111\/_html\/-char\/en?utm_source=chatgpt.com\"><br><\/a><\/li>\n\n\n\n<li><strong>\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u306e\u5897\u5927<\/strong>\uff1aCOMISA \u72b6\u614b\u3067\u306f\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u5408\u4f75\u7387\u30fb\u4e88\u5f8c\u4e0d\u826f\u30ea\u30b9\u30af\u304c\u5358\u72ec\u306e OSA \u3084\u4e0d\u7720\u3068\u6bd4\u8f03\u3057\u3066\u6709\u610f\u306b\u9ad8\u3044\u3068\u3044\u3046\u7814\u7a76\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002<a href=\"https:\/\/www.jstage.jst.go.jp\/article\/jsrcr\/32\/2\/32_111\/_html\/-char\/en?utm_source=chatgpt.com\"><br><\/a><\/li>\n\n\n\n<li><strong>\u6cbb\u7642\u53cd\u5fdc\u6027\u306e\u9055\u3044<\/strong>\uff1a\u3069\u3061\u3089\u304b\u4e00\u65b9\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u6cbb\u7642\u3060\u3051\u3067\u306f\u3001\u3082\u3046\u4e00\u65b9\u306e\u75c7\u72b6\u304c\u6b8b\u5b58\u30fb\u60aa\u5316\u3059\u308b\u30ea\u30b9\u30af\u304c\u3042\u308b\u305f\u3081\u3001\u7d71\u5408\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<p>\u4ee5\u4e0a\u306e\u70b9\u304b\u3089\u3001\u5358\u306a\u308b\u300c\u7761\u7720\u304c\u6d45\u3044\u300d\u300c\u3044\u3073\u304d\u300d\u300c\u76ee\u899a\u3081\u306e\u60aa\u3055\u300d\u3068\u3044\u3063\u305f\u8a34\u3048\u3092\u8efd\u8996\u305b\u305a\u3001\u4f75\u5b58\u53ef\u80fd\u6027\u3092\u5ff5\u982d\u306b\u7f6e\u304f\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u539f\u56e0\u3068\u30e1\u30ab\u30cb\u30ba\u30e0\uff1a\u3069\u3046\u3057\u3066\u4e21\u8005\u304c\u91cd\u306a\u308b\u306e\u304b<\/strong><\/h2>\n\n\n\n<p>\u4ee5\u4e0b\u3067\u306f\u3001\u4e0d\u7720\u3068\u7121\u547c\u5438\u304c\u76f8\u4e92\u4f5c\u7528\u3059\u308b\u8981\u56e0\u30fb\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u6574\u7406\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20111 \u7121\u547c\u5438 \u2192 \u4e2d\u9014\u899a\u9192 \u2192 \u4e0d\u7720\u8a98\u767a<\/strong><\/h3>\n\n\n\n<p>\u7121\u547c\u5438\u30fb\u4f4e\u547c\u5438\u30a8\u30d4\u30bd\u30fc\u30c9\u304c\u7d42\u308f\u308b\u969b\u3001\u8eab\u4f53\u306f\u547c\u5438\u3092\u518d\u958b\u3059\u308b\u305f\u3081\u306b\u201c\u899a\u9192\u53cd\u5fdc\u201d (arousal) \u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u3053\u308c\u304c\u4e2d\u9014\u899a\u9192\u3084\u65ad\u7d9a\u7684\u306a\u899a\u9192\u3092\u8a98\u767a\u3057\u3001\u7761\u7720\u306e\u9023\u7d9a\u6027\u3092\u7834\u58ca\u3057\u307e\u3059\u3002\u7d50\u679c\u3068\u3057\u3066\u300c\u76ee\u304c\u899a\u3081\u3084\u3059\u3044\u300d\u300c\u7720\u308a\u304c\u6d45\u3044\u300d\u300c\u65ad\u7d9a\u7684\u306b\u76ee\u899a\u3081\u308b\u300d\u306a\u3069\u3001\u4e0d\u7720\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305f\u3068\u3048\u3070\u3001OSA \u60a3\u8005\u306b CPAP \u3092\u5c0e\u5165\u3057\u305f\u7814\u7a76\u3067\u306f\u3001\u4e0d\u7720\u75c7\u72b6\uff08\u7279\u306b\u4e2d\u9014\u899a\u9192\uff09\u306f\u6539\u5584\u3057\u305f\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20112 \u904e\u899a\u9192\u50be\u5411\u304c\u7121\u547c\u5438\u3092\u6d6e\u304d\u5f6b\u308a\u306b\u3059\u308b<\/strong><\/h3>\n\n\n\n<p>\u9006\u65b9\u5411\u306e\u95a2\u4fc2\u3082\u3042\u308a\u307e\u3059\u3002\u4e0d\u7720\u4f53\u8cea\u30fb\u904e\u899a\u9192\u6027\uff08\u5bdd\u5165\u308b\u524d\u3084\u591c\u9593\u306b\u904e\u5ea6\u306b\u8133\u304c\u899a\u9192\u3057\u3084\u3059\u3044\u50be\u5411\uff09\u304c\u3042\u308b\u3068\u3001\u308f\u305a\u304b\u306a\u547c\u5438\u306e\u63fa\u3089\u304e\uff08\u6c17\u9053\u62b5\u6297\u306e\u5909\u52d5\u306a\u3069\uff09\u3067\u3082\u899a\u9192\u3057\u3066\u3057\u307e\u3044\u3001\u7121\u547c\u5438\u304c\u3088\u308a\u9855\u5728\u5316\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3059\u306a\u308f\u3061\u3001\u672c\u6765\u306f\u7121\u81ea\u899a\u3060\u3063\u305f\u8efd\u5ea6\u306e\u547c\u5438\u62b5\u6297\u5909\u52d5\u3082\u3001\u899a\u9192\u50be\u5411\u304c\u5f37\u3044\u3068\u4e0d\u7720\u611f\u3084\u4e2d\u9014\u899a\u9192\u3092\u8d77\u3053\u3059\u30c8\u30ea\u30ac\u30fc\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306b \u201c\u4e0d\u7720\u72b6\u614b \u2192 \u7761\u7720\u306e\u4e0d\u5b89\u5b9a\u5316 \u2192 \u547c\u5438\u63fa\u3089\u304e\u3078\u306e\u904e\u654f\u53cd\u5fdc \u2192 \u7121\u547c\u5438\u767a\u73fe\u201d \u3068\u3044\u3046\u60aa\u5faa\u74b0\u30e2\u30c7\u30eb\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20113 \u69cb\u9020\u7684\u30fb\u89e3\u5256\u5b66\u7684\u8981\u56e0\uff0b\u795e\u7d4c\u5236\u5fa1\u306e\u7570\u5e38<\/strong><\/h3>\n\n\n\n<p>\u7121\u547c\u5438\u3092\u3082\u305f\u3089\u3059\u56e0\u5b50\uff08\u80a5\u6e80\u3001\u9996\u5468\u56f2\u8102\u80aa\u3001\u5c0f\u984e\u3001\u8edf\u53e3\u84cb\u904e\u9577\u3001\u820c\u6c88\u4e0b\u50be\u5411\u306a\u3069\uff09\u3068\u3001\u4e0d\u7720\u3092\u52a9\u9577\u3059\u308b\u795e\u7d4c\u8208\u596e\u50be\u5411\u30fb\u899a\u9192\u95be\u5024\uff08\u4f4e\u3044\u95be\u5024\uff1d\u76ee\u899a\u3081\u3084\u3059\u3044\u50be\u5411\uff09\u3068\u304c\u91cd\u8907\u3059\u308b\u3068\u3001\u4e21\u8005\u3092\u4f75\u767a\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u4e0a\u6c17\u9053\u62b5\u6297\u75c7\u5019\u7fa4\uff08UARS\uff1aUpper Airway Resistance Syndrome\uff09\u3068\u3044\u3046\u3001\u660e\u78ba\u306a\u7121\u547c\u5438\u3067\u306f\u306a\u3044\u3082\u306e\u306e\u3001\u547c\u5438\u62b5\u6297\u5897\u5927\u304c\u7761\u7720\u3092\u65ad\u7247\u5316\u3059\u308b\u72b6\u614b\u3082\u3042\u308a\u3001\u3053\u308c\u304c\u4e0d\u7720\u69d8\u75c7\u72b6\u3092\u4f75\u305b\u6301\u3064\u30b1\u30fc\u30b9\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20114 \u7cbe\u795e\u30fb\u5fc3\u7406\u30fb\u30b9\u30c8\u30ec\u30b9\u56e0\u5b50\u3068\u306e\u95a2\u9023<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30b9\u30c8\u30ec\u30b9\u30fb\u4e0d\u5b89\u30fb\u6291\u3046\u3064<\/strong>\uff1a\u3053\u308c\u3089\u306f\u4e0d\u7720\u306e\u4e3b\u8981\u56e0\u3068\u306a\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u547c\u5438\u5236\u5fa1\u3084\u81ea\u5f8b\u795e\u7d4c\u306e\u7dca\u5f35\u3092\u901a\u3058\u3066\u547c\u5438\u63fa\u3089\u304e\u306e\u53cd\u5fdc\u6027\u3092\u9ad8\u3081\u3001\u7121\u547c\u5438\u767a\u73fe\u3092\u4fc3\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u85ac\u7269\u4f7f\u7528<\/strong>\uff1a\u93ae\u9759\u85ac\u30fb\u7761\u7720\u85ac\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb\u306a\u3069\u306f\u54bd\u982d\u7b4b\u5f1b\u7de9\u3092\u4fc3\u3057\u3001\u7121\u547c\u5438\u3092\u60aa\u5316\u3055\u305b\u5f97\u307e\u3059\u3002\u540c\u6642\u306b\u3001\u4e0d\u7720\u6539\u5584\u3092\u76ee\u7684\u3068\u3057\u3066\u6295\u4e0e\u3055\u308c\u305f\u85ac\u5264\u304c\u8fd4\u3063\u3066\u7761\u7720\u69cb\u9020\u3092\u4e71\u3059\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u899a\u9192-\u7761\u7720\u30ea\u30ba\u30e0\u4e71\u308c<\/strong>\uff1a\u30b7\u30d5\u30c8\u52e4\u52d9\u30fb\u4e0d\u898f\u5247\u306a\u751f\u6d3b\u30ea\u30ba\u30e0\u306a\u3069\u304c\u7761\u7720\u69cb\u9020\u3092\u4e0d\u5b89\u5b9a\u5316\u3055\u305b\u3001\u7121\u547c\u5438\u3078\u306e\u8010\u6027\u3092\u4e0b\u3052\u308b\u3053\u3068\u3082\u8003\u3048\u3089\u308c\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u8907\u6570\u8981\u56e0\u304c\u4ea4\u932f\u3057\u3001\u300c\u4e0d\u7720\uff0b\u7121\u547c\u5438\u300d\u4f75\u5b58\u3092\u3082\u305f\u3089\u3059\u308f\u3051\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u751f\u6d3b\u7fd2\u6163\u3067\u3067\u304d\u308b\u6539\u5584\u6cd5<\/strong><\/h2>\n\n\n\n<p>\u4f75\u5b58\u3059\u308b\u4e0d\u7720\u3068\u7121\u547c\u5438\u3092\u548c\u3089\u3052\u308b\u306b\u306f\u3001\u751f\u6d3b\u30d9\u30fc\u30b9\u3067\u53d6\u308a\u7d44\u3081\u308b\u6539\u5584\u304c\u57fa\u76e4\u306b\u306a\u308a\u307e\u3059\u3002\u4ee5\u4e0b\u306f\u3001\u7279\u306b\u6709\u52b9\u6027\u304c\u671f\u5f85\u3055\u308c\u308b\u624b\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\u20111 \u4f53\u91cd\u7ba1\u7406\u3068\u98df\u751f\u6d3b\u306e\u898b\u76f4\u3057<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9069\u6b63\u4f53\u91cd\u30fb\u8102\u80aa\u91cf\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<\/strong>\uff1a\u80a5\u6e80\u3084\u9996\u5468\u56f2\u8102\u80aa\u306e\u904e\u5270\u84c4\u7a4d\u306f\u7121\u547c\u5438\uff08\u6c17\u9053\u72ed\u7a84\uff09\u3092\u52a9\u9577\u3059\u308b\u305f\u3081\u3001\u6e1b\u91cf\u306f\u57fa\u672c\u5bfe\u7b56\u3067\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u5915\u98df\u6642\u9593\u306e\u5de5\u592b<\/strong>\uff1a\u5c31\u5bdd\u76f4\u524d\u306e\u91cd\u3044\u98df\u4e8b\u3084\u9ad8\u8102\u80aa\u30fb\u9ad8\u7cd6\u8cea\u98df\u306f\u6d88\u5316\u30fb\u80c3\u98df\u9053\u9006\u6d41\u306b\u3088\u3063\u3066\u6c17\u9053\u3078\u306e\u523a\u6fc0\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u5c31\u5bdd 2\uff5e3 \u6642\u9593\u524d\u306b\u306f\u98df\u4e8b\u3092\u6e08\u307e\u305b\u3001\u8efd\u3081\u306b\u6291\u3048\u308b\u306e\u304c\u671b\u307e\u3057\u3044\u3002<br><\/li>\n\n\n\n<li><strong>\u6c34\u5206\u30fb\u5869\u5206\u306e\u30d0\u30e9\u30f3\u30b9<\/strong>\uff1a\u3080\u304f\u307f\uff08\u7279\u306b\u9838\u90e8\u30fb\u9854\u9762\u3080\u304f\u307f\uff09\u306f\u6c17\u9053\u5468\u56f2\u306e\u6d6e\u816b\u3092\u5f15\u304d\u8d77\u3053\u3057\u3046\u308b\u306e\u3067\u3001\u5915\u65b9\u4ee5\u964d\u306e\u904e\u5ea6\u306a\u5869\u5206\u3084\u6c34\u5206\u6442\u53d6\u306b\u306f\u6ce8\u610f\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\u20112 \u898f\u5247\u7684\u306a\u7761\u7720\u30ea\u30ba\u30e0\u306e\u78ba\u7acb<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c31\u5bdd\u6642\u523b\u30fb\u8d77\u5e8a\u6642\u523b\u3092\u3067\u304d\u308b\u3060\u3051\u6bce\u65e5\u540c\u3058\u306b\u3059\u308b<br><\/li>\n\n\n\n<li>\u5bdd\u308b\u524d\u306e\u30eb\u30fc\u30c6\u30a3\u30f3\uff08\u8aad\u66f8\u30fb\u7791\u60f3\u30fb\u6df1\u547c\u5438\u306a\u3069\u30ea\u30e9\u30c3\u30af\u30b9\u884c\u52d5\uff09\u3092\u8a2d\u3051\u308b<br><\/li>\n\n\n\n<li>\u30b9\u30de\u30db\u30fb\u5f37\u3044\u5149\u306e\u4f7f\u7528\u3092\u5c31\u5bdd\u524d 1 \u6642\u9593\u7a0b\u5ea6\u524d\u306b\u306f\u63a7\u3048\u308b\uff08\u30d6\u30eb\u30fc\u30e9\u30a4\u30c8\u5236\u5fa1\uff09<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306f\u4e0d\u7720\u6539\u5584\u306e\u57fa\u672c\u3067\u3042\u308a\u3001\u899a\u9192\u50be\u5411\u3092\u6291\u5236\u3059\u308b\u305f\u3081\u306e\u795e\u7d4c\u53ef\u5851\u6027\u6539\u5584\u306b\u3082\u3064\u306a\u304c\u308a\u307e\u3059\u3002CBT\u2011I\uff08\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306b\u3088\u308b\u4e0d\u7720\u6cbb\u7642\uff09\u3082\u3053\u306e\u9818\u57df\u3067\u6700\u3082\u652f\u6301\u3055\u308c\u308b\u65b9\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\u20113 \u9069\u5ea6\u306a\u904b\u52d5\u30fb\u8eab\u4f53\u6d3b\u52d5<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6bce\u65e5\u307e\u305f\u306f\u5b9a\u671f\u7684\u306a\u6709\u9178\u7d20\u904b\u52d5\uff08\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u3001\u30e9\u30f3\u30cb\u30f3\u30b0\u3001\u30b5\u30a4\u30af\u30ea\u30f3\u30b0\u306a\u3069\uff09<br><\/li>\n\n\n\n<li>\u7b4b\u529b\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\uff08\u4f53\u5e79\u30fb\u9838\u90e8\u7b4b\u8089\u306a\u3069\u542b\u3080\uff09<br>\u904b\u52d5\u306f\u4f53\u91cd\u6e1b\u5c11\u52b9\u679c\u3060\u3051\u3067\u306a\u304f\u3001\u81ea\u5f8b\u795e\u7d4c\u8abf\u6574\u30fb\u5faa\u74b0\u6539\u5584\u3092\u901a\u3058\u3066\u7761\u7720\u30fb\u547c\u5438\u5236\u5fa1\u6a5f\u69cb\u3078\u3082\u30d7\u30e9\u30b9\u306b\u50cd\u304f\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\u20114 \u7981\u9152\u30fb\u7bc0\u9152\u30fb\u85ac\u7269\u898b\u76f4\u3057<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c31\u5bdd\u524d\u6570\u6642\u9593\u306f\u30a2\u30eb\u30b3\u30fc\u30eb\u3092\u6442\u3089\u306a\u3044<br><\/li>\n\n\n\n<li>\u7761\u7720\u85ac\u30fb\u93ae\u9759\u85ac\u306e\u4f7f\u7528\u306f\u6700\u5c0f\u9650\u306b\u3057\u3001\u3067\u304d\u308c\u3070\u5c02\u9580\u5bb6\u6307\u5c0e\u306e\u3082\u3068\u6f38\u6e1b\u691c\u8a0e<br><\/li>\n\n\n\n<li>\u30bf\u30d0\u30b3\u306f\u6c17\u9053\u7c98\u819c\u708e\u75c7\u30fb\u816b\u5f35\u3092\u4fc3\u3059\u305f\u3081\u7981\u7159\u304c\u671b\u307e\u3057\u3044<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\u20115 \u5bdd\u5ba4\u74b0\u5883\u30fb\u59ff\u52e2\u6700\u9069\u5316<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6795\u306e\u9ad8\u3055\u3084\u5bdd\u5177\u3092\u8abf\u6574\u3057\u3001\u982d\u90e8\u30fb\u9838\u90e8\u3092\u9069\u5ea6\u306b\u6319\u4e0a\u3059\u308b<br><\/li>\n\n\n\n<li>\u6a2a\u5411\u304d\u5bdd\u3092\u57fa\u672c\u3068\u3059\u308b\uff08\u4ef0\u5411\u3051\u5bdd\u306f\u7121\u547c\u5438\u8a98\u767a\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\uff09<br><\/li>\n\n\n\n<li>\u5bdd\u5ba4\u6e29\u5ea6\u30fb\u6e7f\u5ea6\u30fb\u7167\u660e\u30fb\u906e\u97f3\u306a\u3069\u74b0\u5883\u6574\u5099\uff08\u5feb\u9069\u306a\u5165\u7720\u74b0\u5883\u3065\u304f\u308a\uff09<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u751f\u6d3b\u6539\u5584\u306f\u3001\u8efd\u5ea6\uff5e\u4e2d\u7b49\u5ea6\u306e COMISA \u75c7\u4f8b\u3067\u306f\u304b\u306a\u308a\u6709\u52b9\u306a\u30d9\u30fc\u30b9\u6226\u7565\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. \u88dc\u52a9\u7642\u6cd5\u30fb\u5668\u5177\u30fb\u8a13\u7df4\u6cd5\u306e\u9078\u629e\u80a2<\/strong><\/h2>\n\n\n\n<p>\u751f\u6d3b\u6539\u5584\u3060\u3051\u3067\u75c7\u72b6\u304c\u306a\u304b\u306a\u304b\u6539\u5584\u3057\u306a\u3044\u3001\u307e\u305f\u306f\u7121\u547c\u5438\u304c\u4e2d\u7b49\u5ea6\uff5e\u91cd\u5ea6\u3067\u3042\u308b\u5834\u5408\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u88dc\u52a9\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20111 CPAP\uff08\u6301\u7d9a\u967d\u5727\u547c\u5438\u7642\u6cd5\uff09<\/strong><\/h3>\n\n\n\n<p>\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306b\u5bfe\u3059\u308b\u7b2c\u4e00\u9078\u629e\u6cbb\u7642\u3067\u3059\u3002\u6c17\u9053\u306b\u967d\u5727\u3092\u304b\u3051\u3066\u9589\u585e\u3092\u9632\u304e\u3001\u547c\u5438\u306e\u4e2d\u65ad\u3092\u6291\u3048\u307e\u3059\u3002<a href=\"https:\/\/somnomed.com\/jp\/what-is-sleep-apnea\/?utm_source=chatgpt.com\"><br><\/a> COMISA \u75c7\u4f8b\u3067\u3082\u3001CPAP \u3092\u5c0e\u5165\u3059\u308b\u3053\u3068\u3067\u7121\u547c\u5438\u7531\u6765\u306e\u4e2d\u9014\u899a\u9192\u304c\u8efd\u6e1b\u3057\u3001\u4e0d\u7720\u75c7\u72b6\u3082\u6539\u5584\u3059\u308b\u30b1\u30fc\u30b9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305f\u3060\u3057 CPAP \u5229\u7528\u8005\u306f\u3001\u4e0d\u7720\u50be\u5411\u304c\u5f37\u3044\u3068\u88c5\u7740\u7d99\u7d9a\u304c\u56f0\u96e3\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u88c5\u7740\u9069\u5408\u6027\u30fb\u4f7f\u7528\u5feb\u9069\u6027\u3092\u5411\u4e0a\u3055\u305b\u308b\u5de5\u592b\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20112 \u53e3\u8154\u5185\u88c5\u7f6e\uff08\u4e0b\u984e\u524d\u65b9\u4fdd\u6301\u88c5\u7f6e\uff1a\u30de\u30a6\u30b9\u30d4\u30fc\u30b9\u578b\uff09<\/strong><\/h3>\n\n\n\n<p>\u4e0b\u984e\u3092\u524d\u65b9\u306b\u5f15\u304d\u51fa\u3059\u3053\u3068\u3067\u6c17\u9053\u3092\u78ba\u4fdd\u3059\u308b\u88c5\u7f6e\u3067\u3001\u8efd\u301c\u4e2d\u7b49\u5ea6\u306e OSA \u306b\u304a\u3044\u3066\u6bd4\u8f03\u7684\u6271\u3044\u3084\u3059\u3044\u6cbb\u7642\u9078\u629e\u80a2\u3067\u3059\u3002<a href=\"https:\/\/somnomed.com\/japan\/resource\/treatment-options\/?utm_source=chatgpt.com\"><br><\/a> \u88c5\u7f6e\u3092\u4f7f\u3046\u3053\u3068\u3067\u3001\u7121\u547c\u5438\u30fb\u4f4e\u547c\u5438\u304c\u8efd\u6e1b\u3055\u308c\u308c\u3070\u4e2d\u9014\u899a\u9192\u3082\u6291\u5236\u3055\u308c\u3001\u4e0d\u7720\u6539\u5584\u306b\u5bc4\u4e0e\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20113 \u88dc\u52a9\u7684\u547c\u5438\u88c5\u7f6e\u30fb\u30d0\u30eb\u30d6\u7cfb\u30c7\u30d0\u30a4\u30b9<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nasal EPAP\uff08\u9f3b\u547c\u6c17\u967d\u5727\u5f01\uff09<\/strong>\uff1a\u9f3b\u306b\u8cbc\u308b\u5c0f\u578b\u30d0\u30eb\u30d6\u578b\u5668\u5177\u3067\u3001\u547c\u6c17\u6642\u306b\u62b5\u6297\u3092\u304b\u3051\u3001\u4e0a\u6c17\u9053\u5727\u529b\u7dad\u6301\u3092\u56f3\u308b\u65b9\u5f0f\u3002\u8efd\u5ea6\uff5e\u4e2d\u7b49\u5ea6\u306e OSA \u306b\u304a\u3044\u3066\u52b9\u679c\u3092\u793a\u3057\u305f\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002<a href=\"https:\/\/en.wikipedia.org\/wiki\/Nasal_EPAP?utm_source=chatgpt.com\"><br><\/a><\/li>\n\n\n\n<li><strong>\u4e0a\u820c\u4e0b\u795e\u7d4c\u523a\u6fc0\uff08Hypoglossal Nerve Stimulation, HNS\uff09<\/strong>\uff1a\u7761\u7720\u4e2d\u306b\u820c\u3092\u524d\u65b9\u3078\u52d5\u304b\u3059\u523a\u6fc0\u3092\u4e0e\u3048\u3001\u820c\u6c88\u4e0b\u3092\u9632\u3050\u690d\u8fbc\u307f\u578b\u6cbb\u7642\u3002\u91cd\u75c7\u4f8b\u3067\u306e\u88dc\u52a9\u624b\u6bb5\u3068\u3057\u3066\u7814\u7a76\u304c\u9032\u3093\u3067\u3044\u307e\u3059\u3002<a href=\"https:\/\/en.wikipedia.org\/wiki\/Hypoglossal_nerve_stimulation?utm_source=chatgpt.com\"><br><\/a><\/li>\n\n\n\n<li><strong>\u632f\u52d5\u30dd\u30b8\u30b7\u30e7\u30cb\u30f3\u30b0\u88c5\u7f6e\u30fb\u30bb\u30f3\u30b5\u30fc\u6795<\/strong>\uff1a\u3044\u3073\u304d\u30fb\u547c\u5438\u7570\u5e38\u691c\u51fa\u6642\u306b\u8efd\u304f\u632f\u52d5\u3092\u4e0e\u3048\u3066\u4f53\u4f4d\u5909\u63db\u3092\u4fc3\u3059\u88c5\u7f6e\u3082\u5e02\u8ca9\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20114 \u30de\u30a4\u30aa\u30d5\u30a1\u30f3\u30af\u30b7\u30e7\u30ca\u30eb\u7642\u6cd5\uff08\u53e3\u8154\u54bd\u982d\u7b4b\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\uff09<\/strong><\/h3>\n\n\n\n<p>\u820c\u30fb\u8edf\u53e3\u84cb\u30fb\u54bd\u982d\u7b4b\u306a\u3069\u4e0a\u6c17\u9053\u652f\u6301\u7b4b\u3092\u8a13\u7df4\u3059\u308b\u3053\u3068\u3067\u3001\u7761\u7720\u4e2d\u306e\u6c17\u9053\u5d29\u58ca\u3092\u6291\u3048\u308b\u624b\u6cd5\u3002\u5531\u6b4c\u30fb\u767a\u58f0\u8a13\u7df4\u30fb\u820c\u904b\u52d5\u306a\u3069\u3092\u4f7f\u3046\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059\u3002<br>\u3053\u306e\u65b9\u6cd5\u5358\u72ec\u3067\u306f\u5287\u7684\u306a\u52b9\u679c\u3092\u671f\u5f85\u3059\u308b\u306e\u306f\u96e3\u3057\u3044\u3082\u306e\u306e\u3001CPAP \u3084\u53e3\u8154\u88c5\u7f6e\u88dc\u52a9\u3068\u3057\u3066\u4f75\u7528\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20115 \u8a8d\u77e5\u884c\u52d5\u7642\u6cd5 for \u4e0d\u7720\uff08CBT\u2011I\uff09<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u305d\u306e\u3082\u306e\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u5fc3\u7406\u884c\u52d5\u7642\u6cd5\u3067\u3001\u7761\u7720\u5236\u9650\u7642\u6cd5\u30fb\u523a\u6fc0\u5236\u5fa1\u30fb\u8a8d\u77e5\u518d\u69cb\u6210\u30fb\u30ea\u30e9\u30af\u30bb\u30fc\u30b7\u30e7\u30f3\u6280\u6cd5\u306a\u3069\u3092\u7528\u3044\u307e\u3059\u3002<a href=\"https:\/\/en.wikipedia.org\/wiki\/Cognitive_behavioral_therapy_for_insomnia?utm_source=chatgpt.com\"><br><\/a> \u7279\u306b COMISA \u75c7\u4f8b\u3067\u306f\u3001\u4e0d\u7720\u5074\u306e\u8981\u56e0\uff08\u5165\u7720\u4e0d\u5b89\u30fb\u591c\u9593\u899a\u9192\u601d\u8003\u306a\u3069\uff09\u3092\u5236\u5fa1\u3059\u308b CBT\u2011I \u304c\u3001\u547c\u5438\u969c\u5bb3\u6cbb\u7642\u306e\u88dc\u5b8c\u7684\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20116 \u85ac\u7269\u7642\u6cd5\uff08\u614e\u91cd\u306b\uff09<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u304c\u975e\u5e38\u306b\u91cd\u304f\u3001\u5fc3\u7406\u7684\u306a\u8981\u56e0\u304c\u5927\u304d\u3044\u5834\u5408\u306b\u306f\u7761\u7720\u85ac\u30fb\u6297\u4e0d\u5b89\u85ac\u306a\u3069\u304c\u4f7f\u308f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u3053\u308c\u3089\u306e\u85ac\u5264\u306f\u7b4b\u5f1b\u7de9\u4f5c\u7528\u3092\u6301\u3064\u5834\u5408\u304c\u3042\u308a\u3001\u7121\u547c\u5438\u3092\u60aa\u5316\u3055\u305b\u308b\u30ea\u30b9\u30af\u3092\u4f34\u3046\u305f\u3081\u3001\u614e\u91cd\u306b\u9078\u629e\u30fb\u7ba1\u7406\u304c\u5fc5\u8981\u3067\u3059\u3002<br>\u307e\u305f\u3001\u6700\u8fd1\u306f\u30aa\u30ec\u30ad\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\uff08\u7761\u7720\u7dad\u6301\u3092\u52a9\u3051\u308b\u7cfb\uff09\u306a\u3069\u3001\u6bd4\u8f03\u7684\u65b0\u3057\u3044\u4f5c\u7528\u6a5f\u5e8f\u306e\u85ac\u5264\u3082\u4f7f\u308f\u308c\u59cb\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"427\" src=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32981426_s-7.webp\" alt=\"\u533b\u8005\" class=\"wp-image-6745\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32981426_s-7.webp 640w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32981426_s-7-600x400.webp 600w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32981426_s-7-300x200.webp 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u533b\u7642\u7684\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8\u3068\u6cbb\u7642\u6226\u7565<\/strong><\/h2>\n\n\n\n<p>\u91cd\u75c7\u4f8b\u3084\u6539\u5584\u304c\u898b\u3089\u308c\u306a\u3044\u4f8b\u3067\u306f\u3001\u533b\u7642\u7684\u8a55\u4fa1\u3068\u6cbb\u7642\u6226\u7565\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20111 \u7cbe\u5bc6\u691c\u67fb\uff08\u7761\u7720\u691c\u67fb\u30fb\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30d5\u30a3\u30fc\uff09<\/strong><\/h3>\n\n\n\n<p>\u81ea\u5b85\u578b\u7c21\u6613\u691c\u67fb\uff08\u5728\u5b85\u7d42\u591c\u547c\u5438\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\uff09\u304b\u3089\u59cb\u3081\u3001\u7570\u5e38\u304c\u3042\u308c\u3070\u81e8\u5e8a\u7684\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30d5\u30a3\u30fc\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u7121\u547c\u5438\u30fb\u4f4e\u547c\u5438\u56de\u6570\uff08AHI\u6307\u6570\uff09\u3001\u8840\u4e2d\u9178\u7d20\u98fd\u548c\u5ea6\u5909\u52d5\u3001\u899a\u9192\u56de\u6570\u3001\u7761\u7720\u6bb5\u968e\u306a\u3069\u304c\u5b9a\u91cf\u7684\u306b\u8a55\u4fa1\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u7d50\u679c\u3092\u3082\u3068\u306b\u3001\u7121\u547c\u5438\u91cd\u75c7\u5ea6\u30fb\u7761\u7720\u69cb\u9020\u7570\u5e38\u5ea6\u30fb\u899a\u9192\u50be\u5411\u306e\u5f37\u3055\u306a\u3069\u3092\u7dcf\u5408\u7684\u306b\u898b\u3066\u3001\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20112 \u7dcf\u5408\u7684\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1\uff08\u7d71\u5408\u6cbb\u7642\uff09<\/strong><\/h3>\n\n\n\n<p>COMISA \u306e\u5834\u5408\u3001\u5358\u4e00\u6cbb\u7642\u3060\u3051\u3067\u5341\u5206\u306a\u6539\u5584\u304c\u5f97\u3089\u308c\u306b\u304f\u3044\u305f\u3081\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7d71\u5408\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u7406\u60f3\u3068\u3055\u308c\u307e\u3059\uff1a<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u547c\u5438\u88dc\u6b63\u512a\u5148<\/strong>\uff1aCPAP \u3084\u53e3\u8154\u88c5\u7f6e\u306a\u3069\u3067\u7121\u547c\u5438\u30fb\u4f4e\u547c\u5438\u3092\u307e\u305a\u6539\u5584<br><\/li>\n\n\n\n<li><strong>\u4e0d\u7720\u5236\u5fa1<\/strong>\uff1aCBT\u2011I \u3084\u7761\u7720\u30ea\u30ba\u30e0\u6539\u5584\u306a\u3069\u3067\u4e0d\u7720\u8981\u56e0\u3092\u6291\u5236<br><\/li>\n\n\n\n<li><strong>\u4e26\u884c\u751f\u6d3b\u6539\u5584<\/strong>\uff1a\u4f53\u91cd\u7ba1\u7406\u30fb\u904b\u52d5\u30fb\u98df\u4e8b\u306a\u3069\u306e\u57fa\u76e4\u3092\u6574\u3048\u308b<br><\/li>\n\n\n\n<li><strong>\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3068\u8abf\u6574<\/strong>\uff1a\u6cbb\u7642\u9069\u5408\u6027\u3092\u898b\u306a\u304c\u3089\u3001\u5727\u529b\u8a2d\u5b9a\u30fb\u88c5\u7f6e\u8abf\u6574\u30fb\u6cbb\u7642\u4f75\u7528\u306a\u3069\u3092\u6700\u9069\u5316<br><\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20113 \u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u30fb\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>CPAP \u3084\u88c5\u7f6e\u306e\u4f7f\u7528\u7387\u30fb\u52b9\u679c\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\uff08\u6a5f\u5668\u30ed\u30b0\u30fb\u81ea\u5df1\u5831\u544a\uff09<br><\/li>\n\n\n\n<li>\u7761\u7720\u65e5\u8a8c\u30fb\u899a\u9192\u983b\u5ea6\u30fb\u65e5\u4e2d\u7720\u6c17\u30fbQOL\u6307\u6a19\u306e\u5b9a\u671f\u8a55\u4fa1<br><\/li>\n\n\n\n<li>\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u518d\u691c\u67fb\uff08\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30d5\u30a3\u30fc\u518d\u5b9f\u65bd\uff09<br><\/li>\n\n\n\n<li>\u5408\u4f75\u75c7\uff08\u9ad8\u8840\u5727\u3001\u5fc3\u75be\u60a3\u3001\u8a8d\u77e5\u6a5f\u80fd\u5909\u5316\u7b49\uff09\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20114 \u624b\u8853\u7684\u6cbb\u7642\u691c\u8a0e<\/strong><\/h3>\n\n\n\n<p>\u7121\u547c\u5438\u539f\u56e0\u3068\u3057\u3066\u3001\u6241\u6843\u80a5\u5927\u30fb\u8edf\u53e3\u84cb\u904e\u9577\u30fb\u9f3b\u4e2d\u9694\u6e7e\u66f2\u306a\u3069\u306e\u69cb\u9020\u7570\u5e38\u304c\u660e\u3089\u304b\u306a\u5834\u5408\u306f\u3001\u624b\u8853\u7684\u6cbb\u7642\uff08\u8edf\u53e3\u84cb\u5f62\u6210\u8853\u30fb\u9f3b\u4e2d\u9694\u77ef\u6b63\u8853\u306a\u3069\uff09\u304c\u691c\u8a0e\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u305f\u3060\u3057\u624b\u8853\u306b\u3088\u308b\u52b9\u679c\u3084\u5408\u4f75\u75c7\u30ea\u30b9\u30af\u3092\u614e\u91cd\u306b\u691c\u8a0e\u3059\u3079\u304d\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>6. \u5b9f\u8df5\u30b9\u30c6\u30c3\u30d7\u3068\u6ce8\u610f\u70b9<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6\u20111 \u5b9f\u8df5\u30b9\u30c6\u30c3\u30d7\uff08\u4f8b\uff09<\/strong><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u73fe\u72b6\u628a\u63e1\u3068\u8a18\u9332<\/strong><strong><br><\/strong> \u2003\u30fb\u5bdd\u3064\u304d\u6642\u9593\u30fb\u4e2d\u9014\u899a\u9192\u56de\u6570\u30fb\u65e9\u671d\u899a\u9192\u306e\u8a18\u9332<br>\u2003\u30fb\u3044\u3073\u304d\u6709\u7121\u30fb\u7121\u547c\u5438\u611f\u899a\u30fb\u65e5\u4e2d\u306e\u7720\u6c17\u5ea6\u306e\u81ea\u5df1\u8a55\u4fa1<br><\/li>\n\n\n\n<li><strong>\u751f\u6d3b\u7fd2\u6163\u898b\u76f4\u3057<\/strong><strong><br><\/strong> \u2003\u30fb\u5c31\u5bdd\u30eb\u30fc\u30c6\u30a3\u30f3\u30fb\u904b\u52d5\u30fb\u98df\u4e8b\u6642\u9593\u306a\u3069\u3092\u6574\u3048\u308b<br><\/li>\n\n\n\n<li><strong>\u7c21\u6613\u5bfe\u7b56\u5c0e\u5165<\/strong><strong><br><\/strong> \u2003\u30fb\u6795\u30fb\u5bdd\u59ff\u52e2\u30fb\u6a2a\u5411\u304d\u5bdd\u30fb\u74b0\u5883\u6700\u9069\u5316<br><\/li>\n\n\n\n<li><strong>\u88dc\u52a9\u7642\u6cd5\u4f75\u7528<\/strong><strong><br><\/strong> \u2003\u30fb\u53e3\u8154\u88c5\u7f6e\u30fbCPAP\uff08\u8efd\u5ea6\uff5e\u4e2d\u7b49\u5ea6\u4f8b\u3067\u8a66\u884c\uff09<br>\u2003\u30fb\u30de\u30a4\u30aa\u30d5\u30a1\u30f3\u30af\u30b7\u30e7\u30ca\u30eb\u8a13\u7df4\u30fbCBT\u2011I \u5c0e\u5165<br><\/li>\n\n\n\n<li><strong>\u6cbb\u7642\u9069\u5408\u6027\u30fb\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0<\/strong><strong><br><\/strong> \u2003\u30fb\u88c5\u7f6e\u4f7f\u7528\u7387\u30fb\u7761\u7720\u691c\u67fb\u7d50\u679c\u306e\u8ffd\u8de1<br>\u2003\u30fb\u6539\u5584\u304c\u4e4f\u3057\u3051\u308c\u3070\u533b\u7642\u53d7\u8a3a\u30fb\u518d\u8a55\u4fa1<br><\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6\u20112 \u6ce8\u610f\u70b9\u30fb\u30ea\u30b9\u30af\u7ba1\u7406<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7761\u7720\u85ac\u30fb\u93ae\u9759\u85ac\u306e\u4f7f\u7528\u306f\u5fc5\u305a\u5c02\u9580\u533b\u3068\u76f8\u8ac7\u3057\u3001\u7121\u547c\u5438\u3078\u306e\u5f71\u97ff\u3092\u30c1\u30a7\u30c3\u30af<br><\/li>\n\n\n\n<li>\u88dc\u52a9\u5668\u5177\uff08\u30de\u30a6\u30b9\u30d4\u30fc\u30b9\u30fbCPAP \u306a\u3069\uff09\u306f\u3001\u9069\u5408\u6027\uff08\u75db\u307f\u30fb\u9055\u548c\u611f\u30fb\u984e\u95a2\u7bc0\u30fb\u6b6f\u306e\u52d5\u63fa\u306a\u3069\uff09\u3092\u7d99\u7d9a\u7684\u306b\u30c1\u30a7\u30c3\u30af<br><\/li>\n\n\n\n<li>\u75c7\u72b6\u304c\u6025\u6fc0\u306b\u60aa\u5316\u30fb\u7a81\u7136\u306e\u91cd\u7be4\u306a\u65e5\u4e2d\u7720\u6c17\u30fb\u5fc3\u80ba\u75c7\u72b6\u306a\u3069\u304c\u51fa\u305f\u5834\u5408\u306f\u65e9\u6025\u306b\u533b\u7642\u6a5f\u95a2\u53d7\u8a3a<br><\/li>\n\n\n\n<li>\u9ad8\u9f62\u30fb\u5fc3\u8840\u7ba1\u75be\u60a3\u30fb\u547c\u5438\u5668\u75be\u60a3\u306a\u3069\u306e\u5408\u4f75\u75c7\u3092\u6301\u3064\u5834\u5408\u306f\u3001\u6cbb\u7642\u65b9\u91dd\u3092\u614e\u91cd\u306b\u8a2d\u8a08<br><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>7. \u307e\u3068\u3081\uff1a\u8cea\u306e\u9ad8\u3044\u7761\u7720\u3092\u53d6\u308a\u623b\u3059\u9053<\/strong><\/h2>\n\n\n\n<p>\u4e0d\u7720\u3068\u7121\u547c\u5438\u304c\u540c\u6642\u306b\u8d77\u3053\u308b\u300cCOMISA\uff08\u4f75\u5b58\u4e0d\u7720\uff0b\u7761\u7720\u6642\u7121\u547c\u5438\uff09\u300d\u306f\u3001\u76f8\u4e92\u306b\u60aa\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3042\u3046\u8907\u96d1\u306a\u7761\u7720\u969c\u5bb3\u3067\u3059\u3002\u4e21\u8005\u3092\u5206\u96e2\u3057\u3066\u6271\u3046\u306e\u3067\u306f\u306a\u304f\u3001<strong>\u547c\u5438\u88dc\u6b63 + \u4e0d\u7720\u5236\u5fa1 + \u751f\u6d3b\u30d9\u30fc\u30b9\u306e\u6539\u5584<\/strong> \u3092\u7d71\u5408\u7684\u306b\u884c\u3046\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u3088\u308a\u52b9\u679c\u3092\u767a\u63ee\u3057\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"\u7720\u308d\u3046\u3068\u3057\u3066\u3082\u5bdd\u3064\u3051\u306a\u3044\u2015\u2015\u305d\u308c\u306b\u52a0\u3048\u3066\u300c\u547c\u5438\u304c\u6b62\u307e\u308b\u300d\u300c\u3044\u3073\u304d\u304c\u5927\u304d\u3044\u300d\u3068\u3044\u3063\u305f\u7121\u547c\u5438\u306e\u5146\u5019\u3092\u611f\u3058\u308b\u3002\u3053\u3046\u3057\u305f\u300c\u4e0d\u7720\u300d\u3068\u300c\u7121\u547c\u5438\u300d\u304c\u540c\u6642\u306b\u8d77\u3053\u308b\u72b6\u614b\u306f\u3001\u5358\u306a\u308b\u7761\u7720\u306e\u60a9\u307f\u3092\u8d85\u3048\u3066\u5065\u5eb7\u30ea\u30b9\u30af\u3092\u4f34\u3046\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u672c\u8a18\u4e8b\u3067 [&hellip;]","protected":false},"author":64,"featured_media":6744,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[57],"tags":[56,31,68,19],"class_list":["post-6743","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sas","tag-sas","tag-31","tag-68","tag-19"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/posts\/6743","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/users\/64"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/comments?post=6743"}],"version-history":[{"count":2,"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/posts\/6743\/revisions"}],"predecessor-version":[{"id":6747,"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/posts\/6743\/revisions\/6747"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/media\/6744"}],"wp:attachment":[{"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/media?parent=6743"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/categories?post=6743"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-json\/wp\/v2\/tags?post=6743"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}