{"id":22499,"date":"2016-05-31T06:00:20","date_gmt":"2016-05-30T21:00:20","guid":{"rendered":"https:\/\/www.ishamachi.com\/?p=22499"},"modified":"2018-08-10T11:39:24","modified_gmt":"2018-08-10T02:39:24","slug":"%e5%b0%82%e9%96%80%e5%8c%bb%e3%81%ab%e8%81%9e%e3%81%8f%e9%96%a2%e7%af%80%e3%83%aa%e3%82%a6%e3%83%9e%e3%83%81%ef%bc%9a%e3%83%aa%e3%82%a6%e3%83%9e%e3%83%81%e3%81%ae%e3%80%8c%e5%af%9b%e8%a7%a3%e3%80%8d","status":"publish","type":"post","link":"https:\/\/www.ishamachi.com\/?p=22499","title":{"rendered":"\u5c02\u9580\u533b\u306b\u805e\u304f\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\uff1a\u30ea\u30a6\u30de\u30c1\u306e\u300c\u5bdb\u89e3\u300d\u3068\u306f\uff1f"},"content":{"rendered":"<p>\u30ea\u30a6\u30de\u30c1\u3068\u8a3a\u65ad\u3055\u308c\u305f\u5834\u5408\u3001\u57fa\u672c\u7684\u306b\u306f<strong>\u30e1\u30c8\u30c8\u30ec\u30ad\u30b5\u30fc\u30c8\uff08<\/strong><strong>MTX<\/strong><strong>\uff09<\/strong>\u3068\u3044\u3046\u85ac\u3092\u7528\u3044\u305f\u6cbb\u7642\u3092\u884c\u3044\u307e\u3059\uff08\u305f\u3060\u3057\u3001\u598a\u5a20\u4e2d\u3084\u6388\u4e73\u4e2d\u3001\u809d\u75be\u60a3\u30fb\u814e\u969c\u5bb3\u306e\u3042\u308b\u60a3\u8005\u3055\u3093\u306a\u3069\u3001\u3053\u306e\u85ac\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u65b9\uff08<a href=\"https:\/\/www.ishamachi.com\/?p=57913#contraindication\">\u7981\u5fcc<\/a>\uff09\u306f\u4ed6\u306e\u6cbb\u7642\u3092\u884c\u3044\u307e\u3059\uff09\u3002MTX\u306f\u30ea\u30a6\u30de\u30c1\u6cbb\u7642\u306b\u304a\u3051\u308b<strong>\u300c\u30a2\u30f3\u30ab\u30fc\u30c9\u30e9\u30c3\u30b0\uff08\u9375\u3068\u306a\u308b\u85ac\uff09\u300d<\/strong>\u3068\u3044\u308f\u308c\u308b\u3001\u5927\u5909\u91cd\u8981\u306a\u6cbb\u7642\u3067\u3059\u3002\u3053\u306eMTX\u6cbb\u7642\u3092\u884c\u3063\u3066\u3082\u52b9\u679c\u304c\u306a\u304b\u306a\u304b\u898b\u3089\u308c\u306a\u3044\u5834\u5408\u306f\u3001<strong>\u751f\u7269\u5b66\u88fd\u5264\uff08<\/strong><strong>TNF<\/strong><strong>\u963b\u5bb3\u5264\u3001\u30c8\u30b7\u30ea\u30ba\u30de\u30d6\u3001\u30a2\u30d0\u30bf\u30bb\u30d7\u30c8\uff09<\/strong>\u306e\u5c0e\u5165\u3092\u8003\u3048\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u3088\u3046\u306b\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u6cbb\u7642\u6cd5\u304c\u3042\u308a\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u5168\u3066\u306e\u6cbb\u7642\u6cd5\u306b\u304a\u3044\u3066\u76ee\u6307\u3059\u6240\u306f\u4e00\u3064\u3067\u3042\u308a\u3001\u305d\u308c\u304c<strong>\u300c<a href=\"https:\/\/www.ishamachi.com\/?p=57913#remission\">\u5bdb\u89e3\uff08\u304b\u3093\u304b\u3044\uff09<\/a><\/strong>\u300d\u3068\u3044\u308f\u308c\u308b\u72b6\u614b\u3067\u3059\u3002<\/p>\n<h2>\u30ea\u30a6\u30de\u30c1\u306b\u304a\u3051\u308b3\u3064\u306e\u300c\u5bdb\u89e3\u300d<\/h2>\n<p><a href=\"https:\/\/www.ishamachi.com\/wp-content\/uploads\/2016\/05\/160519-Arthritis-remission-2.jpg\"><img decoding=\"async\" style=\"width: 100%; height: auto;\" src=\"https:\/\/www.ishamachi.com\/wp-content\/uploads\/2016\/05\/160519-Arthritis-remission-2.jpg\" alt=\"\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306b\u304a\u3051\u308b3\u3064\u306e\u300c\u5bdb\u89e3\u300d-\u56f3\u89e3\" \/><\/a><br \/>\n\u5bdb\u89e3\u3068\u306f\u3001<strong>\u75c5\u6c17\u306e\u75c7\u72b6\u304c\u307b\u307c\u6d88\u5931\u3057\u3001\u81e8\u5e8a\u7684\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3055\u308c\u305f\u72b6\u614b<\/strong>\u3092\u3044\u3044\u307e\u3059\u3002\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u5bdb\u89e3\u3001\u3064\u307e\u308a\u6cbb\u7642\u76ee\u6a19\u306b\u306f\u3001\u6b21\u306e3\u3064\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<ol>\n<li><strong>\u81e8\u5e8a\u7684\u5bdb\u89e3\uff1a\u708e\u75c7\u3068\u81ea\u899a\u75c7\u72b6\u304a\u3088\u3073\u4ed6\u899a\u75c7\u72b6\u306e\u6d88\u5931<\/strong><\/li>\n<li><strong>\u69cb\u9020\u7684\u5bdb\u89e3\uff1a\u95a2\u7bc0\u7834\u58ca\u306e\u9032\u884c\u304c\u307b\u3068\u3093\u3069\u6b62\u307e\u308b\u3053\u3068<\/strong><\/li>\n<li><strong>\u6a5f\u80fd\u7684\u5bdb\u89e3\uff1a\u8eab\u4f53\u6a5f\u80fd\u306e\u7dad\u6301<\/strong><\/li>\n<\/ol>\n<p>\u3053\u306e3\u3064\u306e\u76ee\u6a19\u3092\u9054\u6210\u3067\u304d\u308b\u3068<strong>\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u3068\u3044\u3046\u75c5\u6c17\u306b\u304b\u304b\u3063\u3066\u3044\u308b\u3053\u3068\u3092\u307b\u307c\u81ea\u899a\u305b\u305a\u306b\u65e5\u5e38\u751f\u6d3b\u3092\u9001\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059<\/strong>\uff08\u6297\u30ea\u30a6\u30de\u30c1\u85ac\u3092\u670d\u7528\u3057\u306a\u304c\u3089\u3067\u306f\u3042\u308a\u307e\u3059\u304c\uff09\u3002\u3055\u3089\u306b\u3001\u60a3\u8005\u3055\u3093\u306e\u4e2d\u306b\u306f\u6297\u30ea\u30a6\u30de\u30c1\u85ac\u306e\u670d\u7528\u3092\u4f11\u6b62\u3057\u3001\u6cbb\u7652\u3057\u305f\u3068\u3044\u3048\u308b\u72b6\u614b\uff08<strong>\u5b8c\u6cbb<\/strong>\uff09\u306b\u307e\u3067\u306a\u308b\u65b9\u3082\u3044\u308b\u306e\u3067\u3059\u3002<\/p>\n<p>\u305d\u3057\u3066\u3001\u5b8c\u6cbb\u3092\u76ee\u6307\u3059\u305f\u3081\u306b\u6b20\u304b\u305b\u306a\u3044\u306e\u304c\u3001<strong>\u9069\u5207\u306a\u65e9\u671f\u8a3a\u65ad<\/strong>\u304a\u3088\u3073<strong>\u9069\u5207\u306a\u65e9\u671f\u6cbb\u7642<\/strong>\u3060\u3068\u3044\u3046\u308f\u3051\u3067\u3059\u3002<\/p>\n<h2>I.\u30ea\u30a6\u30de\u30c1\u306e\u81e8\u5e8a\u7684\u5bdb\u89e3\u3068\u75be\u60a3\u6d3b\u52d5\u6027\u8a55\u4fa1<\/h2>\n<p>\u307e\u305a\u306f\u3001<strong>\u81e8\u5e8a\u7684\u5bdb\u89e3<\/strong>\u306b\u3064\u3044\u3066\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n<p>\u305d\u306e\u524d\u306b\u3001\u30ea\u30a6\u30de\u30c1\u306e\u6d3b\u52d5\u6027\uff08\u75c5\u6c17\u306e\u9032\u3080\u30b9\u30d4\u30fc\u30c9\u3084\u708e\u75c7\u306e\u5f37\u3055\u306a\u3069\uff09\u306f\u3069\u306e\u3088\u3046\u306b\u5224\u65ad\u3055\u308c\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u4ee5\u524d\u306f\u3001\u300c\u306a\u3093\u3068\u306a\u304f\u826f\u3044\u300d\u300c\u3060\u3044\u305f\u3044\u5927\u4e08\u592b\u300d\u3068\u3044\u3063\u305f\u66d6\u6627\u306a\u5224\u65ad\u57fa\u6e96\u304c\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u73fe\u5728\u306f\u3001\u3082\u3063\u3068\u660e\u78ba\u306a\u6570\u5024\u76ee\u6a19\u304c\u5b9a\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4ed6\u306e\u75c5\u6c17\u3092\u30a4\u30e1\u30fc\u30b8\u3059\u308b\u3068\u5206\u304b\u308a\u3084\u3059\u3044\u3067\u3057\u3087\u3046\u3002\u4f8b\u3048\u3070\u7cd6\u5c3f\u75c5\u3067\u306f\u3001HbA1c\u3068\u3044\u3046\u5024\u3092\u7528\u3044\u3066\u75c5\u6c17\u306e\u69d8\u5b50\u3092\u5224\u65ad\u3057\u307e\u3059\u3002\u9ad8\u8840\u5727\u3067\u306f\u3001\u8840\u5727\u6570\u5024\u304c\u91cd\u8981\u306a\u6307\u6a19\u3068\u306a\u308a\u307e\u3059\u3088\u306d\u3002\u540c\u3058\u3088\u3046\u306b\u3001\u30ea\u30a6\u30de\u30c1\u306e\u75be\u60a3\u6d3b\u52d5\u6027\u3092\u8a55\u4fa1\u3059\u308b\u4e0a\u3067\u91cd\u8981\u306a\u6307\u6a19\u304c\u3001<strong>DAS28<\/strong><strong>\u3001<\/strong><strong>SDAI<\/strong><strong>\u3001<\/strong><strong>CDAI<\/strong>\u306e3\u3064\u3067\u3059\u3002\u305d\u3057\u3066\u3001\u3053\u306e3\u3064\u304c<strong>\u300c\u81e8\u5e8a\u7684\u5bdb\u89e3\u300d<\/strong>\u306b\u5927\u304d\u304f\u95a2\u308f\u3063\u3066\u304d\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u3089\u306e\u6307\u6a19\u306f\u300128\u500b\u306e\u95a2\u7bc0\u3092\u8abf\u3079\u3066\u6570\u5024\u5316\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u305d\u308c\u305e\u308c\u306b\u3064\u3044\u3066\u306e\u7c21\u5358\u306a\u8aac\u660e\u3068\u3001\u6307\u6a19\u3068\u306a\u308b\u6570\u5024\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n<h3>\uff11\uff0eDAS28<\/h3>\n<p>DAS28\uff08Disease Activity Score\uff09\u306f\u3001<strong>\u816b\u8139\u95a2\u7bc0\u6570\u3001\u5727\u75db\u95a2\u7bc0\u6570\u3001\u60a3\u8005\u5168\u822c\u8a55\u4fa1\u3001\u6025\u6027\u671f\u53cd\u5fdc\u7269\u8cea<\/strong>\u306b\u3088\u3063\u3066\u30ea\u30a6\u30de\u30c1\u306e\u75c5\u72b6\u3092\u8868\u3059\u6307\u6a19\u3067\u3059\u3002<\/p>\n<div style=\"max-width: 400px; margin: 1rem; text-align: center;\"><a href=\"https:\/\/www.ishamachi.com\/wp-content\/uploads\/2016\/05\/160519-Arthritis-remission-3.jpg\"><img decoding=\"async\" style=\"width: 100%; height: auto;\" src=\"https:\/\/www.ishamachi.com\/wp-content\/uploads\/2016\/05\/160519-Arthritis-remission-3.jpg\" alt=\"\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1 DAS28\u3067\u8a55\u4fa1\u3059\u308b28\u95a2\u7bc0-\u56f3\u89e3\" \/><\/a><\/div>\n<h3>\uff12\uff0eSDAI<\/h3>\n<p>SDAI\uff08Simplified Disease Activity Index\uff09\u306f\u3001<strong>\u816b\u8139\u95a2\u7bc0\u6570\u3001\u5727\u75db\u95a2\u7bc0\u6570\u3001\u533b\u5e2b\u5168\u822c\u8a55\u4fa1\u3001\u60a3\u8005\u5168\u822c\u8a55\u4fa1\u3001\u6025\u6027\u671f\u53cd\u5fdc\u7269\u8cea<\/strong>\u306b\u3088\u3063\u3066\u30ea\u30a6\u30de\u30c1\u306e\u72b6\u6cc1\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n<h3>\uff13\uff0eCDAI<\/h3>\n<p>CDAI\uff08Clinical Disease Activity Index\uff09\u306f\u3001<strong>\u816b\u8139\u95a2\u7bc0\u6570\u3001\u5727\u75db\u95a2\u7bc0\u6570\u3001\u533b\u5e2b\u5168\u822c\u8a55\u4fa1\u3001\u60a3\u8005\u5168\u822c\u8a55\u4fa1<\/strong>\u3067\u75c5\u72b6\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u3001\u57fa\u6e96\u3068\u306a\u308b\u306e\u306f\u4ee5\u4e0b\u306e\u5024\u3067\u3059\u3002<\/p>\n<table>\n<tbody>\n<tr style=\"height: 80px;\">\n<td style=\"vertical-align: middle; text-align: center;\" width=\"72\"><strong>\u3000<\/strong><\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\"><strong>\u5bdb\u89e3<\/strong><\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\"><strong>\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027<br \/>\n\uff08<\/strong><strong>LDA<\/strong><strong>\uff09<\/strong><\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\"><strong>\u4e2d\u75be\u60a3\u6d3b\u52d5\u6027<br \/>\n\uff08<\/strong><strong>MDA<\/strong><strong>\uff09<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 56px;\">\n<td style=\"vertical-align: middle; text-align: center;\" width=\"72\"><strong>DAS<\/strong><\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">2.6\u672a\u6e80<\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">2.6\u4ee5\u4e0a3.2\u4ee5\u4e0b<\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">5.1\u4ee5\u4e0b<\/td>\n<\/tr>\n<tr style=\"height: 56px;\">\n<td style=\"vertical-align: middle; text-align: center;\" width=\"72\"><strong>SDAI<\/strong><\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">3.3\u4ee5\u4e0b<\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">11\u4ee5\u4e0b<\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">26\u4ee5\u4e0b<\/td>\n<\/tr>\n<tr style=\"height: 56.95px;\">\n<td style=\"vertical-align: middle; text-align: center;\" width=\"72\"><strong>CDAI<\/strong><\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">2.8\u4ee5\u4e0b<\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">10\u4ee5\u4e0b<\/td>\n<td style=\"vertical-align: middle; text-align: center;\" width=\"155\">22\u4ee5\u4e0b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4>\u9ad8\u75be\u60a3\u6d3b\u52d5\u6027\u3001\u4e2d\u75be\u60a3\u6d3b\u52d5\u6027\u3001\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027\u3001\u5bdb\u89e3\u3068\u306f<\/h4>\n<p>\u3053\u308c\u3089\u306e\u7528\u8a9e\u306f\u3001\u305d\u306e\u6642\u306e\u72b6\u614b\u3092\u8868\u3059\u3082\u306e\u3067\u3059\u3002DAS28\u306b\u3057\u3066\u3082\u3001CDAI\u3001SDAI\u306b\u3057\u3066\u3082\u3001\u3053\u306e\u6570\u5024\u304c\u5bdb\u89e3\u306b\u306a\u308b\u3088\u3046\u306b\u6cbb\u7642\u6226\u7565\u3092\u8ecc\u9053\u4fee\u6b63\u3057\u3066\u3044\u304f\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n<ul>\n<li>\u9ad8\u75be\u60a3\u6d3b\u52d5\u6027\uff1a\u75be\u60a3\u6d3b\u52d5\u6027\u304c\u9ad8\u3044<\/li>\n<li>\u4e2d\u75be\u60a3\u6d3b\u52d5\u6027\uff1a\u75be\u60a3\u6d3b\u52d5\u6027\u304c\u4e2d\u7b49\u5ea6<\/li>\n<li>\u4f4e\u75be\u60a3\u6d3b\u52d5\u6027\uff1a\u75be\u60a3\u6d3b\u52d5\u6027\u304c\u4f4e\u3044\u3051\u308c\u3069\u5bdb\u89e3\u306b\u306f\u81f3\u3063\u3066\u3044\u306a\u3044\u72b6\u614b<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.ishamachi.com\/wp-content\/uploads\/2016\/05\/160519-Arthritis-remission-1.jpg\"><img decoding=\"async\" style=\"width: 100%; height: auto;\" src=\"https:\/\/www.ishamachi.com\/wp-content\/uploads\/2016\/05\/160519-Arthritis-remission-1.jpg\" alt=\"\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6d3b\u52d5\u6027\u306e\u8a55\u4fa1\u6cd5-\u56f3\u89e3\" \/><\/a><br \/>\n\u3064\u307e\u308a\u3001<strong>DAS28&lt;2.6<\/strong><strong>\u3001<\/strong><strong>SDAI<\/strong><strong>\u2266<\/strong><strong>3.3<\/strong><strong>\u3001<\/strong><strong>CDAI<\/strong><strong>\u2266<\/strong><strong>2.8<\/strong><strong>\u306e\u72b6\u614b\u3092\u300c\u81e8\u5e8a\u7684\u5bdb\u89e3\u300d\u3068\u3044\u3046\u306e\u3067\u3059\u3002<\/strong><\/p>\n<p>\u81ea\u5206\u306e\u75c5\u6c17\u3092\u77e5\u308b\u305f\u3081\u306b\u306f\u3001\u300c\u306a\u3093\u3068\u306a\u304f\u826f\u304f\u306a\u3063\u305f\u6c17\u304c\u3059\u308b\u300d\u3068\u601d\u3046\u3060\u3051\u3067\u306a\u304f\u3001\u3053\u308c\u3089\u306e\u5024\u306b\u3088\u3063\u3066\u73fe\u5728\u306e\u75be\u60a3\u6d3b\u52d5\u6027\u306b\u3064\u3044\u3066\u628a\u63e1\u3057\u3066\u3044\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u8a3a\u5bdf\u3092\u53d7\u3051\u308b\u969b\u306f\u3001\u5fc5\u305a\u4e3b\u6cbb\u533b\u306b\u3053\u306e\u6570\u5024\u3092\u78ba\u8a8d\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<h3>\u3055\u3089\u306b\u4e0a\u306e\u5bdb\u89e3\u57fa\u6e96\u300cBoolean\u5bdb\u89e3\u300d\u3092\u76ee\u6307\u3057\u3066<\/h3>\n<p>\u4e0a\u8a18\u306e\u901a\u308a\u3001\u30ea\u30a6\u30de\u30c1\u306e\u81e8\u5e8a\u7684\u5bdb\u89e3\u57fa\u6e96\u306b\u306fDAS28\u5bdb\u89e3\u3001SDAI\u5bdb\u89e3\u3001CDAI\u5bdb\u89e3\u306e3\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u308c\u305e\u308c\u3001DAS28\u306f2.6\u672a\u6e80\u3001SDAI\u306f 3.3\u4ee5\u4e0b\u3001CDAI \u306f2.8\u4ee5\u4e0b\u306b\u306a\u3063\u305f\u72b6\u614b\u3092\u300c\u5bdb\u89e3\u300d\u3068\u547c\u3073\u307e\u3059\u304c\u3001\u5b9f\u306f\u3053\u308c\u3089\u306e\u57fa\u6e96\u4ee5\u4e0a\u306b\u53b3\u3057\u3044\u5bdb\u89e3\u57fa\u6e96\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u308c\u304c\u3001<strong>Boolean<\/strong><strong>\uff08\u30d6\u30fc\u30ec\u30a2\u30f3\uff09\u5bdb\u89e3<\/strong>\u3068\u547c\u3070\u308c\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>Boolean\u5bdb\u89e3\u3068\u306f\u3001<\/p>\n<ol>\n<li>\u816b\u8139\u95a2\u7bc0\u6570<\/li>\n<li>\u5727\u75db\u95a2\u7bc0\u6570<\/li>\n<li>\u60a3\u8005\u75be\u60a3\u6d3b\u52d5\u6027\u5168\u822c\u8a55\u4fa1\uff08VAS\u30670\uff5e10cm\uff09<\/li>\n<li>CRP\uff08mg\/dl\uff09<\/li>\n<\/ol>\n<p>\u4e0a\u8a184\u3064\u306e<strong>\u5168\u3066\u304c<\/strong><strong>1<\/strong><strong>\u4ee5\u4e0b\u306e\u72b6\u614b\u3092\u8868\u3057\u307e\u3059\u3002<\/strong><\/p>\n<p>\u3053\u306eBoolean\u5bdb\u89e3\u3092\u9054\u6210\u3057\u3001\u305d\u306e\u72b6\u614b\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u3067\u3001\u3088\u308a\u53ef\u80fd\u6027\u306e\u9ad8\u3044<strong>\u30d0\u30a4\u30aa<\/strong>\uff08\u751f\u7269\u5b66\u7684\u88fd\u5264\uff09<strong>\u30d5\u30ea\u30fc<\/strong>\u3001<strong>\u30c9\u30e9\u30c3\u30b0\u30d5\u30ea\u30fc<\/strong>\uff08\u3059\u3079\u3066\u306e\u85ac\u5264\u3092\u4f11\u85ac\u30fb\u4e2d\u6b62\u3067\u304d\u308b\u72b6\u614b\uff09\u304c\u5f85\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u751f\u7269\u5b66\u7684\u88fd\u5264\u306f\u9ad8\u4fa1\u306a\u85ac\u3067\u3059\u306e\u3067\u3001\u4f11\u85ac\u30fb\u4e2d\u6b62\u3067\u304d\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u5927\u5909\u91cd\u8981\u3067\u3059\u3002\u307e\u305f\u3001\u30c9\u30e9\u30c3\u30b0\u30d5\u30ea\u30fc\u306e\u72b6\u614b\u3092\u7dad\u6301\u3067\u304d\u308c\u3070\u3001\u3044\u308f\u3086\u308b\u5b8c\u6cbb\u30fb\u6cbb\u7652\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u306e\u3067\u3059\u3002<\/p>\n<h2>II\uff0e\u69cb\u9020\u7684\u5bdb\u89e3\u3068\u306f<\/h2>\n<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u75c7\u72b6\u306f\u3001\u5358\u306b\u95a2\u7bc0\u304c\u816b\u308c\u3066\u75db\u3080\u3060\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<strong>\u95a2\u7bc0\u304c\u7834\u58ca\u3055\u308c\u3001\u5f90\u3005\u306b\u5909\u5f62\u3057\u3066\u3044\u3063\u3066\u3057\u307e\u3046<\/strong>\u306e\u304c\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u4e3b\u305f\u308b\u75c7\u72b6\u3067\u3059\u3002\u3053\u306e\u95a2\u7bc0\u7834\u58ca\u304c\u6291\u6b62\u3055\u308c\u305f\u72b6\u614b\u3092\u3001<strong>\u69cb\u9020\u7684\u5bdb\u89e3<\/strong>\u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u95a2\u7bc0\u7834\u58ca\u306e<strong>\u300c\u7a0b\u5ea6\u300d<\/strong>\u3084<strong>\u300c\u9032\u884c\u300d<\/strong>\u3082\u3001\u5b9a\u91cf\u7684\u306b\u8a55\u4fa1\u3057\u3066\u3044\u304f\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u306b\u884c\u308f\u308c\u308b\u306e\u304c\u3001<strong>\u30ec\u30f3\u30c8\u30b2\u30f3\u691c\u67fb<\/strong>\u3067\u3059\u3002<\/p>\n<h3>\u95a2\u7bc0\u7834\u58ca\u306e\u7a0b\u5ea6\u3092\u8868\u3059stage\u5206\u985e<\/h3>\n<p>\u95a2\u7bc0\u7834\u58ca\u306e\u7a0b\u5ea6\u306f\u3001Steinbrocker\uff08\u30b9\u30bf\u30a4\u30f3\u30d6\u30ed\u30c3\u30ab\u30fc\uff09\u306b\u3088\u308bstage\u5206\u985e\u3067\u3001\u7834\u58ca\u304c\u6700\u3082\u9032\u3093\u3060\u95a2\u7bc0\u306e\u69d8\u5b50\u3092\u8a3a\u65ad\u3057\u307e\u3059\uff08Steinbrocker\u3089, 1949\uff09\u3002\u521d\u671f\u304b\u3089\u672b\u671f\u307e\u3067\u30014\u3064\u306e\u30b9\u30c6\u30fc\u30b8\u306b\u5206\u3051\u3089\u308c\u307e\u3059\u3002<\/p>\n<ul>\n<li>Stage \u2160\uff08\u521d\u671f\uff09\uff1a\u9aa8\u30fb\u8edf\u9aa8\u306e\u7834\u58ca\u306f\u306a\u3044\u72b6\u614b<\/li>\n<li>Stage \u2161\uff08\u4e2d\u7b49\u671f\uff09\uff1a\u9aa8\u306e\u7834\u58ca\u306f\u306a\u3044\u304c\u3001\u8edf\u9aa8\u304c\u8584\u304f\u306a\u308a\u3001\u95a2\u7bc0\u306e\u9699\u9593\u304c\u72ed\u304f\u306a\u3063\u3066\u3044\u308b\u72b6\u614b<\/li>\n<li>Stage \u2162\uff08\u9ad8\u5ea6\uff09\uff1a\u9aa8\u30fb\u8edf\u9aa8\u306b\u7834\u58ca\u304c\u751f\u3058\u305f\u72b6\u614b<\/li>\n<li>Stage \u2163\uff08\u672b\u671f\uff09\uff1a\u95a2\u7bc0\u304c\u7834\u58ca\u3055\u308c\u3001\u52d5\u304b\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u72b6\u614b<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u4ee5\u4e0b\u306e\u8868\u3067\u3001\u5404\u30b9\u30c6\u30fc\u30b8\u306b\u3064\u3044\u3066\u3055\u3089\u306b\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n<table>\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"vertical-align: middle; text-align: center; height: 24px; width: 158.75px;\"><span style=\"font-size: 10pt;\"><strong>Stage \u2160<br \/>\n<\/strong><strong>\uff08\u521d\u671f\uff09<\/strong><\/span><\/td>\n<td style=\"vertical-align: middle; text-align: center; height: 24px; width: 126.932px;\"><span style=\"font-size: 10pt;\"><strong>Stage \u2161<br \/>\n\uff08\u4e2d\u7b49\u671f\uff09<\/strong><\/span><\/td>\n<td style=\"vertical-align: middle; text-align: center; height: 24px; width: 138.75px;\"><span style=\"font-size: 10pt;\"><strong>Stage \u2162<br \/>\n\uff08\u9ad8\u5ea6\uff09<\/strong><\/span><\/td>\n<td style=\"vertical-align: middle; text-align: center; height: 24px; width: 130.568px;\"><span style=\"font-size: 10pt;\"><strong>Stage \u2163<br \/>\n\uff08\u672b\u671f\uff09<\/strong><\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"vertical-align: middle; height: 49px; width: 158.75px;\"><span style=\"font-size: 10pt;\">*X\u7dda\u5199\u771f\u3067<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u9aa8\u306e\u7834\u58ca\u304c<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u307f\u3089\u308c\u306a\u3044<\/span><\/td>\n<td style=\"vertical-align: middle; height: 121px; width: 126.932px;\" rowspan=\"2\"><span style=\"font-size: 10pt;\">*X\u7dda\u5199\u771f\u3067<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u8efd\u5ea6\u306e<strong>\u8edf\u9aa8\u4e0b\u9aa8\u306e<br \/>\n\u7834\u58ca<\/strong>\uff08<strong>\u9aa8<a href=\"https:\/\/www.ishamachi.com\/?p=57921#erosion\">\u3073\u3089\u3093<\/a><\/strong>\uff1a<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u9aa8\u304c\u4e00\u90e8<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u6b20\u3051\u3066\u3044\u308b\u3053\u3068\uff09<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u3092\u4f34\u3046<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u3042\u308b\u3044\u306f\u4f34\u308f\u306a\u3044<\/span><br \/>\n<span style=\"font-size: 10pt;\"><strong>\u9aa8\u840e\u7e2e<\/strong>\u304c\u3042\u308b<\/span><\/td>\n<td style=\"vertical-align: middle; height: 169px; width: 138.75px;\" rowspan=\"3\"><span style=\"font-size: 10pt;\">*\u9aa8\u840e\u7e2e\u306e\u4ed6\u306b\u3001<\/span><br \/>\n<span style=\"font-size: 10pt;\">X\u7dda\u5b66\u7684\u306b\u8edf\u9aa8<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u53ca\u3073\u9aa8\u306e\u7834\u58ca<\/span><br \/>\n<span style=\"font-size: 10pt;\">\uff08<strong>\u9aa8\u3073\u3089\u3093<\/strong>\uff09\u304c<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u3042\u308b<\/span><\/td>\n<td style=\"vertical-align: middle; height: 49px; width: 130.568px;\"><span style=\"font-size: 10pt;\">*<strong>\u7dda\u7dad\u6027\u3042\u308b\u3044\u306f<br \/>\n\u9aa8\u6027\u5f37\u76f4<\/strong>\u304c\u3042\u308b<\/span><\/td>\n<\/tr>\n<tr style=\"height: 72.3335px;\">\n<td style=\"vertical-align: middle; height: 72px; width: 158.75px;\"><span style=\"font-size: 10pt;\">X\u7dda\u5199\u771f\u3067<strong>\u9aa8\u840e\u7e2e<br \/>\n<\/strong>\uff08\u9aa8\u306e\u4ee3\u8b1d\u304c<br \/>\n\u60aa\u304f\u306a\u308a\u3001<\/span><span style=\"font-size: 10pt;\">\u9aa8\u304c<br \/>\n\u6e1b\u5c11\u3057\u305f\u72b6\u614b\uff09<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u306f\u3042\u3063\u3066\u3082\u826f\u3044<\/span><\/td>\n<td style=\"vertical-align: middle; height: 336px; width: 130.568px;\" rowspan=\"5\"><span style=\"font-size: 10pt;\">\u305d\u308c\u4ee5\u5916\u306f<\/span><br \/>\n<span style=\"font-size: 10pt;\">Stage\u2162\u306e\u57fa\u6e96\u3092<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u6e80\u305f\u3059<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"vertical-align: middle; height: 48px; width: 158.75px;\"><\/td>\n<td style=\"vertical-align: middle; height: 48px; width: 126.932px;\"><span style=\"font-size: 10pt;\">\u8efd\u5ea6\u306e\u8edf\u9aa8\u7834\u58ca\u306f<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u3042\u3063\u3066\u3082\u826f\u3044<\/span><\/td>\n<\/tr>\n<tr style=\"height: 96px;\">\n<td style=\"vertical-align: middle; height: 96px; width: 158.75px;\"><\/td>\n<td style=\"vertical-align: middle; height: 96px; width: 126.932px;\"><span style=\"font-size: 10pt;\">*\u95a2\u7bc0\u904b\u52d5\u306f\u5236\u9650<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u3055\u308c\u3066\u3082\u826f\u3044\u304c\u3001<\/span><br \/>\n<span style=\"font-size: 10pt;\"><strong>\u95a2\u7bc0\u5909\u5f62\u306f\u306a\u3044<\/strong><\/span><\/td>\n<td style=\"vertical-align: middle; height: 96px; width: 138.75px;\"><span style=\"font-size: 10pt;\">*<strong>\u4e9c\u8131\u81fc\u3001<br \/>\n\u5c3a\u5074\u5909\u4f4d\u3001<br \/>\n\u904e\u4f38\u5c55<\/strong>\u306e\u3088\u3046\u306a<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u95a2\u7bc0\u5909\u5f62\u304c\u3042\u308b<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u7dda\u7dad\u6027\u3042\u308b\u3044\u306f<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u9aa8\u6027\u5f37\u76f4\u3092<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u4f34\u308f\u306a\u3044<\/span><\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"vertical-align: middle; height: 48px; width: 158.75px;\"><\/td>\n<td style=\"vertical-align: middle; height: 48px; width: 126.932px;\"><span style=\"font-size: 10pt;\">\u95a2\u7bc0\u5468\u8fba\u306e<strong>\u7b4b\u840e\u7e2e<br \/>\n<\/strong>\uff08\u7b4b\u8089\u304c\u75e9\u305b\u3066<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u6e1b\u5c11\u3057\u305f\u72b6\u614b\uff09\u304c<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u3042\u308b<\/span><\/td>\n<td style=\"vertical-align: middle; height: 48px; width: 138.75px;\"><span style=\"font-size: 10pt;\">\u5f37\u5ea6\u306e<strong>\u7b4b\u840e\u7e2e<br \/>\n<\/strong>\u304c\u3042\u308b<\/span><\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"vertical-align: middle; height: 72px; width: 158.75px;\"><\/td>\n<td style=\"vertical-align: middle; height: 72px; width: 126.932px;\"><span style=\"font-size: 10pt;\">\u7d50\u7bc0\u304a\u3088\u3073\u8171\u9798\u708e<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u306e\u3054\u3068\u304d<strong>\u95a2\u7bc0\u5916\u8edf<br \/>\n\u7d44\u7e54\u306e\u75c5\u5909<\/strong>\u306f<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u3042\u3063\u3066\u3082\u826f\u3044<\/span><\/td>\n<td style=\"vertical-align: middle; height: 72px; width: 138.75px;\"><span style=\"font-size: 10pt;\">\u7d50\u7bc0\u53ca\u3073<\/span><br \/>\n<span style=\"font-size: 10pt;\">\u8171\u9798\u708e\u306e\u3088\u3046\u306a<\/span><br \/>\n<span style=\"font-size: 10pt;\"><strong>\u95a2\u7bc0\u5916\u8edf\u7d44\u7e54\u306e<br \/>\n\u75c5\u5909\u306f\u3042\u3063\u3066\u3082<br \/>\n\u826f\u3044<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>*\u5370\u306e\u3042\u308b\u57fa\u6e96\u9805\u76ee\u306f\u7279\u306b\u3001\u305d\u306e\u75c5\u6c17\u3042\u308b\u3044\u306f\u9032\u884c\u5ea6\u306b\u60a3\u8005\u3092\u5206\u985e\u3059\u308b\u305f\u3081\u306b\u306f\u5fc5\u305a\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u9805\u76ee\u3067\u3059\u3002<\/p>\n<h3>\u95a2\u7bc0\u7834\u58ca\u306e\u9032\u884c\u3092\u8868\u3059mTSS<\/h3>\n<p>\u4ed6\u65b9\u30011\u5e74\u9593\u3067\u95a2\u7bc0\u7834\u58ca\u304c\u3069\u308c\u3060\u3051\u9032\u884c\u3057\u305f\u304b\u3092\u8868\u3059\u6307\u6a19\u304c<strong>modified Total Sharp Score<\/strong><strong>\uff08mTSS<\/strong><strong>\uff09<\/strong>\u3067\u3059\uff08van der Heijde DM\u3089\u30011989\uff09\u3002mTSS\u3067\u306f\u3001<strong>\u624b\u3068\u8db3\u306e\u3073\u3089\u3093<\/strong>\uff08<strong>Erosion<\/strong>\uff1a\u9aa8\u304c\u6b20\u3051\u3066\u3044\u308b\u3053\u3068\uff09\u3068<strong>\u95a2\u7bc0\u88c2\u9699\u72ed\u5c0f\u5316<\/strong>\uff08<strong>JSN<\/strong> \uff08Joint space narrowing\uff09\uff1a\u95a2\u7bc0\u8edf\u9aa8\u304c\u78e8\u8017\u306b\u3088\u308a\u6e1b\u3063\u3066\u3057\u307e\u3046\u3053\u3068\uff09\u3092\u70b9\u6570\u5316\u3057\u307e\u3059\u3002\u3059\u3079\u3066\u306e\u95a2\u7bc0\u306e\u5408\u8a08\u70b9\u6570\u304c\u3001\u305d\u306e\u60a3\u8005\u3055\u3093\u306e<strong>Total Sharp<\/strong><strong>\u30b9\u30b3\u30a2\uff08\u7dcf Sharp<\/strong><strong>\u30b9\u30b3\u30a2\uff09<\/strong>\u3067\u3059\u3002<\/p>\n<p>\u624b\u306e\u5834\u5408\u306fErosion16\u95a2\u7bc0\u30fbJSN15\u95a2\u7bc0\u3001\u8db3\u306e\u5834\u5408\u306fErosion6\u95a2\u7bc0\u30fbJSN6\u95a2\u7bc0\u3067\u5224\u65ad\u3057\u307e\u3059\u3002Erosion\u306f\u3001\u624b\u3067\u306f1\u95a2\u7bc0\u306b\u3064\u304d\u6700\u59275\u70b9\u3001\u8db3\u3067\u306f1\u95a2\u7bc0\u306b\u3064\u304d\u6700\u592710\u70b9\u3067\u8a55\u4fa1\u3057\u307e\u3059\u3002JSN\u306f\u3001\u624b\u8db3\u3068\u3082\u306b\u6700\u59274\u70b9\u3067\u3059\u3002\u3064\u307e\u308a\u3001\u624b\u306e\u6700\u5927\u70b9\u6570\u306f280\u70b9\uff08Erosion\uff1a160\u70b9\u3001JSN\uff1a120\u70b9\uff09\u3001\u8db3\u306e\u6700\u5927\u70b9\u6570\u306f168\u70b9\uff08Erosion\uff1a120\u70b9\u3001JSN\uff1a48\u70b9\uff09\u3068\u306a\u308a\u307e\u3059\u3002Total Sharp\u30b9\u30b3\u30a2\u306e\u6700\u5927\u70b9\u6570\u306f448\u70b9\u3068\u3044\u3046\u308f\u3051\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u69cb\u9020\u7684\u5bdb\u89e3\u306f\u95a2\u7bc0\u7834\u58ca\u304c\u6291\u6b62\u3055\u308c\u305f\u72b6\u614b\u3067\u3042\u308a\u3001<strong>\u5e74\u9593<\/strong><strong>mTSS<\/strong><strong>\u5897\u52a0\u91cf\uff08\u22bfmTSS<\/strong><strong>\uff09\u304c0.5<\/strong><strong>\u4ee5\u4e0b<\/strong>\u3067\u3042\u308b\u72b6\u614b\u3092\u3044\u3044\u307e\u3059\u3002<\/p>\n<p>\u69cb\u9020\u7684\u5bdb\u89e3\u306e\u305f\u3081\u306b\u306f\u3001\u81e8\u5e8a\u7684\u5bdb\u89e3\u306e\u9054\u6210\u3068\u7dad\u6301\u304c\u6b20\u304b\u305b\u307e\u305b\u3093\u3002\u305d\u306e\u305f\u3081\u3001\u307e\u305a\u306f\u8a3a\u5bdf\u306e\u5ea6\u306b\u5ba2\u89b3\u7684\u6d3b\u52d5\u6027\u6307\u6a19\uff08DAS28\u3001SDAI\u3001CDAI\uff09\u3092\u78ba\u8a8d\u3057\u3001\u628a\u63e1\u3057\u3066\u304a\u304f\u3053\u3068\u304c\u6700\u91cd\u8981\u3067\u3059\u3002<\/p>\n<h2>III\uff0e\u6a5f\u80fd\u7684\u5bdb\u89e3\u3068\u306f<\/h2>\n<p>\u30ea\u30a6\u30de\u30c1\u306b\u306a\u308b\u3068\u3001\u65e9\u3044\u3046\u3061\u304b\u3089\u95a2\u7bc0\u306e\u75db\u307f\u3084\u816b\u308c\u304c\u8d77\u3053\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u9032\u884c\u3059\u308b\u306b\u3064\u308c\u3066\u95a2\u7bc0\u306e\u5909\u5f62\u3084\u7b4b\u840e\u7e2e\u3082\u8d77\u3053\u3063\u3066\u304d\u307e\u3059\u306e\u3067\u3001\u65e5\u5e38\u751f\u6d3b\u52d5\u4f5c\uff08ADL\uff1aactivity of daily living\uff09\u306b\u5236\u9650\u304c\u751f\u3058\u3066\u304d\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u3053\u308c\u3089\u306e<strong>\u8eab\u4f53\u6a5f\u80fd\u969c\u5bb3<\/strong>\u306b\u52a0\u3048\u3001\u60a3\u8005\u3055\u3093\u306f\u4ed6\u306b\u3082\u7cbe\u795e\u7684\u30fb\u793e\u4f1a\u6a5f\u80fd\u7684\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u53d7\u3051\u308b\u305f\u3081\u3001\u30ea\u30a6\u30de\u30c1\u3067\u306f<strong>\u767a\u75c7\u3057\u3066\u3059\u3050\u306b\u95a2\u7bc0\u75bc\u75db\u3084\u816b\u8139\u3092\u6291\u3048\u3001\u95a2\u7bc0\u306e\u7834\u58ca\u3084\u5909\u5f62\u3092\u9632\u3050\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3068\u3066\u3082\u91cd\u8981\u3067\u3059\u3002<\/strong><\/p>\n<p>\u3053\u306e\u8eab\u4f53\u6a5f\u80fd\u969c\u5bb3\u306e\u5ea6\u5408\u3044\u3092\u8a55\u4fa1\u3059\u308b\u306e\u304c\u3001Health Assessment Questionnaire\uff08HAQ\uff09\u3068\u3044\u308f\u308c\u308b\u57fa\u6e96\u3067\u3059\u30028\u9805\u76ee\u306e\u52d5\u4f5c\u306e\u96e3\u6613\u5ea6\u3092\u306f\u304b\u308b\u30a2\u30f3\u30b1\u30fc\u30c8\u3067\u3001<\/p>\n<ul>\n<li>0\u70b9\uff1a\u96e3\u306a\u304f\u3067\u304d\u308b<\/li>\n<li>1\u70b9\uff1a\u5c11\u3057\u96e3\u3057\u3044<\/li>\n<li>2\u70b9\uff1a\u304b\u306a\u308a\u96e3\u3057\u3044<\/li>\n<li>3\u70b9\uff1a\u5168\u304f\u3067\u304d\u306a\u3044<\/li>\n<\/ul>\n<p>\u3068\u3057\u30018\u9805\u76ee\u3059\u3079\u3066\u306e\u5e73\u5747\u70b9\uff080\uff5e3\u70b9\uff09\u3067\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n<h3>Health Assessment Questionnaire \uff08HAQ\uff09<\/h3>\n<ol>\n<li><strong>\u8863\u985e\u7740\u8131\u30fb\u8eab\u652f\u5ea6\u52d5\u4f5c<\/strong>\uff081\u4eba\u3067\u7740\u66ff\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u30011\u4eba\u3067\u9aea\u3092\u6d17\u3048\u308b\u304b\uff09<\/li>\n<li><strong>\u8d77\u5e8a\u52d5\u4f5c<\/strong>\uff08\u6905\u5b50\u304b\u3089\u7acb\u3061\u4e0a\u304c\u308c\u308b\u304b\u3001\u5c31\u5bdd\u30fb\u8d77\u5e8a\u306e\u52d5\u4f5c\u304c\u53ef\u80fd\u304b\uff09<\/li>\n<li><strong>\u98df\u4e8b\u52d5\u4f5c<\/strong>\uff08\u76bf\u306e\u4e0a\u306e\u8089\u3092\u5207\u308c\u308b\u304b\u3001\u30b3\u30c3\u30d7\u3092\u53e3\u5143\u3078\u904b\u3079\u308b\u304b\u3001\u725b\u4e73\u30d1\u30c3\u30af\u306e\u53e3\u3092\u958b\u3051\u3089\u308c\u308b\u304b\uff09<\/li>\n<li><strong>\u6b69\u884c\u52d5\u4f5c<\/strong>\uff08\u6238\u5916\u306e\u5e73\u5766\u306a\u5730\u9762\u3092\u6b69\u3051\u308b\u304b\u3001\u968e\u6bb5\u30925\u6bb5\u4ee5\u4e0a\u767b\u308c\u308b\u304b\uff09<\/li>\n<li><strong>\u885b\u751f\u52d5\u4f5c<\/strong>\uff08\u4f53\u5168\u4f53\u3092\u6d17\u3044\u30bf\u30aa\u30eb\u3067\u62ed\u3051\u308b\u304b\u3001\u6d74\u69fd\u306b\u6d78\u304b\u308c\u308b\u304b\u3001\u30c8\u30a4\u30ec\u3067\u5ea7\u3063\u305f\u308a\u7acb\u3063\u305f\u308a\u3067\u304d\u308b\u304b\uff09<\/li>\n<li><strong>\u4f38\u5c55\u52d5\u4f5c<\/strong>\uff08\u5e97\u306b\u3042\u308b2kg\u306e\u8377\u7269\u3092\u964d\u308d\u305b\u308b\u304b\u3001\u8170\u3092\u66f2\u3052\u3066\u5e8a\u306b\u3042\u308b\u8863\u985e\u3092\u62fe\u3048\u308b\u304b\uff09<\/li>\n<li><strong>\u63e1\u529b\u52d5\u4f5c<\/strong>\uff08\u81ea\u52d5\u8eca\u306e\u30c9\u30a2\u3092\u958b\u3051\u3089\u308c\u308b\u304b\u3001\u30d3\u30f3\u306e\u84cb\u3092\u958b\u3051\u3089\u308c\u308b\u304b\u3001\u86c7\u53e3\u306e\u958b\u3051\u9589\u3081\u304c\u53ef\u80fd\u304b\uff09<\/li>\n<li><strong>\u6d3b\u52d5\u52d5\u4f5c<\/strong>\uff08\u8cb7\u3044\u7269\u7b49\u3067\u51fa\u304b\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u3001\u8eca\u306e\u4e57\u964d\u304c\u3067\u304d\u308b\u304b\u3001\u5bb6\u4e8b\u304c\u3067\u304d\u308b\u304b\uff09<\/li>\n<\/ol>\n<p>\u53c2\u8003\uff1a<a href=\"http:\/\/yukawa-clinic.jp\/module\/img\/common\/saishin.pdf\">\u6e6f\u5ddd\u30ea\u30a6\u30de\u30c1\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af \u554f\u8a3a\u7968<\/a>\uff08PDF\uff09<\/p>\n<p>&nbsp;<\/p>\n<p>\u4e0a\u8a18\u306eHAQ\u304c<strong>0.5<\/strong><strong>\u672a\u6e80\u306b\u306a\u3063\u305f\u72b6\u614b<\/strong>\u3092\u3001<strong>\u6a5f\u80fd\u7684\u5bdb\u89e3\uff08<\/strong><strong>HAQ<\/strong><strong>\u5bdb\u89e3\uff09<\/strong>\u3068\u3044\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u30ea\u30a6\u30de\u30c1\u3092\u767a\u75c7\u3057\u305f\u3070\u304b\u308a\u3067\u95a2\u7bc0\u7834\u58ca\u3084\u5909\u5f62\u304c\u307f\u3089\u308c\u306a\u3044\u60a3\u8005\u3055\u3093\u306e\u5834\u5408\u3001\u81e8\u5e8a\u7684\u5bdb\u89e3\u30fb\u69cb\u9020\u7684\u5bdb\u89e3\u30fb\u6a5f\u80fd\u7684\u5bdb\u89e3\u306e3\u3064\u306b\u9054\u3057\u305f<strong>\u5b8c\u5168\u5bdb\u89e3<\/strong>\u3092\u76ee\u6307\u3057\u3001\u6cbb\u7642\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n<p>\u95a2\u7bc0\u7834\u58ca\u3084\u5909\u5f62\u304c\u65e2\u306b\u9032\u3093\u3067\u3057\u307e\u3063\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u306e\u5834\u5408\u3001\u5b8c\u5168\u5bdb\u89e3\u306b\u5230\u9054\u3059\u308b\u306e\u306f\u56f0\u96e3\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u9069\u5207\u306a\u6cbb\u7642\u3092\u884c\u3048\u3070HAQ\u306f\u5c11\u3057\u305a\u3064\u4f4e\u4e0b\u3057\u3001\u751f\u6d3b\u306e\u8cea\u3082\u5f90\u3005\u306b\u6539\u5584\u3057\u3066\u3044\u304f\u306e\u304c\u5b9f\u611f\u3067\u304d\u308b\u3053\u3068\u3067\u3057\u3087\u3046\u3002\u3067\u3059\u304b\u3089\u3001\u4f55\u6b73\u306b\u306a\u3063\u3066\u3082\u3001\u307e\u305f\u9ad8\u5ea6\u306a\u95a2\u7bc0\u7834\u58ca\u304c\u8d77\u3053\u3063\u3066\u3044\u305f\u3068\u3057\u3066\u3082\u8ae6\u3081\u305a\u3001\u9069\u5207\u306a\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u5927\u5207\u306a\u306e\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u6cbb\u7642\u306f\u3001\u3067\u304d\u308b\u3060\u3051\u65e9\u671f\u306b\u958b\u59cb\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002\u8fd1\u5e74\u3067\u306f\u30012010\u5e74\u306b\u30ea\u30a6\u30de\u30c1\u65b0\u5206\u985e\u57fa\u6e96\u304c\u4f5c\u6210\u3055\u308c\u3001\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306e\u65e9\u671f\u8a3a\u65ad\u304c\u53ef\u80fd\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u8a73\u3057\u304f\u306f\u3001\u300c<a 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