{"id":6748,"date":"2025-10-06T11:54:52","date_gmt":"2025-10-06T02:54:52","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/medicine\/?p=6748"},"modified":"2025-10-06T11:54:53","modified_gmt":"2025-10-06T02:54:53","slug":"insomnia-sleep-apnea-comisa","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/medicine\/2025\/10\/06\/insomnia-sleep-apnea-comisa\/","title":{"rendered":"\u4e0d\u7720\u3068\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306e\u9055\u3044\u3092\u5fb9\u5e95\u89e3\u8aac"},"content":{"rendered":"\n<p>\u300c\u5bdd\u3064\u3051\u306a\u3044\u300d\u300c\u9014\u4e2d\u3067\u76ee\u304c\u899a\u3081\u308b\u300d \u2026 \u3053\u3046\u3057\u305f\u4e0d\u7720\u75c7\u72b6\u306b\u60a9\u3080\u4eba\u306f\u591a\u304f\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u7761\u7720\u4e2d\u306b\u300c\u547c\u5438\u304c\u6b62\u307e\u308b\u300d\u300c\u3044\u3073\u304d\u304c\u6fc0\u3057\u3044\u300d\u3068\u3044\u3063\u305f\u7121\u547c\u5438\u75c7\u5019\u7fa4\u3082\u3001\u7761\u7720\u306e\u8cea\u3092\u8457\u3057\u304f\u640d\u306a\u3046\u91cd\u5927\u306a\u554f\u984c\u3067\u3059\u3002<br>\u3053\u308c\u3089\u306f\u300c\u7761\u7720\u969c\u5bb3\u300d\u3068\u3044\u3046\u70b9\u3067\u5171\u901a\u3057\u307e\u3059\u304c\u3001\u539f\u56e0\u30fb\u75c5\u614b\u30fb\u5bfe\u51e6\u6cd5\u306f\u5927\u304d\u304f\u7570\u306a\u308a\u307e\u3059\u3002\u6b63\u3057\u304f\u7406\u89e3\u3057\u306a\u3044\u307e\u307e\u5bfe\u51e6\u3092\u8aa4\u308b\u3068\u3001\u6539\u5584\u304c\u9060\u306e\u304f\u30b1\u30fc\u30b9\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<br>\u672c\u8a18\u4e8b\u3067\u306f\u3001\u4e0d\u7720\u75c7\u3068\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306e\u9055\u3044\u3092\u4f53\u7cfb\u7684\u306b\u6574\u7406\u3057\u3001\u75c7\u72b6\u3084\u8a3a\u65ad\u6cd5\u3001\u6cbb\u7642\u30fb\u5bfe\u7b56\u306e\u30dd\u30a4\u30f3\u30c8\u307e\u3067\u3092\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002\u81ea\u5206\u306e\u7761\u7720\u554f\u984c\u306e\u539f\u56e0\u3092\u898b\u6975\u3081\u3001\u9069\u5207\u306a\u6539\u5584\u7b56\u3092\u53d6\u308b\u624b\u52a9\u3051\u306b\u306a\u308c\u3070\u5e78\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u4e0d\u7720\u75c7\u3068\u306f\u4f55\u304b\uff1f \u2014 \u5b9a\u7fa9\u30fb\u5206\u985e\u30fb\u4e3b\u306a\u539f\u56e0<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\u20111 \u5b9a\u7fa9\u3068\u5206\u985e<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u75c7\uff08Insomnia\uff09\u306f\u3001\u300c\u5341\u5206\u306a\u7761\u7720\u6642\u9593\u304c\u78ba\u4fdd\u3067\u304d\u306a\u3044\u300d\u300c\u5bdd\u3064\u304d\u304c\u60aa\u3044\u300d\u300c\u7761\u7720\u304c\u6d45\u3044\uff0f\u4e2d\u9014\u899a\u9192\u304c\u591a\u3044\u300d\u300c\u65e9\u671d\u306b\u76ee\u899a\u3081\u3066\u518d\u3073\u7720\u308c\u306a\u3044\u300d\u306a\u3069\u306e\u8a34\u3048\u3092\u6307\u3057\u307e\u3059\u3002<br>\u5b66\u8853\u7684\u306b\u306f\u56fd\u969b\u7684\u57fa\u6e96\uff08ICSD\u20113\uff1aInternational Classification of Sleep Disorders \u7b2c3\u7248\uff09\u306a\u3069\u3067\u3001<strong>\u7761\u7720\u56f0\u96e3\u306e\u81ea\u899a\u304c\u3042\u308a\u3001\u305d\u308c\u304c\u65e5\u4e2d\u6a5f\u80fd\u969c\u5bb3\uff08\u75b2\u52b4\u611f\u30fb\u96c6\u4e2d\u529b\u4f4e\u4e0b\u30fb\u8a18\u61b6\u529b\u4f4e\u4e0b\u306a\u3069\uff09\u3092\u5f15\u304d\u8d77\u3053\u3059<\/strong>\u3068\u3044\u3046\u70b9\u304c\u3001\u300c\u4e0d\u7720\u75c7\u300d\u3068\u8a3a\u65ad\u3055\u308c\u308b\u8981\u4ef6\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4e0d\u7720\u75c7\u306f\u6642\u9593\u8ef8\u3084\u6301\u7d9a\u6027\u3067\u5206\u985e\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u305f\u3068\u3048\u3070\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6025\u6027\u4e0d\u7720<\/strong>\uff1a\u74b0\u5883\u5909\u5316\u3084\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u304c\u539f\u56e0\u3067\u4e00\u6642\u7684\u306b\u8d77\u3053\u308b<br><\/li>\n\n\n\n<li><strong>\u6162\u6027\u4e0d\u7720<\/strong>\uff1a\u5c11\u306a\u304f\u3068\u3082 3\u304b\u6708\u4ee5\u4e0a\u7d9a\u304f\u4e0d\u7720\u72b6\u614b<br><\/li>\n\n\n\n<li><strong>\u5165\u7720\u969c\u5bb3\uff0f\u4e2d\u9014\u899a\u9192\u578b\uff0f\u65e9\u671d\u899a\u9192\u578b<\/strong>\u306a\u3069\u306e\u30bf\u30a4\u30d7\u5225\u5206\u985e<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\u20112 \u4e3b\u306a\u539f\u56e0\u30fb\u8a98\u56e0<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u56e0\u5b50\u306f\u3001\u591a\u5c90\u306b\u308f\u305f\u308a\u307e\u3059\u3002\u4ee5\u4e0b\u306f\u4ee3\u8868\u7684\u306a\u3082\u306e\u3067\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5fc3\u7406\u30fb\u30b9\u30c8\u30ec\u30b9\u56e0\u5b50<\/strong>\uff1a\u4e0d\u5b89\u30fb\u6291\u3046\u3064\u30fb\u7dca\u5f35\u30fb\u60a9\u307f\u4e8b\u306a\u3069<br><\/li>\n\n\n\n<li><strong>\u74b0\u5883\u56e0\u5b50 \/ \u751f\u6d3b\u7fd2\u6163<\/strong>\uff1a\u5c31\u5bdd\u30ea\u30ba\u30e0\u306e\u4e71\u308c\u3001\u591c\u9045\u3044\u7167\u660e\u30fb\u30b9\u30de\u30db\u5229\u7528\u3001\u9a12\u97f3\u3001\u6697\u3055\u30fb\u6e29\u5ea6\u4e0d\u9069\u5207<br><\/li>\n\n\n\n<li><strong>\u85ac\u5264\u30fb\u7269\u8cea\u306e\u5f71\u97ff<\/strong>\uff1a\u30ab\u30d5\u30a7\u30a4\u30f3\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u3001\u30cb\u30b3\u30c1\u30f3\u3001\u4e00\u90e8\u5411\u7cbe\u795e\u85ac\u306a\u3069<br><\/li>\n\n\n\n<li><strong>\u8eab\u4f53\u75be\u60a3\u30fb\u5408\u4f75\u75c7<\/strong>\uff1a\u75bc\u75db\u3001\u6d88\u5316\u5668\u75be\u60a3\u3001\u547c\u5438\u5668\u75be\u60a3\u3001\u7532\u72b6\u817a\u6a5f\u80fd\u7570\u5e38\u306a\u3069<br><\/li>\n\n\n\n<li><strong>\u5185\u56e0\u6027\u30ea\u30ba\u30e0\u7570\u5e38<\/strong>\uff1a\u7761\u7720\u76f8\u5f8c\u9000\u75c7\u5019\u7fa4\u3001\u6982\u65e5\u30ea\u30ba\u30e0\u969c\u5bb3\u306a\u3069<br><\/li>\n\n\n\n<li><strong>\u8a8d\u77e5\u30fb\u884c\u52d5\u30d1\u30bf\u30fc\u30f3<\/strong>\uff1a\u904e\u5ea6\u306a\u7761\u7720\u3078\u306e\u95a2\u5fc3\u3001\u7761\u7720\u306b\u5bfe\u3059\u308b\u6050\u6016\u3001\u5c31\u5e8a\u6642\u306e\u899a\u9192\u884c\u52d5\uff08\u30d9\u30c3\u30c9\u3067\u4ed6\u306e\u6d3b\u52d5\u306a\u3069\uff09<br><\/li>\n<\/ul>\n\n\n\n<p>\u4e0d\u7720\u306f\u5358\u306b\u300c\u5bdd\u3089\u308c\u306a\u3044\u300d\u3060\u3051\u3067\u306a\u304f\u3001\u6162\u6027\u5316\u3059\u308b\u3068\u5fc3\u8eab\u306e\u30b9\u30c8\u30ec\u30b9\u8010\u6027\u4f4e\u4e0b\u30fb\u751f\u6d3b\u306e\u8cea\u306e\u4f4e\u4e0b\u3092\u62db\u304d\u3084\u3059\u304f\u3001\u65e9\u671f\u6539\u5584\u304c\u671b\u307e\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u3068\u306f\u4f55\u304b\uff1f \u2014 OSA\uff0fCSA\uff0fUARS \u7b49<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20111 \u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306e\u57fa\u672c<\/strong><\/h3>\n\n\n\n<p>\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\uff08Sleep Apnea Syndrome, SAS \u307e\u305f\u306f OSA \u3092\u542b\u3080\uff09\u306f\u3001\u7761\u7720\u4e2d\u306b\u547c\u5438\u304c\u7e70\u308a\u8fd4\u3057\u9014\u7d76\uff08\u7121\u547c\u5438\uff09\u307e\u305f\u306f\u6d45\u304f\u306a\u308b\uff08\u4f4e\u547c\u5438\uff09\u73fe\u8c61\u3092\u542b\u3080\u75be\u60a3\u7fa4\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4e3b\u306a\u30bf\u30a4\u30d7\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\uff08Obstructive Sleep Apnea\uff1aOSA\uff09<\/strong>\uff1a\u4e0a\u6c17\u9053\u304c\u7269\u7406\u7684\u306b\u9589\u585e\u30fb\u72ed\u7a84\u3057\u3001\u547c\u5438\u304c\u59a8\u3052\u3089\u308c\u308b<br><\/li>\n\n\n\n<li><strong>\u4e2d\u67a2\u6027\u7761\u7720\u6642\u7121\u547c\u5438\uff08Central Sleep Apnea\uff1aCSA\uff09<\/strong>\uff1a\u547c\u5438\u5236\u5fa1\u4e2d\u67a2\u304c\u547c\u5438\u6307\u4ee4\u3092\u51fa\u305b\u306a\u3044\uff0f\u8abf\u7bc0\u7570\u5e38\u304c\u3042\u308b<br><\/li>\n\n\n\n<li><strong>\u6df7\u5408\u578b\u30fb\u8907\u5408\u578b<\/strong>\uff1aOSA \u3068 CSA \u304c\u6df7\u5728<br><\/li>\n\n\n\n<li><strong>\u4e0a\u6c17\u9053\u62b5\u6297\u75c7\u5019\u7fa4\uff08Upper Airway Resistance Syndrome\uff1aUARS\uff09<\/strong>\uff1a\u660e\u78ba\u306a\u7121\u547c\u5438\u57fa\u6e96\u306b\u306f\u9054\u3057\u306a\u3044\u304c\u3001\u547c\u5438\u62b5\u6297\u306e\u5897\u5927\u304c\u9023\u7d9a\u7684\u899a\u9192\u3092\u8a98\u767a\u3059\u308b\u30bf\u30a4\u30d7<a href=\"https:\/\/en.wikipedia.org\/wiki\/Upper_airway_resistance_syndrome?utm_source=chatgpt.com\"><br><\/a><\/li>\n<\/ul>\n\n\n\n<p>OSA \u304c\u6700\u3082\u983b\u5ea6\u304c\u9ad8\u304f\u3001\u65e5\u5e38\u7684\u306b\u300c\u3044\u3073\u304d\u300d\u300c\u547c\u5438\u505c\u6b62\u611f\u300d\u300c\u65e5\u4e2d\u7720\u6c17\u300d\u3092\u4f34\u3046\u5178\u578b\u50cf\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20112 \u7121\u547c\u5438\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u5f71\u97ff<\/strong><\/h3>\n\n\n\n<p>\u4f53\u304c\u7761\u7720\u4e2d\u306b\u5589\u30fb\u820c\u30fb\u8edf\u53e3\u84cb\u30fb\u54bd\u982d\u58c1\u306e\u7b4b\u8089\u3092\u5f1b\u7de9\u3055\u305b\u308b\u3068\u3001\u4e0a\u6c17\u9053\u306e\u652f\u6301\u529b\u4f4e\u4e0b\u30fb\u7a7a\u9699\u72ed\u5c0f\u5316\u306b\u3088\u308a\u3001\u7a7a\u6c17\u901a\u8def\u304c\u585e\u304c\u308c\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u304c\u547c\u5438\u505c\u6b62\u30fb\u4f4e\u9178\u7d20\u30fb\u899a\u9192\u53cd\u5fdc\u3092\u8a98\u767a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u547c\u5438\u304c\u6b62\u307e\u308b\u305f\u3073\u306b\u4f53\u306f\u899a\u9192\uff08\u77ed\u6642\u9593\u3067\u3082\uff09\u3057\u3066\u547c\u5438\u3092\u518d\u958b\u3057\u3001\u305d\u306e\u65ad\u7d9a\u899a\u9192\u304c\u7761\u7720\u69cb\u9020\u306e\u7834\u7dbb\u3092\u62db\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u4f4e\u9178\u7d20\u30fb\u4e8c\u9178\u5316\u70ad\u7d20\u306e\u84c4\u7a4d\u30fb\u4ea4\u611f\u795e\u7d4c\u904e\u7dca\u5f35\u306a\u3069\u304c\u4f53\u5185\u30b9\u30c8\u30ec\u30b9\u3092\u9ad8\u3081\u3001\u5fc3\u8840\u7ba1\u7cfb\u30fb\u4ee3\u8b1d\u7cfb\u3078\u306e\u8ca0\u8377\u3092\u3082\u305f\u3089\u3059\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u7121\u547c\u5438\u91cd\u75c7\u5ea6\u306f\u4e00\u822c\u306b <strong>AHI\uff08Apnea\u2013Hypopnea Index\uff09<\/strong> \u3068\u3044\u3046\u6307\u6a19\u3067\u8a55\u4fa1\u3055\u308c\u3001\u6642\u9593\u3042\u305f\u308a\u306e\u7121\u547c\u5438\u30fb\u4f4e\u547c\u5438\u56de\u6570\u3092\u57fa\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20113 \u7121\u547c\u5438\u306b\u5178\u578b\u7684\u306a\u75c7\u72b6\u30fb\u5408\u4f75\u75c7<\/strong><\/h3>\n\n\n\n<p><strong>\u4e3b\u306a\u75c7\u72b6<\/strong>\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5927\u304d\u3044\u3044\u3073\u304d<br><\/li>\n\n\n\n<li>\u4e2d\u9014\u899a\u9192\u3084\u606f\u82e6\u3057\u3055\u3067\u76ee\u899a\u3081\u308b\u611f\u899a<br><\/li>\n\n\n\n<li>\u53e3\u6e07\u30fb\u5589\u306e\u9055\u548c\u611f<br><\/li>\n\n\n\n<li>\u65e5\u4e2d\u306e\u5f37\u3044\u7720\u6c17\u30fb\u5c45\u7720\u308a\u50be\u5411<br><\/li>\n\n\n\n<li>\u982d\u75db\u30fb\u96c6\u4e2d\u529b\u4f4e\u4e0b\u30fb\u8a18\u61b6\u529b\u4f4e\u4e0b<br><\/li>\n<\/ul>\n\n\n\n<p><strong>\u4e3b\u306a\u5408\u4f75\u75c7\u30fb\u30ea\u30b9\u30af<\/strong>\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9ad8\u8840\u5727\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u3001\u5fc3\u7b4b\u6897\u585e\u30fb\u8133\u5352\u4e2d\u30ea\u30b9\u30af\u5897\u52a0<br><\/li>\n\n\n\n<li>\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u30fb2\u578b\u7cd6\u5c3f\u75c5\u306e\u60aa\u5316<br><\/li>\n\n\n\n<li>\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u3001\u3046\u3064\u50be\u5411<br><\/li>\n\n\n\n<li>\u4e8b\u6545\u30ea\u30b9\u30af\u5897\u5927\uff08\u904b\u8ee2\u306a\u3069\uff09<br><\/li>\n<\/ul>\n\n\n\n<p>OSA \u60a3\u8005\u306e\u4e00\u90e8\u306b\u306f\u3001\u4e0d\u7720\u75c7\u72b6\uff08\u4e2d\u9014\u899a\u9192\u30fb\u5165\u7720\u56f0\u96e3\uff09\u3092\u4f75\u767a\u3059\u308b\u50be\u5411\u3082\u3042\u308a\u3001\u4e21\u8005\u306e\u91cd\u8907\uff08\u5f8c\u8ff0\u306e COMISA\uff09\u3082\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u4e0d\u7720\u75c7\u3068\u7121\u547c\u5438\u306e\u4e3b\u306a\u76f8\u9055\u70b9<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>\u9805\u76ee<\/strong><\/td><td><strong>\u4e0d\u7720\u75c7\uff08Insomnia\uff09<\/strong><\/td><td><strong>\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\uff08\u7279\u306b OSA\uff09<\/strong><\/td><\/tr><tr><td>\u4e3b\u306a\u969c\u5bb3\u5bfe\u8c61<\/td><td>\u7761\u7720\u958b\u59cb\u3084\u7dad\u6301\u304c\u56f0\u96e3\uff08\u4e3b\u89b3\u7684\u8a34\u3048\uff09<\/td><td>\u7761\u7720\u4e2d\u306e\u201c\u547c\u5438\u201d\u304c\u65ad\u7d9a\u30fb\u4f4e\u4e0b<\/td><\/tr><tr><td>\u899a\u9192\u30fb\u4e2d\u9014\u899a\u9192<\/td><td>\u899a\u9192\u4e3b\u4f53\u3001\u4e0d\u5b89\u3084\u8a8d\u77e5\u8981\u56e0\u304c\u95a2\u4e0e<\/td><td>\u547c\u5438\u505c\u6b62\u5f8c\u306e\u518d\u958b\u304c\u899a\u9192\u3092\u8a98\u767a<\/td><\/tr><tr><td>\u65e5\u4e2d\u75c7\u72b6<\/td><td>\u75b2\u52b4\u611f\u30fb\u5026\u6020\u611f\u30fb\u96c6\u4e2d\u529b\u4f4e\u4e0b<\/td><td>\u5f37\u3044\u7720\u6c17\u30fb\u5c45\u7720\u3044\u50be\u5411\u30fb\u663c\u9593\u7121\u611f\u899a<\/td><\/tr><tr><td>\u5178\u578b\u75c7\u72b6<\/td><td>\u5165\u7720\u56f0\u96e3\u30fb\u9014\u4e2d\u899a\u9192\u30fb\u65e9\u671d\u899a\u9192<\/td><td>\u5927\u304d\u306a \u3044\u3073\u304d\u30fb\u7121\u547c\u5438\u611f\u30fb\u52a0\u3048\u3066\u65e5\u4e2d\u7720\u6c17<\/td><\/tr><tr><td>\u767a\u751f\u8981\u56e0<\/td><td>\u5fc3\u7406\u30b9\u30c8\u30ec\u30b9\u30fb\u751f\u6d3b\u7fd2\u6163\u30fb\u75be\u60a3\u30fb\u85ac\u5264<\/td><td>\u89e3\u5256\u5b66\u7684\u56e0\u5b50\u30fb\u80a5\u6e80\u30fb\u7b4b\u5f1b\u7de9\u30fb\u547c\u5438\u5236\u5fa1\u7570\u5e38<\/td><\/tr><tr><td>\u691c\u67fb\u6cd5<\/td><td>\u7761\u7720\u65e5\u8a8c\u3001\u8cea\u554f\u7968\u3001\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u7c21\u6613\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30d5\u30a3\u30fc<\/td><td>\u7761\u7720\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30d5\u30a3\u30fc\u3001\u7d42\u591c\u547c\u5438\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3001AHI \u8a55\u4fa1<\/td><\/tr><tr><td>\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1<\/td><td>CBT\u2011I\u3001\u7761\u7720\u885b\u751f\u6539\u5584\u3001\u85ac\u7269\u7642\u6cd5\u306a\u3069<\/td><td>CPAP\u3001\u53e3\u8154\u88c5\u7f6e\u3001\u4f53\u4f4d\u7642\u6cd5\u3001\u6e1b\u91cf\u3001\u624b\u8853\u306a\u3069<\/td><\/tr><tr><td>\u5408\u4f75\u30ea\u30b9\u30af<\/td><td>\u7cbe\u795e\u75be\u60a3\uff08\u3046\u3064\u30fb\u4e0d\u5b89\uff09\u3001\u6162\u6027\u75b2\u52b4\u3001\u5fc3\u8eab\u30b9\u30c8\u30ec\u30b9<\/td><td>\u5fc3\u8840\u7ba1\u75be\u60a3\u30fb\u4ee3\u8b1d\u7570\u5e38\u30fb\u8a8d\u77e5\u6a5f\u80fd\u4f4e\u4e0b\u30fb\u4e8b\u6545\u30ea\u30b9\u30af<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3053\u306e\u6bd4\u8f03\u304b\u3089\u4e0d\u7720\u75c7\u3068\u7121\u547c\u5438\u306f\u300c\u7761\u7720\u3092\u59a8\u3052\u308b\u300d\u3068\u3044\u3046\u70b9\u3067\u306f\u91cd\u306a\u308a\u307e\u3059\u304c\u3001\u539f\u56e0\u30fb\u30a2\u30d7\u30ed\u30fc\u30c1\u30fb\u30e1\u30a4\u30f3\u30bf\u30fc\u30b2\u30c3\u30c8\u304c\u5927\u304d\u304f\u7570\u306a\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. \u4e21\u8005\u304c\u201c\u4f75\u5b58\u201d\u3059\u308b\u30b1\u30fc\u30b9\uff08COMISA\uff1a\u4f75\u5b58\u578b\uff09<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20111 COMISA\uff08Comorbid Insomnia and Sleep Apnea\uff09\u3068\u306f<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u75c7\u3068\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u304c\u540c\u6642\u306b\u5b58\u5728\u3059\u308b\u72b6\u614b\u3092\u3001\u8fd1\u5e74\u300c<strong>COMISA<\/strong>\uff08\u4f75\u5b58\u578b\u4e0d\u7720\uff0b\u7121\u547c\u5438\uff09\u300d\u3068\u547c\u3076\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u65e5\u672c\u56fd\u5185\u7814\u7a76\u3067\u3082\u3001OSA \u60a3\u8005\u306e 30\uff05\u524d\u5f8c\u306b\u4e0d\u7720\u75c7\u72b6\u3092\u4f34\u3046\u3068\u3059\u308b\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u4f75\u5b58\u578b\u306f\u3001\u5358\u72ec\u306e OSA \u3084\u4e0d\u7720\u3068\u6bd4\u8f03\u3057\u3066\u3001\u6cbb\u7642\u62b5\u6297\u6027\u30fb\u751f\u6d3b\u306e\u8cea\u4f4e\u4e0b\u30fb\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\u4e0d\u826f\u50be\u5411\uff08\u4f8b\u3048\u3070 CPAP \u88c5\u7f6e\u306e\u7d99\u7d9a\u5229\u7528\u7387\u304c\u4f4e\u4e0b\uff09\u306a\u3069\u306e\u554f\u984c\u70b9\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20112 \u306a\u305c\u4f75\u5b58\u3057\u3084\u3059\u3044\u306e\u304b\uff1f\u76f8\u4e92\u4f5c\u7528\u30e1\u30ab\u30cb\u30ba\u30e0<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7121\u547c\u5438 \u2192 \u4e2d\u9014\u899a\u9192 \u2192 \u4e0d\u7720\u611f<\/strong><strong><br><\/strong> \u3000\u547c\u5438\u505c\u6b62\u5f8c\u306b\u899a\u9192\u3092\u4f34\u3046\u305f\u3081\u3001\u7761\u7720\u65ad\u7247\u5316\u304c\u9032\u307f\u3001\u300c\u7720\u308a\u306b\u623b\u308c\u305a\u4e0d\u7720\u611f\u300d\u3092\u5f15\u304d\u8d77\u3053\u3059\u30eb\u30fc\u30c8\u3002<br><\/li>\n\n\n\n<li><strong>\u899a\u9192\u95be\u5024\u306e\u4f4e\u3055 \u2192 \u547c\u5438\u63fa\u3089\u304e\u306b\u654f\u611f\u53cd\u5fdc<\/strong><strong><br><\/strong> \u3000\u4e0d\u7720\u50be\u5411\u30fb\u904e\u899a\u9192\u50be\u5411\u304c\u3042\u308b\u4eba\u306f\u3001\u8efd\u5fae\u306a\u547c\u5438\u5909\u52d5\u3067\u3082\u899a\u9192\u53cd\u5fdc\u3092\u8d77\u3053\u3057\u3084\u3059\u304f\u3001\u7121\u547c\u5438\u767a\u73fe\u304c\u9855\u5728\u5316\u3057\u3084\u3059\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u4eee\u8aac\u3002<br><\/li>\n\n\n\n<li><strong>\u5171\u901a\u30ea\u30b9\u30af\u56e0\u5b50\u306e\u91cd\u306a\u308a<\/strong><strong><br><\/strong> \u3000\u80a5\u6e80\u3001\u5e74\u9f62\u3001\u6162\u6027\u708e\u75c7\u3001\u4ee3\u8b1d\u7570\u5e38\u3001\u7cbe\u795e\u7684\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u304c\u4e21\u8005\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u6cbb\u7642\u5e72\u6e09<\/strong><strong><br><\/strong> \u3000\u4e0d\u7720\u6cbb\u7642\uff08\u7279\u5b9a\u306e\u85ac\u5264\uff09\u3084\u88dc\u52a9\u7642\u6cd5\u304c\u547c\u5438\u3092\u6291\u5236\u3059\u308b\u4f5c\u7528\u3092\u6301\u3061\u3001\u7121\u547c\u5438\u3092\u60aa\u5316\u3055\u305b\u308b\u30b1\u30fc\u30b9\u3082\u3042\u308a\u5f97\u308b\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\u20113 COMISA \u306e\u81e8\u5e8a\u7684\u7279\u5fb4\u3068\u8ab2\u984c<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e0d\u7720\u75c7\u72b6\u304c\u5f37\u3044\u5834\u5408\u3001CPAP \u306e\u4f7f\u7528\u7d99\u7d9a\u7387\uff08\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\uff09\u304c\u4f4e\u4e0b\u3057\u3084\u3059\u3044\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>\u4e0d\u7720\u6539\u5584\u3092\u56f3\u308b\u6cbb\u7642\uff08\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3001\u4e0d\u7720\u85ac\u306a\u3069\uff09\u304c\u3001\u547c\u5438\u969c\u5bb3\u6539\u5584\u306b\u597d\u5f71\u97ff\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u306e\u5831\u544a\u3082\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>\u6cbb\u7642\u65b9\u91dd\u8a2d\u8a08\u304c\u8907\u96d1\u306b\u306a\u308a\u3001\u7247\u65b9\u3060\u3051\u3092\u6a19\u7684\u3068\u3059\u308b\u3068\u3082\u3046\u7247\u65b9\u3092\u60aa\u5316\u3055\u305b\u308b\u30ea\u30b9\u30af\u304c\u3042\u308b\u305f\u3081\u3001\u7d71\u5408\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5fc5\u8981\u3068\u3055\u308c\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u8a3a\u65ad\u306e\u6d41\u308c\u3068\u4f7f\u308f\u308c\u308b\u691c\u67fb<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20111 \u521d\u671f\u8a55\u4fa1\uff1a\u554f\u8a3a\u30fb\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0<\/strong><\/h3>\n\n\n\n<p>\u307e\u305a\u306f\u4e3b\u89b3\u7684\u8a34\u3048\u3092\u4e01\u5be7\u306b\u8074\u53d6\u3057\u307e\u3059\u3002\u5178\u578b\u7684\u306b\u306f\u4ee5\u4e0b\u306e\u8cea\u554f\u30fb\u8a55\u4fa1\u304c\u884c\u308f\u308c\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5165\u7720\u56f0\u96e3\u30fb\u9014\u4e2d\u899a\u9192\u30fb\u65e9\u671d\u899a\u9192\u306e\u983b\u5ea6\u30fb\u6301\u7d9a\u6027<br><\/li>\n\n\n\n<li>\u3044\u3073\u304d\u30fb\u547c\u5438\u505c\u6b62\u611f\u30fb\u606f\u5207\u308c\u611f\u306e\u6709\u7121<br><\/li>\n\n\n\n<li>\u65e5\u4e2d\u306e\u7720\u6c17\u5ea6\u30fb\u5c45\u7720\u308a\u50be\u5411\uff08\u30a8\u30d7\u30ef\u30fc\u30b9\u7720\u6c17\u5c3a\u5ea6 ESS \u306a\u3069\uff09<br><\/li>\n\n\n\n<li>\u7761\u7720\u65e5\u8a8c\u8a18\u9332\uff08\u5c31\u5bdd\u6642\u523b\u30fb\u8d77\u5e8a\u6642\u523b\u30fb\u899a\u9192\u56de\u6570\u306a\u3069\uff09<br><\/li>\n\n\n\n<li>\u7761\u7720\u885b\u751f\u30fb\u751f\u6d3b\u7fd2\u6163\u30fb\u85ac\u5264\u6b74\u30fb\u6301\u75c5\u6b74\u30c1\u30a7\u30c3\u30af<br><\/li>\n<\/ul>\n\n\n\n<p>\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c4\u30fc\u30eb\u4f8b\uff1aInsomnia Severity Index\uff08ISI\uff09\u3001Athens Insomnia Scale\uff08AIS\uff09\u3001Epworth Sleepiness Scale\uff08ESS\uff09\u306a\u3069\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"426\" src=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/33515974_s.webp\" alt=\"\u533b\u8005\" class=\"wp-image-6750\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/33515974_s.webp 640w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/33515974_s-600x399.webp 600w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/33515974_s-300x200.webp 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20112 \u7c21\u6613\u547c\u5438\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u30fb\u5728\u5b85\u691c\u67fb<\/strong><\/h3>\n\n\n\n<p>\u7121\u547c\u5438\u3092\u7591\u3046\u5834\u5408\u3001\u5728\u5b85\u3067\u884c\u3044\u3084\u3059\u3044\u7c21\u6613\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\uff08\u7d42\u591c\u547c\u5438\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u88c5\u7f6e\uff09\u3092\u4f7f\u3044\u3001\u7121\u547c\u5438\u30fb\u4f4e\u547c\u5438\u30fb\u9178\u7d20\u98fd\u548c\u5ea6\u4f4e\u4e0b\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20113 \u7761\u7720\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30d5\u30a3\u30fc\uff08PSG\uff1aGold Standard\uff09<\/strong><\/h3>\n\n\n\n<p>\u7cbe\u5bc6\u306a\u7761\u7720\u30fb\u547c\u5438\u8a55\u4fa1\u306b\u306f\u3001<strong>\u7d42\u591c\u7761\u7720\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30d5\u30a3\u30fc\uff08PSG\uff09<\/strong> \u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u8133\u6ce2\uff08EEG\uff09\u3001\u7b4b\u96fb\u56f3\u3001\u547c\u5438\u6d41\u91cf\u3001\u9178\u7d20\u98fd\u548c\u5ea6\u3001\u5fc3\u62cd\u6570\u3001\u773c\u7403\u904b\u52d5\u3001\u4f53\u4f4d\u306a\u3069\u3092\u540c\u6642\u306b\u8a18\u9332\u3059\u308b\u691c\u67fb\u3067\u3059\u3002<br>\u3053\u308c\u306b\u3088\u308a\u3001\u7121\u547c\u5438\u30fb\u4f4e\u547c\u5438\u56de\u6570\uff08AHI\uff09\u3001\u899a\u9192\u56de\u6570\u3001\u7761\u7720\u6bb5\u968e\u69cb\u9020\u3001\u9178\u7d20\u5909\u52d5\u306a\u3069\u3092\u8a73\u7d30\u306b\u8a55\u4fa1\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001COMISA \u3092\u7591\u3046\u5834\u5408\u306f\u3001\u4e0d\u7720\u6307\u6a19\u30fb\u899a\u9192\u983b\u5ea6\u30fb\u547c\u5438\u30a4\u30d9\u30f3\u30c8\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u95a2\u4fc2\u6027\u306a\u3069\u3092\u7dcf\u5408\u7684\u306b\u898b\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20114 \u88dc\u52a9\u7684\u691c\u67fb\u30fb\u8ffd\u52a0\u8a55\u4fa1<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9838\u90e8\u65ad\u9762\uff0f\u982d\u9838\u90e8\u753b\u50cf\uff08MRI, CT, \u30bb\u30d5\u30a1\u30ed\u8a08\u6e2c\u306a\u3069\uff09\u306b\u3088\u308b\u89e3\u5256\u5b66\u7684\u8a55\u4fa1<br><\/li>\n\n\n\n<li>\u54bd\u982d\u5727\u6e2c\u5b9a\uff08\u4e0a\u6c17\u9053\u62b5\u6297\u6027\u8a55\u4fa1\uff09<br><\/li>\n\n\n\n<li>\u4e0b\u984e\u904b\u52d5\u6e2c\u5b9a\u3001\u984e\u53e3\u8154\u6a5f\u80fd\u8a55\u4fa1<br><\/li>\n\n\n\n<li>\u7cbe\u795e\u30fb\u5fc3\u7406\u8a55\u4fa1\uff08\u4e0d\u7720\u56e0\u5b50\u30fb\u3046\u3064\uff0f\u4e0d\u5b89\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09<br><\/li>\n\n\n\n<li>\u8840\u6db2\u691c\u67fb\uff08\u7532\u72b6\u817a\u6a5f\u80fd\u30fb\u96fb\u89e3\u8cea\u30fb\u4ee3\u8b1d\u7cfb\u7570\u5e38\u30c1\u30a7\u30c3\u30af\u306a\u3069\uff09<br><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>6. \u6cbb\u7642\u30fb\u6539\u5584\u6cd5\uff1a\u305d\u308c\u305e\u308c\u306e\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong><\/h2>\n\n\n\n<p>\u4e0d\u7720\u75c7\u3068\u7121\u547c\u5438\u306f\u7570\u306a\u308b\u75c5\u614b\u3067\u3042\u308b\u305f\u3081\u3001\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1\u3082\u5f53\u7136\u7570\u306a\u308a\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u4f75\u5b58\u578b COMISA \u3067\u306f\u53cc\u65b9\u3092\u7d71\u5408\u7684\u306b\u6271\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6\u20111 \u4e0d\u7720\u75c7\u3078\u306e\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong><\/h3>\n\n\n\n<p>\u4e3b\u306a\u6226\u7565\u306b\u306f\u6b21\u306e\u3082\u306e\u304c\u3042\u308a\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5 for \u4e0d\u7720\uff08CBT\u2011I\uff09<\/strong>\uff1a\u523a\u6fc0\u5236\u5fa1\u6cd5\u3001\u7761\u7720\u5236\u9650\u6cd5\u3001\u8a8d\u77e5\u518d\u69cb\u6210\u3001\u30ea\u30e9\u30af\u30bb\u30fc\u30b7\u30e7\u30f3\u6280\u6cd5\u306a\u3069\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u6839\u672c\u6cbb\u7642\u6cd5<br><\/li>\n\n\n\n<li><strong>\u7761\u7720\u885b\u751f\u6539\u5584<\/strong>\uff1a\u5c31\u5bdd\u524d\u306e\u7167\u660e\u30fb\u30b9\u30de\u30db\u5236\u9650\u3001\u30ab\u30d5\u30a7\u30a4\u30f3\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb\u5236\u9650\u3001\u4e00\u5b9a\u306e\u5c31\u5bdd\u8d77\u5e8a\u6642\u9593\u8a2d\u5b9a\u306a\u3069<br><\/li>\n\n\n\n<li><strong>\u85ac\u7269\u7642\u6cd5<\/strong>\uff1a\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u7cfb\u3001\u975e\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u7cfb\u3001\u30aa\u30ec\u30ad\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\u306a\u3069\u3002\u305f\u3060\u3057\u7121\u547c\u5438\u4f75\u5b58\u4f8b\u3067\u306f\u547c\u5438\u6291\u5236\u4f5c\u7528\u306b\u6ce8\u610f\u304c\u5fc5\u8981<br><\/li>\n\n\n\n<li><strong>\u30ea\u30e9\u30af\u30bb\u30fc\u30b7\u30e7\u30f3\u6cd5\u30fb\u5fc3\u7406\u7642\u6cd5<\/strong>\uff1a\u81ea\u5f8b\u8a13\u7df4\u6cd5\u30fb\u547c\u5438\u6cd5\u30fb\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u30fb\u30b9\u30c8\u30ec\u30b9\u5bfe\u51e6\u6cd5\u306a\u3069<br><\/li>\n<\/ul>\n\n\n\n<p>\u4e0d\u7720\u304c\u4e3b\u56e0\u306e\u5834\u5408\u3001\u3053\u308c\u3089\u3092\u4e2d\u5fc3\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3059\u308b\u3053\u3068\u3067\u7761\u7720\u306e\u6301\u7d9a\u6027\u3068\u8cea\u3092\u6539\u5584\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6\u20112 \u7121\u547c\u5438\uff08\u7279\u306b OSA\uff09\u3078\u306e\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong><\/h3>\n\n\n\n<p>\u4e3b\u8981\u306a\u5bfe\u7b56\u306f\u6b21\u306e\u901a\u308a\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CPAP\uff08\u6301\u7d9a\u967d\u5727\u547c\u5438\u7642\u6cd5\uff09<\/strong>\uff1a\u6700\u3082\u6a19\u6e96\u7684\u306a\u6cbb\u7642\u6cd5\u3002\u6c17\u9053\u3092\u967d\u5727\u3067\u958b\u653e\u3057\u3066\u547c\u5438\u505c\u6b62\u3092\u9632\u3050\u3002\u6709\u52b9\u6027\u304c\u9ad8\u304f\u591a\u304f\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3055\u308c\u308b<br><\/li>\n\n\n\n<li><strong>\u53e3\u8154\u5185\u88c5\u7f6e\uff08\u4e0b\u984e\u524d\u65b9\u4fdd\u6301\u88c5\u7f6e\uff0f\u30de\u30a6\u30b9\u30d4\u30fc\u30b9\u578b\uff09<\/strong>\uff1a\u8efd\uff5e\u4e2d\u7b49\u5ea6\u306e OSA \u306b\u9069\u5fdc\u3002\u4e0b\u984e\u3092\u524d\u65b9\u306b\u4fdd\u6301\u3057\u3001\u6c17\u9053\u78ba\u4fdd\u3092\u56f3\u308b<br><\/li>\n\n\n\n<li><strong>\u4f53\u4f4d\u7642\u6cd5 \/ \u5bdd\u59ff\u52e2\u5236\u5fa1<\/strong>\uff1a\u4ef0\u5411\u3051\u5bdd\u3092\u907f\u3051\u3001\u6a2a\u5411\u304d\u5bdd\u3092\u4fc3\u3059\u6795\u30fb\u88dc\u52a9\u5177\u4f7f\u7528<br><\/li>\n\n\n\n<li><strong>\u6e1b\u91cf\u30fb\u4f53\u91cd\u7ba1\u7406<\/strong>\uff1a\u80a5\u6e80\u662f\u6b63\u306f\u6c17\u9053\u5727\u8feb\u8efd\u6e1b\u306b\u76f4\u7d50<br><\/li>\n\n\n\n<li><strong>\u624b\u8853\u7642\u6cd5<\/strong>\uff1a\u8edf\u53e3\u84cb\u5f62\u6210\u8853\u3001\u9f3b\u4e2d\u9694\u77ef\u6b63\u3001\u820c\u6839\u90e8\u5207\u9664\u306a\u3069\u306e\u5916\u79d1\u7684\u4ecb\u5165<br><\/li>\n\n\n\n<li><strong>\u820c\u4e0b\u795e\u7d4c\u523a\u6fc0\u88c5\u7f6e\uff08Hypoglossal Nerve Stimulation, HNS\uff09<\/strong>\uff1a\u7761\u7720\u4e2d\u306b\u820c\u7b4b\u3092\u523a\u6fc0\u3057\u3066\u6c88\u4e0b\u3092\u9632\u3050\u5148\u9032\u7684\u624b\u6cd5\uff08\u9069\u5fdc\u6761\u4ef6\u3042\u308a\uff09<br><\/li>\n\n\n\n<li><strong>\u9f3b\u6c17\u9053\u6539\u5584 \/ \u9f3b\u30b9\u30c8\u30ea\u30c3\u30d7 \/ \u9f3b\u62e1\u5f35\u5177<\/strong>\uff1a\u88dc\u52a9\u7684\u306b\u9f3b\u901a\u308a\u6539\u5584\u3092\u56f3\u308b\u624b\u6bb5<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306f\u7121\u547c\u5438\u30a8\u30d4\u30bd\u30fc\u30c9\u3092\u6e1b\u3089\u3057\u3001\u7761\u7720\u306e\u65ad\u7247\u5316\u30fb\u9178\u7d20\u4f4e\u4e0b\u3092\u6291\u5236\u3059\u308b\u305f\u3081\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6\u20113 COMISA \u306b\u5bfe\u3059\u308b\u7d71\u5408\u6226\u7565<\/strong><\/h3>\n\n\n\n<p>\u4e21\u8005\u3092\u4f75\u5b58\u3059\u308b\u30b1\u30fc\u30b9\u3067\u306f\u3001\u4e0b\u8a18\u306e\u3088\u3046\u306a\u7d71\u5408\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u671b\u307e\u308c\u307e\u3059\uff1a<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u7121\u547c\u5438\u6cbb\u7642\u512a\u5148<\/strong>\uff1a\u307e\u305a\u7121\u547c\u5438\u6027\u547c\u5438\u969c\u5bb3\u3092\u6539\u5584\u3059\u308b\uff08CPAP \u306a\u3069\uff09\u3053\u3068\u3067\u3001\u4e2d\u9014\u899a\u9192\u8981\u56e0\u3092\u6291\u3048\u308b<br><\/li>\n\n\n\n<li><strong>\u4e0d\u7720\u75c7\u6cbb\u7642\u3092\u4f75\u7528<\/strong>\uff1aCPAP \u7d99\u7d9a\u6027\u3092\u6539\u5584\u3059\u308b\u76ee\u7684\u3067 CBT\u2011I \u3084\u7761\u7720\u885b\u751f\u6539\u5584\u3092\u540c\u6642\u306b\u5c0e\u5165<br><\/li>\n\n\n\n<li><strong>\u6bb5\u968e\u7684\u30fb\u9069\u5408\u6027\u91cd\u8996<\/strong>\uff1a\u7121\u547c\u5438\u88c5\u7f6e\u306e\u5727\u529b\u8a2d\u5b9a\u3084\u30de\u30b9\u30af\u9069\u5408\u6027\u3092\u8abf\u6574\u3057\u3001\u4e0d\u7720\u50be\u5411\u8005\u3067\u3082\u4f7f\u3044\u3084\u3059\u304f\u3059\u308b<br><\/li>\n\n\n\n<li><strong>\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3068\u4fee\u6b63<\/strong>\uff1a\u88c5\u7f6e\u4f7f\u7528\u7387\u3001\u899a\u9192\u983b\u5ea6\u3001\u4e0d\u7720\u30fb\u547c\u5438\u30a4\u30d9\u30f3\u30c8\u6570\u306a\u3069\u3092\u7d99\u7d9a\u8a55\u4fa1\u3057\u3001\u8abf\u6574\u3092\u7e70\u308a\u8fd4\u3059<br><\/li>\n<\/ol>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306b\u3001\u7247\u65b9\u306e\u6cbb\u7642\u3060\u3051\u3067\u6e08\u307e\u3059\u306e\u3067\u306f\u306a\u304f\u3001\u4e21\u8005\u3092\u7d61\u3081\u3066\u6226\u7565\u3092\u7acb\u3066\u308b\u3053\u3068\u304c\u3001COMISA 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