{"id":1705,"date":"2022-03-14T01:00:00","date_gmt":"2022-03-13T16:00:00","guid":{"rendered":"https:\/\/motoyawata.clinic\/blog\/?p=1705"},"modified":"2024-10-10T22:56:25","modified_gmt":"2024-10-10T13:56:25","slug":"hypertension-treatment","status":"publish","type":"post","link":"https:\/\/motoyawata.clinic\/blog\/hypertension-treatment\/","title":{"rendered":"\u3010\u82e5\u624b\u306e\u5148\u751f\u5fc5\u898b\u3011\u5faa\u74b0\u5668\u5c02\u9580\u533b\u306e\u914d\u5408\u5264\u3092\u610f\u8b58\u3057\u305f\u9ad8\u8840\u5727\u85ac\u7269\u7642\u6cd5"},"content":{"rendered":"\n

\u4e16\u306e\u4e2d\u306b\u306f\u3001\u975e\u5e38\u306b\u591a\u304f\u306e\u964d\u5727\u85ac\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

<\/div>\n\n\n\n

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\u300c\u3069\u306e\u85ac\u304b\u3089\u4f7f\u3048\u3070\u3044\u3044\u306e\uff1f\u300d<\/strong><\/p>\n\n\n\n

<\/div>\n\n\n\n

<\/p>\n\n\n\n

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\u9ad8\u8840\u5727<\/a>\u306e\u6cbb\u7642\u306b\u6163\u308c\u3066\u3044\u306a\u3044\u3046\u3061\u306f\u3001\u4f7f\u7528\u3059\u308b\u85ac\u3092\u9650\u5b9a\u3059\u308b<\/strong>\u3068\u3044\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u7a2e\u985e\u3092\u9650\u5b9a\u3059\u308c\u3070\u3059\u3050\u306b\u4f7f\u3044\u6163\u308c\u3066\u3001\u81ea\u4fe1\u3082\u4ed8\u304f\u306f\u305a\u3067\u3059\u3002\u4f7f\u7528\u3059\u308b\u85ac\u306f\u591a\u5264\u4f75\u7528\u306b\u306a\u308b\u53ef\u80fd\u6027\u3092\u898b\u8d8a\u3057\u3066\u3001\u4e8b\u524d\u306b\u6c7a\u3081\u3066\u304a\u304f\u3068\u30b9\u30de\u30fc\u30c8\u3067\u3059\u3002\u4eca\u56de\u306f\u3001\u7b46\u8005\u30aa\u30b9\u30b9\u30e1\u306e\u85ac\u7269\u7642\u6cd5\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

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\u3000\u3042\u304f\u307e\u3067\u4e00\u4f8b\u3068\u8003\u3048\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/div>\n\n\n\n

<\/p>\n\n\n\n

\n
\u76ee\u6b21 <\/span><\/div>\n
\n

\n

  • 1.\u3000\u7b46\u8005\u30aa\u30b9\u30b9\u30e1\u306e\u6cbb\u7642<\/a><\/li>\n
  • 2.\u3000\u306a\u305c\u914d\u5408\u5264\u3092\u610f\u8b58\u3057\u305f\u85ac\u5264\u9078\u629e\u306a\u306e\u304b\uff1f<\/a><\/li>\n
  • 3.\u3000\u305d\u3082\u305d\u3082\u9ad8\u8840\u5727\u75c7\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u306f\uff1f<\/a><\/li>\n
  • 4.\u3000\u7b2c\u4e00\u9078\u629e\u85ac\u306e\u4e2d\u3067\u306e\u30aa\u30b9\u30b9\u30e1<\/a><\/li>\n
  • \u30004-1.\u3000Ca\u62ee\u6297\u85ac<\/a><\/li>\n
  • \u30004-2.\u3000\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u5909\u63db\u9175\u7d20(ACE)\u963b\u5bb3\u85ac\u3001\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac(ARB)<\/a><\/li>\n
  • \u30004-3.\u3000\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac<\/a><\/li>\n
  • 5.\u3000\u914d\u5408\u5264\u306e\u7a2e\u985e<\/a><\/li>\n<\/span><\/p>\n<\/div>\n<\/div>\n\n\n\n
    <\/div>\n\n\n\n

    1.\u3000\u7b46\u8005\u30aa\u30b9\u30b9\u30e1\u306e\u6cbb\u7642<\/strong><\/h2>\n\n\n\n
    <\/div>\n\n\n\n

    Ca\u62ee\u6297\u85ac\u306f\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3<\/strong>\uff08\u8840\u5727\u304c160 mmHg\u3092\u8d85\u3048\u308b\u3088\u3046\u306a\u5834\u5408\u306f\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3CR<\/strong>\uff09\u3001ARB\u306f\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3<\/strong>\u3001\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u306f\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u4ee5\u4e0b\u3001\u305d\u306e\u7406\u7531\u3092\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    <\/div>\n\n\n\n

    2.\u3000 \u306a\u305c\u914d\u5408\u5264\u3092\u610f\u8b58\u3057\u305f\u85ac\u5264\u9078\u629e\u306a\u306e\u304b\uff1f<\/strong><\/h2>\n\n\n\n
    <\/div>\n\n\n\n

    2019\u5e74\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a>\u6539\u5b9a\u306b\u3088\u308a\u3001\u964d\u5727\u76ee\u6a19\u304c\u4e0b\u304c\u308a\u307e\u3057\u305f\u3002\u4f75\u5b58\u75be\u60a3\u306e\u306a\u304475\u6b73\u672a\u6e80\u306e\u5834\u5408\u3001\u8a3a\u5bdf\u5ba4\u8840\u5727\u3067130\/80 mmHg\u3001\u5bb6\u5ead\u8840\u5727\u3067125\/75 mmHg\u304c\u964d\u5727\u306e\u76ee\u6a19\u5024<\/strong>\u3067\u3059\u30022014\u5e74\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u6bd4\u8f03\u3057\u3066\u3001\u76ee\u6a19\u5024\u304c10 mmHg\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3059\u3002\u964d\u5727\u76ee\u6a19\u304c\u4e0b\u304c\u3063\u305f\u305f\u3081\u3001\u591a\u5264\u4f75\u7528\u304c\u5fc5\u8981\u306a\u6a5f\u4f1a\u304c\u4eca\u307e\u3067\u3088\u308a\u5897\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u3057\u304b\u3057\u3001\u60a3\u8005\u3055\u3093\u3068\u3057\u3066\u306f\u300c\u98f2\u3080\u85ac\u3092\u5897\u3084\u3057\u305f\u304f\u306a\u3044\u300d\u3068\u3044\u3046\u306e\u304c\u672c\u97f3\u3067\u3059\u3002\u305d\u3093\u306a\u65b9\u306b\u3082\u300c\u5408\u5264\u306b\u3059\u308c\u3070\u9320\u6570\u306f\u5897\u3048\u307e\u305b\u3093\u300d\u3068\u8aac\u660e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\u306e\u5411\u4e0a\u306b\u3082\u5bc4\u4e0e\u3059\u308b\u306e\u3067\u3001\u5408\u5264\u3092\u610f\u8b58\u3057\u305f\u85ac\u5264\u9078\u629e\u3092\u6700\u521d\u304b\u3089\u884c\u3046\u3053\u3068\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    3.\u3000\u305d\u3082\u305d\u3082\u9ad8\u8840\u5727\u75c7\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u306f\uff1f<\/strong> <\/h2>\n\n\n\n
    <\/div>\n\n\n\n

    \u9ad8\u8840\u5727\u75c7\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u306f4\u7a2e\u985e<\/strong>\u3067\u3059\u3002Ca\u62ee\u6297\u85ac\u3001\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u5909\u63db\u9175\u7d20(ACE)\u963b\u5bb3\u85ac\u3001\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac(ARB)\u3001\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac<\/strong>\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u3053\u306e\u85ac\u5264\u306e\u4e2d\u3067\u7279\u5b9a\u306e\u7a2e\u985e\u306e\u964d\u5727\u85ac\u304c\u3001\u7279\u306b\u63a8\u5968\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u7a4d\u6975\u7684\u9069\u5fdc\u306e\u3042\u308b\u75c5\u614b\u3068\u63a8\u5968\u3055\u308c\u308b\u85ac\u5264<\/strong>\u306f\u4e0b\u8a18\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n
    \n

    \u5de6\u5ba4\u80a5\u5927\u2192Ca\u62ee\u6297\u85ac\u3001ACE\u963b\u5bb3\u85ac\u3001ARB<\/p>\n

    LVEF\u306e\u4f4e\u4e0b\u3057\u305f\u5fc3\u4e0d\u5168\u2192ACE\u963b\u5bb3\u85ac\u3001ARB<\/p>\n

    \u983b\u8108\u2192\u975e\u30b8\u30d2\u30c9\u30ed\u30d4\u30ea\u30b8\u30f3\u7cfbCa\u62ee\u6297\u85ac<\/p>\n

    \u72ed\u5fc3\u75c7\u2192Ca\u62ee\u6297\u85ac<\/p>\n

    \u5fc3\u7b4b\u6897\u585e\u5f8c\u2192ACE\u963b\u5bb3\u85ac\u3001ARB<\/p>\n

    \u86cb\u767d\u5c3f\/\u5fae\u91cf\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u3092\u6709\u3059\u308b\u6162\u6027\u814e\u81d3\u75c5(CKD)\u2192ACE\u963b\u5bb3\u85ac\u3001ARB<\/p>\n <\/div>\n\n\n\n

    \u203bLVEF\u306e\u4f4e\u4e0b\u3057\u305f\u5fc3\u4e0d\u5168\u3001\u983b\u8108\u3001\u72ed\u5fc3\u75c7\u3001\u5fc3\u7b4b\u6897\u585e\u5f8c\u306b\u306f\u03b2\u906e\u65ad\u85ac\u3082\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

    \u3000\u3053\u306e\u75c5\u614b\u306e\u5834\u5408\u3001\u5faa\u74b0\u5668\u3092\u5c02\u9580\u3068\u3059\u308b\u533b\u5e2b\u304c\u5bfe\u5fdc\u3059\u308b\u3068\u601d\u3044\u307e\u3059\u306e\u3067\u3001\u3053\u3053\u3067\u306f\u5272\u611b\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u3082\u3057\u7a4d\u6975\u7684\u9069\u5fdc\u306e\u3042\u308b\u9ad8\u8840\u5727\u75c7\u306e\u65b9\u306b\u51fa\u4f1a\u3063\u305f\u3089\u3001\u305d\u306e\u85ac\u5264\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u63a8\u5968\u3057\u307e\u3059<\/strong>\u3002<\/p>\n\n\n\n

    \u4ee5\u4e0b\u3001\u300c\u7a4d\u6975\u7684\u9069\u5fdc\u306e\u306a\u3044\u9ad8\u8840\u5727\u75c7\u300d\u306e\u85ac\u7269\u6cbb\u7642\u306b\u3064\u3044\u3066\u8003\u3048\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    <\/div>\n\n\n\n

    4. \u7b2c\u4e00\u9078\u629e\u85ac\u306e\u4e2d\u3067\u3069\u306e\u85ac\u5264\u3092\u9078\u3076\u304b\uff1f<\/strong><\/h2>\n\n\n\n
    <\/div>\n\n\n\n

    \u300c\u3088\u304f\u4f7f\u308f\u308c\u3066\u3044\u308b\u85ac\u3092\u81ea\u5206\u3082\u4f7f\u3046\u300d\u3053\u3068\u3092\u30aa\u30b9\u30b9\u30e1\u3057\u307e\u3059<\/strong>\u3002\u305d\u306e\u7406\u7531\u306f\u30012\u3064\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    1\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u3088\u304f\u4f7f\u308f\u308c\u308b\u85ac\u306f\u3069\u306e\u533b\u7642\u6a5f\u95a2\u30fb\u85ac\u5c40\u3067\u3082\u7f6e\u304b\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u304b\u3089\u3067\u3059\u3002\u3069\u306e\u3088\u3046\u306a\u533b\u7642\u6a5f\u95a2\u306b\u884c\u3063\u305f\u3068\u304d\u3082\u3001\u666e\u6bb5\u4f7f\u7528\u3057\u3066\u3044\u308b\u85ac\u304c\u51e6\u65b9\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u4e0a\u304c\u308b\u306f\u305a\u3067\u3059\u3002<\/p>\n\n\n\n

    2\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u4ed6\u4eba\u304c\u51e6\u65b9\u3057\u305f\u85ac\u5264\u3082\u81ea\u5206\u304c\u666e\u6bb5\u4f7f\u7528\u3057\u3066\u3044\u308b\u3082\u306e\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u306a\u308b\u304b\u3089\u3067\u3059\u3002\u305d\u3046\u3059\u308c\u3070\u3001\u85ac\u5264\u306e\u5897\u91cf\u30fb\u6e1b\u91cf\u3082\u884c\u3044\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u4e0a\u8a182\u3064\u306e\u7406\u7531\u304b\u3089\u3001\u300c\u3088\u304f\u4f7f\u308f\u308c\u3066\u3044\u308b\u85ac\u3092\u81ea\u5206\u3082\u4f7f\u3046\u300d\u3053\u3068\u3092\u63a8\u5968\u3057\u307e\u3059\u3002\u305d\u306e\u3053\u3068\u3092\u52a0\u5473\u3057\u305f\u4e0a\u3067\u3001\u5404\u30af\u30e9\u30b9\u3067\u30aa\u30b9\u30b9\u30e1\u306e\u85ac\u5264\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    4-1.\u3000Ca\u62ee\u6297\u85ac<\/strong><\/h3>\n\n\n\n

    Ca\u62ee\u6297\u85ac\u306f\u8840\u7ba1\u3092\u62e1\u5f35\u3055\u305b\u308b\u3053\u3068\u3067\u8840\u5727\u3092\u4e0b\u3052\u307e\u3059\u3002\u4ed6\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u3068\u6bd4\u8f03\u3059\u308b\u3068\u3001\u526f\u4f5c\u7528\u304c\u5c11\u306a\u3044\u5370\u8c61\u3067\u3059\u3002\u307e\u305f\u8840\u5727\u304c\u7528\u91cf\u4f9d\u5b58\u7684\u306b\u4e0b\u304c\u308b\u3053\u3068\u3082\u7279\u5fb4\u3067\u3059\u3002\u30aa\u30b9\u30b9\u30e1\u306e\u85ac\u306f\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\uff08\u30ce\u30eb\u30d0\u30b9\u30af\u00ae\uff09\u3068\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3CR\uff08\u30a2\u30c0\u30e9\u30fc\u30c8CR\u00ae\uff09\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u2460\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\uff08\u30ce\u30eb\u30d0\u30b9\u30af\u00ae\uff09<\/strong><\/p>\n\n\n\n

    \u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u306f\u3001Ca\u62ee\u6297\u85ac\u306e\u4e2d\u3067\u3082\u6700\u3082\u3088\u304f\u4f7f\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u85ac\u5264\u306f\u3001\u8840\u5727\u3092\u7de9\u3084\u304b\u306b\u4e0b\u3052\u3066\u304f\u308c\u307e\u3059<\/strong>\u3002\u4eba\u306b\u3088\u3063\u3066\u306f\u30011\u304b\u6708\u7a0b\u5ea6\u304b\u3051\u3066\u30b8\u30ef\u30b8\u30ef\u4e0b\u304c\u308b\u30a4\u30e1\u30fc\u30b8\u3067\u3059\u3002\u4ed6\u5264\u3068\u6bd4\u8f03\u3057\u3066\u526f\u4f5c\u7528\u304c\u6bd4\u8f03\u7684\u5c11\u306a\u3044<\/strong>\u306e\u3067\u3001\u521d\u3081\u3066\u3067\u3082\u4f7f\u3044\u3084\u3059\u3044\u304b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    \u307e\u305f\u3001\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u306f\u5408\u5264\u304c\u591a\u3044<\/strong>\u306e\u3082\u7279\u5fb4\u3067\u3059\u3002\u591a\u5264\u4f75\u7528\u3092\u898b\u636e\u3048\u308b\u3068\u30011\u5264\u76ee\u3068\u3057\u3066\u975e\u5e38\u306b\u3044\u3044\u85ac\u3060\u3068\u601d\u3044\u307e\u3059\u3002\u958b\u59cb\u7528\u91cf\u306f2.5\uff5e5 mg\/day\u3067\u3001\u6700\u592710 mg\/day\u307e\u3067\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u2461\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3CR\uff08\u30a2\u30c0\u30e9\u30fc\u30c8CR\u00ae\uff09<\/strong><\/p>\n\n\n\n

    \u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u306e\u5f90\u653e\u9320\u3067\u3059\u3002\u3082\u3068\u3082\u3068\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u306f\u534a\u6e1b\u671f\u306e\u77ed\u3044\u85ac\u5264\u3067\u3059\u3002\u964d\u5727\u52b9\u679c\u3082\u9577\u304f\u7d9a\u304b\u306a\u3044\u305f\u3081\u3001\u65e5\u5e38\u7684\u306b\u4f7f\u7528\u3059\u308b\u964d\u5727\u85ac\u3068\u3057\u3066\u306f\u4e0d\u5411\u304d\u3067\u3057\u305f\u3002\u305d\u3053\u3067\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u306e\u5f90\u653e\u9320\u304c\u767b\u5834\u3057\u307e\u3057\u305f\u3002\u5f90\u653e\u9320\u306b\u306f\u3001Controlled Release\u306e\u982d\u6587\u5b57\u3092\u3068\u3063\u3066\u2019CR\u2019\u304c\u4ed8\u3044\u3066\u3044\u307e\u3059\u3002\u7d0424\u6642\u9593\u3001\u964d\u5727\u52b9\u679c\u304c\u7dad\u6301\u3067\u304d\u308b\u3068\u3055\u308c\u307e\u3059\uff0824\u6642\u9593\u3082\u52b9\u679c\u304c\u6301\u7d9a\u3057\u3066\u3044\u306a\u3044\u306e\u3067\u306f\uff1f\u3068\u611f\u3058\u308b\u75c7\u4f8b\u3082\u305f\u307e\u306b\u3042\u308a\u307e\u3059\u3002\u305d\u3093\u306a\u6642\u306f1\u65e52\u56de\u5185\u670d\u306b\u5206\u3051\u308b\u3068\u826f\u3044\u3067\u3057\u3087\u3046\uff09\u3002<\/p>\n\n\n\n

    \u3053\u306e\u85ac\u5264\u306e\u7279\u5fb4\u306f\u3001\u4f55\u3068\u8a00\u3063\u3066\u3082\u964d\u5727\u52b9\u679c\u304c\u9ad8\u3044<\/strong>\u3053\u3068\u3067\u3059\u3002\u964d\u5727\u52b9\u679c\u306b\u95a2\u3057\u3066\u8a00\u3048\u3070\u3001\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u3088\u308a\u5927\u304d\u3044\u5370\u8c61\u304c\u3042\u308a\u307e\u3059\u3002\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u304c\u3086\u3063\u304f\u308a\u8840\u5727\u3092\u4e0b\u3052\u308b\u4e00\u65b9\u3001\u30a2\u30c0\u30e9\u30fc\u30c8CR\u306f\u5185\u670d\u5f8c\u65e9\u671f\u304b\u3089\u8840\u5727\u304c\u4f4e\u4e0b\u3059\u308b<\/strong>\u3053\u3068\u304c\u671f\u5f85\u3067\u304d\u308b\u300c\u5207\u308c\u5473\u306e\u3044\u3044\u85ac\u300d\u3067\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u8840\u5727\u304c\u304b\u306a\u308a\u9ad8\u304f\u3001\u3059\u3050\u306b\u964d\u5727\u3057\u305f\u3044\u5834\u5408\u306b\u826f\u3044\u9078\u629e\u80a2<\/strong>\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    \u958b\u59cb\u7528\u91cf\u306f10\uff5e20 mg\/day\u3001\u6700\u5927\u7528\u91cf\u306f80 mg\/day\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    4-2.\u3000\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u5909\u63db\u9175\u7d20(ACE)\u963b\u5bb3\u85ac\u3001\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac(ARB)<\/strong><\/h3>\n\n\n\n
    <\/div>\n\n\n\n

    \u9ad8\u8840\u5727\u306b\u5bfe\u3057\u3066\u306f\u3001ACE\u963b\u5bb3\u85ac\u3068ARB\u306e\u4e21\u85ac\u5264\u304c\u7b2c\u4e00\u9078\u629e\u85ac\u3068\u3057\u3066\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305f\u3060\u9ad8\u8840\u5727\u306b\u95a2\u3057\u3066\u8a00\u3048\u3070\u3001ARB\u3060\u3051\u4f7f\u3048\u308c\u3070\u5341\u5206<\/strong>\u3060\u3068\u601d\u3044\u307e\u3059\u3002ACE\u963b\u5bb3\u85ac\u306f\u5faa\u74b0\u5668\u9818\u57df\u3067\u306fARB\u3088\u308a\u512a\u5148\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u9ad8\u8840\u5727\u3060\u3051\u3067\u4ed6\u306b\u5faa\u74b0\u5668\u75be\u60a3\u304c\u306a\u3044\u306a\u3089\u3070\u3001ACE\u963b\u5bb3\u85ac\u3092\u7a4d\u6975\u7684\u306b\u4f7f\u7528\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3088\u3063\u3066\u3001ARB\u304c\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u964d\u5727\u306b\u3064\u3044\u3066\u306f\u52b9\u679c\u306e\u5927\u304d\u3044\u9806\u306b\u3001\u30a2\u30b8\u30eb\u30b5\u30eb\u30bf\u30f3\u2192\u30aa\u30eb\u30e1\u30b5\u30eb\u30bf\u30f3\u2192\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u2192\u30a4\u30eb\u30d9\u30b5\u30eb\u30bf\u30f3\u2192\u30ab\u30f3\u30c7\u30b5\u30eb\u30bf\u30f3\u2192\u30d0\u30eb\u30b5\u30eb\u30bf\u30f3\u2192\u30ed\u30b5\u30eb\u30bf\u30f3\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u964d\u5727\u52b9\u679c\u306e\u4e00\u756a\u5f37\u3044\u30a2\u30b8\u30eb\u30b5\u30eb\u30bf\u30f3\u3001\u964d\u5727\u52b9\u679c\u306e\u4e00\u756a\u5f31\u3044\u30ed\u30b5\u30eb\u30bf\u30f3\u3092\u6bd4\u3079\u308b\u3068\u3001\u305f\u3057\u304b\u306b\u52b9\u679c\u306b\u5dee\u306f\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u305f\u3060\u9806\u756a\u304c\u4e00\u3064\u5909\u308f\u3063\u305f\u3060\u3051\u3067\u964d\u5727\u52b9\u679c\u306b\u5dee\u304c\u3042\u308b\u304b\u3068\u8a00\u308f\u308c\u308b\u3068\u3001\u6b63\u76f4\u5b9f\u611f\u3067\u304d\u306a\u3044\u30ec\u30d9\u30eb\u3060\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    ARB\u306e\u7981\u5fcc\u3067\u3059\u304c\u3001\u598a\u5a20\u3057\u3066\u3044\u308b\u5973\u6027\u3067\u3059\u3002\u307e\u305f\u526f\u4f5c\u7528\u3067\u3059\u304c\u3001\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3001\u9ad8K\u8840\u75c7\u304c\u591a\u3044<\/strong>\u3067\u3059\u3002\u3088\u3063\u3066\u3001\u3082\u3068\u3082\u3068\u814e\u6a5f\u80fd\u304c\u60aa\u3044\u4eba\u3001\u8840\u6e05K\u5024\u304c\u9ad8\u3081\u306e\u4eba\u306b\u306f\u6ce8\u610f\u3057\u3066\u4f7f\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u3067\u306f\u3069\u306eARB\u304c\u826f\u3044\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u7d50\u8ad6\u304b\u3089\u8a00\u3046\u3068\u3001\u3069\u306eARB\u3082\u5927\u5dee\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u500b\u4eba\u7684\u306b\u306f\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\uff08\u30df\u30ab\u30eb\u30c7\u30a3\u30b9\u00ae\uff09\u304c\u30aa\u30b9\u30b9\u30e1<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    1\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u5408\u5264\u304c\u591a\u3044\u3053\u3068\u3067\u3059\u3002\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u306fCa\u62ee\u6297\u85ac\u3068\u306e\u5408\u5264\u3001\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u3068\u306e\u5408\u5264\u304c\u3042\u308a\u307e\u3059\u3002\u306a\u3093\u3068\u30013\u5264\u5408\u5264\uff08ARB+Ca\u62ee\u6297\u85ac+\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\uff09\u3082\u3042\u308a\u307e\u3059\u3002\u591a\u5264\u4f75\u7528\u3059\u308b\u6a5f\u4f1a\u304c\u5897\u3048\u3066\u3044\u308b\u6628\u4eca\u306e\u72b6\u6cc1\u3067\u306f\u3001\u5408\u5264\u304c\u591a\u3044\u3053\u3068\u306f\u30e1\u30ea\u30c3\u30c8\u3067\u3059\u30022\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u306e\u964d\u5727\u52b9\u679c\u304c\u300c\u5f31\u304f\u306f\u306a\u3044\u300d\u3053\u3068\u3067\u3059\u3002\u9ad8\u8840\u5727\u306e\u4eba\u306b\u3001\u3042\u3048\u3066\u964d\u5727\u52b9\u679c\u304c\u5f31\u3044ARB\u3092\u7a4d\u6975\u7684\u306b\u4f7f\u7528\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u30023\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u306f\u6bd4\u8f03\u7684\u3088\u304f\u4f7f\u7528\u3055\u308c\u3066\u3044\u308bARB\u3060\u304b\u3089\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u3088\u3063\u3066\u3001ARB\u306a\u3089\u3070\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u3092\u30aa\u30b9\u30b9\u30e1<\/strong>\u3057\u307e\u3059\u3002\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u306e\u958b\u59cb\u7528\u91cf\u306f20 mg\/day\u3001\u6700\u5927\u7528\u91cf\u306f80 mg\/day\u3067\u3059\u3002\u814e\u6a5f\u80fd\u304c\u60aa\u3044\u5834\u5408\u306f\u300110 mg\/day\u304b\u3089\u59cb\u3081\u308b\u3053\u3068\u3082\u691c\u8a0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    4-3.\u3000\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac<\/strong><\/h3>\n\n\n\n
    <\/div>\n\n\n\n

    \u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u306f\u5c3f\u4e2d\u3078Na\u306e\u6392\u6cc4\u3092\u4fc3\u3059\u85ac\u5264\u3067\u3059\u3002\u9577\u671f\u7684\u306b\u306f\u8840\u7ba1\u62e1\u5f35\u4f5c\u7528\u3082\u3042\u308b\u3068\u8a00\u308f\u308c\u307e\u3059\u3002\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u3001\u30c8\u30ea\u30af\u30ed\u30eb\u30e1\u30c1\u30a2\u30b8\u30c9\u3001\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002\u6b63\u76f4\u3053\u3061\u3089\u3082\u5927\u5dee\u304c\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u306e\u4e2d\u3067\u306e\u30aa\u30b9\u30b9\u30e1\u306f\u3001\u5408\u5264\u304c\u591a\u3044\u70b9\u304b\u3089\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u306f\u3001\u4f53\u6db2\u4e2d\u306eNa\u3084K\u304c\u660e\u3089\u304b\u306b\u6e1b\u5c11\u3057\u3066\u3044\u308b\u6642\u306f\u7981\u5fcc\u3067\u3059\u3002\u526f\u4f5c\u7528\u3068\u3057\u3066\u306f\u3001\u814e\u969c\u5bb3\u3001\u4f4eK\u8840\u75c7\u3001\u9ad8\u5c3f\u9178\u8840\u75c7\u3001\u8010\u7cd6\u80fd\u7570\u5e38<\/strong>\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002\u5897\u91cf\u3057\u3066\u3082\u964d\u5727\u52b9\u679c\u306f\u3042\u307e\u308a\u5897\u3048\u306a\u3044\u5272\u306b\u3001\u526f\u4f5c\u7528\u304c\u51fa\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u57fa\u672c\u7684\u306b\u306f\u5c11\u91cf\u3067\u4f7f\u3046\u3053\u3068\u304c\u52e7\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9\u306e\u958b\u59cb\u7528\u91cf\u306f6.25\uff5e12.5 mg\/day\u3067\u300112.5 mg\/day\u304b\u3089\u5897\u91cf\u3059\u308b\u4e8b\u306f\u3042\u307e\u308a\u3057\u307e\u305b\u3093\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    5.\u3000\u914d\u5408\u5264\u306e\u7a2e\u985e<\/strong><\/h2>\n\n\n\n
    <\/div>\n\n\n\n

    \u914d\u5408\u5264\u306e\u4e00\u89a7\u8868\u3067\u3059\u3002\u7b2c\u4e00\u9078\u629e\u85ac\u3067\u3042\u308bCa\u62ee\u6297\u85ac\u3001ARB\u3001\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u306e\u914d\u5408\u5264\u306b\u9650\u5b9a\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/p>\n\n\n\n

    \u3053\u306e\u4e00\u89a7\u8868\u3092\u53c2\u8003\u306b\u3057\u306a\u304c\u3089\u3001\u85ac\u5264\u306e\u5897\u6e1b\u3092\u884c\u3046\u306e\u3082\u3072\u3068\u3064\u306e\u3084\u308a\u65b9\u304b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n
    \"\"<\/a><\/figure>\n\n\n\n
    <\/div>\n\n\n\n

    \u30a2\u30e0\u30ed\u30b8\u30d4\u30f3+\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u306a\u3089\u3070\u3001\u30df\u30ab\u30e0\u30edAP\u3068\u30df\u30ab\u30e0\u30edBP<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    \u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3+\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9\u306a\u3089\u3070\u3001\u30df\u30b3\u30f3\u30d3AP\u3068\u30df\u30b3\u30f3\u30d3BP<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    \u306a\u304a\u3001\u3053\u306e\u8868\u3067\u306f\u629c\u3051\u3066\u3044\u307e\u3059(\u203b)\u304c\u3001\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3 5 mg+\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f380 mg+\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9 12.5mg<\/strong> \u306e3\u5264\u914d\u5408\u5264\u306e\u30df\u30ab\u30c8\u30ea\u30aa<\/strong>\u00ae\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u30b9\u30bf\u30c1\u30f3\u306a\u3069\u306e\u5408\u5264\u3092\u52a0\u5473\u3057\u305f\u914d\u5408\u5264\u4e00\u89a7\u8868\u306f\u4e0b\u8a18\u304b\u3089\u53c2\u8003\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n

    \u3000>>\u30102022\u5e74\u7248\u3011\u964d\u5727\u85ac\u914d\u5408\u5264\u306e\u4e00\u89a7\u8868<\/a><\/p>\n\n\n\n

    <\/p>\n\n\n\n

    <\/div>\n\n\n\n
    <\/div>\n\n\n\n

    6. \u5b9f\u969b\u306e\u8a3a\u7642<\/strong><\/h2>\n\n\n\n
    <\/div>\n\n\n\n

    \u305d\u308c\u3067\u306f\u3001\u5b9f\u969b\u306e\u8a3a\u7642\u3067\u306f\u3069\u3046\u3059\u308b\u306e\u304b\u8003\u3048\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    6-1. \u5bb6\u5ead\u8840\u5727\u306e\u6e2c\u5b9a<\/strong><\/h3>\n\n\n\n

    \u307e\u305a\u306f\u5bb6\u5ead\u8840\u5727\u3092\u3057\u3063\u304b\u308a\u3068\u6e2c\u5b9a\u3057\u3066\u3082\u3089\u3044\u307e\u3057\u3087\u3046\u3002\u3067\u304d\u308c\u3070\u671d\u30fb\u5915\u3092\u6e2c\u5b9a\u3057\u3066\u3082\u3089\u3048\u308b\u3068\u3068\u3066\u3082\u3044\u3044\u3067\u3059\u3002\u6bce\u65e5\u304c\u7406\u60f3\u3067\u3059\u304c\u3001\u3082\u3057\u96e3\u3057\u3044\u3088\u3046\u306a\u3089\u30701\u9031\u9593\u5206\u3060\u3051\u3067\u3082\u6e2c\u3063\u3066\u3082\u3089\u3048\u308b\u3068\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u8840\u5727\u624b\u5e33\u3092\u6e21\u3057\u3066\u304a\u3051\u3070\u3001\u5bb6\u5ead\u8840\u5727\u3082\u628a\u63e1\u3057\u3084\u3059\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    6-2. \u5869\u5206\u5236\u9650\u3068\u904b\u52d5\u7642\u6cd5<\/strong><\/h3>\n\n\n\n

    \u9ad8\u8840\u5727\u306e\u6cbb\u7642\u3001\u57fa\u672c\u306f\u5869\u5206\u5236\u9650\u3068\u904b\u52d5\u7642\u6cd5\u3067\u3059\u3002\u5869\u5206\u6442\u53d6\u91cf\u304c\u591a\u3044\u65e5\u672c\u4eba\u306b\u3068\u3063\u3066\u6e1b\u5869\u306f\u96e3\u3057\u3044\u554f\u984c\u3068\u8a00\u308f\u3056\u308b\u3092\u3048\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u6e1b\u5869\u306b\u964d\u5727\u52b9\u679c\u304c\u3042\u308b\u3053\u3068\u306f\u591a\u304f\u306e\u7814\u7a76\u304b\u3089\u3082\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    \u7279\u306b\u8840\u5727\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u4ed8\u3044\u3066\u3044\u306a\u3044\u6642\u306f\u3001\u3057\u3063\u304b\u308a\u3068\u6e1b\u5869\u3084\u904b\u52d5\u7642\u6cd5\u304c\u3067\u304d\u3066\u3044\u308b\u304b\u78ba\u8a8d\u3057\u307e\u3057\u3087\u3046\u3002\u5869\u5206\u5236\u9650\u3001\u904b\u52d5\u7642\u6cd5\u304c\u91cd\u8981\u306a\u3053\u3068\u306f\u3001\u591a\u5264\u4f75\u7528\u3092\u8981\u3059\u308b\u6cbb\u7642\u62b5\u6297\u6027\u9ad8\u8840\u5727\u3067\u3082\u5909\u308f\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    <\/div>\n\n\n\n

    6-3. \u85ac\u7269\u7642\u6cd5<\/strong><\/h3>\n\n\n\n

    \u6b21\u306b\u85ac\u7269\u7642\u6cd5\u306b\u3064\u3044\u3066\u8003\u3048\u307e\u3059\u3002<\/p>\n\n\n\n

    \u7a4d\u6975\u7684\u9069\u5fdc\u306e\u3042\u308b\u75c5\u614b\u3068\u63a8\u5968\u3055\u308c\u308b\u85ac\u5264\u304c\u3042\u308c\u3070\u3001\u305d\u306e\u85ac\u5264\u304b\u3089\u4f7f\u7528\u3059\u308b\u306e\u304c\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/strong><\/p>\n\n\n\n

    \u6b21\u306b\u7a4d\u6975\u7684\u306a\u9069\u5fdc\u3068\u306a\u308b\u7b2c\u4e00\u9078\u629e\u85ac\u304c\u306a\u3044\u5834\u5408\u3092\u8003\u3048\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    1\u5264\u76ee\u3000Ca\u62ee\u6297\u85ac\uff08\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u3001\u30a2\u30c0\u30e9\u30fc\u30c8CR\uff09<\/strong><\/h4>\n\n\n\n

    1\u5264\u76ee\u306fCa\u62ee\u6297\u85ac\u3092\u30aa\u30b9\u30b9\u30e1<\/strong>\u3057\u307e\u3059\u3002\u305d\u306e\u7406\u7531\u306f\u5927\u304d\u304f3\u3064\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    1\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u8840\u5727\u304c\u300c\u30b9\u30d1\u30c3\u3068\u4e0b\u304c\u308b\u300d\u3053\u3068\u3067\u3059\u30021\u5264\u76ee\u306e\u85ac\u3067\u5341\u5206\u306a\u964d\u5727\u52b9\u679c\u304c\u5f97\u3089\u308c\u306a\u3044\u3068\u3001\u60a3\u8005\u3055\u3093\u3082\u6cbb\u7642\u3078\u306e\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3\u304c\u306a\u304b\u306a\u304b\u6e67\u304d\u306b\u304f\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u30b9\u30d1\u30c3\u3068\u4e0b\u304c\u308a\u3084\u3059\u3044Ca\u62ee\u6297\u85ac\u3092\u304a\u30b9\u30b9\u30e1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

    2\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u526f\u4f5c\u7528\u304c\u5c11\u306a\u3044\u3053\u3068\u3067\u3059\u3002\u6700\u521d\u306e\u6bb5\u968e\u3067\u306f\u60a3\u8005\u3055\u3093\u306e\u75c5\u614b\u3092\u5341\u5206\u306b\u628a\u63e1\u3067\u304d\u3066\u3044\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u526f\u4f5c\u7528\u304c\u51fa\u308b\u30ea\u30b9\u30af\u304c\u5c11\u306a\u3044Ca\u62ee\u6297\u85ac\u3092\u9078\u629e\u3059\u308b\u306e\u304c\u5b89\u5168\u3067\u3059\u3002<\/p>\n\n\n\n

    3\u3064\u76ee\u306e\u7406\u7531\u306f\u3001\u30ec\u30cb\u30f3\u30fb\u30a2\u30f3\u30ae\u30aa\u30c6\u30f3\u30b7\u30f3\u30fb\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u7cfb\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3057\u306b\u304f\u3044\u3053\u3068\u3067\u3059\u3002\u9ad8\u8840\u5727\u75c7\u306e\u539f\u56e0\u3068\u3057\u3066\u3001\u539f\u767a\u6027\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u75c7\u304c\u96a0\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u305f\u3081\u306b\u306f\u3001\u30ec\u30cb\u30f3\u6d3b\u6027\u3068\u8840\u4e2d\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u6fc3\u5ea6\u3092\u6e2c\u5b9a\u3057\u307e\u3059\u3002\u3053\u306e\u30ec\u30cb\u30f3\u3068\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u306e\u5024\u3001Ca\u62ee\u6297\u85ac\u3067\u306f\u307b\u3068\u3093\u3069\u5f71\u97ff\u3092\u53d7\u3051\u307e\u305b\u3093\u304c\u3001ARB\u3084\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u3092\u5185\u670d\u3057\u3066\u3044\u308b\u3068\u5f71\u97ff\u3092\u53d7\u3051\u307e\u3059\u3002\u7d50\u679c\u306e\u89e3\u91c8\u304c\u56f0\u96e3\u306b\u306a\u308b\u306e\u3067\u3001ARB\u3084\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u3092\u4ed6\u5264\u306b\u5909\u66f4\u3057\u3066\u691c\u67fb\u3059\u308b\u4e8b\u3082\u3042\u308a\u5f97\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u539f\u767a\u6027\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u75c7\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u7d42\u3048\u308b\u307e\u3067\u306fCa\u62ee\u6297\u85ac\u3092\u4f7f\u7528\u3057\u3066\u304a\u304f\u306e\u304c\u7121\u96e3\u3067\u3059\u3002<\/p>\n\n\n\n

    \u4e0a\u8a18\u306e\u7406\u7531\u306b\u3088\u308a\u30011\u5264\u76ee\u306fCa\u62ee\u6297\u85ac\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u63a8\u5968\u3057\u307e\u3059<\/strong>\u3002\u5177\u4f53\u7684\u306b\u306f\u30a2\u30e0\u30ed\u30b8\u30d4\u30f32.5\uff5e5 mg\/day\u304c\u826f\u3044\u3067\u3057\u3087\u3046\u3002\u8840\u5727\u304c\u9ad8\u3044\u5834\u5408\u3001\u7279\u306b160mmHg\u3092\u8d85\u3048\u308b\u5834\u5408\u306f\u30a2\u30c0\u30e9\u30fc\u30c8CR 20mg\u304b\u3089\u958b\u59cb\u3059\u308b\u3053\u3068\u3082\u691c\u8a0e\u3055\u308c\u307e\u3059\uff08160 mmHg\u3092\u8d85\u3048\u308b\u30b1\u30fc\u30b9\u3060\u3068\u3001\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\u306bARB\u3001\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u3092\u8ffd\u52a0\u3057\u3066\u3082\u76ee\u6a19\u8840\u5727\u306b\u9054\u3057\u306a\u3044\u3053\u3068\u3082\u591a\u3044\u5370\u8c61\u3067\u3059\u3002\u6700\u521d\u304b\u3089\u964d\u5727\u52b9\u679c\u306e\u5f37\u3044\u30a2\u30c0\u30e9\u30fc\u30c8CR\u3092\u4f7f\u3046\u3053\u3068\u304c\u7b46\u8005\u306f\u591a\u3044\u3067\u3059\uff09\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    2\u5264\u76ee\u3000ARB\uff08\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\uff09<\/strong><\/h4>\n\n\n\n

    1\u5264\u76ee\u306eCa\u62ee\u6297\u85ac\u3067\u5341\u5206\u306b\u964d\u5727\u3067\u304d\u306a\u3044\u5834\u5408\u306f\u30012\u5264\u76ee\u3068\u3057\u3066ARB\u3092\u4f7f\u7528\u3057\u307e\u3059<\/strong>\u3002\u305d\u306e\u7406\u7531\u306f\u3001\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\u3088\u308a\u3082\u526f\u4f5c\u7528\u304c\u5c11\u306a\u3044\u304b\u3089\u3067\u3059\u3002\u305f\u3060\u3057\u3001\u539f\u767a\u6027\u30a2\u30eb\u30c9\u30b9\u30c6\u30ed\u30f3\u75c7\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u304c\u7d42\u4e86\u3057\u3066\u3044\u308b\u3053\u3068\u306f\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n

    \u5177\u4f53\u7684\u306b\u306f\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f320 mg\/day\u306b\u306a\u308b\u304b\u3068\u601d\u3044\u307e\u3059\u3002\u814e\u6a5f\u80fd\u304c\u60aa\u3044\u5834\u5408\u306f\u300110 mg\/day\u304b\u3089\u59cb\u3081\u308b\u3053\u3068\u3082\u691c\u8a0e\u3057\u307e\u3059\u3002\u526f\u4f5c\u7528\u306e\u814e\u6a5f\u80fd\u4f4e\u4e0b\u3001\u9ad8K\u8840\u75c7\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002\u3061\u306a\u307f\u306bARB\u3092\u5897\u91cf\u3057\u3066\u3082\u3001\u30ab\u30eb\u30b7\u30a6\u30e0\u62ee\u6297\u85ac\u306e\u5897\u91cf\u6642\u3088\u308a\u306f\u964d\u5727\u52b9\u679c\u304c\u5c0f\u3055\u3044\u5370\u8c61\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    3\u5264\u76ee\u3000\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac\uff08\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9\uff09<\/strong><\/h4>\n\n\n\n

    2\u5264\u4f7f\u7528\u3057\u3066\u3082\u964d\u5727\u76ee\u6a19\u306b\u9054\u3057\u306a\u3044\u5834\u5408\u306f\u30013\u5264\u76ee\u306e\u30b5\u30a4\u30a2\u30b6\u30a4\u30c9\u7cfb\u5229\u5c3f\u85ac<\/strong>\u306e\u51fa\u756a\u3067\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c96.25\uff5e12.5 mg\/day\u3067\u958b\u59cb\u3057\u307e\u3059\u3002\u526f\u4f5c\u7528\u3068\u3057\u3066\u306f\u3001\u814e\u969c\u5bb3\u3001\u4f4eK\u8840\u75c7\u3001\u9ad8\u5c3f\u9178\u8840\u75c7\u3001\u8010\u7cd6\u80fd\u7570\u5e38\u304c\u3042\u308a\u307e\u3059\u3002\u7279\u306b\u590f\u5834\u306f\u8131\u6c34\u306b\u306a\u308a\u3084\u3059\u3044\u306e\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    6-4. \u85ac\u5264\u306e\u7528\u91cf\u8abf\u7bc0\u30fb\u8ffd\u52a0<\/strong><\/h3>\n\n\n\n

    \u9ad8\u8840\u5727\u306e\u8a3a\u7642\u3067\u4e00\u756a\u826f\u304f\u306a\u3044\u306e\u306f\u3001\u8840\u5727\u304c\u6025\u6fc0\u306b\u4e0b\u304c\u308a\u904e\u304e\u308b\u3053\u3068\u3067\u3059\u3002\u901a\u5e38\u91cf\u3067\u3044\u304f\u304b\u3001\u5c11\u306a\u3081\u306e\u91cf\u304b\u3067\u8ff7\u3046\u3053\u3068\u3082\u3042\u308b\u304b\u3068\u601d\u3044\u307e\u3059\u3002\u305d\u306e\u5834\u5408\u3001\u7279\u306b\u6163\u308c\u308b\u307e\u3067\u306f\u5c11\u306a\u3044\u7528\u91cf\u306b\u3057\u3066\u304a\u304f\u65b9\u304c\u7121\u96e3<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n

    \u307e\u305f\u3001\u5358\u5264\u306e\u7528\u91cf\u3092\u5897\u3084\u3059\u304b\u30012\u5264\u76ee\u3092\u8ffd\u52a0\u3059\u308b\u304b\u8ff7\u3046\u3053\u3068\u3082\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u57fa\u672c\u7684\u306b\u306f\u3001\u5c11\u91cf\u591a\u5264\u4f75\u7528\u306e\u65b9\u304c\u3001\u6a19\u6e96\u91cf\u5358\u5264\u3088\u308a\u3082\u8840\u5727\u306f\u4e0b\u304c\u308a\u3084\u3059\u3044\u3068\u3055\u308c\u307e\u3059\u3002\u3042\u3068\u306f\u670d\u85ac\u306e\u3057\u3084\u3059\u3055\u3068\u306e\u517c\u306d\u5408\u3044\u3082\u3042\u308b\u304b\u3068\u601d\u3044\u307e\u3059\u3002\u6700\u7d42\u7684\u306b\u306f\u3001\u60a3\u8005\u3055\u3093\u3068\u306e\u76f8\u8ac7\u3068\u3044\u3046\u9762\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    6-5. \u914d\u5408\u5264\u3078\u306e\u5207\u308a\u66ff\u3048<\/strong><\/h3>\n\n\n\n

    \u4e0a\u8a18\u306e\u85ac\u5264\u3092\u4f7f\u7528\u3057\u3066\u3044\u308c\u3070\u3001\u914d\u5408\u5264\u306b\u5909\u66f4\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    \u30a2\u30e0\u30ed\u30b8\u30d4\u30f35mg\u3092\u4f7f\u7528\u3057\u3066\u304a\u308a\u3001\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u3092\u4f7f\u3063\u3066\u3044\u308c\u3070\u3001\u30df\u30ab\u30e0\u30edAP\u3068\u30df\u30ab\u30e0\u30edBP<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    \u307e\u305f\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u3092\u4f7f\u7528\u3057\u3066\u304a\u308a\u3001\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c912.5mg\u304c\u5165\u3063\u3066\u3044\u308b\u306a\u3089\u3070\u3001\u30df\u30b3\u30f3\u30d3AP\u3068\u30df\u30b3\u30f3\u30d3BP<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    \u306a\u304a\u3001\u3053\u306e\u8868\u3067\u306f\u629c\u3051\u3066\u3044\u307e\u3059(\u203b)\u304c\u3001\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3 5 mg+\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f380 mg+\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9 12.5mg<\/strong> \u306e3\u5264\u914d\u5408\u5264\u306e\u30df\u30ab\u30c8\u30ea\u30aa<\/strong>\u00ae\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    6-6. 3\u5264\u4f7f\u7528\u3057\u3066\u3082\u76ee\u6a19\u8840\u5727\u306b\u9054\u3057\u306a\u304b\u3063\u305f\u3089\u30fb\u30fb\u30fb<\/strong><\/h3>\n\n\n\n

    4\u5264\u76ee\u306e\u691c\u8a0e\u3001\u4e8c\u6b21\u6027\u9ad8\u8840\u5727\u306e\u7cbe\u67fb\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\uff08\u4e8c\u6b21\u6027\u9ad8\u8840\u5727\u306e\u7cbe\u67fb\u306f\u3082\u3063\u3068\u5148\u306b\u3084\u3063\u3066\u3044\u3066\u3082\u826f\u3044\u3068\u601d\u3044\u307e\u3059\uff09\u3002\u5faa\u74b0\u5668\u5c02\u9580\u533b\u3001\u9ad8\u8840\u5727\u5c02\u9580\u533b\u306b\u4e00\u5ea6\u76f8\u8ac7\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n

    <\/div>\n\n\n\n

    \u9ad8\u8840\u5727\u306e\u85ac\u7269\u6cbb\u7642\u3001\u7a4d\u6975\u7684\u9069\u5fdc\u304c\u306a\u3051\u308c\u30701\u5264\u76ee\u306f\u30a2\u30e0\u30ed\u30b8\u30d4\u30f3\uff08\u8840\u5727\u304c160mmHg\u3092\u8d85\u3048\u308b\u3088\u3046\u306a\u5834\u5408\u306f\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3CR\uff09\u30012\u5264\u76ee\u306f\u30c6\u30eb\u30df\u30b5\u30eb\u30bf\u30f3\u30013\u5264\u76ee\u306f\u30d2\u30c9\u30ed\u30af\u30ed\u30ed\u30c1\u30a2\u30b8\u30c9\u3002<\/p><\/blockquote><\/figure>\n","protected":false},"excerpt":{"rendered":"

    \u964d\u5727\u85ac\u306e\u7a2e\u985e\u304c\u591a\u3059\u304e\u3066\u4f55\u3092\u4f7f\u3048\u3070\u3044\u3044\u304b\u5206\u304b\u3089\u306a\u3044\u30fb\u30fb\u30fb\u305d\u3093\u306a\u65b9\u306f\u3001\u914d\u5408\u5264\u3092\u610f\u8b58\u3057\u3066\u964d\u5727\u85ac\u3092\u9078\u629e\u3059\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u5faa\u74b0\u5668\u5c02\u9580\u533b\u304c\u30aa\u30b9\u30b9\u30e1\u3059\u308b\u3001\u914d\u5408\u5264\u3092\u610f\u8b58\u3057\u305f\u964d\u5727\u85ac\u306e\u9078\u629e\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,4,28],"tags":[],"class_list":{"0":"post-1705","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-internal-medicine","7":"category-cardiology","8":"category-hypertension"},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/posts\/1705","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/comments?post=1705"}],"version-history":[{"count":23,"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/posts\/1705\/revisions"}],"predecessor-version":[{"id":2486,"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/posts\/1705\/revisions\/2486"}],"wp:attachment":[{"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/media?parent=1705"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/categories?post=1705"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/motoyawata.clinic\/blog\/wp-json\/wp\/v2\/tags?post=1705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}