{"id":846,"date":"2018-07-10T18:46:15","date_gmt":"2018-07-10T09:46:15","guid":{"rendered":"http:\/\/sunao.clinic\/qa\/?p=846"},"modified":"2019-08-14T12:05:30","modified_gmt":"2019-08-14T03:05:30","slug":"%e7%9d%a1%e7%9c%a0%e6%99%82%e7%84%a1%e5%91%bc%e5%90%b8%e7%97%87%e5%80%99%e7%be%a4%e3%81%a8%e3%81%af%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/sunao.clinic\/qa\/archives\/846","title":{"rendered":"\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u3068\u306f\uff1f"},"content":{"rendered":"

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\n<\/span><\/em>5\u672a\u6e80—<\/span>\u6b63\u5e38<\/strong>
\n<\/span>5\u4ee5\u4e0a-15\u672a\u6e80—<\/span>\u8efd\u75c7
\n<\/span>15\u4ee5\u4e0a\uff0d30\u672a\u6e80—<\/span>\u4e2d\u7b49\u75c7<\/strong>
\n<\/span>15\u4ee5\u4e0a—ICSD-2\u306e\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u8a3a\u65ad\u57fa\u6e96<\/span>
\n<\/span>20\u4ee5\u4e0a—<\/span>\u65e5\u672c\u306e\u533b\u7642\u4fdd\u967a\u5236\u5ea6\u4e0a\u3001<\/span><\/em><\/span>\u65bd\u8a2d\u3067\u306e\u30d5\u30ebPSG\u306b\u3066CPAP\u304c\u9069\u5fdc\u3068\u306a\u308b\u5024<\/span>
\n<\/span><\/em>30\u4ee5\u4e0a—<\/span>\u91cd\u75c7<\/strong>
\n<\/span>40\u4ee5\u4e0a—<\/span>\u65e5\u672c\u306e\u533b\u7642\u4fdd\u967a\u5236\u5ea6\u4e0a\u3001\u81ea\u5b85\u3067\u306e\u7c21\u6613\u578bPSG<\/span>\u306e\u7d50\u679c\u306b\u3066CPAP\u304c\u9069\u5fdc\u3068\u306a\u308b\u5024<\/span><\/em><\/span>
\n<\/span><\/p>\n

\u4e0a\u8a18\u306b\u3082\u3042\u308a\u307e\u3059\u304c\u3001PSG\u3068\u3044\u3046\u306e\u306f\u8133\u6ce2\u3084\u547c\u5438\u8a18\u9332\u306a\u3069\u306e\u69d8\u3005\u306a\u751f\u7406\u6307\u6a19\u3092\u8a18\u9332\u3057\u306a\u304c\u3089\u7761\u7720\u3092\u3068\u308b\u691c\u67fb\u6cd5\u3067\u3059\u3002\u3053\u308c\u306b\u3088\u3063\u3066\u3001\u4f55\u56de\u7121\u547c\u5438\u304c\u3042\u3063\u305f\u306e\u304b\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n

PSG\u306b\u306f\u3001\u533b\u7642\u65bd\u8a2d\u306b\u5bbf\u6cca\u3057\u3066\u884c\u306a\u3046\u30d5\u30ebPSG\u3068\u3001\u81ea\u5b85\u306b\u6301\u3063\u3066\u5e30\u3063\u3066\u8a18\u9332\u3059\u308b\u7c21\u6613\u578bPSG\u304c\u3042\u308a\u307e\u3059\u3002\u7c21\u6613\u578bPSG\u3067\u306f\u3001\u8133\u6ce2\u3092\u8a18\u9332\u3057\u306a\u3044\u3053\u3068\u304b\u3089\u5024\u304c\u3084\u3084\u4e0d\u6b63\u78ba\u3060\u3068\u3044\u3046\u3053\u3068\u3067\u300120\u3067\u306a\u304f40\u3068\u3044\u3046\u3088\u308a\u53b3\u3057\u3044\u5024\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u7c21\u6613\u578bPSG\u3067\u300125\u304f\u3089\u3044\u306e\u5024\u3060\u3068\u3001\u3082\u3046\u4e00\u5ea6\u30d5\u30ebPSG\u3092\u3057\u307e\u3057\u3087\u3046\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n

\u3059\u306a\u304a\u30af\u30ea\u30cb\u30c3\u30af\u3067\u884c\u3063\u3066\u3044\u308b\u3001\u7c21\u6613\u578bPSG\uff08\u30a6\u30a9\u30c3\u30c1\u30d1\u30c3\u30c8\uff09<\/a>\u306b\u3064\u3044\u3066\u306f\u3001\u3053\u3061\u3089<\/a>\u3092\u5fa1\u89a7\u304f\u3060\u3055\u3044\u3002<\/p>\n

\u653e\u7f6e\u3057\u3066\u304a\u304f\u3068\u3069\u3046\u306a\u308a\u307e\u3059\u304b\u3010\u5c11\u3005\u5c02\u9580\u7684\u3011<\/h2>\n

\u3053\u306e\u90e8\u5206\u3092\u8aad\u307f\u98db\u3070\u3059\u4eba\u306e\u305f\u3081\u306b\uff1a\u3000<\/strong>
\n\u653e\u7f6e\u3057\u3066\u304a\u304b\u305a\u3001CPAP\u6cbb\u7642\u3092\u884c\u306a\u3046\u307b\u3046\u304c\u826f\u3044\u3068\u3044\u3046\u3053\u3068\u306f\u7533\u3057\u4e0a\u3052\u3066\u304a\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u5341\u5206\u306a\u7761\u7720\u6642\u9593\u3092\u3068\u308a\u3001\u751f\u6d3b\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u3092\u540c\u6642\u306b\u3059\u308b\u3053\u3068\u306f\u3001\u540c\u3058\u304f\u3089\u3044\u5927\u5207\u3060\u3068\u3044\u3046\u3053\u3068\u3082\u8a8d\u8b58\u3059\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/em><\/p>\n

\"\"
He-J 1988\u306e\u30aa\u30ea\u30b8\u30ca\u30eb\u306e\u56f3<\/figcaption><\/figure>\n

\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306e\u91cd\u75c7\u5ea6\u306b\u3088\u308b\u751f\u5b58\u7387\u306e\u63a8\u79fb\u306b\u3064\u3044\u3066\u306f\u3001\u69d8\u3005\u306a\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u3067\u7d39\u4ecb\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u6b86\u3069\u306f[1]\u306e\u6587\u732e\u306b\u3088\u308b\u3082\u306e\u3067\u3059\u3002\u3053\u308c\u306f1988\u5e74\u306bRoth\u6559\u6388\u306e\u7814\u7a76\u5ba4\u3067\u884c\u308f\u308c\u305f\u7d71\u8a08\u3067\u3001AHI\uff08\u6b63\u78ba\u306b\u306f\u4f4e\u547c\u5438\u304c\u5165\u3063\u3066\u3044\u306a\u3044AI\uff09\u304c20\u4ee5\u4e0a\u306e\u4eba\u305f\u3061\u306f\u30018\u5e74\u7d4c\u3064\u306863\uff05\u306e\u4eba\u3057\u304b\u751f\u304d\u3066\u3044\u306a\u3044\u3002\u9006\u306b\u8a00\u3048\u3070\u300137\uff05\u306e\u4eba\u305f\u3061\u304c\u4ea1\u304f\u306a\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u305c\u3072CPAP\u6cbb\u7642\u306f\u5927\u4e8b\u3060\u3068\u8a00\u3046\u3053\u3068\u306e\u6839\u62e0\u306b\u3001\u73fe\u5728\u3082\u591a\u304f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

CPAP\u6cbb\u7642\u304c\u5927\u5207\u3067\u3042\u308b\u3053\u3068\u306b\u306f\u4ee3\u308f\u308a\u306f\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u79c1\u306f\u3053\u306e\u56f3\u3092\u898b\u305f\u3068\u304d\u306b\u3001\u81ea\u5206\u306e\u60a3\u8005\u3055\u3093\u3092\u8a3a\u5bdf\u3057\u3066\u3044\u308b\u5370\u8c61\u3068\u3057\u3066\u3001\u81e8\u5e8a\u7684\u306b\u306f\u3001\u3053\u3053\u307e\u3067\u5371\u967a\u5ea6\u304c\u9ad8\u3044\u306e\u304b\u3069\u3046\u304b\u306b\u3064\u3044\u306e\u7591\u554f\u306f\u6301\u3063\u3066\u3044\u307e\u3057\u305f\u3002AI\u306f20\u4ee5\u4e0b\u306e\u4eba\u306e\u5e73\u5747\u306f8.7\u300120\u4ee5\u4e0a\u306e\u4eba\u305f\u3061\u306e\u5e73\u5747\u306f46.1\u3067\u3059\u3002\u3053\u306e\u304f\u3089\u3044\u306eAHI\u306e\u4eba\u306f\u3001\u5916\u6765\u306b\u306f\u591a\u304f\u5c45\u307e\u3059\u3002<\/p>\n

\u3057\u304b\u3057\u3001\u3053\u306e\u7591\u554f\u306b\u7b54\u3048\u3066\u304f\u308c\u308b\u8ad6\u6587\u304c\u6700\u8fd1\u51fa\u307e\u3057\u305f\u3002Kendzerska\u3089\u306e\u8ad6\u6587[2]\u306b\u3088\u308c\u3070\u3001AHI\u3060\u3051\u306b\u6ce8\u76ee\u3059\u308b\u3068\u3001\u4e0a\u8a18\u306e\u3088\u3046\u306a\u7d50\u679c\u306b\u306a\u308b\u306e\u3067\u3059\u304c\uff08Kendzerska\u306e\u56f31\uff09\u3001\u5fc3\u8840\u7ba1\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\uff08\u8133\u5352\u4e2d\u3001\u5fc3\u7b4b\u6897\u585e\u3001\u3046\u3063\u8840\u6027\u5fc3\u4e0d\u5168\u3001\u9ad8\u8840\u5727\u3001\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\u3001\u3046\u3064\u75c5\u3001\u7cd6\u5c3f\u75c5\u306a\u3069\uff09\u306e\u5f71\u97ff\u3092\u53d6\u308a\u9664\u304f\u3068\u3001AHI\u3060\u3051\u306b\u3088\u308b\u8a55\u4fa1\u3067\u306f\u3042\u307e\u308a\u5dee\u304c\u306a\u304f\u306a\u308b\uff08Kendzerska\u306e\u56f32\uff09\u3068\u3044\u3046\u7d50\u679c\u3092\u63d0\u51fa\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u3001AHI\u304c\u69d8\u3005\u306a\u5fc3\u8840\u7ba1\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u3068\u95a2\u9023\u304c\u3042\u308b\u3068\u89e3\u91c8\u3059\u308b\u3053\u3068\u3082\u5927\u5207\u3067\u3059\u304c\u3001\u540c\u6642\u306b\u305d\u306e\u4ed6\u306e\u30d1\u30e9\u30e1\u30fc\u30bf\u30fc\u3092\u4e01\u5be7\u306b\u691c\u8a0e\u3057\u3066\u30ea\u30b9\u30af\u3092\u8003\u3048\u308b\u3068\u3044\u3046\u70b9\u3067\u3082\u5927\u5207\u3067\u3059\u3002<\/p>\n

\"\"
\uff08Kendzerska\u306e\u56f31\uff09<\/figcaption><\/figure>\n
\"\"
\uff08Kendzerska\u306e\u56f32\uff09<\/figcaption><\/figure>\n

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\u3053\u3046\u8003\u3048\u308b\u3068\u3001AHI\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u306f\u5f15\u304d\u7d9a\u304d\u91cd\u8981\u3067\u3042\u308a\u307e\u3059\u304c\u3001\u7761\u7720\u4e2d\u306e\u9178\u7d20\u98fd\u548c\u5ea6\uff08SaO2\uff09\u306e\u5909\u5316\u306b\u6ce8\u76ee\u3059\u308b\u3053\u3068\u306f\u3001\u66f4\u306b\u91cd\u8981\u3067\u3042\u308b\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u4eca\u5f8c\u3001\u5185\u79d1\u306e\u5206\u91ce\u3067\u3082\u3053\u306e\u3088\u3046\u306a\u8996\u70b9\u3067\u3001\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306e\u8a55\u4fa1\u304c\u898b\u76f4\u3055\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n

\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u3092\u3057\u307e\u3059\u304b<\/h2>\n

\u6cbb\u7642\u306b\u3064\u3044\u3066\u306f\u3001\u5225\u9805\u76ee\u3067\u8a73\u3057\u304f\u8aac\u660e\u3057\u307e\u3059\u304c\u3001\u5927\u307e\u304b\u306b\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n

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\n\u8efd\u75c7\u3000\u21d2\u3000\u6a2a\u5411\u304d\u5bdd\u3001\u30de\u30a6\u30b9\u30d4\u30fc\u30b9\uff08OA:\u3000\u53e3\u5185\u88c5\u5177\uff09
\n\u4e2d\u7b49\u75c7\u4ee5\u4e0a\u3000\u21d2\u3000CPAP\uff08\u30b7\u30fc\u30d1\u30c3\u30d7\uff1a\u6301\u7d9a\u967d\u5727\u547c\u5438\uff09\u6cbb\u7642<\/a><\/strong><\/p>\n

\u4e01\u5be7\u3067\u6b63\u78ba\u306a\u8a3a\u65ad\u3068\u751f\u6d3b\u6307\u5c0e\u304c\u91cd\u8981<\/h2>\n

\u3053\u308c\u3089\u3092\u8003\u3048\u308b\u3068\u3001\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u306b\u95a2\u3057\u3066\u306f\u3001AHI\u306e\u5024\u3060\u3051\u3067\u306a\u304f\u3001\u7761\u7720\u4e2d\u306e\u9178\u7d20\u98fd\u548c\u5ea6\u306b\u3064\u3044\u3066\u3082\u6ce8\u76ee\u3057\u3001\u307e\u305f\u80a5\u6e80\u5ea6\u306a\u3069\u306b\u3082\u5fdc\u3058\u3066\u751f\u6d3b\u7642\u6cd5\u3092\u542b\u3081\u305f\u6cbb\u7642\u6cd5\u3092\u4e01\u5be7\u306b\u8003\u3048\u3066\u3044\u304f\u3053\u3068\u3082\u5927\u5207\u3067\u3059\u3002\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\u3092\u6cbb\u7642\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u3046\u3064\u72b6\u614b\u304c\u6539\u5584\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u6cbb\u7642\u306b\u3088\u308a\u3001\u5065\u5eb7\u306a\u751f\u6d3b\u3092\u624b\u306b\u5165\u308c\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n

\u00a0\u53c2\u8003\u6587\u732e<\/h4>\n
    \n
  1. He J, Kryger MH, Zorick FJ, Conway W, Roth T.\u00a0Mortality and apnea index in obstructive sleep apnea. Experience in 385 male patients.\u00a0 Chest. 1988 Jul;94(1):9-14.<\/li>\n
  2. Kendzerska T, Gershon AS, Hawker G, Leung RS, Tomlinson G.\u00a0 Obstructive sleep apnea and risk of cardiovascular events and all-cause mortality: a decade-long historical cohort study.\u00a0\u00a0PLoS Med. 2014 Feb 4;11(2):e1001599. doi: 10.1371\/journal.pmed.1001599. eCollection 2014 Feb.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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