{"id":6753,"date":"2025-10-06T12:05:04","date_gmt":"2025-10-06T03:05:04","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/medicine\/?p=6753"},"modified":"2025-10-06T12:05:05","modified_gmt":"2025-10-06T03:05:05","slug":"comisa-check-symptoms","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/medicine\/2025\/10\/06\/comisa-check-symptoms\/","title":{"rendered":"\u4e0d\u7720\u3068SAS\u304c\u91cd\u306a\u308b\u4eba\u306b\u591a\u3044\u75c7\u72b6\u30c1\u30a7\u30c3\u30af"},"content":{"rendered":"\n<p>\u300c\u591c\u306a\u304b\u306a\u304b\u7720\u308c\u306a\u3044\u300d\u300c\u671d\u8d77\u304d\u3066\u3082\u75b2\u308c\u304c\u53d6\u308c\u306a\u3044\u300d\u2015\u2015\u3053\u3046\u3057\u305f\u4e0d\u7720\u75c7\u306e\u8a34\u3048\u306b\u52a0\u3048\u3001\u300c\u5927\u304d\u306a\u3044\u3073\u304d\u300d\u300c\u606f\u82e6\u3057\u3055\u300d\u300c\u65e5\u4e2d\u306e\u5f37\u3044\u7720\u6c17\u300d\u306a\u3069\u3001SAS\uff08\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\uff09\u306e\u7591\u3044\u3092\u611f\u3058\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f<br>\u5b9f\u306f\u3001\u4e0d\u7720\u3068 SAS \u306f\u91cd\u306a\u3063\u3066\u8d77\u3053\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u306a\u304f\u3001\u305d\u306e\u4f75\u5b58\u4f8b\u306b\u306f\u3001\u5358\u72ec\u306e\u4e0d\u7720\u3084\u7121\u547c\u5438\u4f8b\u306b\u306f\u306a\u3044\u201c\u75c7\u72b6\u306e\u7279\u5fb4\u7684\u306a\u4ea4\u932f\u30d1\u30bf\u30fc\u30f3\u201d\u304c\u898b\u3089\u308c\u307e\u3059\u3002<br>\u672c\u8a18\u4e8b\u3067\u306f\u3001\u4e0d\u7720\u3068 SAS \u304c\u540c\u6642\u306b\u8d77\u3053\u308b\u4eba\uff08\u3044\u308f\u3086\u308b COMISA \u72b6\u614b\uff09\u306b\u591a\u304f\u898b\u3089\u308c\u308b\u75c7\u72b6\u3092\u4e2d\u5fc3\u306b\u3001\u30c1\u30a7\u30c3\u30af\u3059\u3079\u304d\u30dd\u30a4\u30f3\u30c8\u3092\u6574\u7406\u30fb\u89e3\u8aac\u3057\u307e\u3059\u3002\u3054\u81ea\u8eab\u306e\u72b6\u614b\u3092\u628a\u63e1\u3059\u308b\u53c2\u8003\u306b\u3057\u3066\u3044\u305f\u3060\u3051\u308c\u3070\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. COMISA\uff08\u4e0d\u7720\uff0bSAS\u4f75\u5b58\uff09\u306e\u80cc\u666f\u3068\u983b\u5ea6<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\u20111 COMISA \u3068\u306f\u4f55\u304b\uff1f<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u75c7\u3068\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\uff08\u4e3b\u306b\u9589\u585e\u578b S\u202fA\u202fS = OSA\uff09\u304c\u4f75\u5b58\u3059\u308b\u72b6\u614b\u3092\u3001\u56fd\u969b\u7684\u306b\u306f \u201cCOMISA\uff08Comorbid Insomnia and Sleep Apnea\uff09\u201d \u3068\u547c\u3076\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002SAS \u8a3a\u7642\u306e\u6700\u65b0\u52d5\u5411\u3092\u6271\u3063\u305f\u65e5\u672c\u306e\u30ec\u30d3\u30e5\u30fc\u8ad6\u6587\u3067\u3082\u3001\u3053\u306e COMISA \u304c\u6ce8\u76ee\u3055\u308c\u3066\u304a\u308a\u3001OSA \u60a3\u8005\u306e 30\uff05 \u7a0b\u5ea6\u306b\u4e0d\u7720\u75c7\u72b6\u3092\u4f34\u3046\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u4f75\u5b58\u4f8b\u3067\u306f\u3001\u5358\u72ec\u306e\u4e0d\u7720\u3084\u5358\u72ec\u306e SAS \u3088\u308a\u3082\u300c\u6cbb\u7642\u3078\u306e\u62b5\u6297\u6027\u300d\u300c\u751f\u6d3b\u306e\u8cea\u60aa\u5316\u300d\u300cCPAP \u88c5\u7740\u7d99\u7d9a\u7387\u306e\u4f4e\u4e0b\u300d\u306a\u3069\u306e\u8ab2\u984c\u3092\u62b1\u3048\u3084\u3059\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\u20112 \u306a\u305c\u4f75\u5b58\u3057\u3084\u3059\u3044\u304b\uff1f<\/strong><\/h3>\n\n\n\n<p>\u4e3b\u306a\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u3057\u3066\u306f\u3001\u6b21\u306e\u3088\u3046\u306a\u95a2\u4fc2\u6027\u304c\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SAS \u306e\u547c\u5438\u505c\u6b62\u30fb\u4f4e\u547c\u5438 \u2192 \u899a\u9192\u53cd\u5fdc \u2192 \u7761\u7720\u65ad\u7247\u5316 \u2192 \u4e0d\u7720\u75c7\u72b6\uff08\u5165\u7720\u56f0\u96e3\u30fb\u4e2d\u9014\u899a\u9192\u306a\u3069\uff09\u3092\u8a98\u767a<br><\/li>\n\n\n\n<li>\u4e0d\u7720\u50be\u5411\u30fb\u899a\u9192\u3057\u3084\u3059\u3044\u4f53\u8cea \u2192 \u547c\u5438\u63fa\u3089\u304e\u3078\u306e\u611f\u53d7\u6027\u304c\u9ad8\u307e\u308a\u3001SAS \u306e\u547c\u5438\u30a4\u30d9\u30f3\u30c8\u304c\u9855\u5728\u5316\u3057\u3084\u3059\u3044<br><\/li>\n\n\n\n<li>\u89e3\u5256\u5b66\u7684\u30fb\u4ee3\u8b1d\u7684\u30ea\u30b9\u30af\u56e0\u5b50\uff08\u80a5\u6e80\u3001\u9996\u5468\u56f2\u8102\u80aa\u3001\u708e\u75c7\u306a\u3069\uff09\u304c\u4e21\u8005\u306b\u5171\u901a\u3059\u308b<br><\/li>\n\n\n\n<li>\u6cbb\u7642\u76f8\u4e92\u5e72\u6e09\uff1a\u4e0d\u7720\u6cbb\u7642\u85ac\u3084\u93ae\u9759\u5264\u304c SAS \u3092\u60aa\u5316\u3055\u305b\u308b\u53ef\u80fd\u6027\u3082<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306b\u3001\u4e21\u8005\u306f\u76f8\u4e92\u5f71\u97ff\u3057\u3042\u3046\u8907\u96d1\u306a\u95a2\u4fc2\u3092\u6301\u3061\u5f97\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u5171\u901a\u30fb\u91cd\u8907\u75c7\u72b6\u3068\u3057\u3066\u898b\u3089\u308c\u308b\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8<\/strong><\/h2>\n\n\n\n<p>\u307e\u305a\u3001\u4e0d\u7720\u3068 SAS \u304c\u91cd\u306a\u308b\u4eba\u306b\u5171\u901a\u3057\u3066\u898b\u3089\u308c\u3084\u3059\u3044\u3001\u65e9\u671f\u30c1\u30a7\u30c3\u30af\u3059\u3079\u304d\u4e3b\u306a\u75c7\u72b6\u3092\u6574\u7406\u3057\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u75c7\u72b6\u304c\u8907\u6570\u5f53\u3066\u306f\u307e\u308b\u307b\u3069\u3001\u4f75\u5b58\u53ef\u80fd\u6027\u3092\u7591\u3046\u3079\u304d\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20111 \u4e2d\u9014\u899a\u9192\u30fb\u65ad\u7d9a\u899a\u9192\u306e\u983b\u5ea6<\/strong><\/h3>\n\n\n\n<p>\u5358\u306b\u7720\u308c\u306a\u3044\u3060\u3051\u3067\u306a\u304f\u3001<strong>\u591c\u4e2d\u306b\u4f55\u5ea6\u3082\u76ee\u304c\u899a\u3081\u308b<\/strong>\u3001\u76ee\u899a\u3081\u305f\u5f8c\u306a\u304b\u306a\u304b\u518d\u3073\u7720\u308c\u306a\u3044\u3001\u3068\u3044\u3046\u8a34\u3048\u304c\u3042\u308b\u5834\u5408\u3001\u547c\u5438\u30a4\u30d9\u30f3\u30c8\u306b\u4f34\u3046\u899a\u9192\u53cd\u5fdc\u304c\u80cc\u666f\u306b\u3042\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br>SAS \u304c\u539f\u56e0\u3067\u547c\u5438\u3092\u518d\u958b\u3059\u308b\u969b\u306b\u77ed\u6642\u9593\u306e\u899a\u9192\uff08arousal\uff09\u3092\u4f34\u3046\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20112 \u719f\u7720\u611f\u306e\u6b20\u5982\u30fb\u6d45\u3044\u7761\u7720\u611f<\/strong><\/h3>\n\n\n\n<p>\u4e00\u6669\u5bdd\u3066\u3044\u3066\u3082\u300c\u3088\u304f\u7720\u308c\u305f\u6c17\u304c\u3057\u306a\u3044\u300d\u300c\u719f\u7761\u3067\u304d\u3066\u3044\u306a\u3044\u611f\u3058\u304c\u3059\u308b\u300d\u3068\u3044\u3046\u8a34\u3048\u306f\u3001\u547c\u5438\u65ad\u7d9a \u2192 \u7761\u7720\u69cb\u9020\u7834\u7dbb \u2192 \u6df1\u7761\u7720\u6642\u9593\u6e1b\u5c11\u3001\u3068\u3044\u3046\u6d41\u308c\u3068\u91cd\u306a\u308b\u5178\u578b\u7684\u306a\u5408\u81f4\u75c7\u72b6\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20113 \u8d77\u5e8a\u6642\u306e\u982d\u75db\u30fb\u53e3\u6e07\u30fb\u306e\u3069\u306e\u4e0d\u5feb\u611f<\/strong><\/h3>\n\n\n\n<p>SAS \u5074\u306e\u5178\u578b\u7684\u306a\u671d\u306e\u75c7\u72b6\u3067\u3059\u304c\u3001\u4e0d\u7720\u8a34\u3048\u306e\u3042\u308b\u4eba\u306b\u3082\u6bd4\u8f03\u7684\u9ad8\u983b\u5ea6\u306b\u51fa\u308b\u5408\u4f75\u75c7\u72b6\u3067\u3059\u3002\u7279\u306b\u300c\u671d\u8d77\u304d\u3066\u5589\u304c\u6e07\u3044\u3066\u3044\u308b\u300d\u300c\u53e3\u306e\u4e2d\u304c\u30ab\u30e9\u30ab\u30e9\u300d\u300c\u982d\u304c\u91cd\u3044\uff0f\u75db\u3044\u300d\u306a\u3069\u304c\u5178\u578b\u4f8b\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20114 \u65e5\u4e2d\u306e\u904e\u5ea6\u306a\u7720\u6c17\u30fb\u5c45\u7720\u308a\u50be\u5411<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u3060\u3051\u3067\u663c\u9593\u7720\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001SAS \u3092\u4f75\u5b58\u3059\u308b\u3068\u3001\u65e5\u4e2d\u306e\u5f37\u3044\u7720\u6c17\u30fb\u5c45\u7720\u308a\u30a8\u30d4\u30bd\u30fc\u30c9\uff08\u4f1a\u8b70\u4e2d\u30fb\u904b\u8ee2\u4e2d\u306a\u3069\uff09\u304c\u4e00\u5c64\u9855\u8457\u306b\u306a\u308b\u30b1\u30fc\u30b9\u304c\u591a\u3044\u3067\u3059\u3002SAS \u5074\u306e\u4e3b\u8981\u306a\u8a34\u3048\u3067\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20115 \u591c\u9593\u983b\u5c3f\u30fb\u30c8\u30a4\u30ec\u3067\u76ee\u899a\u3081\u308b\u56de\u6570\u306e\u591a\u3055<\/strong><\/h3>\n\n\n\n<p>\u4f55\u5ea6\u3082\u591c\u4e2d\u306b\u30c8\u30a4\u30ec\u306b\u8d77\u304d\u308b\u7fd2\u6163\u306f\u3001\u4e0d\u7720\u3092\u52a9\u9577\u3059\u308b\u8981\u56e0\u306b\u306a\u308a\u5f97\u307e\u3059\u304c\u3001SAS \u5074\u306e\u4ea4\u611f\u795e\u7d4c\u904e\u5270\u523a\u6fc0\u30fb\u4f4e\u9178\u7d20\u30b9\u30c8\u30ec\u30b9\u53cd\u5fdc\u304c\u591c\u9593\u983b\u5c3f\u3092\u8a98\u767a\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u4f75\u5b58\u4f8b\u3067\u306f\u3053\u306e\u983b\u5ea6\u304c\u9ad8\u307e\u308a\u3084\u3059\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20116 \u9ad8\u8840\u5727\u30fb\u4ee3\u8b1d\u7570\u5e38\u30fb\u5faa\u74b0\u5668\u30ea\u30b9\u30af\u306e\u5b58\u5728<\/strong><\/h3>\n\n\n\n<p>SAS \u5074\u306b\u306f\u9ad8\u8840\u5727\u30fb\u5fc3\u8840\u7ba1\u75be\u60a3\u30fb\u4ee3\u8b1d\u7570\u5e38\u3068\u306e\u5408\u4f75\u304c\u591a\u304f\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<a href=\"https:\/\/www.tdhospital.jp\/department\/cardiology\/what-is-sleep-apnea-syndrome\/?utm_source=chatgpt.com\"><br><\/a> \u4e0d\u7720\u304c\u6162\u6027\u5316\u3059\u308b\u3068\u30b9\u30c8\u30ec\u30b9\u5fdc\u7b54\u306e\u4ea2\u9032\u3084\u4ee3\u8b1d\u5236\u5fa1\u7570\u5e38\u3092\u3082\u305f\u3089\u3059\u305f\u3081\u3001\u4f75\u5b58\u4f8b\u3067\u306f\u76f8\u4e57\u7684\u30ea\u30b9\u30af\u304c\u751f\u307e\u308c\u3084\u3059\u3044\u3053\u3068\u3082\u6ce8\u76ee\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\u20117 \u3044\u3073\u304d\u306e\u5b58\u5728\u30fb\u547c\u5438\u505c\u6b62\u611f<\/strong><\/h3>\n\n\n\n<p>\u6795\u5143\u306e\u30d1\u30fc\u30c8\u30ca\u30fc\u304b\u3089\u300c\u3044\u3073\u304d\u304c\u3046\u308b\u3055\u3044\u300d\u300c\u547c\u5438\u304c\u6b62\u307e\u3063\u3066\u3044\u305f\u300d\u3068\u8a00\u308f\u308c\u305f\u7d4c\u9a13\u304c\u3042\u308b\u3001\u307e\u305f\u306f\u81ea\u899a\u7684\u306b\u547c\u5438\u505c\u6b62\uff08\u201c\u606f\u82e6\u3057\u304f\u3066\u76ee\u304c\u899a\u3081\u305f\u201d\u306a\u3069\uff09\u3092\u611f\u3058\u308b\u3053\u3068\u304c\u3042\u308b\u5834\u5408\u306f\u3001SAS \u5074\u306e\u5f37\u3044\u30b5\u30a4\u30f3\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u3089\u306f\u91cd\u8907\u75c7\u72b6\u3068\u3057\u3066\u51fa\u73fe\u3057\u3084\u3059\u304f\u3001\u8907\u6570\u3092\u30c1\u30a7\u30c3\u30af\u3059\u308b\u3053\u3068\u3067\u4f75\u5b58\u53ef\u80fd\u6027\u306e\u4eee\u8aac\u7cbe\u5ea6\u3092\u9ad8\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u4e0d\u7720\u5074\u3001SAS\u5074\u3067\u7279\u6709\u306b\u5f37\u304f\u51fa\u3084\u3059\u3044\u75c7\u72b6<\/strong><\/h2>\n\n\n\n<p>\u4f75\u5b58\u4f8b\u3067\u3042\u3063\u3066\u3082\u3001\u4e0d\u7720\u5074\u30fbSAS \u5074\u305d\u308c\u305e\u308c\u306b\u300c\u91cd\u304f\u51fa\u3084\u3059\u3044\u300d\u7279\u5fb4\u7684\u75c7\u72b6\u304c\u3042\u308a\u307e\u3059\u3002\u81ea\u5df1\u5224\u65ad\u6642\u306b\u306f\u3053\u308c\u3089\u306e\u201c\u632f\u308c\u5e45\u201d\u3082\u898b\u3066\u304a\u304f\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\u20111 \u4e0d\u7720\u5074\u3067\u3088\u308a\u9855\u8457\u306b\u51fa\u3084\u3059\u3044\u3082\u306e<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5165\u7720\u56f0\u96e3\uff08\u5bdd\u5165\u308a\u306b\u6642\u9593\u304c\u304b\u304b\u308b\uff09<\/strong><strong><br><\/strong> \u3000\u5e03\u56e3\u306b\u5165\u3063\u3066\u304b\u308930\u5206\u4ee5\u4e0a\u5bdd\u4ed8\u3051\u306a\u3044\u30fb\u5bdd\u5e8a\u306b\u5165\u308b\u3068\u4e0d\u5b89\u30fb\u601d\u8003\u304c\u6b62\u307e\u3089\u306a\u3044<br><\/li>\n\n\n\n<li><strong>\u65e9\u671d\u899a\u9192\u578b<\/strong><strong><br><\/strong> \u3000\u4e88\u5b9a\u3088\u308a\u3082\u304b\u306a\u308a\u65e9\u304f\u76ee\u304c\u899a\u3081\u3066\u3057\u307e\u3044\u3001\u518d\u5bdd\u3064\u304d\u304c\u96e3\u3057\u3044<br><\/li>\n\n\n\n<li><strong>\u7761\u7720\u306b\u5bfe\u3059\u308b\u904e\u5ea6\u306a\u610f\u8b58\u30fb\u4e0d\u5b89<\/strong><strong><br><\/strong> \u3000\u300c\u4eca\u65e5\u306f\u7720\u308c\u306a\u304b\u3063\u305f\u3089\u3069\u3046\u3057\u3088\u3046\u300d\u3068\u3044\u3063\u305f\u601d\u8003\u304c\u7761\u7720\u3092\u3055\u3089\u306b\u59a8\u3052\u308b<br><\/li>\n\n\n\n<li><strong>\u5c31\u5e8a\u4e2d\u306e\u899a\u9192\u884c\u52d5<\/strong><strong><br><\/strong> \u3000\u30d9\u30c3\u30c9\u3067\u30c6\u30ec\u30d3\u30fb\u30b9\u30de\u30db\u30fb\u8aad\u66f8\u306a\u3069\u3092\u3057\u3066\u3057\u307e\u3046\u3001\u30d9\u30c3\u30c9\u3092\u5b89\u3089\u304e\u7a7a\u9593\u3068\u8a8d\u8b58\u3067\u304d\u306a\u3044<br><\/li>\n\n\n\n<li><strong>\u5fc3\u7406\u30fb\u60c5\u52d5\u8981\u56e0\u3068\u306e\u95a2\u9023<\/strong><strong><br><\/strong> \u3000\u30b9\u30c8\u30ec\u30b9\u30fb\u4e0d\u5b89\u30fb\u6291\u3046\u3064\u30fb\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u306e\u5f71\u97ff\u304c\u5f37\u304f\u51fa\u308b<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306f\u4e3b\u306b\u4e0d\u7720\u6cbb\u7642\u3067\u7126\u70b9\u3068\u306a\u308b\u5074\u9762\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\u20112 SAS \u5074\u3067\u3088\u308a\u5f37\u304f\u51fa\u3084\u3059\u3044\u3082\u306e<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u660e\u77ad\u306a\u3044\u3073\u304d<\/strong><strong><br><\/strong> \u3000\u5927\u304d\u304f\u3001\u7279\u5fb4\u7684\u306a\u97f3\u3092\u4f34\u3046\u3044\u3073\u304d\u306f\u3001SAS \u5074\u306e\u5178\u578b\u7684\u8a3c\u62e0<br><\/li>\n\n\n\n<li><strong>\u660e\u78ba\u306a\u606f\u6b62\u307e\u308a\uff08\u7121\u547c\u5438\u611f\u30fb\u7a92\u606f\u611f\uff09<\/strong><strong><br><\/strong> \u3000\u5bdd\u3066\u3044\u308b\u6700\u4e2d\u306b\u547c\u5438\u304c\u6b62\u307e\u308b\u3088\u3046\u306a\u611f\u899a\u304c\u3042\u3063\u305f\u3001\u307e\u305f\u306f\u4ed6\u4eba\u304b\u3089\u5831\u544a\u3055\u308c\u305f<br><\/li>\n\n\n\n<li><strong>\u591c\u9593\u547c\u5438\u82e6\u30fb\u3042\u3048\u304e\u611f<\/strong><strong><br><\/strong> \u3000\u606f\u82e6\u3057\u3055\u3067\u76ee\u899a\u3081\u305f\u7d4c\u9a13<br><\/li>\n\n\n\n<li><strong>\u5f37\u3044\u65e5\u4e2d\u7720\u6c17<\/strong><strong><br><\/strong> \u3000\u5c45\u7720\u308a\u50be\u5411\u30fb\u8010\u3048\u96e3\u3044\u7720\u6c17\u30fb\u4f5c\u696d\u4e2d\u306e\u6ce8\u610f\u6563\u6f2b<br><\/li>\n\n\n\n<li><strong>\u591c\u9593\u983b\u5c3f\u30fb\u591c\u6c57<\/strong><strong><br><\/strong> \u3000\u767a\u6c57\u3084\u983b\u5c3f\u304c\u9855\u8457<br><\/li>\n\n\n\n<li><strong>\u8d77\u5e8a\u6642\u306e\u982d\u75db\u30fb\u8840\u5727\u4e0a\u6607<\/strong><strong><br><\/strong> \u3000\u671d\u8d77\u304d\u305f\u3068\u304d\u306b\u982d\u75db\u304c\u3059\u308b\u3001\u3057\u3070\u3089\u304f\u3057\u3066\u8840\u5727\u304c\u9ad8\u304f\u611f\u3058\u308b<br><\/li>\n\n\n\n<li><strong>\u5fc3\u8840\u7ba1\u30fb\u4ee3\u8b1d\u5408\u4f75\u75c7\u50be\u5411<\/strong><strong><br><\/strong> \u3000\u9ad8\u8840\u5727\u30fb\u4e0d\u6574\u8108\u30fb\u52d5\u8108\u786c\u5316\u50be\u5411\u30fb\u7cd6\u5c3f\u75c5 etc.<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u306f \u201c\u547c\u5438\u969c\u5bb3 \u2192 \u8eab\u4f53\u30b9\u30c8\u30ec\u30b9 \u2192 \u65e5\u5e38\u6a5f\u80fd\u969c\u5bb3\u201d \u306e\u6d41\u308c\u3092\u4f53\u73fe\u3059\u308b\u5178\u578b\u30d1\u30bf\u30fc\u30f3\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4f75\u5b58\u4f8b\u3067\u306f\u3001\u3053\u308c\u3089\u4e0d\u7720\u5074\u30fbSAS \u5074\u306e\u7279\u5fb4\u304c\u201c\u91cd\u306a\u308a\u5408\u3063\u3066\u5897\u5e45\u201d\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u305f\u3081\u3001\u81ea\u5df1\u30c1\u30a7\u30c3\u30af\u306e\u969b\u306f\u4e21\u8005\u306e\u6307\u6a19\u3092\u540c\u6642\u306b\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\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\/33116793_s.webp\" alt=\"\u4f53\u8abf\u4e0d\u826f\u3000\u5973\u6027\" class=\"wp-image-6755\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/33116793_s.webp 640w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/33116793_s-600x400.webp 600w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/33116793_s-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>4. \u75c7\u72b6\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\uff1a\u4f75\u5b58\u4f8b\u5224\u65ad\u306e\u624b\u304c\u304b\u308a<\/strong><\/h2>\n\n\n\n<p>\u4ee5\u4e0b\u306f\u3001\u4e0d\u7720\uff0bSAS \u304c\u91cd\u306a\u308b\u53ef\u80fd\u6027\u3092\u81ea\u5df1\u30c1\u30a7\u30c3\u30af\u3059\u308b\u305f\u3081\u306e\u30ea\u30b9\u30c8\u6848\u3067\u3059\uff08\u3042\u304f\u307e\u3067\u76ee\u5b89\uff09\u3002\u8907\u6570\u8a72\u5f53\u3059\u308b\u5834\u5408\u306f\u5c02\u9580\u533b\u53d7\u8a3a\u3092\u691c\u8a0e\u3059\u3079\u304d\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>\u30c1\u30a7\u30c3\u30af\u9805\u76ee<\/strong><\/td><td><strong>\u306f\u3044 \/ \u5f53\u3066\u306f\u307e\u308b<\/strong><\/td><td><strong>\u30b3\u30e1\u30f3\u30c8\u30fb\u983b\u5ea6<\/strong><\/td><\/tr><tr><td>\u5165\u7720\u306b 30 \u5206\u4ee5\u4e0a\u304b\u304b\u308b\u3053\u3068\u304c\u3042\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u4e0d\u7720\u50be\u5411\u306e\u6307\u6a19<\/td><\/tr><tr><td>\u591c\u4e2d\u306b\u4f55\u5ea6\u3082\u76ee\u304c\u899a\u3081\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u899a\u9192\u65ad\u7247\u5316\u30b5\u30a4\u30f3<\/td><\/tr><tr><td>\u76ee\u899a\u3081\u3066\u3082\u300c\u719f\u7761\u3057\u305f\u611f\u3058\u304c\u3057\u306a\u3044\u300d<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u7761\u7720\u306e\u8cea\u4f4e\u4e0b\u611f\u899a<\/td><\/tr><tr><td>\u671d\u3001\u982d\u75db\u30fb\u982d\u91cd\u611f\u3092\u611f\u3058\u308b\u3053\u3068\u304c\u3042\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>SAS \u5074\u671d\u75c7\u72b6<\/td><\/tr><tr><td>\u8d77\u5e8a\u6642\u3001\u53e3\u306e\u4e2d\u304c\u4e7e\u3044\u3066\u3044\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u53e3\u547c\u5438\u30fb\u547c\u5438\u8ca0\u8377\u30b5\u30a4\u30f3<\/td><\/tr><tr><td>\u591c\u9593\u983b\u5c3f\u3067\u76ee\u899a\u3081\u308b\u3053\u3068\u304c\u591a\u3044<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u4ea4\u611f\u795e\u7d4c\u523a\u6fc0\u30fb\u814e\u6a5f\u80fd\u5f71\u97ff<\/td><\/tr><tr><td>\u65e5\u4e2d\u3001\u5f37\u3044\u7720\u6c17\u307e\u305f\u306f\u5c45\u7720\u308a\u3057\u3084\u3059\u3044<\/td><td>\u25a1 \u306f\u3044<\/td><td>SAS \u5074\u4ee3\u8868\u8a34\u3048<\/td><\/tr><tr><td>\u5927\u304d\u306a\u3044\u3073\u304d\u3092\u304b\u304f\u3068\u6307\u6458\u3055\u308c\u305f\u3053\u3068\u304c\u3042\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>SAS \u5074\u5178\u578b\u8a3c\u62e0<\/td><\/tr><tr><td>\u5bdd\u3066\u3044\u308b\u9593\u3001\u547c\u5438\u304c\u6b62\u307e\u308b\u3053\u3068\u3092\u6307\u6458\u3055\u308c\u305f<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u547c\u5438\u505c\u6b62\u30b5\u30a4\u30f3<\/td><\/tr><tr><td>\u591c\u4e2d\u3001\u606f\u82e6\u3057\u304f\u3066\u76ee\u899a\u3081\u305f\u3053\u3068\u304c\u3042\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u547c\u5438\u6027\u899a\u9192\u30b5\u30a4\u30f3<\/td><\/tr><tr><td>\u9ad8\u8840\u5727\u30fb\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u65e2\u5f80\u304c\u3042\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u5408\u4f75\u30ea\u30b9\u30af\u6307\u6a19<\/td><\/tr><tr><td>\u80a5\u6e80\uff08\u7279\u306b\u9996\u5468\u56f2\u80a5\u539a\uff09\u50be\u5411\u304c\u3042\u308b<\/td><td>\u25a1 \u306f\u3044<\/td><td>\u89e3\u5256\u5b66\u7684\u30ea\u30b9\u30af\u56e0\u5b50<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>\u5224\u5b9a\u76ee\u5b89\uff08\u4eee\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>3\u301c4 \u500b\u8a72\u5f53\uff1a\u6ce8\u610f\u30ec\u30d9\u30eb<br><\/li>\n\n\n\n<li>5\u301c7 \u500b\u8a72\u5f53\uff1a\u4f75\u5b58\u53ef\u80fd\u6027\u4e2d\u7a0b\u5ea6<br><\/li>\n\n\n\n<li>8 \u500b\u4ee5\u4e0a\u8a72\u5f53\uff1a\u9ad8\u53ef\u80fd\u6027 \u2013 \u5c02\u9580\u533b\u53d7\u8a3a\u5f37\u304f\u63a8\u5968<br><\/li>\n<\/ul>\n\n\n\n<p>\u3082\u3061\u308d\u3093\u3001\u3042\u304f\u307e\u3067\u76ee\u5b89\u3067\u3059\u3002\u3053\u308c\u3089\u3092\u57fa\u306b\u300c\u3053\u308c\u306f\u81ea\u5206\u306e\u8a34\u3048\u3068\u3057\u3066\u5f37\u3044\u300d\u300c\u3053\u308c\u306f\u7121\u8996\u3067\u304d\u306a\u3044\u300d\u3068\u601d\u3046\u3082\u306e\u3092\u6574\u7406\u3057\u3001\u8a3a\u5bdf\u6642\u306b\u533b\u5e2b\u306b\u4f1d\u3048\u308b\u3068\u3088\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u30c1\u30a7\u30c3\u30af\u7d50\u679c\u3092\u8e0f\u307e\u3048\u305f\u521d\u671f\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong><\/h2>\n\n\n\n<p>\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u3067\u8907\u6570\u8a72\u5f53\u3057\u305f\u5834\u5408\u3001\u6b21\u306e\u3088\u3046\u306a\u521d\u671f\u5bfe\u5fdc\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\u20111 \u7761\u7720\u65e5\u8a8c\u30fb\u30c1\u30a7\u30c3\u30af\u30c4\u30fc\u30eb\u306e\u6d3b\u7528<\/strong><\/h3>\n\n\n\n<ul 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