{"id":321,"date":"2012-03-13T10:54:29","date_gmt":"2012-03-13T01:54:29","guid":{"rendered":"http:\/\/fujiitoshiki.com\/improvesociety\/?p=321"},"modified":"2014-10-29T10:48:17","modified_gmt":"2014-10-29T01:48:17","slug":"post-321","status":"publish","type":"post","link":"https:\/\/www.fujiitoshiki.com\/improvesociety\/?p=321","title":{"rendered":"\u4f4e\u6804\u990a\u708e\u75c7\u30b9\u30b3\u30a2\u306f\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u7f79\u60a3\u7387\u3068\u6b7b\u4ea1\u7387\u3068\u306b\u76f8\u95a2\u3059\u308b"},"content":{"rendered":"<div class=\"theContentWrap-ccc\"><p>2012\u5e741\u670812\u65e5\u306b<a title=\"\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u305f\u3081\u306e\u7c21\u6613\u6804\u990a\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c4\u30fc\u30eb\" href=\"\/\/fujiitoshiki.com\/improvesociety\/?p=82\">\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u305f\u3081\u306e\u7c21\u6613\u6804\u990a\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c4\u30fc\u30eb<\/a>\u3092\u63b2\u8f09\u3057\u307e\u3057\u305f\u304c\uff0c\u305d\u306e\u53c2\u7167\u6587\u732e\u306e\u4e00\u3064\u3092\u8aad\u3093\u3060\u306e\u3067\u8a33\u3057\u3066\u307f\u307e\u3057\u305f\uff0eMIS\u3068\u3044\u3046\u6804\u990a\u8a55\u4fa1\u6cd5\u306fSGA\u304b\u3089\u767a\u5c55\u3057\u305fDMS\u3092\u3055\u3089\u306b\u767a\u5c55\u3055\u305b\u305f\u3082\u306e\u3067\uff0c\u5165\u9662\u983b\u5ea6\uff0c\u5728\u9662\u65e5\u6570\uff0c\u5165\u9662\u307e\u3067\u306e\u671f\u9593\u53ca\u3073\u6b7b\u4ea1\u7387\u3068\u6709\u610f\u306b\u76f8\u95a2\u3059\u308b\u3068\u3044\u3046\u306e\u304c\u8ad6\u65e8\u3067\u3059\uff0e\u65e5\u672c\u8a9e\u8a33\u306e\u7455\u75b5\u306e\u8cac\u4efb\u306f\u79c1\u306b\u3042\u308a\u307e\u3059\uff0e<\/p>\n<h1>\u4f4e\u6804\u990a\u708e\u75c7\u30b9\u30b3\u30a2\u306f\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u7f79\u60a3\u7387\u3068\u6b7b\u4ea1\u7387\u3068\u306b\u76f8\u95a2\u3059\u308b<\/h1>\n<p>Kamyar Kalantar-Zadeh, MD, Joel D. Kopple, MD, Gladys Block, PhD, and Michael H. Humphreys, MD<\/p>\n<p><a title=\"American Journal of Kidney Diseases, Vol 38, No 6 (December), 2001: pp 1251-1263\" href=\"\/\/www.ajkd.org\/article\/S0272-6386(01)78060-2\/abstract\">American Journal of Kidney Diseases, Vol 38, No 6 (December), 2001: pp 1251-1263<\/a><\/p>\n<p>Malnutrition inflammation complex syndrome (MICS) \u306f\u7dad\u6301\u900f\u6790\u60a3\u8005\u306b\u304a\u3044\u3066\u4e00\u822c\u7684\u306b\u8d77\u3053\u308b\u5408\u4f75\u75c7\u3067\u3042\u308a\uff0c\u7f79\u60a3\u7387\u3068\u6b7b\u4ea1\u7387\u306e\u5897\u52a0\u306b\u76f8\u95a2\u3059\u308b\u3068\u601d\u308f\u308c\u308b\uff0e\u6700\u9069\u3067\u7dcf\u5408\u7684\u3067\u5b9a\u91cf\u7684\u306a\u30b7\u30b9\u30c6\u30e0\uff0cMICS \u3092\u8a55\u4fa1\u3059\u308b\u30b7\u30b9\u30c6\u30e0\u306f\u81e8\u5e8a\u72b6\u614b\u306e\u6709\u7528\u306a\u6307\u6a19\u3068\u306a\u308a\u3046\u308b\u3057\uff0c\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u4e88\u5f8c\u3092\u4e88\u898b\u3057\u3046\u308b\u304b\u3082\u3057\u308c\u306a\u3044\uff0e\u305d\u308c\u6545\uff0c\u5c06\u6765\u306e\u5165\u9662\u3084\u6b7b\u4ea1\u7387\u306a\u3069\u3068\u540c\u69d8\u306b\uff0c\u5f93\u6765\u306e\u6804\u990a\u3068\u708e\u75c7\u306e\u6307\u6a19\u3092\u6bd4\u8f03\u3057\u3066\u6211\u3005\u306f\u305d\u306e\u3088\u3046\u306a\u88c5\u7f6e\u3092\u958b\u767a\u3057\u691c\u8a3c\u3057\u3088\u3046\u3068\u3057\u305f\uff0e\u5f93\u6765\u306e Subjective Global Assessment (SGA) \u306e\u8981\u7d20\u3092\u7528\u3044\u3066\uff0c3\u6bb5\u968e\u306e\u534a\u5b9a\u91cf\u7684\u306a\u70b9\u6570\uff0cDialysis Malnutrition Score (DMS), SGA \u8981\u7d20\u306e7\u3064\u3092\u542b\u307f\uff0c\u7dcf\u70b9\u6570\u304c7\u70b9\uff08\u6b63\u5e38\uff09\u304b\u308935\u70b9\uff08\u91cd\u75c7\u4f4e\u6804\u990a\uff09\u306e\u7bc4\u56f2\u306b\u306a\u308b\u5b8c\u5168\u306b\u5b9a\u91cf\u7684\u306a\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u306f\u6700\u8fd1\u958b\u767a\u3055\u308c\u305f\u3082\u306e\u3067\u3042\u308b\uff0eDMS \u3092\u6539\u5584\u3059\u308b\u305f\u3081\uff0c\u6211\u3005\u306f3\u3064\u306e\u65b0\u3057\u3044\u8981\u7d20\u30927\u3064\u306e DMS \u306e\u8981\u7d20\u306b\u8ffd\u52a0\u3057\u305f\uff0eBody mass index \u3068\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u3068\u8840\u6e05\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3\u30ec\u30d9\u30eb\u3092\u793a\u3059 TIBC \u3067\u3042\u308b\uff0e\u3053\u306e\u65b0\u3057\u304f\u7dcf\u5408\u7684\u306a Malnutrition-inflammation score (MIS) \u306f10\u306e\u8981\u7d20\u3092\u6301\u3061\uff0c\u305d\u308c\u305e\u308c\u304c0\uff08\u6b63\u5e38\uff09\u304b\u30893\uff08\u975e\u5e38\u306b\u91cd\u5ea6\uff09\u307e\u3067\u306e4\u6bb5\u968e\u306e\u91cd\u75c7\u5ea6\u3092\u6301\u3064\uff0eMIS \u306e10\u500b\u306e\u8981\u7d20\u306e\u5408\u8a08\u70b9\u7d20\u306f0\u70b9\u304b\u308930\u70b9\u306e\u7bc4\u56f2\u3067\u3042\u308a\uff0c\u70b9\u6570\u306e\u5897\u52a0\u306f\u91cd\u75c7\u5ea6\u306e\u5897\u52a0\u3092\u793a\u3057\u3066\u3044\u308b\uff0e\u3053\u308c\u3089\u306e\u70b9\u6570\u3092\u8eab\u4f53\u6e2c\u5b9a\uff0c\u8fd1\u8d64\u5916\u7dda\u3067\u6e2c\u5b9a\u3057\u305f\u4f53\u8102\u80aa\u7387\uff0c\u8840\u6e05CRP\u3092\u542b\u3080\u63a1\u8840\u691c\u67fb\uff0c12\u30f6\u6708\u9593\u306e\u524d\u5411\u304d\u5165\u9662\u53ca\u3073\u6b7b\u4ea1\u7387\u3068\u6bd4\u8f03\u3057\u305f\uff0e\u5c11\u306a\u304f\u3068\u30823\u30f6\u6708\u7d4c\u904e\u3057\u305f83\u540d\u306e\u7dad\u6301\u900f\u6790\u5916\u6765\u60a3\u8005\uff08\u7537\u602744\u540d\uff0c\u5973\u602739\u540d\uff0c\u5e74\u9f62\u306f59\u00b115\u6b73\uff09\u304c\u7814\u7a76\u306e\u6700\u521d\u306b\u691c\u8a3c\u3055\u308c\uff0c1\u5e74\u9593\u30d5\u30a9\u30ed\u30fc\u3057\u305f\uff0e\u719f\u7df4\u3057\u305f\u533b\u5e2b\u304c\u3059\u3079\u3066\u306e\u60a3\u8005\u306b\u540c\u6642\u306b SGA, DMS, MIS \u3092\u8a55\u4fa1\u3057\u305f\uff0e\u75c7\u4f8b\u3092\u6df7\u5408\u3057\u3066\u8abf\u6574\u3057\u305f\u76f8\u95a2\u4fc2\u6570\u306f\u5728\u9662\u65e5\u6570\u3068\u6709\u610f (r = 0.45; P < 0.001) \u3067\u3042\u308a\uff0c\u5165\u9662\u983b\u5ea6\u3068\u3082\u6709\u610f (r = 0.46, P < 0.001) \u3067\u3042\u3063\u305f\uff0eSGA \u3084 DMS \u3068\u6bd4\u8f03\u3057\u3066\uff0cMIS \u3067\u306f\u6700\u3082\u9069\u5207\u306a\u76f8\u95a2\u4fc2\u6570\u306f\u3088\u308a\u5f37\u304b\u3063\u305f\uff0eMIS \u3067\u306f\uff0cSGA \u3084 DMS \u3067\u306f\u306a\u304f\uff0c\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\uff0c\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\uff0cCRP\u30ec\u30d9\u30eb\u3068\u76f8\u95a2\u3057\u305f\uff0e12\u30f6\u6708\u9593\u306e\u89b3\u5bdf\u671f\u9593\u4e2d\uff0c9\u540d\u306e\u60a3\u8005\u304c\u6b7b\u4ea1\u30576\u540d\u304c\u7814\u7a76\u304b\u3089\u96e2\u8131\u3057\u305f\uff0e\u30b3\u30c3\u30af\u30b9\u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3067\u8a08\u7b97\u3057\u305f\u76f8\u5bfe\u6b7b\u4ea1\u5371\u967a\u5ea6\u306f MIS \u304c10\u70b9\u5897\u52a0\u3059\u308b\u3054\u3068\u306b10.43\u4e0a\u6607\u3057\u305f\uff0895\uff05\u4fe1\u983c\u533a\u95932.28\u304b\u308947.64; P= 0.002\uff09\uff0eMIS \u306f\u305d\u306e\u8981\u7d20\u3084\u4e88\u6e2c\u6b7b\u4ea1\u7387\u306e\u7570\u306a\u308b\u30b5\u30d6\u30d0\u30fc\u30b8\u30e7\u30f3\u306b\u512a\u308c\u3066\u3044\u305f\uff0eMIS \u306f\u900f\u6790\u60a3\u8005\u306e\u6804\u990a\u3084\u708e\u75c7\u3084\u8ca7\u8840\u7b49\u3068\u540c\u69d8\uff0c\u5c06\u6765\u306e\u5165\u9662\u3084\u6b7b\u4ea1\u7387\u3068\u5f37\u304f\u76f8\u95a2\u3059\u308b\u7dcf\u5408\u7684\u306a\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u3060\u3068\u5206\u304b\u3063\u305f\uff0eMIS \u306f\u500b\u3005\u306e\u691c\u67fb\u5024\u540c\u69d8\uff0c\u900f\u6790\u306e\u4e88\u5f8c\u4e88\u6e2c\u56e0\u5b50\u3068\u3057\u3066\uff0c\u307e\u305f MICS \u306e\u6307\u6a19\u3068\u3057\u3066\u5f93\u6765\u306e SGA \u3084 DMS \u3088\u308a\u3082\u512a\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e<\/p>\n<p>2001 by the National Kidney Foundation, Inc.<\/p>\n<p>INDEX WORDS: Dialysis; malnutrition; inflammation; nutritional assessment; hospitalization; mortality; near infrared; albumin; transferrin; C-reactive protein (CRP).<\/p>\n<p>\u7dad\u6301\u900f\u6790\u3092\u53d7\u3051\u3066\u3044\u308b\u672b\u671f\u814e\u4e0d\u5168\u60a3\u8005\u306b\u306f\u86cb\u767d\u8cea\u30a8\u30cd\u30eb\u30ae\u30fc\u4f4e\u6804\u990a\u3068\u708e\u75c7\u306e\u4e21\u8005\u3092\u5408\u4f75\u3059\u308b\u7387\u304c\u9ad8\u3044\uff0e\u3053\u308c\u3089\u306e\u89b3\u5bdf\u306f\u7570\u306a\u308b\u7814\u7a76\u73ed\u306b\u3088\u3063\u3066\u7e70\u308a\u8fd4\u3057\u306a\u3055\u308c\u3066\u304d\u3066\u3044\u308b\u304c\uff0c\u4f4e\u6804\u990a\u708e\u75c7\u6df7\u5408\u75c7\u5019\u7fa4 (MICS) \u306a\u308b\u9020\u8a9e\u3092\u4f5c\u308a\u51fa\u3059\u306b\u81f3\u3063\u305f\uff0e\u86cb\u767d\u8cea\u30a8\u30cd\u30eb\u30ae\u30fc\u4f4e\u6804\u990a\u3092\u3082\u305f\u3089\u3059\u56e0\u5b50\u3068\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u306f\uff0c\u305d\u308c\u81ea\u8eab\u304c\u98df\u6b32\u4e0d\u632f\u3084\u7b4b\u840e\u7e2e\uff0c\u4f4e\u30a2\u30eb\u30d6\u30df\u30f3\u8840\u75c7\uff0c\u4e0d\u5fdc\u6027\u8ca7\u8840\uff0c\u307e\u305f\u6050\u3089\u304f\u52d5\u8108\u786c\u5316\u306e\u539f\u56e0\u306b\u3082\u306a\u3063\u3066\u304a\u308a\uff0c\u660e\u3089\u304b\u306b MICS \u306e\u539f\u56e0\u3067\u3042\u308b\uff0eMICS \u306e\u5e7e\u3064\u304b\u306e\u6a5f\u80fd\u306f\u5358\u72ec\u3067\u3082\u8907\u6570\u3067\u3082\uff0c\u3053\u308c\u3089\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u306f\u7f79\u60a3\u7387\u3084\u6b7b\u4ea1\u7387\u540c\u69d8\uff0c\u75be\u60a3\u306e\u7a0b\u5ea6\u306e\u5f37\u3044\u4e88\u6e2c\u56e0\u5b50\u3067\u3042\u308b\uff0e<\/p>\n<p>\u591a\u304f\u306e\u4f4e\u6804\u990a\u3084\u708e\u75c7\u306e\u691c\u67fb\u304c\u81e8\u5e8a\u7684\u4e88\u5f8c\u3068\u76f8\u95a2\u3059\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\uff0c\u3053\u308c\u3089\u306e\u5024\u306f\u4e00\u822c\u306b\u306f\u500b\u3005\u306e\u60a3\u8005\u306e\u7d44\u307f\u5408\u308f\u305b\u65b9\u6cd5\u306e\u305f\u3081\u306b\u81e8\u5e8a\u72b6\u614b\u3084\u4e88\u5f8c\u3092\u691c\u8a3c\u3057\u306a\u3044\uff0e\u3054\u304f\u5c11\u6570\u306e\u4f4e\u6804\u990a\u3084\u708e\u75c7\u306e\u8a08\u6e2c\u304c\u3053\u308c\u3089\u306e\u81e8\u5e8a\u72b6\u614b\u306e\u5168\u4f53\u7684\u306a\u8a55\u4fa1\u3092\u4e0e\u3048\u308b\u306b\u3059\u304e\u306a\u3044\uff0e\u9762\u5012\u306a\u65b9\u6cd5\u3084\u9ad8\u5ea6\u306a\u8a08\u7b97\u304c\u4e0d\u8981\u3067\uff0c\u5b9f\u7528\u7684\u3067\u7c21\u5358\u306a\u30c4\u30fc\u30eb\u3067\u3042\u308c\u3070\uff0c\u4eee\u306b\u6700\u9069\u306a\u7ba1\u7406\u306e\u305f\u3081\u306b\u5b9a\u91cf\u7684\u65b9\u6cd5\u3067\u672b\u671f\u814e\u4e0d\u5168\u60a3\u8005\u3092\u30ea\u30b9\u30af\u5c64\u5225\u5316\u3067\u304d\u308b\u306a\u3089\uff0c\u7dcf\u5408\u7684\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u304c\u3053\u306e\u76ee\u7684\u306b\u6709\u7528\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e \u3000\u305d\u308c\u3086\u3048\u6211\u3005\u306f\uff0c\u7dcf\u5408\u7684\u3067\u534a\u5b9a\u91cf\u7684\u3060\u304c\u4f7f\u3044\u3084\u3059\u3044\uff0c\u672b\u671f\u814e\u4e0d\u5168\u60a3\u8005\u306e\u8a55\u4fa1\u306e\u305f\u3081\u306e\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u3092\u958b\u767a\u3057\u3088\u3046\u3068\u3057\u305f\uff0e\u3053\u306e\u5831\u544a\u306f\u3053\u306e\u3088\u3046\u306a\u30b7\u30b9\u30c6\u30e0\u306b\u3064\u3044\u3066\u8ff0\u3079\uff0c\u5f93\u6765\u306e\u6804\u990a\u72b6\u614b\uff0c\u708e\u75c7\uff0c\u5165\u9662\u30ea\u30b9\u30af\u3084\u6b7b\u4ea1\u7387\u3068\u6bd4\u8f03\u3059\u308b\u3053\u3068\u3067\u7dad\u6301\u900f\u6790\u60a3\u8005\u306b\u304a\u3051\u308b\u30b7\u30b9\u30c6\u30e0\u306e\u691c\u8a3c\u306b\u3064\u3044\u3066\u8ff0\u3079\u308b\uff0e<\/p>\n<h2>\u65b9\u6cd5<\/h2>\n<h3>\u60a3\u8005<\/h3>\n<p>\u30b5\u30f3\u30d5\u30e9\u30f3\u30b7\u30b9\u30b3\u7dcf\u5408\u75c5\u9662\u3067\u306e\u5916\u6765\u6162\u6027\u900f\u6790\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u7814\u7a76\u671f\u9593\u4e2d\u306b91\u540d\u306e\u7dad\u6301\u900f\u6790\u60a3\u8005\u3092\u6cbb\u7642\u3057\u305f\uff0e\u9078\u629e\u57fa\u6e96\u306f\u6700\u4f4e3\u30f6\u6708\u4ee5\u4e0a\u7dad\u6301\u900f\u6790\u3092\u7d4c\u904e\u3057\u305f18\u624d\u4ee5\u4e0a\u306e\u60a3\u8005\u3060\u3063\u305f\uff0e3\u540d\u306e\u60a3\u8005\u306f\u57fa\u6e96\u306b\u5408\u81f4\u3057\u306a\u304b\u3063\u305f\uff0e88\u540d\u306e\u767b\u9332\u60a3\u8005\u306e\u3046\u30612\u540d\u306e\u60a3\u8005\u304c\u7814\u7a76\u671f\u9593\u4e2d\u306b\u4ed6\u306e\u65bd\u8a2d\u306b\u5165\u9662\u3057\uff0c3\u540d\u306e\u60a3\u8005\u304c\u53c2\u52a0\u306b\u540c\u610f\u3057\u306a\u304b\u3063\u305f\uff0e\u305d\u308c\u3086\u304883\u540d\u306e\u60a3\u8005\uff08\u7537\u602744\u540d\u5973\u602739\u540d\uff09\u304c\u3053\u306e\u7814\u7a76\u306b\u53c2\u52a0\u3059\u308b\u3053\u3068\u306b\u540c\u610f\u3057\u305f\uff0e\u672c\u7814\u7a76\u306f\u6cbb\u9a13\u5be9\u67fb\u59d4\u54e1\u4f1a\u3067\u627f\u8a8d\u3055\u308c\uff0c\u5168\u3066\u306e\u60a3\u8005\u304b\u3089\u66f8\u9762\u3067\u540c\u610f\u3092\u5f97\u305f\uff0e<\/p>\n<h3>\u5f93\u6765\u306e\u4e3b\u89b3\u7684\u5305\u62ec\u7684\u8a55\u4fa1<\/h3>\n<p>\u6804\u990a\u72b6\u614b\u306e\u4e3b\u89b3\u7684\u5305\u62ec\u7684\u8a55\u4fa1 (SGA) \u306f\u814e\u81d3\u75c5\u306b\u304a\u3044\u3066\u3082\u4e00\u822c\u7684\u306b\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u901a\u308a\uff0c\u75c5\u6b74\u3068\u8eab\u4f53\u6240\u898b\u306b\u57fa\u3065\u304f\u534a\u5b9a\u91cf\u7684\u306a\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u3067\u3042\u308b\uff0e\u75c5\u6b74\u306b\u306f5\u3064\u306e\u8981\u7d20\u304c\u542b\u307e\u308c\u308b\uff0e\u904e\u53bb6\u30f6\u6708\u9593\u306e\u4f53\u91cd\u6e1b\u5c11\uff0c\u6d88\u5316\u5668\u75c7\u72b6\uff0c\u7d4c\u53e3\u6442\u53d6\u91cf\uff0c\u904b\u52d5\u8010\u5bb9\u80fd\uff0c\u5408\u4f75\u75c7\u3067\u3042\u308b\uff0e\u305d\u308c\u305e\u308c\u306e\u6a5f\u80fd\u306f\u5225\u3005\u306b A, B, C \u3068\u70b9\u6570\u5316\u3055\u308c\u3066\u304a\u308a\uff0c\u826f\u597d\u306a\u6804\u990a\u72b6\u614b\u304b\u3089\u91cd\u5ea6\u306e\u4f4e\u6804\u990a\u306e\u30ab\u30c6\u30b4\u30ea\u307e\u3067\u5bfe\u5fdc\u3059\u308b\uff0e\u8eab\u4f53\u6240\u898b\u306b\u306f2\u3064\u306e\u8981\u7d20\u304c\u542b\u307e\u308c\u308b\uff0e\u76ae\u4e0b\u8102\u80aa\u6e1b\u5c11\u3068\u7b4b\u59d4\u7e2e\u3067\u3042\u308b\uff0e\u6d6e\u816b\u3084\u8179\u6c34\u306e\u51fa\u73fe\u306fSGA\u539f\u6cd5\u306e\u8eab\u4f53\u6240\u898b\u306e3\u756a\u76ee\u306e\u8981\u7d20\u3067\u3042\u308b\u304c\uff0c\u900f\u6790\u60a3\u8005\u306b\u306f\u666e\u901a\u7528\u3044\u306a\u3044\uff0e\u3053\u308c\u30892\u3064\u306e\u8981\u7d20\u306f0\u70b9\u304b\u30893\u70b9\u306b\u5206\u985e\u3055\u308c\uff0c\u6b63\u5e38\u304b\u3089\u6975\u3081\u3066\u7570\u5e38\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3059\uff0e\u30c7\u30fc\u30bf\u306f\u4e3b\u89b3\u7684\u306b\u70b9\u6570\u5316\u3055\u308c\uff0c\u60a3\u8005\u306f3\u3064\u306eSGA\u70b9\u6570\u306b\u5206\u985e\u3055\u308c\u308b\uff0eA\u306f\u6804\u990a\u72b6\u614b\u826f\u597d\uff0cB\u306f\u8efd\u5ea6\u304b\u4e2d\u7b49\u5ea6\u306e\u4f4e\u6804\u990a\uff0cC\u306f\u91cd\u5ea6\u306e\u4f4e\u6804\u990a\uff0e\u900f\u6790\u60a3\u8005\u306b\u304a\u3051\u308bSGA\u8a55\u4fa1\u65b9\u6cd5\u306e\u8a73\u7d30\u306f\u4ee5\u524d\u520a\u884c\u3055\u308c\u305f\u6587\u732e\u306e\u5dfb\u672b\u3068\u3057\u3066\u5229\u7528\u3067\u304d\uff0c\u307e\u305fAmerican Journal of Kidney Disease \u306e\u30a6\u30a7\u30d6\u30b5\u30a4\u30c8\u4e0a\u3067\u5229\u7528\u53ef\u80fd\u3067\u3042\u308b\uff0e <a title=\"\/\/www.ajkd.org\" href=\"\/\/www.ajkd.org\">\/\/www.ajkd.org<\/a><\/p>\n<h3>Dialysis Malnutrition Score<\/h3>\n<p>\u5f93\u6765\u306e SGA \u306e\u8981\u7d20\u3092\u7528\u3044\u3066\u6700\u8fd1\u8457\u8005\u306e\u4e00\u4eba\u304c\u5b9a\u91cf\u7684\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u3067\u3042\u308b Dialysis Malnutrition Score (DMS) \u3092\u958b\u767a\u3057\u305f\uff0e\u305d\u308c\u306f SGA \u306e\uff17\u3064\u306e\u8981\u7d20\u3092\u542b\u3093\u3067\u3044\u308b\uff0e\u4f53\u91cd\u5909\u5316\uff0c\u98df\u4e8b\u6442\u53d6\u91cf\uff0c\u6d88\u5316\u5668\u75c7\u72b6\uff0c\u904b\u52d5\u8010\u5bb9\u80fd\uff0c\u5408\u4f75\u75c7\uff0c\u76ae\u4e0b\u8102\u80aa\uff0c\u7b4b\u840e\u7e2e\u5fb4\u5019\u3067\u3042\u308b\uff0e\u8179\u6c34\u3068\u6d6e\u816b\u306f\u9664\u5916\u3057\uff0c\u900f\u6790\u6cbb\u7642\u3092\u4f55\u5e74\u9593\u53d7\u3051\u3066\u3044\u308b\u304b\uff08\u900f\u6790\u6b74\uff09\u3092\u5408\u4f75\u75c7\u306e\u8981\u7d20\u306b\u8ffd\u52a0\u3057\u305f\uff0e\u5404\u3005\u306e\u8981\u7d20\u306f1\u70b9\uff08\u6b63\u5e38\uff09\u304b\u30895\u70b9\uff08\u91cd\u5ea6\u306e\u7570\u5e38\uff09\u307e\u3067\u70b9\u6570\u5316\u3057\u305f\uff0e\u305d\u306e\u305f\u30817\u3064\u306e\u8981\u7d20\u306e\u5408\u8a08\u70b9\u7d20\u306f7\u70b9\uff08\u6b63\u5e38\uff09\u304b\u308935\u70b9\uff08\u91cd\u5ea6\u306e\u4f4e\u6804\u990a\uff09\u307e\u3067\u3068\u306a\u308a\uff0cDMS \u304c\u9ad8\u3044\u307b\u3069\u3088\u308a\u91cd\u5ea6\u306e\u86cb\u767d\u8cea\u30a8\u30cd\u30eb\u30ae\u30fc\u4f4e\u6804\u990a\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3059\uff0e\u7570\u306a\u308b\u60a3\u8005\u96c6\u56e3\u3092\u7528\u3044\u305f\u6a2a\u65ad\u7814\u7a76\u306b\u3088\u308b\u3068\uff0cDMS \u306f\u8eab\u4f53\u6e2c\u5b9a\u5024\u3068\u900f\u6790\u60a3\u8005\u306e\u6804\u990a\u72b6\u614b\u306e\u691c\u67fb\u30c7\u30fc\u30bf\u3068\u306b\u6709\u610f\u306b\u76f8\u95a2\u3059\u308b\u3068\u306e\u4e88\u5099\u5831\u544a\u304c\u3042\u308b\uff0e<\/p>\n<h3>Malnutrition Inflammation Score<\/h3>\n<p>\u3055\u3089\u306b\u5305\u62ec\u7684\u3067\u5b9a\u91cf\u7684\u306a\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u3092\u4f5c\u308b\u305f\u3081\u306b7\u3064\u306e DMS \u306e\u8a55\u4fa1\u57fa\u6e96\u3092\u6539\u8a02\u3057\uff0c\uff13\u3064\u306e\u8981\u7d20\u3092\u8ffd\u52a0\u3057\u305f\uff0eBody mass index (BMI) \u3068\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u3068\u7dcf\u9244\u7d50\u5408\u80fd (TIBC) \u3067\u3042\u308b\uff0e\u3055\u3089\u306b\u5404\u8981\u7d20\u306e\u91cd\u75c7\u5ea6\u30925\u6bb5\u968e\u304b\u30894\u6bb5\u968e\u306b\u6e1b\u3089\u3057\u305f\uff0e\u4ee5\u524d\u306e\u7814\u7a76\u3067 DMS \u306e5\u6bb5\u968e\u8a55\u4fa1\u306f\u3082\u306f\u3084\u4f7f\u308f\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u3092\u6211\u3005\u306f\u8a18\u8ff0\u3057\u3066\u3044\u308b\u304b\u3089\u3067\u3042\u308b\uff0e\u305d\u306e\u305f\u3081\uff0cMalnutrition inflammation score (MIS) \u306f10\u306e\u8981\u7d20\u3092\u6301\u3061\uff0c\u305d\u308c\u305e\u308c\u304c0\uff08\u6b63\u5e38\uff09\u304b\u30893\uff08\u91cd\u5ea6\u306e\u7570\u5e38\uff09\u307e\u3067\u306e4\u6bb5\u968e\u306e\u91cd\u75c7\u5ea6\u3092\u6301\u3064\uff0e10\u306e MIS \u306e\u8981\u7d20\u306e\u5408\u8a08\u70b9\u6570\u306f0\uff08\u6b63\u5e38\uff09\u304b\u308930\uff08\u91cd\u5ea6\u306e\u4f4e\u6804\u990a\uff09\u307e\u3067\u3067\u3042\u308a\uff0c\u70b9\u6570\u304c\u9ad8\u3044\u307b\u3069\u4f4e\u6804\u990a\u3068\u708e\u75c7\u306e\u91cd\u75c7\u5ea6\u304c\u9ad8\u3044\u3053\u3068\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\uff0e<\/p>\n<p>Figure 1 \u306b\u6211\u3005\u306e\u63a1\u70b9\u7528\u7d19\u3092\u63b2\u8f09\u3057\u305f\uff0e\u6804\u990a\u6b74\uff0c\u8eab\u4f53\u6240\u898b\uff0cBMI\uff0c\u691c\u67fb\u7d50\u679c\u306e4\u3064\u306e\u30bb\u30af\u30b7\u30e7\u30f3\u306810\u306e\u8981\u7d20\u304b\u3089\u306a\u308b\uff0e\u75c5\u6b74\u30bb\u30af\u30b7\u30e7\u30f3\u306f\uff15\u3064\u306e\u8981\u7d20\u304c SGA \u539f\u6cd5\u304b\u3089\u63a1\u7528\u3055\u308c\u305f\uff0e\u4f53\u91cd\u5909\u5316\u306f\u904e\u53bb6\u30f6\u6708\u9593\u6d6e\u816b\u306e\u306a\u3044\u900f\u6790\u5f8c\u4f53\u91cd\u306e\u5909\u5316\u3068\u5b9a\u7fa9\u3057\u305f\uff0e\u4f4e\u3044\u70b9 (0) \u306f0.5 kg \u672a\u6e80\u306e\u4f53\u91cd\u6e1b\u5c11\u307e\u305f\u306f\u4f53\u91cd\u5897\u52a0\u306e\u969b\u306b\u4e0e\u3048\u3089\u308c\u308b\uff0e1\u70b9\u306f 0.5 kg \u4ee5\u4e0a 1.0 kg \u672a\u6e80\u306e\u4f53\u91cd\u6e1b\u5c11\u306b\u4e0e\u3048\u3089\u308c\u308b\uff0e2\u70b9\u306f 1.0 kg \u4ee5\u4e0a\u304b\u3064\u4f53\u91cd\u306e 5 % \u672a\u6e80\u306e\u4f53\u91cd\u6e1b\u5c11\u3092\u793a\u3059\uff0e3\u70b9\u306f5 % \u4ee5\u4e0a\u306e\u4f53\u91cd\u6e1b\u5c11\u3092\u793a\u3059\uff0e<\/p>\n<p>\u7d4c\u53e3\u6442\u53d6\u91cf\u306b\u3064\u3044\u3066\uff0e\u901a\u5e38\u56fa\u5f62\u7269\uff08\u5f62\u306e\u3042\u308b\u3082\u306e\uff09\u3092\u98df\u3079\uff0c\u6700\u8fd1\u6442\u98df\u91cf\u306e\u6e1b\u5c11\u304c\u306a\u3044\u5834\u5408\u306b\u7d4c\u53e3\u6442\u53d6\u306f0\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e\u67d4\u3089\u304b\u3044\u56fa\u5f62\u7269\u3092\u98df\u3079\u3066\u3044\u308b\u5834\u5408\u306f1\u70b9\u3068\u63a1\u70b9\u3057\uff0c\u6d41\u52d5\u98df\u306e\u307f\u306e\u5834\u5408\u3084\u6442\u98df\u91cf\u304c\u4e2d\u7b49\u5ea6\u6e1b\u5c11\u3057\u3066\u3044\u308b\u5834\u5408\u306f2\u70b9\u3068\u63a1\u70b9\u3057\uff0c\u4e00\u65e5\u306e\u6442\u53d6\u91cf\u304c\u751f\u547d\u7dad\u6301\u306b\u4e0d\u5341\u5206\u306a\u72b6\u614b\u304c\u6162\u6027\u7684\u306b\u7d9a\u3044\u3066\u3044\u308b\u5834\u5408\u306b3\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e<\/p>\n<p>\u6d88\u5316\u5668\u75c7\u72b6\u306b\u3064\u3044\u3066\uff0e\u60a3\u8005\u306b\u98df\u6b32\u304c\u3042\u308a\u5168\u304f\u6d88\u5316\u5668\u75c7\u72b6\u304c\u306a\u3044\u5834\u5408\u306f0\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e\u8efd\u5ea6\u306e\u98df\u6b32\u4f4e\u4e0b\u3084\u8efd\u5ea6\u306e\u5614\u6c17\u304c\u3042\u308b\u5834\u5408\u306f1\u70b9\uff0c\u6642\u306b\u5614\u5410\u3057\u305f\u308a\u4ed6\u306e\u4e2d\u7b49\u5ea6\u306e\u6d88\u5316\u5668\u75c7\u72b6\u304c\u3042\u308b\u5834\u5408\uff08\u8179\u75db\u306a\u3069\uff09\u306f2\u70b9\uff0c\u4e0b\u75e2\u3084\u983b\u56de\u306e\u5614\u5410\uff0c\u91cd\u5ea6\u306e\u98df\u6b32\u4e0d\u632f\u304c\u3042\u308b\u5834\u5408\u306f3\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e<\/p>\n<p>\u904b\u52d5\u8010\u5bb9\u80fd\u306b\u3064\u3044\u3066\uff0e\u6b63\u5e38\u306a\u904b\u52d5\u8010\u5bb9\u80fd\u3067\u3042\u308b\u304b\uff0c\u4ee5\u524d\u306e\u8010\u7528\u80fd\u4f4e\u4e0b\u304b\u3089\u6539\u5584\u3057\u3066\u3044\u308b\u5834\u5408\u306f0\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e\u5e73\u5730\u6b69\u884c\u304c\u8efd\u5ea6\u304b\u6642\u3005\u56f0\u96e3\u3067\u3042\u308b\u5834\u5408\uff0c\u983b\u56de\u306b\u75b2\u52b4\u611f\u3092\u611f\u3058\u3066\u3044\u308b\u5834\u5408\u306f1\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e\u81ea\u529b\u6d3b\u52d5\u304c\u56f0\u96e3\u3067\u3042\u308b\u5834\u5408\u306f2\u70b9\uff0c\u8efd\u52b4\u4f5c\u304c\u5236\u9650\u3055\u308c\u308b\u304b\u5bdd\u305f\u304d\u308a\u306a\u3044\u3057\u5750\u4f4d\u306e\u307e\u307e\u306e\u5834\u5408\u306f3\u70b9\u3067\u3042\u308b\uff0e<\/p>\n<p>SGA \u5909\u6cd5 (DMS) \u306b\u3042\u308b\u3088\u3046\u306b\uff0c\u5408\u4f75\u75c7\u306b\u306f\u900f\u6790\u6b74\uff08\u900f\u6790\u6cbb\u7642\u5e74\u6570\uff09\u304c\u542b\u307e\u308c\u3066\u3044\u308b\uff0e\u6642\u9593\u7684\u8981\u7d20\u306f\u4f4e\u6804\u990a\u3068\u708e\u75c7\u306e\u7a0b\u5ea6\u306b\u5f71\u97ff\u3059\u308b\u304b\u3089\u3067\u3042\u308b\uff0e\u305d\u306e\u305f\u3081\u5408\u4f75\u75c7\u306f\u4ed6\u306e\u533b\u5b66\u7684\u75be\u75c5\u304c\u306a\u304f\u60a3\u8005\u304c\u900f\u6790\u5c0e\u51651\u5e74\u672a\u6e80\u306e\u5834\u5408\u306f0\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e\u4e3b\u8981\u306a\u5408\u4f75\u75c7 (MCCs) \u3092\u9664\u5916\u3057\u305f\u8efd\u5ea6\u306e\u5408\u4f75\u75c7\u306e\u5834\u5408\uff0c\u307e\u305f\u306f\u900f\u6790\u5c0e\u5165\u5f8c1\u5e74\u4ee5\u4e0a4\u5e74\u4ee5\u4e0b\u306e\u5834\u5408\u306b1\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0eMCCs \u3068\u306f III \u5ea6\u3084 IV \u5ea6\u306e\u3046\u3063\u8840\u6027\u5fc3\u4e0d\u5168\uff0c\u91cd\u5ea6\u306e\u51a0\u52d5\u8108\u75be\u60a3\uff0c\u81e8\u5e8a\u7684\u306b\u660e\u3089\u304b\u306a\u5f8c\u5929\u6027\u514d\u75ab\u4e0d\u5168\u75c7\u5019\u7fa4\uff0c\u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u75c7\u306e\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff0c\u8ee2\u79fb\u6027\u60aa\u6027\u816b\u760d\u306e\u3053\u3068\u3067\u3042\u308b\uff0eMCCs \u306e\u3046\u3061\uff11\u3064\u3092\u542b\u3093\u3067\u3082\u3088\u3044\u304c\u4e2d\u7b49\u5ea6\u306e\u5408\u4f75\u75c7\u304b\uff0c\u900f\u6790\u671f\u9593\u304c4\u5e74\u3092\u8d85\u3048\u308b\u5834\u5408\u306f2\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0eMCCs \u306e\u3046\u30612\u3064\u4ee5\u4e0a\u3092\u6709\u3059\u308b\u5834\u5408\u306f3\u70b9\u3068\u63a1\u70b9\u3059\u308b\uff0e\u7cd6\u5c3f\u75c5\u306b\u3064\u3044\u3066\u306f\uff0c\u4ee5\u524d\u5408\u4f75\u75c7\u306b\u3064\u3044\u3066\u8a00\u53ca\u3055\u308c\u3066\u3044\u306a\u3044\u5834\u5408\u306f\u5408\u4f75\u75c7\u3068\u3057\u3066\u6570\u3048\u306a\u304b\u3063\u305f\uff0e\u305d\u306e\u4ee3\u308f\u308a\u7cd6\u5c3f\u75c5\u60a3\u8005\u306e\u4e88\u5f8c\u304c\u4e0d\u826f\u3068\u306a\u308a\u3046\u308b\u5408\u4f75\u75c7\u306b\u3064\u3044\u3066\u306f\u500b\u5225\u306b\u691c\u67fb\u3057\u305f\uff0e<\/p>\n<p>\u8eab\u4f53\u6240\u898b\u306e\u30bb\u30af\u30b7\u30e7\u30f3\u306f2\u3064\u306e\u8981\u7d20\u304b\u3089\u306a\u308b\uff0e\u8eab\u4f53\u306e\uff14\u3064\u306e\u90e8\u4f4d\u3067\u306e\u76ae\u4e0b\u8102\u80aa\u6c88\u7740\u306b\u3088\u308a\u4f53\u8102\u80aa\u84c4\u7a4d\u306f\u8a55\u4fa1\u3055\u308c\u308b\uff0e\u3064\u307e\u308a\u773c\u4e0b\uff0c\u4e0a\u8155\u4e09\u982d\u7b4b\uff0c\u4e0a\u8155\u4e8c\u982d\u7b4b\uff0c\u80f8\u90e8\u3067\u3042\u308b\uff0e\u7b4b\u840e\u7e2e\u5fb4\u5019\u306f7\u3064\u306e\u90e8\u4f4d\u306b\u3088\u308a\u7c21\u6f54\u306b\u5f97\u3089\u308c\u308b\uff0e\u3064\u307e\u308a\u5074\u982d\u90e8\uff0c\u9396\u9aa8\uff0c\u80a9\u7532\u9aa8\uff0c\u808b\u9aa8\uff08\u808b\u9593\u7b4b\uff09\uff0c\u5927\u817f\u56db\u982d\uff0c\u819d\uff0c\u9aa8\u9593\u306e\u7b4b\u3067\u3042\u308b\uff0e\u3053\u308c\u30892\u3064\u306e\u8981\u7d20\u3092\u305d\u308c\u305e\u308c0\u70b9\u304b\u30893\u70b9\u307e\u3067\u63a1\u70b9\u3057\uff0c\u6b63\u5e38\u304b\u3089\u91cd\u5ea6\u307e\u3067\u8868\u73fe\u3057\uff0c\u4ed6\u306e\u9805\u306b\u8a72\u5f53\u3059\u308b\u57fa\u6e96\u306b\u57fa\u3065\u304f\u5f93\u6765\u306eSGA \u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u5fdc\u3058\u3066\u5272\u308a\u5f53\u3066\u3089\u308c\u308b\uff0e<\/p>\n<p>\u900f\u6790\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u306e\u4e88\u6e2c\u5024\u3067\u3042\u308b\u305f\u3081\uff0c\u6211\u3005\u306f\u8eab\u9577\u3067\u8abf\u6574\u3057\u305f\u4f53\u91cd\u306e\u6a5f\u80fd\u3092\u8ffd\u52a0\u3057\u305f\uff0eBMI \u306f\u900f\u6790\u5f8c\u4f53\u91cd (kg) \u3092\u8eab\u9577\u306e\u4e8c\u4e57<img src='https:\/\/s0.wp.com\/latex.php?latex=%28m%5E%7B2%7D%29&#038;bg=T&#038;fg=000000&#038;s=0' alt='(m^{2})' title='(m^{2})' class='latex' \/>\u3067\u9664\u3057\u305f\u6bd4\u3067\u8eab\u9577\u3067\u88dc\u6b63\u3057\u305f\u4f53\u91cd\u3092\u9078\u629e\u3057\u305f\uff0eBMI \u306f0\u70b9\u304b\u30893\u70b9\u307e\u3067\u306e4\u6bb5\u968e\u3067\u63a1\u70b9\u3057\uff0c\u305d\u308c\u305e\u308c20\u4ee5\u4e0a\uff0c18\u4ee5\u4e0a19.99\u4ee5\u4e0b\uff0c16\u4ee5\u4e0a17.99\u4ee5\u4e0b\uff0c16\u672a\u6e80\u306b\u5bfe\u5fdc\u3059\u308b\uff0e<\/p>\n<p>MIS \u306e4\u756a\u76ee\u306e\u30bb\u30af\u30b7\u30e7\u30f3\u306f\uff12\u3064\u306e\u691c\u67fb\u5024\u304b\u3089\u306a\u308b\uff0e\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u306f\u3057\u3070\u3057\u3070\u672b\u671f\u814e\u4e0d\u5168\u60a3\u8005\u306b\u304a\u3051\u308b\u6b7b\u4ea1\u7387\u306e\u5f37\u3044\u4e88\u6e2c\u56e0\u5b50\u3068\u306a\u308a\uff0c\u4f4e\u30a2\u30eb\u30d6\u30df\u30f3\u8840\u75c7\u306f\u86cb\u767d\u6442\u53d6\u6e1b\u5c11\u3068\u540c\u69d8\uff0c\u708e\u75c7\uff08\u6025\u6027\u671f\u53cd\u5fdc\uff09\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\uff0e\u7dcf\u9244\u7d50\u5408\u80fd\u306f\u8840\u6e05\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3\u6fc3\u5ea6\u3092\u53cd\u6620\u3057\uff0c\u708e\u75c7\u3084\u9244\u306e\u8caf\u8535\u5909\u52d5\u3067\u5909\u5316\u306f\u3059\u308b\u304c\uff0c\u900f\u6790\u60a3\u8005\u306e\u6804\u990a\u72b6\u614b\u3068\u6709\u610f\u306b\u76f8\u95a2\u3059\u308b\uff0e\u305d\u308c\u3086\u3048\u3053\u308c\u30892\u3064\u306e\u691c\u67fb\u5024\u306f MIS \u306e\u7dcf\u5f97\u70b9\u306e20\uff05\u3092\u5360\u3081\u308b\uff08\u8a73\u7d30\u306f Fig 1 \u3092\u53c2\u7167\u306e\u3053\u3068\uff09\uff0e<\/p>\n<p>\u672c\u7814\u7a76\u3067\u306f\u719f\u7df4\u3057\u305f\u533b\u5e2b\u304c\u8eab\u4f53\u6e2c\u5b9a\u524d\u306b\u305d\u308c\u305e\u308c\u306e\u60a3\u8005\u30925\u5206\u304b\u308915\u5206\u3067\u63a1\u70b9\u3057\u305f\uff0e\u518d\u73fe\u6027\u3092\u691c\u8a3c\u3059\u308b\u305f\u3081\u306b\u540c\u3058\u533b\u5e2b\u306b1\u9031\u9593\u5f8c\u306b1\u56de\u76ee\u306e MIS \u8a55\u4fa1\u3092\u53c2\u7167\u305b\u305a\u306b15\u540d\u306e\u60a3\u8005\u3092\u9078\u3093\u3067 MIS \u8a55\u4fa1\u3092\u5b9f\u65bd\u3055\u305b\u305f\uff0e\u4e21\u8005\u306e\u9593\u306e\u76f8\u95a2\u4fc2\u6570 (r) \u306f 0.91 \u3067\u3042\u308a\uff0c\u518d\u73fe\u7cbe\u5ea6\u306f\u826f\u597d\u3068\u8003\u3048\u305f\uff0e<\/p>\n<h3>\u8eab\u4f53\u8a08\u6e2c<\/h3>\n<p>\u4f53\u91cd\u8a55\u4fa1\u3068\u8eab\u4f53\u8a08\u6e2c\u306f\u900f\u6790\u6cbb\u7642\u5f8c5\u5206\u304b\u308920\u5206\u5f8c\u306b\u8fc5\u901f\u306b\u65bd\u884c\u3057\u305f\uff0e\u4e0a\u8155\u4e8c\u982d\u7b4b\u76ae\u4e0b\u8102\u80aa\u539a\u3068\u4e0a\u8155\u4e09\u982d\u7b4b\u76ae\u4e0b\u8102\u80aa\u539a (TSF) \u306f\u5f93\u6765\u306e\u76ae\u4e0b\u8102\u80aa\u30ad\u30e3\u30ea\u30d1\u30fc\u3067\u6e2c\u5b9a\u3057\u305f\uff0e\u3053\u308c\u306b\u3064\u3044\u3066\u306f\u5225\u9014\u8aac\u660e\u3059\u308b\uff0e\u4e0a\u8155\u4e2d\u592e\u5468\u56f2\u5f84 (MAC) \u306f\u30d7\u30e9\u30b9\u30c1\u30c3\u30af\u30c6\u30fc\u30d7\u3067\u6e2c\u5b9a\u3057\u305f\uff0e\u3059\u3079\u3066\u306e\u8eab\u4f53\u8a08\u6e2c\u306f1\u540d\u306e\u533b\u5e2b\u304c\u9023\u7d9a\u3057\u30663\u56de\u8fc5\u901f\u306b\u8a08\u6e2c\u3057\uff0c3\u56de\u8a08\u6e2c\u3057\u305f\u5024\u306e\u5e73\u5747\u5024\u3092\u6700\u7d42\u7d50\u679c\u3068\u3057\u305f\uff0e\u4e0a\u8155\u4e2d\u592e\u7b4b\u5468\u56f2\u5f84 (MAMC) \u306f\u4ee5\u4e0b\u306e\u5f0f\u3067\u8a08\u7b97\u3057\u305f\uff0e<\/p>\n<p><img src='https:\/\/s0.wp.com\/latex.php?latex=%5Cdisplaystyle+MAMC+%3D+MAC-%283.1415+%5Ctimes+TSF%29&#038;bg=T&#038;fg=000000&#038;s=0' alt='\\displaystyle MAMC = MAC-(3.1415 \\times TSF)' title='\\displaystyle MAMC = MAC-(3.1415 \\times TSF)' class='latex' \/><\/p>\n<p>\u8eab\u9577\u306f\u60a3\u8005\u30ab\u30eb\u30c6\u304b\u3089\u5f97\u305f\uff0e<\/p>\n<h3>\u8fd1\u8d64\u5916\u5206\u5149\u65b9\u5f0f<\/h3>\n<p>\u4f53\u8102\u80aa\u7387\u3068\u9664\u8102\u80aa\u4f53\u91cd\u3092\u8a55\u4fa1\u3059\u308b\u306e\u306b\u8eab\u4f53\u8a08\u6e2c\u3068\u540c\u6642\u306b\u8fd1\u8d64\u5916\u5206\u5149\u65b9\u5f0f (NIR) \u3092\u5b9f\u65bd\u3057\u305f\uff0e\u5546\u54c1\u5316\u3055\u308c\u305f NIR \u30bb\u30f3\u30b5\u30fc (portable Futrex 5000) \u3092\u7528\u3044\u305f\uff0e\u8fd1\u8d64\u5916\u5206\u5149\u5024\u306f Futrex \u30bb\u30f3\u30b5\u30fc\u3092\u5404\u60a3\u8005\u306e\u975e\u30b7\u30e3\u30f3\u30c8\u4e0a\u8155\u306b\u7f6e\u3044\u3066\u5fc5\u8981\u306a\u30c7\u30fc\u30bf\uff08\u6027\u5225\uff0c\u4f53\u91cd\uff0c\u8eab\u9577\uff0c\u4f53\u683c\uff09\u3092\u5165\u529b\u5f8c\u6570\u79d2\u9593\u3067\u6e2c\u5b9a\u3057\u305f\uff0e\u3059\u3079\u3066\u306e\u60a3\u8005\u306e\u8eab\u4f53\u6d3b\u52d5\u30ec\u30d9\u30eb\u306f\u540c\u7a0b\u5ea6\u3068\u898f\u5b9a\u3057\u3066\u3044\u308b\uff0eNIR \u3067\u6e2c\u5b9a\u3057\u305f\u4f53\u8102\u80aa\u306f\u7dad\u6301\u900f\u6790\u60a3\u8005\u306b\u304a\u3044\u3066 SGA \u3084\u4ed6\u306e\u6804\u990a\u8a55\u4fa1\u3068\u6709\u610f\u306b\u76f8\u95a2\u3059\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b\uff0e<\/p>\n<h3>\u5165\u9662<\/h3>\n<p>83\u540d\u306e\u5168\u900f\u6790\u60a3\u8005\u306712\u30f6\u6708\u9593\u306e\u3053\u308c\u3089\u306e\u6e2c\u5b9a\u304c\u5b8c\u4e86\u3057\u305f\u5f8c\uff0c\u5728\u9662\u65e5\u6570\u30c7\u30fc\u30bf\u304c\u5f97\u3089\u308c\u305f\uff0e\u5728\u9662\u65e5\u6570\u3068\u306f\u4e00\u6cca\u4ee5\u4e0a\u306e\u75c5\u9662\u3078\u306e\u5165\u9662\u65e5\u6570\u3068\u5b9a\u7fa9\u3057\u305f\uff0e\u5165\u9662\u5f53\u65e5\u306f\u4e38\u4e00\u65e5\u3068\u3057\u305f\u304c\uff0c\u9000\u9662\u65e5\u306f\u5728\u9662\u65e5\u6570\u306b\u306f\u6570\u3048\u306a\u304b\u3063\u305f\uff0e\u305d\u308c\u3086\u3048\uff0c\u5728\u9662\u65e5\u6570\u306e\u6700\u5c0f\u5024\u306f1\u65e5\u3068\u306a\u3063\u305f\uff0e\u9664\u5916\u57fa\u6e96\u306f\u8a2d\u3051\u306a\u304b\u3063\u305f\uff0e\u305d\u3057\u3066\u69d8\u3005\u306a\u75be\u75c5\u306b\u3088\u308b\u5728\u9662\u65e5\u6570\u3092\u6570\u3048\u305f\uff0e\u3057\u304b\u3057\uff0c\u900f\u6790\u30b7\u30e3\u30f3\u30c8\u95a2\u9023\u306e\u5927\u90e8\u5206\u306e\u5165\u9662\u306f\u4e00\u6cca\u5165\u9662\u3092\u8981\u3057\u306a\u3044\u305f\u3081\uff0c\u30b7\u30e3\u30f3\u30c8\u95a2\u9023\u306e\u5165\u9662\u306f\u4ed6\u306e\u5408\u4f75\u75c7\uff0c\u4f8b\u3048\u3070\u611f\u67d3\u75c7\u3084\u5fc3\u8840\u7ba1\u5408\u4f75\u75c7\u306a\u3069\u3092\u6709\u3059\u308b\u3053\u3068\u306b\u306a\u3063\u305f\uff0e\u7814\u7a76\u3092\u958b\u59cb\u3057\u305f\u6642\u70b9\u3067\u6570\u540d\u306e\u60a3\u8005\u304c\u5165\u9662\u3057\u3066\u3044\u305f\u304c\u6700\u521d\u306e6\u30f6\u6708\u9593\u306f\u5728\u9662\u65e5\u6570\u306b\u306f\u6570\u3048\u306a\u304b\u3063\u305f\uff0e1\u5e74\u9593\u306e\u30b3\u30db\u30fc\u30c8\u671f\u9593\u306e\u6700\u5f8c\u306b\u307e\u3060\u5165\u9662\u3057\u3066\u3044\u305f\u60a3\u8005\u306b\u3064\u3044\u3066\u306f\u76f4\u524d\u306e\u5165\u9662\u306e\u5168\u671f\u9593\u3092\u6570\u3048\u305f\uff0e\u524d\u5411\u304d12\u30f6\u6708\u9593\u306e\u8ffd\u8de1\u8abf\u67fb\u30679\u540d\u306e\u60a3\u8005\u304c\u6b7b\u4ea1\u3057\uff0c6\u540d\u306e\u60a3\u8005\u304c\u30b3\u30db\u30fc\u30c8\u304b\u3089\u96e2\u8131\u3057\uff0c\u751f\u5b58\u671f\u9593\u306e\u5165\u9662\u6307\u6570\u306f12\uff0f\u751f\u5b58\u671f\u9593\uff08\u6708\u6570\uff09\u3067\u88dc\u6b63\u3057\u305f\uff0e<\/p>\n<p>12\u30f6\u6708\u9593\u306e\u524d\u5411\u304d\u5728\u9662\u65e5\u6570\u3092\u81e8\u5e8a\u7684\u4e88\u5f8c\u3068\u3057\u3066\u8a55\u4fa1\u3059\u308b\u305f\u3081\uff0c3\u3064\u306e\u65b9\u6cd5\u3092\u4f7f\u7528\u3057\u305f\uff0e\u5e74\u9593\u5165\u9662\u983b\u5ea6 (H1) \u306f12\u30f6\u6708\u9593\u306e\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u671f\u9593\u4e2d\u306e\u5165\u9662\u56de\u6570\u3068\u3057\uff0c\u5148\u306b\u5b9a\u7fa9\u3057\u305f\u3088\u3046\u306b\u500b\u3005\u306e\u5728\u9662\u65e5\u6570\u306e\u9577\u3055\u306f\u8003\u616e\u3057\u306a\u3044\uff0e\u5e74\u9593\u5728\u9662\u65e5\u6570 (H2) \u306f\u540c\u3058\u671f\u9593\u4e2d\u306e\u5168\u5728\u9662\u65e5\u6570\u306e\u5408\u8a08\u3068\u3057\u305f\uff0e\u5404\u500b\u4eba\u3054\u3068\u306b1\u5e74\u9593\u3067\uff0c\u7814\u7a76\u958b\u59cb\u65e5\u304b\u3089\u30ea\u30b9\u30af\u304c\u767a\u751f\u3057\u3066\u521d\u56de\u5165\u9662\u306b\u81f3\u308b\u307e\u3067\u306e\u65e5\u6570\u3092\u8a55\u4fa1\u3057\u3066\u751f\u5b58\u30e2\u30c7\u30eb\u3068\u3057\u305f (H3) \uff0e\u4f75\u305b\u3066\u500b\u4eba\u3054\u3068\u306e\u30ea\u30b9\u30af\u671f\u9593\u3092\u7814\u7a76\u958b\u59cb\u6642\u70b9\u304b\u3089\u6700\u521d\u306e\u5165\u9662\u65e5\u304b\uff0c\u6253\u3061\u5207\u308a\u30a4\u30d9\u30f3\u30c8\u304b\uff0c\u7814\u7a76\u958b\u59cb1\u5468\u5e74\u5f8c\u306e\u65e5\u307e\u3067\u306e\u65e5\u6570\u3068\u5b9a\u7fa9\u3057\u305f\uff0e\u30ea\u30b9\u30af\u671f\u9593\u306f\u79fb\u690d\u306e3\u65e5\u524d\u304b\u3089\u5207\u308a\u6368\u3066\u3089\u308c\u305f\uff0e\u79fb\u690d\u6cbb\u7642\u306e\u305f\u3081\u306e\u5165\u9662\u3092\u89b3\u5bdf\u3059\u308b\u306e\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u3067\u3042\u308b\uff0e<\/p>\n<h3>\u691c\u67fb\u5024<\/h3>\n<p>\u5c3f\u7d20\u9664\u53bb\u6bd4\u3092\u8a08\u7b97\u3059\u308b\u306e\u306b\u7528\u3044\u308b\u900f\u6790\u5f8c\u306e\u8840\u6e05\u5c3f\u7d20\u7a92\u7d20\u3092\u9664\u3044\u3066\uff0c\u900f\u6790\u524d\u306e\u691c\u67fb\u5024\u306f\u8fc5\u901f\u306b\u6e2c\u5b9a\u3057\u305f\uff0e\u305d\u306e\u969b\u6700\u5f8c\u306e\u9244\u5264\u9759\u6ce8\u304b\u3089\u6700\u4f4e\u3067\u308216\u65e5\u7a7a\u3051\u305f\uff0e\u8840\u6e05CRP\u306f\u708e\u75c7\u72b6\u614b\u306e\u6307\u6a19\u3068\u3057\u3066\u6e2c\u5b9a\u3057\uff0c\u514d\u75ab\u6bd4\u6fc1\u6cd5\u306b\u3088\u3063\u3066\u6e2c\u5b9a\u3057\u305f (Hitachi 747)\uff0eCRP \u306e\u6700\u4f4e\u611f\u5ea6\u306f 6.9 ng\/mL \u3067\u3042\u3063\u305f\uff0eCRP \u5024\u304c 6.9 ng\/mL \u4ee5\u4e0b\u3068\u5831\u544a\u3055\u308c\u305f\u60a3\u8005\u3067\u306f\uff0c\u7d71\u8a08\u89e3\u6790\u306e\u305f\u3081\u4efb\u610f\u306e\u5e73\u5747\u5024\u3068\u3057\u3066 3.4 ng\/mL \u3092\u7528\u3044\u305f\uff0e\u691c\u67fb\u5024\u306f\u81ea\u52d5\u6e2c\u5b9a\u88c5\u7f6e\u3067\u6e2c\u5b9a\u3057\u305f\uff0e\u3059\u3079\u3066\u306e\u691c\u67fb\u5024\u306f Spectra laboratories \u306b\u3088\u3063\u3066\u691c\u67fb\u3057\u305f\uff0e<\/p>\n<h3>\u900f\u6790\u3068\u75ab\u5b66\u624b\u6cd5<\/h3>\n<p>\u6700\u521d\u306b83\u540d\u306e\u60a3\u8005\u3067\u6a2a\u65ad\u7814\u7a76\u3092\u884c\u3044\uff0c\u305d\u306e\u5f8c12\u30f6\u6708\u9593\u306b\u308f\u305f\u3063\u3066\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3092\u884c\u3044\uff0c\u4e88\u5f8c\u306e\u9023\u7d9a\u5909\u6570\u3068\u3057\u3066\u306e\u5165\u9662\u30c7\u30fc\u30bf\u304a\u3088\u3073\u4e8c\u5206\u5316\u8ee2\u5e30\u3068\u3057\u3066\u306e\u6b7b\u4ea1\u7387\u3092\u691c\u8a3c\u3057\u305f\uff0e\u6211\u3005\u306f Pearson \u306e\u76f8\u95a2\u4fc2\u6570 r \u3092\u9023\u7d9a\u5909\u6570\u9593\u306e\u9078\u629e\u5206\u6790\u3068\u3057\u3066\u4f7f\u7528\u3057\u305f\uff0e\u7537\u6027\u3068\u5973\u6027\u306e\u9593\u306e\u7fa4\u9593\u6bd4\u8f03\u306b Student-t \u691c\u5b9a\uff08\u4e21\u5074\uff09\u3092\u4f7f\u7528\u3057\u305f\uff0ePearson\u306e\u76f8\u95a2\u4fc2\u6570 r \u306f\u95a2\u9023\u306e\u6709\u610f\u6027\u3068\u5f37\u5ea6\u3092\u5b9a\u7fa9\u3059\u308b\u306e\u306b\u7528\u3044\u305f\uff0eSpearman \u306e\u9806\u4f4d\u76f8\u95a2\u3082\u307e\u305f SGA \u3084\u4eba\u7a2e\uff0c\u57fa\u790e\u75be\u60a3\u306a\u3069\u306e\u30ce\u30f3\u30d1\u30e9\u30e1\u30c8\u30ea\u30c3\u30af\u6a5f\u80fd\u306e\u3088\u3046\u306a\u5909\u6570\u306b\u7528\u3044\u305f\uff0e\u305d\u3057\u3066\u305d\u306e\u7d50\u679c\u306f Pearson \u306e r \u3068\u6bd4\u8f03\u3057\u305f\uff0e\u591a\u5909\u91cf\u89e3\u6790\u3092\u884c\u3044\uff0c\u6027\u5225\u3084\u5e74\u4ee4\uff0c\u4eba\u7a2e\uff0c\u814e\u75be\u60a3\u306a\u3069\u3067\u4e00\u90e8\u8abf\u6574\u3057\u305f\u76f8\u95a2\u4fc2\u6570\u3092\u5f97\u305f\uff0e<\/p>\n<p>\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306b\u304a\u3051\u308b\u6700\u521d\u306e\u5165\u9662\u3068\u6b7b\u4ea1\u306e\u76f8\u5bfe\u5371\u967a\u5ea6\u3092\u8a08\u7b97\u3059\u308b\u305f\u3081\uff0c\u524d\u8ff0\u3057\u305f\u3088\u3046\u306b\u4eba\u53e3\u7d71\u8a08\u5b66\u7684\u5909\u6570\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3068\u3057\u305f Cox \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3092\u7528\u3044\u3066\u30cf\u30b6\u30fc\u30c9\u6bd4\u306895\uff05\u4fe1\u983c\u533a\u9593\u3092\u5f97\u305f\uff0e1.00 \u3092\u542b\u307e\u306a\u304495\uff05\u4fe1\u983c\u533a\u9593\u306f\u7d71\u8a08\u5b66\u7684\u6709\u610f\u3068\u8003\u3048\u3089\u308c\u308b\uff0eCox \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u3067\u8a08\u7b97\u3057\u305f R2 \u306f\uff08pseudo-R2 \u3068\u3057\u3066\u3082\u77e5\u3089\u308c\u308b\u304c\uff09\u4ed6\u306e\u591a\u5909\u91cf\u76f8\u95a2\u4fc2\u6570\u3068\u6bd4\u8f03\u3059\u308b\u306e\u306b\u7528\u3044\u3089\u308c\u308b\uff0eY\u8ef8\u3092\u751f\u5b58\u7387\u306e\u5bfe\u6570\u306e\u8ca0\u3068\u3057\uff0cX\u8ef8\u306b\u751f\u5b58\u671f\u9593\u306e\u5bfe\u6570\u3092\u30d7\u30ed\u30c3\u30c8\u3057\u305f\u4e21\u5bfe\u6570\u30b0\u30e9\u30d5\u3092\u63cf\u304d\uff0c\u7dda\u5f62\u6027\u306e\u4eee\u5b9a\u304c\u59a5\u5f53\u3067\u3042\u308b\u3053\u3068\u3092\u78ba\u7acb\u3057\u305f\uff0e\u5404\u3005\u306e\u591a\u5909\u91cf\u30e2\u30c7\u30eb\u306f\uff11\u3064\u306e\u4e88\u5f8c\u5909\u6570\uff08\u5f93\u5c5e\u5909\u6570\uff09\u3068\uff15\u3064\u306e\u4e88\u6e2c\u5909\u6570\uff08\u72ec\u7acb\u5909\u6570\uff09\uff0c\u5e74\u9f62\uff0c\u6027\u5225\uff0c\u4eba\u7a2e\uff0c\u57fa\u790e\u814e\u75be\u60a3\uff0c\u304a\u3088\u3073\u305d\u306e\u7279\u5b9a\u306e\u30e2\u30c7\u30eb\u3054\u3068\u306e\u5909\u6570\u3092\u542b\u3093\u3067\u3044\u308b\uff0e\u305d\u308c\u3086\u3048\uff0c\u4e00\u822c\u7684\u306a Cox \u56de\u5e30\u306e\u305f\u3081\u306e\u591a\u5909\u91cf\u30e2\u30c7\u30eb\u306f\u4ee5\u4e0b\u306e\u5f0f\u3068\u306a\u308b\uff0e<\/p>\n<p><img src='https:\/\/s0.wp.com\/latex.php?latex=%5Cdisplaystyle%5Clambda%28t%29%3D%5Clambda_%7B0%7D%28t%29%5Bexp%28b_%7B1%7Dage%2Bb_%7B2%7Dsex%2Bb_%7B3%7Drace%2Bb_%7B4%7Ddisease%2Bb_%7B5%7DX%29%5D&#038;bg=T&#038;fg=000000&#038;s=0' alt='\\displaystyle\\lambda(t)=\\lambda_{0}(t)[exp(b_{1}age+b_{2}sex+b_{3}race+b_{4}disease+b_{5}X)]' title='\\displaystyle\\lambda(t)=\\lambda_{0}(t)[exp(b_{1}age+b_{2}sex+b_{3}race+b_{4}disease+b_{5}X)]' class='latex' \/><\/p>\n<p><img src='https:\/\/s0.wp.com\/latex.php?latex=%5Clambda&#038;bg=T&#038;fg=000000&#038;s=0' alt='\\lambda' title='\\lambda' class='latex' \/>\u306f\u63a8\u5b9a\u5371\u967a\u5ea6\u3067\u3042\u308a\uff0ct \u306f\u30a4\u30d9\u30f3\u30c8\u304b\u691c\u95b2\u307e\u3067\u306e\u6642\u9593\u3067\u3042\u308a\uff0cb1 \u304b\u3089 b5 \u307e\u3067\u306f\u30e2\u30c7\u30eb\u306e\u9805\u306e\u4fc2\u6570\u3067\u3042\u308b\uff0eX \u306f\u524d\u8ff0\u3057\u305f\u5909\u6570\u3067\u3042\u308a\uff0cMIS \u306e\u7d50\u679c\u3084\u305d\u306e\u8981\u7d20\uff0c\u4ed6\u306e\u5909\u6570\uff08SGA, DMS, BMI, NIR \u3067\u6e2c\u5b9a\u3057\u305f\u4f53\u8102\u80aa\uff0cKt\/V \u3084\u60a3\u8005\u306e\u691c\u67fb\u5024\uff09\u3092\u542b\u3080\uff0e\u305d\u308c\u3086\u3048\u5404\u3005\u306e\u4e88\u6e2c\u5909\u6570\u3068\u8ee2\u5e30\uff08\u6700\u521d\u306e\u5165\u9662\u3084\u6b7b\u4ea1\uff09\u3068\u306e\u9593\u306e\u95a2\u9023\u306f\u72ec\u7acb\u3057\u305f\u591a\u5909\u91cf\u30e2\u30c7\u30eb\u3092\u7528\u3044\u3066\u7814\u7a76\u3057\u305f\uff0e\u305f\u3060\u3057\u5404\u3005\u306e\u30e2\u30c7\u30eb\u306b\u5747\u4e00\u306a\u30b1\u30fc\u30b9\u30df\u30c3\u30af\u30b9\u8abf\u6574\u3092\u7528\u3044\u3066\uff0e<\/p>\n<p>\u7d71\u8a08\u30bd\u30d5\u30c8\u30a6\u30a7\u30a2\u306e Stata 5.0 \u3092\u7528\u3044\u3066\u8a18\u8ff0\u7d71\u8a08\u3068\u591a\u5909\u91cf\u7d71\u8a08\u3092\u65bd\u884c\u3057\uff0c\u7d50\u679c\u306f\u5168\u3066\uff12\u756a\u76ee\u306e\u7d71\u8a08\u30bd\u30d5\u30c8 Statistica for Windows 5.1 \u3067\u691c\u8a3c\u3057\u305f\uff0e\u9650\u754c\u57fa\u6e96\u306f\u5e73\u5747\u5024\u00b1\u6a19\u6e96\u504f\u5dee\u3067\u5f97\u3089\u308c\u305f\uff0eP \u5024\u304c 0.05 \u672a\u6e80\u306f\u7d71\u8a08\u7684\u6709\u610f\u3068\u3057\uff0cP \u5024\u304c 0.05 \u30680.10 \u306e\u9593\u306f\u308f\u305a\u304b\u306b\u6709\u610f\u3068\u3057\uff0cP \u5024\u304c 0.10 \u3088\u308a\u5927\u304d\u3044\u5834\u5408\u306f\u6709\u610f\u3067\u306a\u3044\u3068\u3057\u305f\uff0e<\/p>\n<h2>\u7d50\u679c<\/h2>\n<p>Table 1 \u306b\u81e8\u5e8a\u30c7\u30fc\u30bf\u53ca\u3073\u691c\u67fb\u5024\u3092\u5217\u6319\u3057\u305f\uff0e\u5e74\u9f62\u306f22\u624d\u304b\u308987\u624d\u307e\u3067\uff0855.8\u6b73\u00b115.3\u6b73\uff09\uff0c\u900f\u6790\u6b74\uff08\u6162\u6027\u900f\u6790\u6cbb\u7642\u671f\u9593\uff09\u306f4\u30f6\u6708\u304b\u308912\u5e74\u307e\u3067\uff0843\u30f6\u6708\u9593\u00b133\u30f6\u6708\u9593\uff09\u3060\u3063\u305f\uff0e\u7406\u60f3\u4f53\u91cd\uff0869.1kg\u00b119.6kg\uff09\u306f\u900f\u6790\u76f4\u5f8c\u306e\u6d6e\u816b\u306e\u306a\u3044\u4f53\u91cd\u306e\u5e73\u5747\u5024\u3067\u3042\u308b\uff0e\u900f\u6790\u9593\u306e\u4f53\u91cd\u5897\u52a0\u306f 1.74 kg \u00b1 0.56 kg \u3067\u3042\u3063\u305f\uff0e4\u540d\u306e\u60a3\u8005\u306f\u30a8\u30ea\u30b9\u30ed\u30dd\u30a8\u30c1\u30f3\u304c\u4e0d\u8981\u3067\u3042\u3063\u305f\uff0e\u6b8b\u308a\u306e\u60a3\u8005\u306f\u30a8\u30ea\u30b9\u30ed\u30dd\u30a8\u30c1\u30f3\u306e\u9759\u6ce8\u6295\u4e0e\u3092\u53d7\u3051\u3066\u304a\u308a\uff0c\u9031\u306b3000\u5358\u4f4d\u304b\u308936000\u5358\u4f4d\u307e\u3067\uff087928\u5358\u4f4d\u00b17730\u5358\u4f4d\uff09\u3067\u3042\u3063\u305f\uff0e78\u540d\u306e\u60a3\u8005\u304c\u9244\u5264 (200mg\/\u6708) \u306e\u6295\u4e0e\u3092\u6301\u7d9a\u7684\u306b\u53d7\u3051\u3066\u304a\u308a\uff0c\u4ed6\u306e\u60a3\u8005\u306f\u9244\u5264\u3092\u7d4c\u53e3\u7684\u306b\u5185\u670d\u51e6\u65b9\u3055\u308c\u3066\u3044\u305f\uff0e\u5973\u6027\u306f\u7537\u6027\u3088\u308a\u5e73\u5747\u306711\u6b73\u5e74\u9f62\u304c\u4e0a\u3067\u3042\u3063\u305f\uff0e\u76ae\u4e0b\u8102\u80aa\u6e2c\u5b9a\uff0c\u4f53\u8102\u80aa\u7387\uff0cKt\/V \u306f\u5973\u6027\u306e\u307b\u3046\u304c\u9ad8\u304f\uff0cMAMC\uff0c\u9664\u8102\u80aa\u4f53\u91cd\uff0c\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u306f\u7537\u6027\u306e\u307b\u3046\u304c\u9ad8\u304b\u3063\u305f\uff0e3\u3064\u306e\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0 (SGA, DMS, MIS) \u3067\u306f\u7537\u5973\u9593\u306e\u5dee\u7570\u306f\u6709\u610f\u3067\u306f\u306a\u304b\u3063\u305f\uff0e<\/p>\n<p>Table 2 \u306b3\u3064\u306e\u6804\u990a\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u306e\u76f8\u95a2\u4fc2\u6570\u304a\u3088\u3073\u95a2\u9023\u3059\u308b\u5909\u6570\u3092\u793a\u3059\uff0e3\u3064\u306e\u6804\u990a\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u306e\u4e2d\u3067\u306f MIS \u304c\u5165\u9662\u3092\u4e88\u6e2c\u3059\u308b\u306e\u306b\u6700\u3082\u5f37\u529b\u3067\u3042\u3063\u305f\uff08\u8abf\u6574\u76f8\u95a2\u4fc2\u6570\u306f\u5728\u9662\u65e5\u6570\u3067 0.45, \u5165\u9662\u983b\u5ea6\u3067 0.46\uff09\uff0eSGA \u306f\u76ae\u4e0b\u8102\u80aa\u539a\uff0cMAC\uff0c\u4f53\u8102\u80aa\u7387\u306b\u3088\u308a\u5f37\u304f\u76f8\u95a2\u3059\u308b\u50be\u5411\u304c\u3042\u3063\u305f\uff0e\u76ae\u4e0b\u8102\u80aa\u8a08\u6e2c\u3068\u4f53\u8102\u80aa\u3067\u306f DMS \u3068 MIS \u306e\u3069\u3061\u3089\u3082\u8fd1\u3044\u76f8\u95a2\u304c\u3042\u3063\u305f\u304c\uff0c\u4e0a\u8155\u8a08\u6e2c\u3084\u9664\u8102\u80aa\u4f53\u91cd\uff0cBMI \u3067\u306f MIS \u304c\u3088\u308a\u5f37\u3044\u76f8\u95a2\u3092\u793a\u3057\u305f\uff0e\u307b\u3068\u3093\u3069\u3059\u3079\u3066\u306e\u691c\u67fb\u5024\u3067\u306f MIS \u304c SGA \u3084 DMS \u3068\u6bd4\u8f03\u3057\u3066\u3088\u308a\u5f37\u3044\u76f8\u95a2\u3092\u793a\u3057\u305f\uff0e\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u3068\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\u5024\u306f SGA \u3068 DMS \u3067\u306f\u6709\u610f\u306a\u76f8\u95a2\u306f\u306a\u304b\u3063\u305f\u304c\uff0cMIS \u3067\u306f\u6709\u610f\u306b\u76f8\u95a2\u3057\u3066\u3044\u305f\uff0e\u3053\u306e\u3053\u3068\u306f\u4f4e\u6804\u990a\u306e\u7dad\u6301\u900f\u6790\u60a3\u8005\u306f MIS \u5024\u304c\u9ad8\u3044\u307b\u3069\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u304c\u4f4e\u304f\u91cd\u5ea6\u306e\u8ca7\u8840\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\uff0e\u3057\u304b\u3057\u306a\u304c\u3089\uff0cMIS \u306b\u306f\u65e2\u306b2\u3064\u306e\u691c\u67fb\u5024\u3092\u5185\u5305\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u6539\u3081\u3066\u8868\u660e\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\uff0e\u305d\u308c\u3086\u3048\uff0cMIS \u3068\u305d\u308c\u3089\u306e\u691c\u67fb\u5024\u3068\u306e\u76f8\u95a2\u306f\u5c11\u306a\u304f\u3068\u3082\u4e00\u90e8\u306f\u6570\u5b66\u7684\u5171\u5f79\uff08\u591a\u91cd\u5171\u7dda\u6027\uff1f\uff09\u3067\u3042\u308b\u3053\u3068\u304c\u4e88\u60f3\u3055\u308c\u308b\uff0e\u8840\u6e05 CRP \u5024\u306f DMS \u3068\u306f\u76f8\u95a2\u305b\u305a\uff0cSGA \u306b\u5f31\u3044\u76f8\u95a2\u304c\u898b\u3089\u308c\u305f\u306e\u307f\u3067\u3042\u3063\u305f\uff0e\u3057\u304b\u3057 CRP \u5024\u306f MIS \u3068\u306f\u5f37\u3044\u76f8\u95a2 (r = 0.41; P < 0.01) \u304c\u898b\u3089\u308c\u305f\uff0e\u3053\u306e\u3053\u3068\u306f MIS \u304c\u91cd\u75c7\u5ea6\u3060\u3051\u3067\u306a\u304f\u708e\u75c7\u306e\u7a0b\u5ea6\u3092\u3082\u53cd\u6620\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\uff0e3\u3064\u306e\u6804\u990a\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u306f\u5168\u3066\u5e74\u9f62\u3068\u6b63\u306e\u76f8\u95a2\u3092\u793a\u3057\u305f\uff0e\u3053\u308c\u306f\u9ad8\u9f62\u306e\u60a3\u8005\u307b\u3069\u3088\u308a\u91cd\u75c7\u306e\u86cb\u767d\u8cea\u30a8\u30cd\u30eb\u30ae\u30fc\u4f4e\u6804\u990a\u3068\u708e\u75c7\u3092\u6709\u3059\u308b\u50be\u5411\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\uff0e\u30a2\u30eb\u30d6\u30df\u30f3\uff0cBMI\uff0c\u305d\u3057\u3066\u6050\u3089\u304f\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3\u3082\u900f\u6790\u4e88\u5f8c\u3092\u898f\u5b9a\u3059\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u305f\u3081\uff0c\u6211\u3005\u306f\u3053\u308c\u3089\u306e\u5024\u3092 MIS \u3068\u6bd4\u8f03\u3059\u308b\u3053\u3068\u3092\u9078\u51fa\u3057\u305f\uff0e\u6211\u3005\u306f\u76f8\u95a2\u65b9\u6cd5\u306f\u5c11\u306a\u304f\u3068\u3082\u6570\u5b66\u7684\u5171\u5f79\u306e\u4e00\u90e8\u3067\u3042\u308b\u3053\u3068\u3092\u8a8d\u3081\u3066\u3044\u305f\u306e\u3060\u304c\uff0e<\/p>\n<p>Table 3 \u306b\u591a\u69d8\u306a\u69d8\u3005\u306a\u5bfe\u7b56\u306e\u76f8\u95a2\u4fc2\u6570\u3068\u5165\u9662\u983b\u5ea6\u3092\u793a\u3057\u305f\uff0e\u3053\u306e\u8868\u306b\u305d\u308c\u3089\u306e\u5024\u306e\u307f\u8a18\u8f09\u3057\u305f\uff0c\u3069\u306e\u5165\u9662\u983b\u5ea6\u3068\u3082\u6709\u610f\u306b\u76f8\u95a2\u3059\u308b\u4fc2\u6570\u3092\u5c11\u306a\u304f\u3068\u3082\uff11\u3064\u793a\u3057\u3066\u3044\u308b\u5024\u3092\uff0e\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u306f MIS \u306e\u305d\u308c\u3088\u308a\u308f\u305a\u304b\u306b\u5927\u304d\u306a\u76f8\u95a2\u4fc2\u6570\u3092\u6301\u3064\u552f\u4e00\u306e\u5024\u3060\u3063\u305f\uff0e\u8840\u6e05 CRP\uff0c\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\uff0c\u30d5\u30a7\u30ea\u30c1\u30f3\uff0c\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u3082\u307e\u305f\u5165\u9662\u983b\u5ea6\u306b\u5bfe\u3057\u3066\u7d71\u8a08\u7684\u6709\u610f\u3067\u3042\u3063\u305f\uff0eMIS \u306b\u5bfe\u3059\u308b\u30a2\u30eb\u30d6\u30df\u30f3\u307b\u3069\u5f37\u304f\u306f\u306a\u304b\u3063\u305f\u304c\uff0e<\/p>\n<p>12\u30f6\u6708\u9593\u306e\u89b3\u5bdf\u671f\u9593\u4e2d\u306b9\u540d\u306e\u60a3\u8005\u304c\u6b7b\u4ea1\u3057\u305f\uff08\u5e73\u5747\u6b7b\u4ea1\u7d4c\u904e\u6708\u6570\u306f 6.9 \u00b1 2.7 \u30f6\u6708\uff09\uff0e6\u540d\u306e\u60a3\u8005\u304c\u30b3\u30db\u30fc\u30c8\u304b\u3089\u96e2\u8131\u3057\u305f\uff0c3\u540d\u306e\u60a3\u8005\u306f\u814e\u79fb\u690d\u3092\u53d7\u3051\uff0c2\u540d\u306e\u60a3\u8005\u306f\u900f\u6790\u65b9\u6cd5\u3092\u8179\u819c\u900f\u6790\u306b\u5909\u66f4\u3057\uff0c1\u540d\u306e\u60a3\u8005\u306f\u4ed6\u306e\u5834\u6240\u3078\u5f15\u8d8a\u3057\u3066\u3044\u3063\u305f\uff0e46\u540d\u306e\u60a3\u8005\u304c\u3053\u306e\u671f\u9593\u4e2d\u306b\u5c11\u306a\u304f\u3068\u3082\u4e00\u56de\u306f\u5165\u9662\u3057\u305f\uff0e<\/p>\n<p>Table 4 \u306b\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306e\u958b\u59cb\u6642\u306e\u521d\u671f\u5024\u3068\u6700\u521d\u306e\u5165\u9662\u307e\u3067\u306e\u6642\u9593 (H3) \u306b\u57fa\u3065\u304f Cox \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u306b\u3088\u308b\u6700\u521d\u306e\u5165\u9662\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306895\uff05\u4fe1\u983c\u533a\u9593\u3092\u793a\u3059\uff0e\u305d\u306e\u30e2\u30c7\u30eb\u306f\u5e74\u4ee4\uff0c\u6027\u5225\uff0c\u4eba\u7a2e\uff0c\u57fa\u790e\u814e\u75be\u60a3\u3092\u8abf\u6574\u3057\u3066\u76f8\u5bfe\u5371\u967a\u5ea6\u3092\u63a8\u5b9a\u3057\u305f\uff0eTable 4 \u306b\u306f\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a (P < 0.05) \u76f8\u5bfe\u6b7b\u4ea1\u5371\u967a\u5ea6\u306e\u307f\u793a\u3057\u305f\uff0e3\u3064\u306e\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u306e\u4e2d\u3067\u306f MIS \u304c H3 \u3068\u6700\u3082\u5f37\u304f\u76f8\u95a2\u3057\u3066\u3044\u305f\uff0e\u6700\u521d\u306e\u5165\u9662\u306e\u76f8\u5bfe\u5371\u967a\u5ea6\u306f MIS \u304c 3.83 \u4e0a\u6607\u3059\u308b\u306810\u5358\u4f4d\u5897\u52a0\u3057\u305f\uff0895\uff05\u4fe1\u983c\u533a\u9593\u306f 1.85 \u304b\u3089 7.94; P < 0.001\uff09\uff0eDMS \u306f\u5f31\u3044\u76f8\u95a2\u3057\u304b\u306a\u304b\u3063\u305f\uff0e\u4ed6\u306e\u5909\u6570\u3067\u306f\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u304c H3 \u306e\u5f37\u3044\u4e88\u6e2c\u56e0\u5b50\u3068\u306a\u3063\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd4 4.48; 95%\u4fe1\u983c\u533a\u9593 2.16-9.28; P = 0.001\uff09\uff0e\u8840\u6e05 CRP \u3082\u307e\u305f H3 \u3068\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u95a2\u9023\u3092\u793a\u3057\u305f\uff0e\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306f\u50c5\u304b\u306a\u95a2\u9023\u306e\u307f\u3060\u3063\u305f\uff0eCox \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3067\u306f\uff0c\u4ed6\u306e\u3059\u3079\u3066\u306e\u81e8\u5e8a\u5909\u6570\u30fb\u691c\u67fb\u5024\u5909\u6570\u30fb\u56f3\u793a\u3057\u305f\u5909\u6570\u306f H3 \u3068\u306f\u7d71\u8a08\u7684\u6709\u610f\u306a\u95a2\u9023\u306f\u793a\u3055\u306a\u304b\u3063\u305f\uff0e<\/p>\n<p>Table 5 \u306b\u306f H3 \u306b\u3064\u3044\u3066\u5148\u8ff0\u3057\u305f\u306e\u3068\u540c\u69d8 Cox \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3092\u7528\u3044\u3066\u6b7b\u4ea1\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306895\uff05\u4fe1\u983c\u533a\u9593\u3092\u793a\u3057\u305f\uff0e\u7d71\u8a08\u7684\u6709\u610f\u306a\u76f8\u5bfe\u6b7b\u4ea1\u5371\u967a\u5ea6\u306e\u5024\u306e\u307f Table 4 \u306b\u793a\u3057\u305f\uff0e\u305f\u3060\u3057\u3053\u3053\u3067\u8ff0\u3079\u3066\u304a\u304f\u304c\uff0c\u4ed6\u306e\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u3068\u6bd4\u8f03\u3057\u3066DMS \u306f\u9664\u5916\u3057\u3066\u3042\u308b(P = 0.06)\uff0e3\u3064\u306e\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u306e\u4e2d\u3067\u306f MIS \u304c\u6700\u3082\u5f37\u304f\u524d\u5411\u304d\u6b7b\u4ea1\u7387\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff0eMIS \u304c 10.43 \u5897\u52a0\u3059\u308b\u3068\u76f8\u5bfe\u6b7b\u4ea1\u5371\u967a\u5ea6\u306f10\u5358\u4f4d\u5897\u52a0\u3057\u305f\uff0895\uff05\u4fe1\u983c\u533a\u9593 2.28 \u304b\u3089 47.64; P = 0.002\uff09\uff0eSGA \u306b\u306f\u5f31\u3044\u95a2\u4fc2\u3057\u304b\u306a\u304f\uff0cDMS \u306b\u306f\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\u306a\u304b\u3063\u305f\uff0e\u4ed6\u306e\u5909\u6570\u3067\u306f\uff0c\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u3082\u307e\u305f\u6b7b\u4ea1\u306e\u5f37\u3044\u4e88\u6e2c\u56e0\u5b50\u3068\u306a\u3063\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd4 7.21; 95%\u4fe1\u983c\u533a\u9593 2.47 \u304b\u3089 11.74; P = 0.001\uff09\uff0e\u8840\u6e05 CRP\uff0c\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\uff0c\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u3082\u307e\u305f\u5e74\u9593\u6b7b\u4ea1\u7387\u3068\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u95a2\u9023\u3092\u793a\u3057\u305f\uff0e\u4ed6\u306e\u3059\u3079\u3066\u306e\u81e8\u5e8a\u30c7\u30fc\u30bf\uff0c\u691c\u67fb\u5024\uff0c\u56f3\u793a\u3057\u305f\u5909\u6570\u306f Cox \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u306b\u3088\u308b\u6b7b\u4ea1\u7387\u3068\u306f\u7d71\u8a08\u7684\u6709\u610f\u306a\u95a2\u9023\u3092\u793a\u3055\u306a\u304b\u3063\u305f\uff0e<\/p>\n<p>Table 6 \u306b\u306fMIS \u306e10\u306e\u8981\u7d20\u3068 MIS \u5024\u3068\u306b\u5bfe\u3059\u308b\u6700\u521d\u306e\u5165\u9662\u3068\u6b7b\u4ea1\u306e\u30b1\u30fc\u30b9\u30df\u30c3\u30af\u30b9\u8abf\u6574\u3057\u305f\u30cf\u30b6\u30fc\u30c9\u6bd4\u3092\u793a\u3057\u305f\uff0eMIS \u306e\u5404\u8981\u7d20\u3092\u524d\u8ff0\u3057\u305f\u3088\u3046\u306b0\u304b\u30893\u307e\u3067\u5897\u52a0\u3059\u308b\u5909\u6570\u3068\u3057\u3066 Cox \u30e2\u30c7\u30eb\u306b\u5165\u529b\u3057\u305f\uff0e6\u3064\u306e MIS \u306e\u8981\u7d20\u306f\u6700\u521d\u306e\u5165\u9662 (H3) \u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306b\u5bfe\u3057\u3066\u7d71\u8a08\u7684\u6709\u610f\u3092\u793a\u3057\uff0c5\u3064\u306e MIS \u8981\u7d20\u306f\u6b7b\u4ea1\u306b\u5bfe\u3057\u3066\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u30cf\u30b6\u30fc\u30c9\u6bd4\u3092\u793a\u3057\u305f\uff0e\u76ae\u4e0b\u8102\u80aa\u3068\u7b4b\u59d4\u7e2e\u306b\u5bfe\u3059\u308b\u4e3b\u89b3\u7684\u70b9\u6570\u304c H3 \u306b\u5bfe\u3057\u3066\u6700\u3082\u5f37\u3044\u95a2\u9023\u3092\u793a\u3057\uff0c\u76ae\u4e0b\u8102\u80aa\u3068\u904b\u52d5\u8010\u5bb9\u80fd\u306f\u6b7b\u4ea1\u306b\u5bfe\u3057\u3066\u6700\u3082\u5f37\u3044\u95a2\u9023\u3092\u793a\u3057\u305f\uff0e\u3057\u304b\u3057 MIS \u5024\u306f H3 \u3068\u6b7b\u4ea1\u7387\u306b\u5bfe\u3057\u3066\u306f10\u500b\u306e\u3069\u306e\u8981\u7d20\u3088\u308a\u3082\u3082\u3063\u3068\u5f37\u529b\u3067\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f (Table 6)\uff0e<\/p>\n<p>Table 7 \u306b\u306f DMS \u306e\u30aa\u30ea\u30b8\u30ca\u30eb\u306e7\u3064\u306e\u8981\u7d20\u306b\u5bfe\u3057\u3066\u4ed8\u52a0\u7684\u306a3\u3064\u306e\u8981\u7d20\u3067\u3042\u308b\u30a2\u30eb\u30d6\u30df\u30f3\uff0cTIBC\uff0cBMI\u306b\u57fa\u3065\u304f MIS \u30e2\u30c7\u30eb\u306e\u9010\u6b21\u5c55\u958b\u3092\u793a\u3057\u305f\uff0e\u6700\u521d\u306e\u5217\u306f\uff08\u591a\u5909\u91cf\u89e3\u6790\u3057\u3066\uff09\u30b1\u30fc\u30b9\u30df\u30c3\u30af\u30b9\u8abf\u6574\u3057\u305f\u6b7b\u4ea1\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306e\u76f8\u95a2\u4fc2\u6570 R2 \u3092\u793a\u3059\uff08Cox \u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3067\u306f pseudo-R2 \u3068\u3057\u3066\u77e5\u3089\u308c\u308b\uff09\uff0e\u305d\u306e\u5f8c\u306e\u5217\u306b\u306f\u5165\u9662\u6307\u6570 (H1 \u304b\u3089 H3 \u307e\u3067) \u306e\u591a\u5909\u91cf R2 \uff0c\u8840\u6e05 CRP \u5024\uff0c\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u5024\uff0cMAMC\uff0cMIR \u4f53\u8102\u80aa\u7387\u304c\u591a\u5909\u91cf\u7dda\u5f62\u56de\u5e30\u30e2\u30c7\u30eb\u306b\u57fa\u3065\u3044\u3066\u793a\u3057\u3066\u3042\u308b\u304c\uff0c\u6700\u521d\u306e\u5165\u9662 H3 \u306f\u9664\u5916\u3057\u3066\u3042\u308b\uff0eCox \u30e2\u30c7\u30eb\u306b\u57fa\u3065\u304f\u6b7b\u4ea1\u30cf\u30b6\u30fc\u30c9\u6bd4\u306b\u8fd1\u63a5\u3057\u3066\u3044\u308b\u305f\u3081\u3067\u3042\u308b\uff0e\u6700\u521d\u306e\uff17\u3064\u306e\u884c\u306f\uff0c\u6700\u521d\u306e\uff17\u3064\u306e\u8981\u7d20 (DMS*) \u306b\u5bfe\u3057\u3066\u4ee5\u524d\u8a00\u53ca\u3057\u305f\u8981\u7d20\uff08\u30a2\u30eb\u30d6\u30df\u30f3\uff0cTIBC\uff0cBMI\uff09\u306e\u3046\u3061\u4e00\u3064\u304b\u305d\u308c\u4ee5\u4e0a\u306e\u4ed8\u52a0\u8981\u7d20\u306b\u57fa\u3065\u304f\u63a1\u70b9\u30b7\u30b9\u30c6\u30e0\u306e\u30e2\u30c7\u30eb\u306e\u69d8\u3005\u306a\u7d44\u307f\u5408\u308f\u305b\u3092\u793a\u3057\u3066\u3044\u308b\uff0e8\u756a\u76ee\u306e\u884c\u306f MIS \u306e\u30d5\u30eb\u30d0\u30fc\u30b8\u30e7\u30f3\u3067\u3042\u308a\uff0c\uff08*\u3067\u793a\u3057\u305f\uff09DMS \u30683\u3064\u306e\u4ed8\u52a0\u8981\u7d20\u3067\u3042\u308b\uff0e9\u884c\u76ee\u306f\u30a2\u30eb\u30d6\u30df\u30f3\u3092 CRP \u3067\u7f6e\u304d\u63db\u3048\u305f\u63a1\u70b9\u30e2\u30c7\u30eb\u3092\u793a\u3059\uff0eMIS \u3067\u306f H3 \u3068\u6b7b\u4ea1\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u304c\u6700\u5f37\u3067\u3042\u308b\uff0e3\u3064\u306e\u65b0\u3057\u3044\u8981\u7d20\u3092\u8ffd\u52a0\u3059\u308b\u3053\u3068\u3067\u6b7b\u4ea1\u7387\u306e\u30d9\u30b9\u30c8\u306e\u6307\u6a19\u3092\u4f5c\u308b\u3053\u3068\u304c\u6b63\u5f53\u5316\u3055\u308c\u308b\uff0eTIBC \u3092\u6b20\u3044\u305f\u30e2\u30c7\u30eb\u304c\u5165\u9662\u983b\u5ea6 (H1 \u3068 H2) \u3068\u4f53\u8102\u80aa\u7387\u306b\u50c5\u304b\u306a\u76f8\u95a2\u3057\u304b\u306a\u3044\u3068\u3057\u3066\u3082\uff0cMIS \u306f H3 \u3068\u6b7b\u4ea1\u7387\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306b\u304a\u3044\u3066\u3060\u3051\u3067\u306a\u304f\uff0cCRP \u5024\uff0c\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u5024\uff0cMAMC \u3068\u306e\u5f37\u3044\u76f8\u95a2\u3092\u8003\u616e\u3057\u3066\u3082\uff0c\u307e\u3060\u4e0a\u56de\u308b\uff0eMIS \u306f\u8fd1\u8d64\u5916\u5206\u5149\u65b9\u5f0f\u3067\u6e2c\u5b9a\u3057\u305f\u4f53\u8102\u80aa\u7387\u3068\u306f\u6700\u3082\u5f37\u304f\u76f8\u95a2\u3057\u3066\u306f\u3044\u306a\u304b\u3063\u305f\u304c\uff0cMAMC \u3068\u306e\u76f8\u95a2\u3092\u8003\u616e\u3059\u308b\u3068\u6700\u3082\u826f\u3044\u4e88\u6e2c\u30e2\u30c7\u30eb\u3067\u3042\u3063\u305f\uff0e<\/p>\n<p>Table 7 \u306b\u304a\u3044\u30669\u756a\u76ee\u306e\u30e2\u30c7\u30eb\u306f\u30a2\u30eb\u30d6\u30df\u30f3\u3092 CRP \u3067\u7f6e\u304d\u63db\u3048\u305f\u3082\u306e\u3067\uff0cMAMC\uff0cMIR \u4f53\u8102\u80aa\uff0c\u305d\u3057\u3066\u3082\u3061\u308d\u3093 CRP \u3068\u3088\u308a\u5f37\u3044\u76f8\u95a2\u3092\u793a\u3057\u305f\uff0e\u3057\u304b\u3057\u6b7b\u4ea1\u30cf\u30b6\u30fc\u30c9\u6bd4\uff0c\u5168\u3066\u306e3\u3064\u306e\u5165\u9662\u6307\u6a19\uff0c\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u5024\u306f\u305d\u308c\u307b\u3069\u5f37\u304f\u306a\u304b\u3063\u305f\uff0e\u305d\u308c\u3086\u3048 CRP \u3067\u306f\u306a\u304f\u30a2\u30eb\u30d6\u30df\u30f3\u3092\u7528\u3044\u305f\u30aa\u30ea\u30b8\u30ca\u30eb\u306e MIS \u304c\u3088\u308a\u6709\u7528\u3068\u5224\u660e\u3057\u305f\uff0e\u4ed6\u306e\u30e2\u30c7\u30eb\u3082\u4f5c\u6210\u3057\u3066\u691c\u8a3c\u3057\u3066\u307f\u305f\u304c\uff0c\u4f8b\u3048\u3070 CRP \u5024\u309210\u500b\u306e\u8981\u7d20\u306b\u8ffd\u52a0\u3057\u306611\u500b\u306e\u8981\u7d20\u306b\u3059\u308b\u306a\u3069\uff0c\u5927\u90e8\u5206\u306e\u76f8\u95a2\u4fc2\u6570\u304c\u6539\u5584\u3059\u308b\u3068\u671f\u5f85\u3055\u308c\u305f\u306b\u3082\u95a2\u308f\u3089\u305a\u5897\u52a0\u306f\u3054\u304f\u308f\u305a\u304b\u3067\u3042\u3063\u305f\uff08\u30c7\u30fc\u30bf\u306f\u793a\u3055\u306a\u3044\uff09\uff0e\u3055\u3089\u306b CRP \u306f\u591a\u304f\u306e\u533b\u7642\u6a5f\u95a2\u306b\u304a\u3044\u3066\u306f\u3044\u3064\u3082\u6e2c\u5b9a\u3059\u308b\u691c\u67fb\u9805\u76ee\u3067\u306f\u306a\u3044\uff0e\u305d\u308c\u3086\u3048\uff0c\u4e00\u822c\u306b\u306f MIS \u304c\u708e\u75c7\u6307\u6a19\u3084\u8eab\u4f53\u6e2c\u5b9a\u5024\uff0c\u8ca7\u8840\u540c\u69d8\u306b\u5168\u4f53\u7684\u306a\u4e88\u5f8c\u3068\u3088\u304f\u76f8\u95a2\u3059\u308b\u6700\u826f\u306e\u30e2\u30c7\u30eb\u3067\u3042\u308b\u3068\u5206\u304b\u3063\u305f\uff0e<\/p>\n<h2>\u8003\u5bdf<\/h2>\n<p>\u5f93\u6765\u306e SGA \u306e\u8981\u7d20\u306b BMI \u3068\uff12\u3064\u306e\u691c\u67fb\u5024\u3092\u7d50\u5408\u3057\u3066\u6211\u3005\u306f\u5b9a\u91cf\u7684\u3067\u5305\u62ec\u7684\u306a MIS \u3092\u958b\u767a\u3057\u305f\uff0e\u305d\u308c\u306f\u7c21\u6613\u3067\u5b9f\u7528\u7684\uff0c\u518d\u73fe\u6027\u304c\u3042\u308a\uff0c\u3082\u3063\u3068\u5ba2\u89b3\u7684\u306b\u4f4e\u6804\u990a\u3068\u708e\u75c7\u3092\u8a55\u4fa1\u3059\u308b\u65b9\u6cd5\u3067\u3042\u308b\uff0eMIS \u306f\u5305\u62ec\u7684\u306a\u63a1\u70b9\u65b9\u6cd5\u3067\u3042\u308a\uff0c\u524d\u5411\u304d\u306e\u5165\u9662\u6307\u6570\uff0c\u6b7b\u4ea1\u7387\uff0c\u6804\u990a\u3084\u708e\u75c7\u30fb\u8ca7\u8840\u306e\u4ee3\u7406\u3068\u6709\u610f\u306a\u5f37\u3044\u76f8\u95a2\u3092\u6301\u3064\uff0e\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u6804\u990a\u3068\u708e\u75c7\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3068\u500b\u4eba\u3054\u3068\u306e\u91cd\u5ea6\u306e\u7f79\u60a3\u7387\u3084\u81f4\u6b7b\u7684\u30a4\u30d9\u30f3\u30c8\u306e\u9ad8\u3044\u30ea\u30b9\u30af\u3092\u540c\u5b9a\u3059\u308b\u3053\u3068\u306e\u8a55\u4fa1\u304c\u4fe1\u983c\u3067\u304d\u308b\u3068\u5206\u304b\u3063\u305f\uff0e<\/p>\n<p>\u4f4e\u6804\u990a\u3068\u708e\u75c7\u306f\u7dad\u6301\u900f\u6790\u60a3\u8005\u306b\u306f\u4e00\u822c\u7684\u306b\u8d77\u3053\u308b\u3053\u3068\u3067\u3042\u308a\uff0c\u4e0d\u826f\u306a\u81e8\u5e8a\u72b6\u614b\u3084\u3053\u306e\u60a3\u8005\u7fa4\u306b\u304a\u3051\u308b\u66f4\u306b\u60aa\u3044\u4e88\u5f8c\u3068 MICS \u304c\u95a2\u4fc2\u3057\u3066\u3044\u308b\u3068\u306f\u307e\u3060\u5341\u5206\u306b\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u306a\u3044\uff0e\u305d\u308c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\uff0c\u900f\u6790\u60a3\u8005\u306e\u6804\u990a\u3068\u708e\u75c7\u306e\u7d71\u4e00\u3057\u305f\u8a55\u4fa1\u65b9\u6cd5\u304c\u306a\u3044\uff0e\u3088\u304f\u77e5\u3089\u308c\u305f\u8eab\u4f53\u6e2c\u5b9a\u304b\u3089\u7cbe\u5de7\u306a\u6280\u8853\u3092\u7528\u3044\u305f\u3082\u306e\u307e\u3067\uff0c\u3044\u304f\u3064\u304b\u306e\u4f4e\u6804\u990a\u306e\u6307\u6570\u304c\u5229\u7528\u3067\u304d\u308b\uff0e\u4f8b\u3048\u3070\u4e8c\u91cd\u30a8\u30cd\u30eb\u30ae\u30fcX\u7dda\u5438\u53ce\u6cd5\u306a\u3069\uff0e\u3057\u304b\u3057\uff0c\u86cb\u767d\u8cea\u30a8\u30cd\u30eb\u30ae\u30fc\u4f4e\u6804\u990a\u3092\u691c\u51fa\u3059\u308b\u305d\u306e\u65b9\u6cd5\u306e\u4fe1\u983c\u6027\u3068\u5b9f\u7528\u6027\u306b\u8aac\u5f97\u529b\u306f\u306a\u3044\uff0e\u3055\u3089\u306b\uff0c\u900f\u6790\u60a3\u8005\u306e\u4e2d\u3067\u708e\u75c7\u72b6\u614b\u3092\u6e2c\u5b9a\u3059\u308b\u65b9\u6cd5\u306f\u3088\u304f\u7814\u7a76\u3055\u308c\u3066\u304a\u3089\u305a\uff0c\u7a2e\u3005\u306e\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u3092\u3088\u308a\u7cbe\u5de7\u306b\u6e2c\u5b9a\u3059\u308b\u65b9\u6cd5\u306f\u9ad8\u4fa1\u3067\uff0c\u307e\u3060\u8b70\u8ad6\u306e\u3042\u308b\u3068\u3053\u308d\u3067\u3042\u308a\uff0c\u5229\u7528\u3059\u308b\u306b\u3082\u7814\u7a76\u65bd\u8a2d\u306b\u3088\u308a\u5236\u7d04\u3055\u308c\u308b\uff0e<\/p>\n<p>SGA \u306f\u7c21\u4fbf\u3067\u4fe1\u983c\u3067\u304d\u308b\u30c4\u30fc\u30eb\u3067\u3042\u308a\uff0c\u6804\u990a\u72b6\u614b\u3092\u691c\u51fa\u3057\u75be\u75c5\u306e\u7a0b\u5ea6\u3092\u4e88\u6e2c\u3059\u308b\u3053\u3068\u304c\u691c\u8a3c\u3055\u308c\u305f\u306b\u3082\u95a2\u308f\u3089\u305a\uff0c\u305d\u308c\u306f\u305f\u3063\u305f3\u3064\u306e\u6804\u990a\u72b6\u614b\u3092\u542b\u3093\u3060\u534a\u5b9a\u91cf\u7684\u63a1\u70b9\u6cd5\u3067\u3042\u308b\uff0e\u3053\u306e\u534a\u5b9a\u91cf\u7684\u6a5f\u80fd\u306f SGA \u306e\u4fe1\u983c\u6027\u3068\u7cbe\u5ea6\u3092\u5236\u7d04\u3059\u308b\uff0e\u3055\u3089\u306b SGA \u306e\u6b86\u3069\u306e\u8981\u7d20\u306f\u660e\u78ba\u306a\u5b9a\u7fa9\u3092\u6301\u305f\u306a\u3044\u305f\u3081\u306b\u5f37\u56fa\u306a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u5b58\u5728\u3057\u5f97\u306a\u3044\uff0e\u305d\u308c\u3086\u3048 SGA \u306e\u57fa\u6e96\u306e\u5404\u3005\u306e\u6700\u7d42\u7684\u8a55\u4fa1\u306f\u3082\u3063\u3071\u3089\u8a55\u4fa1\u8005\u306e\u4e3b\u89b3\u306b\u983c\u3089\u3056\u308b\u3092\u3048\u306a\u3044\uff0e<\/p>\n<p>SGA \u306e\u6700\u521d\u306e\u5b9a\u91cf\u7684\u30d0\u30fc\u30b8\u30e7\u30f3\u306f DMS \u3067\u3042\u308b\u304c\uff0cSGA \u306b\u56fa\u6709\u306e\u554f\u984c\u3092\u56de\u907f\u3057\u3088\u3046\u3068\u3057\u305f\u6b63\u5f53\u306a\u3082\u306e\u3067\u3042\u308b\uff0eDMS \u306f TIBC \u3084\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u540c\u69d8\uff0c\u8eab\u4f53\u6307\u6570\u3068 BMI \u306b\u826f\u597d\u306a\u76f8\u95a2\u3092\u793a\u3057\u305f\uff0e\u4e88\u5099\u30c7\u30fc\u30bf\u306f DMS \u304c SGA \u3088\u308a\u3088\u3044\u7cbe\u5ea6\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u3092\u652f\u6301\u3057\u3066\u3044\u305f\u304c\uff0c\u6211\u3005\u306f\u30c4\u30fc\u30eb\u3092\u6539\u5584\u3059\u308b\u52aa\u529b\u3092\u7d9a\u3051\u305f\uff0e\u76ee\u7684\u306f\uff0c\u6804\u990a\u58eb\u3084\u719f\u7df4\u3057\u305f\u770b\u8b77\u5e2b\uff0c\u307e\u305f\u306f\u533b\u5e2b\u304c\u6570\u5206\u4ee5\u5185\u3067\u3082\u3063\u3068\u7c21\u5358\u306b\u5b9f\u65bd\u3067\u304d\u308b\u5b9f\u7528\u7684\u3067\u7c21\u4fbf\u306a\u63a1\u70b9\u65b9\u6cd5\u3067\u3042\u308b\uff0e\u3057\u304b\u3057\u305d\u308c\u306f\u5305\u62ec\u7684\u3067\u3042\u308b\u5fc5\u8981\u304c\u3042\u308a\uff0c\u6b74\u53f2\u306e\u5883\u754c\u3092\u8d85\u3048\u308b\u5fc5\u8981\u304c\u3042\u308a\uff0cSGA \u3084 DMS \u3092\u3088\u308a\u7c21\u4fbf\u5316\u3057\u305f\u8a3a\u5bdf\u65b9\u6cd5\u3067\u3042\u308b\u5fc5\u8981\u304c\u3042\u308a\uff0c\u307e\u305f\u5185\u7684\u306a\u708e\u75c7\u3092\u53cd\u6620\u3057\uff0c\u6b7b\u4ea1\u7387\u3084\u5165\u9662\u306a\u3069\u81e8\u5e8a\u306b\u95a2\u9023\u3059\u308b\u8ee2\u5e30\u3092\u4e88\u6e2c\u53ef\u80fd\u3067\u3042\u308b\u5fc5\u8981\u304c\u3042\u3063\u305f\uff0e<\/p>\n<p>MIS \u306f SGA \u306b\u57fa\u3065\u3044\u3066\u306f\u3044\u308b\u304c SGA \u306b\u306f\u306a\u30443\u3064\u306e\u8981\u7d20\uff0c\u3064\u307e\u308a BMI\uff0c\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\uff0cTIBC \u3092\u6301\u3063\u3066\u304a\u308a\uff0c\u52a0\u70b9\u65b9\u5f0f\uff080\u70b9\u304b\u30893\u70b9\u307e\u3067\u306e\u5897\u52a0\u3059\u308b\u6574\u6570\uff09\u3067\u63a1\u70b9\u3059\u308b\uff0e\u305d\u3057\u3066\u305d\u306e\u70b9\u6570\u306f\u4ed6\u306e\u65e2\u306b\u5b58\u5728\u3059\u308b SGA \u3084 DMS \u306e\uff17\u3064\u306e\u8981\u7d20\u3068\u4e92\u63db\u6027\u304c\u3042\u308b\uff0eMIS \u3068\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3 (- 0.51) \u304a\u3088\u3073\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3 (- 0.42) \u306b\u5bfe\u3059\u308b\u4ea4\u5dee\u76f8\u95a2\u306f DMS \u306b\u5bfe\u3059\u308b\u3082\u306e\uff08\u305d\u308c\u305e\u308c \u2013 0.27, &#8211; 0.23\uff09\u3088\u308a\u5f37\u304b\u3063\u305f\uff0e\u3053\u308c\u30892\u3064\u306e\u691c\u67fb\u5024\u304c MIS \u306e\u8981\u7d20\u3060\u304b\u3089\u3067\u3082\u3042\u308b\uff0e\u6211\u3005\u306f BMI \u3092\u8eab\u9577\u3067\u88dc\u6b63\u3057\u305f\u4f53\u91cd\u306e\u7c21\u4fbf\u306a\u4ee3\u8868\u5024\u3068\u3057\u3066\u7528\u3044\u305f\u304c\uff0c\u900f\u6790\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u3092\u4e88\u6e2c\u3059\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\uff0e\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u306f\u900f\u6790\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u306e\u3088\u308a\u5f37\u3044\u4e88\u6e2c\u56e0\u5b50\u3067\u3042\u308b\u304c\uff0c\u4f4e\u30a2\u30eb\u30d6\u30df\u30f3\u8840\u75c7\u306f\u4f4e\u6804\u990a\u540c\u69d8\uff0c\u708e\u75c7\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e\u8840\u6e05\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3\u306f TIBC \u306b\u3088\u308a\u4ee3\u8868\u3055\u308c\uff0c\u7c73\u56fd\u306e\u900f\u6790\u65bd\u8a2d\u3067\u306f\u6bce\u6708\u304b\u3089\u56db\u534a\u671f\u3054\u3068\u306b\u63a1\u8840\u3059\u308b\u3082\u306e\u3067\uff0c\u900f\u6790\u60a3\u8005\u306e\u6804\u990a\u6307\u6a19\u3068\u3057\u3066\u4fe1\u983c\u3067\u304d\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b\uff0e BMI\uff0c\u30a2\u30eb\u30d6\u30df\u30f3\u5024\uff0c\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3\u306e3\u3064\u306e\u4ed8\u52a0\u8981\u7d20\u306f MIS \u306e\u7dcf\u5f97\u70b9\u306e\u4e00\u90e8\u3092\u69cb\u6210\u3057\u3066\u3044\u308b\u3053\u3068\u3067\u6570\u5b66\u7684\u5171\u5f79\u306e\u61f8\u5ff5\u306f\u3042\u308b\u304c\uff0c\u305d\u306e\u5229\u70b9\u306f\u76f8\u5f53\u306a\u3082\u306e\u3067\u3042\u308a\uff0c\u6570\u5b66\u7684\u5171\u5f79\u3092\u8d85\u3048\u3066\u3044\u308b\uff0e<\/p>\n<p>\u524d\u5411\u304d\u5165\u9662\u3068\u6709\u610f\u306b\u76f8\u95a2\u3059\u308b MIS \u306f\uff0c\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u6b7b\u4ea1\u306e\u4e88\u6e2c\u56e0\u5b50\u3067\u3082\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\uff0e\u7591\u3044\u3082\u306a\u3044\u3053\u3068\u3060\u304c\uff0cMIS \u3068\u7f79\u60a3\u7387\u304a\u3088\u3073\u6b7b\u4ea1\u7387\u306e\u76f8\u95a2\u306f\u6539\u5584\u3057\u305f\uff0e\u5c11\u306a\u304f\u3068\u3082\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u3084 BMI \u306a\u3069\u306e\u3088\u304f\u77e5\u3089\u308c\u305f\u30de\u30fc\u30ab\u30fc\u3092\u5305\u542b\u3059\u308b\u3068\u3044\u3046\u7406\u7531\u3067\uff0e\u305d\u308c\u304c MIS \u306b\u542b\u307e\u308c\u308b\u7406\u7531\u306a\u306e\u3060\u304c\uff0e<\/p>\n<p>MIS \u3068 CRP \u306e\u76f8\u95a2\u304c\u5f37\u3044(r = 0.41) \u306e\u306f\uff0c\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u304c MIS \u306e\u8981\u7d20\u3067\u3042\u308a\uff0c\u30a2\u30eb\u30d6\u30df\u30f3\u304c CRP \u3068\u5f37\u304f\u76f8\u95a2\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u305f\u3081\u3060\u308d\u3046\uff0eDMS \u306f\u672c\u8cea\u7684\u306b SGA \u306e\u5b9a\u91cf\u7684\u30d0\u30fc\u30b8\u30e7\u30f3\u3067\u3042\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\uff0cCRP \u3068\u306f\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u76f8\u95a2\u3092\u793a\u3055\u306a\u304b\u3063\u305f (r = 0.19)\uff0e\u307e\u305f SGA \u3068 CRP \u306e\u9593\u306e\u76f8\u95a2\u306f\u5f31\u304b\u3063\u305f (r = 0.24)\uff0e\u305d\u308c\u3086\u3048\uff0cMIS \u304c\u4f4e\u6804\u990a\u540c\u69d8\u708e\u75c7\u306e\u30de\u30fc\u30ab\u30fc\u3067\u3042\u308a\uff0cMICS \u306e\u91cd\u75c7\u5ea6\u306e\u6307\u6a19\u3067\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\uff0e<\/p>\n<p>SGA \u3084 DMS \u3068\u7570\u306a\u308a\uff0cMIS \u306f\u4e0d\u5fdc\u6027\u8ca7\u8840\u306e\u30de\u30fc\u30ab\u30fc\u3067\u3042\u308b\u3053\u3068\u3082\u5206\u304b\u3063\u305f\uff0eMIS \u3068\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\u306e\u9593\u306b\u512a\u4f4d\u306a\u76f8\u95a2\u304c\u898b\u3089\u308c\uff0c\u6050\u3089\u304f\u708e\u75c7\u3068\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u30a8\u30ea\u30b9\u30ed\u30dd\u30a8\u30c1\u30f3\u62b5\u6297\u6027\u3068\u306e\u9593\u306b\u95a2\u9023\u304c\u3042\u308b\u305f\u3081\u3060\u308d\u3046\uff0eGunnell \u3089\u306f\u30a8\u30ea\u30b9\u30ed\u30dd\u30a8\u30c1\u30f3\u62b5\u6297\u6027\u306f\u9ad8\u30d5\u30a7\u30ea\u30c1\u30f3\u8840\u75c7\u3068\u4f4e\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3\u8840\u75c7\u306e\u6587\u8108\u3067\u8d77\u3053\u308a\uff0c\u6025\u6027\u53cd\u5fdc\u671f\u306b\u3042\u308b\u3068\u8003\u3048\u3089\u308c\uff0c\u9244\u6b20\u4e4f\u72b6\u614b\u3067\u306f\u306a\u3044\u3068\u5831\u544a\u3057\u3066\u3044\u308b\uff0e\u3055\u3089\u306b\u4f4e TIBC \u8840\u75c7\u3068\u9ad8\u30d5\u30a7\u30ea\u30c1\u30f3\u8840\u75c7\u306f\u900f\u6790\u60a3\u8005\u306e\u7f79\u60a3\u7387\u30fb\u6b7b\u4ea1\u7387\u3092\u9ad8\u3081\u308b\u5371\u967a\u56e0\u5b50\u3067\u3042\u308b\uff0e\u3053\u308c\u3089\u306e\u6240\u898b\u306f\uff0c\u6211\u3005\u304c MIS \u306b\u8840\u6e05 TIBC\uff08\u30c8\u30e9\u30f3\u30b9\u30d5\u30a7\u30ea\u30f3\uff09\u3092\u542b\u3093\u3060\u3053\u3068\u3092\u3055\u3089\u306b\u652f\u6301\u3059\u308b\uff0e<\/p>\n<p>\u672c\u7814\u7a76\u3067\u306f\uff0c\u671f\u5f85\u3057\u305f\u3068\u304a\u308a\uff0c\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u3082\u307e\u305f\u524d\u5411\u304d\u5165\u9662\u6307\u6570\u3068\u6b7b\u4ea1\u7387\u306b\u5f37\u3044\u76f8\u95a2\u304c\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\uff0e\u3057\u304b\u3057 MIS \u306f\u4e88\u5f8c\u306b\u8fd1\u304f\u76f8\u95a2\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u8eab\u4f53\u6240\u898b\u3084\u8ca7\u8840\u30fb\u708e\u75c7\u30fb\u6804\u990a\u6307\u6a19\u306a\u3069\u306e\u691c\u67fb\u5024\u306b\u3082\u3088\u308a\u5f37\u3044\u76f8\u95a2\u3092\u793a\u3057\u3066\u3044\u305f\uff0e\u4ed6\u306e\u591a\u304f\u306e\u691c\u67fb\u5024\u3068\u81e8\u5e8a\u72b6\u614b\u3092\u7279\u5fb4\u4ed8\u3051\u308b\u306e\u306b\u4f7f\u308f\u308c\u308b\u81e8\u5e8a\u6e2c\u5b9a\u3067\uff0c\u7570\u306a\u308b\u6e2c\u5b9a\u304c\u6240\u4e0e\u306e\u75be\u75c5\u306e\u7570\u306a\u308b\u9762\u3092\u8a18\u8ff0\u3059\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3057\uff0c\u4e92\u3044\u306b\u3088\u304f\u76f8\u95a2\u3057\u306a\u3044\u304b\u3082\u3057\u308c\u306a\u3044\uff0e\u305d\u308c\u3086\u3048\uff0c\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u3068\u8eab\u4f53\u6e2c\u5b9a\u5024\u3068\u306e\u9593\u306e\u5f37\u3044\u76f8\u95a2\u304c\u306a\u3044\u306e\u306f\u73cd\u3057\u3044\u3053\u3068\u3067\u306f\u306a\u3044\uff0e\u8840\u6e05\u30a2\u30eb\u30d6\u30df\u30f3\u5024\u304c MIS \u306e\u8981\u7d20\u3067\u3042\u308b\u3053\u3068\u306f\u5f37\u8abf\u3055\u308c\u308b\u3079\u304d\u304b\u3082\u3057\u308c\u306a\u3044\uff0e\u305d\u308c\u3086\u3048\uff0c\u6570\u5b66\u7684\u5171\u5f79\u304c\u30a2\u30eb\u30d6\u30df\u30f3\u3068 MIS \u306e\u9593\u306e\u76f8\u95a2\u306b\u8ca2\u732e\u3057\u3066\u3044\u308b\u306f\u305a\u3067\u3042\u308b\uff0e\u306b\u3082\u95a2\u308f\u3089\u305a MIS \u306e 90 % \u304c\u4ed6\u306e\u30a2\u30eb\u30d6\u30df\u30f3\u306b\u306f\u95a2\u4fc2\u306e\u306a\u3044\u5909\u6570\u3067\u3042\u308b\uff0eMIS \u3068\u3059\u3079\u3066\u306e\u95a2\u9023\u3059\u308b\u81e8\u5e8a\u6307\u6a19\u306e\u5e73\u5747\u7684\u306a\u76f8\u95a2\u306f\u30a2\u30eb\u30d6\u30df\u30f3\u3084 CRP\uff0c\u4ed6\u306e\u3044\u304b\u306a\u308b\u5909\u6570\u306e\u305d\u308c\u3092\u8d85\u3048\u3066\u3044\u308b\uff0e\u305d\u308c\u3086\u3048\uff0cMIS \u306f\u900f\u6790\u60a3\u8005\u306e\u6804\u990a\u3068\u708e\u75c7\u306e\u3059\u3079\u3066\u306e\u9762\u3092\u53cd\u6620\u3059\u308b\u3088\u308a\u5305\u62ec\u7684\u306a\u30de\u30fc\u30ab\u30fc\u3067\u3042\u308a\uff0c\u540c\u6642\u306b\u7dad\u6301\u900f\u6790\u60a3\u8005\u306e\u7f79\u60a3\u7387\u3068\u6b7b\u4ea1\u7387\u306e\u5f37\u3044\u4e88\u5f8c\u898f\u5b9a\u56e0\u5b50\u3067\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\uff0e<\/p>\n<p>\u4e88\u5099\u8abf\u67fb\u306e\u7d50\u679c\u306f\u6a19\u672c\u6570\u3068\u89b3\u5bdf\u671f\u9593\u304c\u5c0f\u3055\u3059\u304e\u308b\u3053\u3068\u3067\u4fee\u98fe\u3055\u308c\u3066\u3044\u308b\u306f\u305a\u3067\u3042\u308b\uff0e\u3055\u3089\u306b\uff0c\u91cd\u75c5\u306e\u305f\u3081\u672c\u7814\u7a76\u306b\u53c2\u52a0\u3057\u306a\u304b\u3063\u305f2\u540d\u306e\u60a3\u8005\u304c\u7814\u7a76\u958b\u59cb\u76f4\u5f8c\u306b\u6b7b\u4ea1\u3057\u305f\uff0eMIS \u5024\u304c\u975e\u5e38\u306b\u9ad8\u304b\u3063\u305f\u305f\u3081\uff0c\u3082\u3057\u305d\u306e\u60a3\u8005\u304c\u53c2\u52a0\u3057\u3066\u3044\u308c\u3070\u5165\u9662\u7387\u3068\u6b7b\u4ea1\u7387\u306b\u3064\u3044\u3066\u306f\u3088\u308a\u5f37\u3044\u7d50\u679c\u304c\u5f97\u3089\u308c\u305f\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e\u3055\u3089\u306b\u900f\u6790\u6b74\u306e\u52b9\u679c\u306f\u6211\u3005\u304c\u4f7f\u7528\u3059\u308b MIS \u306e\u5358\u7d14\u306a\u5897\u5206\u306e\u52b9\u679c\u3088\u308a\u3082\u3063\u3068\u8907\u96d1\u304b\u3082\u3057\u308c\u306a\u3044\uff0e\u307e\u305f\uff0cBMI \u306e\u52a0\u70b9\u65b9\u5f0f\uff0820\u8d85\u306f\u6b63\u5e38\uff09\u306f\u53b3\u3057\u3059\u304e\u3066\u6b6a\u3093\u3067\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\uff0e\u3068\u3044\u3046\u306e\u3082 BMI \u306e\u5e73\u5747\u5024\u306f 24.7 \u00b1 6.4 kg\/m2 \u3060\u304b\u3089\u3060\uff0e\u305d\u308c\u3086\u3048\uff0c 60 % \u4ee5\u4e0a\u306e\u60a3\u8005\u304c\u6b63\u5e38\u3068\u63a1\u70b9\u3055\u308c\u305f\uff0e\u306b\u3082\u95a2\u308f\u3089\u305a\u3053\u308c\u3089\u5168\u3066\u306e\u70b9\u6570\u306f\u30cc\u30eb\u306b\u5bfe\u3059\u308b\u504f\u308a\u3092\u793a\u3057\uff0c\u3053\u308c\u3089\u306e\u57fa\u6e96\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u3067\u66f4\u306b\u826f\u3044\u76f8\u95a2\u3092\u671f\u5f85\u3067\u304d\u308b\u3053\u3068\u3092\u6697\u793a\u3057\u3066\u3044\u308b\uff0e<\/p>\n<p>\u672c\u7814\u7a76\u3067\u691c\u8a3c\u3057\u305f\u63a1\u70b9\u65b9\u6cd5\u3067\u306f\u6b86\u3069\u306e\u76f8\u95a2\u306f\u7279\u306b\u5805\u7262\u3067\u3082\u306a\u304b\u3063\u305f\u3053\u3068\u3092\u5f37\u8abf\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\uff0e\u7591\u3044\u3082\u306a\u3044\u3053\u3068\u3060\u304c\uff0c\u4f8b\u3048\u3070\u4f4e\u6804\u990a\u708e\u75c7\u8907\u5408\u72b6\u614b\u306a\u3069\u306e\u8907\u96d1\u306a\u751f\u7406\u7684\u72b6\u614b\u306b\u3042\u308b\u3082\u306e\u3092\u6e2c\u5b9a\u3059\u308b\u57fa\u6e96\u3092\u4f5c\u6210\u3057\u3066\u30b9\u30b1\u30fc\u30eb\u306e\u65b9\u6cd5\u3092\u958b\u767a\u3059\u308b\u306e\u306f\uff0c\u6280\u8853\u7684\u306b\u6d17\u7df4\u3055\u308c\u904e\u304e\u3066\u304a\u308a\uff0c\u975e\u5b9a\u578b\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u4fdd\u8a3c\u3059\u308b\u3068\u306f\u6700\u521d\u306f\u601d\u3048\u306a\u304b\u3063\u305f\uff0e\u3057\u304b\u3057\u306a\u304c\u3089\uff0c\u672c\u7814\u7a76\u306e\u76ee\u7684\u306f\u65b0\u3057\u3044\u63a1\u70b9\u65b9\u5f0f\u3092\u5275\u9020\u3059\u308b\u3053\u3068\u3067\u306f\u306a\u304f\uff0cSGA \u306e\u3088\u3046\u306a\u65e2\u306b\u5b58\u5728\u3059\u308b\u3082\u306e\u3092\u6d17\u7df4\u3057\u3066\u691c\u8a3c\u3059\u308b\u3053\u3068\u3067\u3042\u308b\uff0c\u3068\u3044\u3046\u3053\u3068\u306f\u6539\u3081\u3066\u5f37\u8abf\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\uff0e\u81e8\u5e8a\u306b\u95a2\u9023\u3057\u305f\u4f4e\u6804\u990a\u30b9\u30b1\u30fc\u30eb\u3092\u958b\u767a\u3059\u308b\u3053\u3068\u306f\u52aa\u529b\u3092\u5fc5\u8981\u3068\u3057\uff0cSGA \u306f\u826f\u3044\u30b9\u30bf\u30fc\u30c8\u5730\u70b9\u3067\u3042\u3063\u305f\uff0eSGA \u306f\u4e88\u6e2c\u3068\u5185\u5bb9\u306e\u6709\u52b9\u6027\u3092\u6709\u3057\u3066\u304a\u308a\uff0c\u6804\u990a\u30ea\u30b9\u30af\u306e\u30d9\u30f3\u30c1\u30de\u30fc\u30af\u6e2c\u5b9a\u3068\u3057\u3066\u307e\u3059\u307e\u3059\u53d7\u3051\u5165\u308c\u3089\u308c\u3066\u3044\u308b\uff0e\u305d\u3057\u3066 MIS \u306f\u672c\u8cea\u7684\u306b SGA \u30d9\u30fc\u30b9\u3067\u305d\u306e\u8981\u7d20\u3092 70 % 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MIS \u306b\u306f SGA \u3068 DMS \u306e\u5229\u70b9\uff0c\u3064\u307e\u308a\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u4fe1\u983c\u6027\uff0c\u7cbe\u5ea6\uff0c\uff13\u3064\u306e\u8981\u7d20\u3092\u8ffd\u52a0\u3059\u308b\u3060\u3051\u306e\u5f37\u5ea6\u306a\u3069\u304c\u7d44\u307f\u8fbc\u307e\u308c\u3066\u304a\u308a\uff0c\u305d\u308c\u3089\u306f\u5168\u3066\u900f\u6790\u306e\u4e88\u5f8c\u306b\u8ef8\u53d7\u3057\u3066\u3044\u308b\uff0e\u53d6\u308a\u7d44\u3080\u6642\u9593\u3068\u30b9\u30bf\u30c3\u30d5\u306e\u8a13\u7df4\u306f\u5897\u3048\u306a\u3044\uff0e<\/p>\n<p>Dialysis Outcome Quality Initiative 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