{"id":176,"date":"2025-10-08T22:38:51","date_gmt":"2025-10-08T13:38:51","guid":{"rendered":"https:\/\/daigo-tsuji-iin.jp\/blog\/?p=176"},"modified":"2026-04-29T10:50:59","modified_gmt":"2026-04-29T01:50:59","slug":"post-176","status":"publish","type":"post","link":"https:\/\/daigo-tsuji-iin.jp\/blog\/post-176\/","title":{"rendered":"\u606f\u5207\u308c\u3084\u54b3\u3001\u305d\u308c\u306f\u5e74\u306e\u305b\u3044\u3058\u3083\u306a\u3044\uff1f \u55ab\u7159\u8005\u306f\u8981\u6ce8\u610f\uff01\u2015 COPD\uff08\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff09\u3068\u306f\uff5c\u4eac\u90fd\u5e02\u4f0f\u898b\u533a\u8fbb\u533b\u9662\u304c\u89e3\u8aac"},"content":{"rendered":"\n<p>\u6700\u8fd1\u3001<strong>\u968e\u6bb5\u3092\u4e0a\u308b\u3068\u606f\u304c\u5207\u308c\u308b<\/strong>\u3001<strong>\u671d\u306e\u54b3\u3084\u305f\u3093\u304c\u5897\u3048\u305f<\/strong>\u3068\u611f\u3058\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f<br>\u305d\u308c\u3092\u300c\u5e74\u306e\u305b\u3044\u300d\u300c\u904b\u52d5\u4e0d\u8db3\u300d\u3068\u601d\u3063\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<br>\u3057\u304b\u3057\u3001\u305d\u306e\u75c7\u72b6\u306e\u88cf\u306b<strong>COPD\uff08\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff09<\/strong>\u3068\u3044\u3046\u75c5\u6c17\u304c\u96a0\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>COPD\u306f\u3001\u4e3b\u306b<strong>\u305f\u3070\u3053\u3084\u7159\u3001\u7c89\u3058\u3093\u306a\u3069\u306e\u5f71\u97ff<\/strong>\u3067\u80ba\u306e\u4e2d\u306e\u7a7a\u6c17\u306e\u901a\u308a\u9053\u304c\u72ed\u304f\u306a\u308a\u3001<br>\u5c11\u3057\u305a\u3064<strong>\u606f\u304c\u5410\u304d\u306b\u304f\u304f\u306a\u308b\u75c5\u6c17<\/strong>\u3067\u3059\u3002<br>\u653e\u3063\u3066\u304a\u304f\u3068\u65e5\u5e38\u751f\u6d3b\u306b\u652f\u969c\u304c\u51fa\u308b\u3060\u3051\u3067\u306a\u304f\u3001<strong>\u547d\u306b\u95a2\u308f\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<p>\u3067\u3082\u3001\u65e9\u304f\u898b\u3064\u3051\u3066\u6b63\u3057\u304f\u6cbb\u7642\u3092\u59cb\u3081\u308c\u3070\u3001<br>\u606f\u5207\u308c\u3092\u8efd\u304f\u3057\u3001\u60aa\u5316\uff08\u5897\u60aa\uff09\u3092\u9632\u3050\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<br>\u4eca\u56de\u306f\u3001<strong>COPD\u3068\u306f\u3069\u3093\u306a\u75c5\u6c17\u304b\u3001\u3069\u3046\u3084\u3063\u3066\u898b\u3064\u3051\u308b\u306e\u304b\u3001\u4f55\u3092\u3059\u308c\u3070\u3044\u3044\u306e\u304b<\/strong>\u3092\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">COPD\uff08\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff09\u3063\u3066\u306a\u306b\uff1f<\/h1>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u606f\u306e\u901a\u308a\u9053\uff08\u6c17\u9053\uff09\u304c\u7d30\u304f\u306a\u3063\u3066\u3001\u606f\u304c\u306f\u304d\u306b\u304f\u304f\u306a\u308b\u75c5\u6c17<\/strong>\u3067\u3059\u3002<\/li>\n\n\n\n<li>\u4e3b\u306a\u75c7\u72b6\u306f<strong>\u606f\u5207\u308c\u30fb\u54b3\u30fb\u305f\u3093<\/strong>\u3002\u3086\u3063\u304f\u308a\u9032\u3080\u3053\u3068\u304c\u591a\u304f\u3001\u653e\u3063\u3066\u304a\u304f\u3068\u65e5\u5e38\u751f\u6d3b\u304c\u82e6\u3057\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u65e9\u304f\u898b\u3064\u3051\u3066\u6b63\u3057\u304f\u5bfe\u51e6\u3059\u308c\u3070\u3001<strong>\u606f\u5207\u308c\u304c\u697d\u306b\u306a\u308a\u3001\u5897\u60aa\uff08\u6025\u306b\u60aa\u304f\u306a\u308b\u3053\u3068\uff09\u3092\u6e1b\u3089\u305b\u307e\u3059\u3002<\/strong><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u3069\u3093\u306a\u4eba\u304c\u306a\u308a\u3084\u3059\u3044\uff1f<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u305f\u3070\u3053<\/strong>\uff08\u73fe\u5728\u5438\u3063\u3066\u3044\u308b\u30fb\u904e\u53bb\u306b\u5438\u3063\u3066\u3044\u305f\uff09<\/li>\n\n\n\n<li><strong>\u53d7\u52d5\u55ab\u7159<\/strong>\u3001<strong>\u7159<\/strong>\u3001\u7c89\u3058\u3093\u30fb\u5316\u5b66\u7269\u8cea\u306e<strong>\u8077\u696d\u66dd\u9732<\/strong><\/li>\n\n\n\n<li><strong>\u5b50\u3069\u3082\u306e\u9803\u306e\u80ba\u306e\u75c5\u6c17<\/strong>\uff08\u80ba\u708e\u30fb\u305c\u3093\u305d\u304f\uff09\u3084<strong>\u65e9\u7523<\/strong>\u3001<strong>\u7d50\u6838\u306e\u65e2\u5f80<\/strong><\/li>\n\n\n\n<li>\u5bb6\u65cf\u306b\u80ba\u306e\u75c5\u6c17\u304c\u591a\u3044<\/li>\n<\/ul>\n\n\n\n<p>\u300c\u305f\u3070\u3053\u3060\u3051\u306e\u75c5\u6c17\u300d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<strong>\u5438\u3063\u305f\u3053\u3068\u304c\u306a\u3044\u4eba\u3067\u3082<\/strong>\u8d77\u3053\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u75c7\u72b6\u306e\u51fa\u65b9\uff08\u3042\u308b\u3042\u308b\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u968e\u6bb5\u30fb\u5742\u9053\u3067\u606f\u5207\u308c<\/strong>\u3002\u6700\u521d\u306f\u904b\u52d5\u306e\u3068\u304d\u3060\u3051\u2192\u3060\u3093\u3060\u3093\u8efd\u3044\u52d5\u4f5c\u3067\u3082\u82e6\u3057\u3044<\/li>\n\n\n\n<li><strong>\u671d\u306e\u54b3\u30fb\u305f\u3093<\/strong>\u304c\u5897\u3048\u308b<\/li>\n\n\n\n<li>\u4f53\u529b\u304c\u843d\u3061\u3066<strong>\u52d5\u304b\u306a\u304f\u306a\u308b \u2192 \u3055\u3089\u306b\u606f\u5207\u308c<\/strong>\u3068\u3044\u3046\u60aa\u5faa\u74b0\u306b<\/li>\n<\/ul>\n\n\n\n<p>\u300c\u5e74\u306e\u305b\u3044\u304b\u306a\uff1f\u300d\u3068\u601d\u3063\u3066\u904b\u52d5\u3092\u6e1b\u3089\u3059\u3068\u3001<strong>\u6c17\u3065\u304d\u306b\u304f\u304f\u306a\u308b<\/strong>\u306e\u3067\u8981\u6ce8\u610f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u305c\u3093\u305d\u304f\u3068\u3069\u3046\u9055\u3046\u306e\uff1f<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u305c\u3093\u305d\u304f\uff1a<strong>\u6c17\u9053\u304c\u4e00\u6642\u7684\u306b\u72ed\u304f\u306a\u308b<\/strong>\u3002\u85ac\u3067<strong>\u5143\u306b\u623b\u308a\u3084\u3059\u3044<\/strong>\u3002<\/li>\n\n\n\n<li>COPD\uff1a<strong>\u72ed\u3044\u72b6\u614b\u304c\u7d9a\u304f<\/strong>\uff08\u5b8c\u5168\u306b\u306f\u5143\u306b\u623b\u308a\u306b\u304f\u3044\uff09\u3002<\/li>\n\n\n\n<li>\u5927\u4eba\u306b\u306a\u3063\u3066\u304b\u3089\u306e\u305c\u3093\u305d\u304f\u6301\u3061\u306e\u65b9\u304c<strong>COPD\u3063\u307d\u3044\u6301\u7d9a\u7684\u306a\u72ed\u3055<\/strong>\u3092\u6b8b\u3059\u3053\u3068\u3082\u3042\u308a\u3001<strong>\u4e21\u65b9\u306e\u7279\u5fb4<\/strong>\u3092\u6301\u3064\u4eba\u3082\u3044\u307e\u3059\uff08\u6cbb\u7642\u306e\u9078\u3073\u65b9\u304c\u5909\u308f\u308a\u307e\u3059\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u8a3a\u65ad\u306f\u3069\u3046\u3084\u3063\u3066\u6c7a\u307e\u308b\uff1f<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u75c7\u72b6\u3068\u751f\u6d3b\u6b74\u306e\u78ba\u8a8d<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u606f\u5207\u308c\u30fb\u54b3\u30fb\u305f\u3093\u3001<strong>\u55ab\u7159\u6b74\uff08\u4f55\u5e74\u30671\u65e5\u4f55\u672c\uff1f\uff1d\u30d1\u30c3\u30af\u30a4\u30e4\u30fc\uff09<\/strong>\u3001\u7c89\u3058\u3093\u3084\u7159\u306e\u4ed5\u4e8b\u30fb\u5bb6\u5ead\u74b0\u5883\u306a\u3069\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u606f\u3092\u300c\u3075\u30fc\u3063\u300d\u3068\u5410\u304f\u691c\u67fb\uff08<strong>\u30b9\u30d1\u30a4\u30ed\u30e1\u30c8\u30ea\u30fc<\/strong>\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6df1\u547c\u5438\u3057\u3066<strong>\u52e2\u3044\u3088\u304f\u5410\u304f<\/strong>\u3060\u3051\u3002\u75db\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li>\u6c17\u7ba1\u652f\u3092\u5e83\u3052\u308b\u6c17\u7ba1\u652f\u62e1\u5f35\u85ac\u3092\u4f7f\u3063\u305f<strong>\u5f8c\u3067\u3082<\/strong>\u3001\u300c\u606f\u306e\u901a\u308a\u306b\u304f\u3055\u300d\u304c\u6b8b\u3063\u3066\u3044\u308c\u3070COPD\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059\u3002\n<ul class=\"wp-block-list\">\n<li>\u76ee\u5b89\uff1a<strong>FEV1\/FVC\uff08\u606f\u3092\u6700\u521d\u306e1\u79d2\u3067\u3069\u308c\u3060\u3051\u5410\u3051\u308b\u304b\uff0f\u5168\u90e8\u3067\u3069\u308c\u3060\u3051\u5410\u3051\u308b\u304b\uff09\u306e\u6bd4\uff08\uff11\u79d2\u7387\u3068\u3044\u3044\u307e\u3059\uff09\u304c0.7\u672a\u6e80<\/strong>\u3060\u3068\u300c\u901a\u308a\u9053\u304c\u72ed\u3044\u300d\u3068\u5224\u65ad\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>\uff0a\u5598\u606f\u306f\u53ef\u9006\u6027\u3068\u3044\u3063\u3066\u3001\u6c17\u7ba1\u652f\u62e1\u5f35\u85ac\u3092\u4f7f\u7528\u3059\u308b\u3068\u606f\u306e\u5410\u304d\u3084\u3059\u3055\u304c\u6539\u5584\u3057\u307e\u3059\u3002\u5fc5\u305a\u3042\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u53ef\u9006\u6027\u304c\u3042\u308b\u5834\u5408\u306f\u5598\u606f\u3089\u3057\u3044\u3068\u8003\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3) 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wp-block-quote-is-layout-flow\">\n<p><strong>\u30dd\u30a4\u30f3\u30c8<\/strong>\uff1a\u30b9\u30d1\u30a4\u30ed\u304c<strong>\u3044\u3061\u3070\u3093\u5927\u4e8b<\/strong>\u3002\u305d\u3082\u305d\u3082\u8a3a\u65ad\u57fa\u6e96\u304c\u80ba\u6a5f\u80fd\u691c\u67fb\u306a\u306e\u3067\u80ba\u6a5f\u80fd\u691c\u67fb\u304c\u6700\u3082\u91cd\u8981\u306a\u691c\u67fb\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">\u691c\u67fb\u306e\u7d50\u679c\u3067\u4f55\u304c\u308f\u304b\u308b\uff1f<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u3069\u306e\u304f\u3089\u3044\u72ed\u3044\u304b\uff08\u91cd\u75c7\u5ea6\uff09<\/strong>\uff1a\u6570\u5b57\u3067\u628a\u63e1\u3057\u307e\u3059\u3002\u6cbb\u7642\u306e\u8a08\u753b\u304c\u7acb\u3066\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u4eca\u306e\u75c7\u72b6\u306e\u5f37\u3055<\/strong>\u3068<strong>\u904e\u53bb1\u5e74\u306e\u5897\u60aa\u56de\u6570<\/strong>\u3067\u3001<strong>\u521d\u3081\u306b\u4f7f\u3046\u85ac\u306e\u7a2e\u985e<\/strong>\u3092\u6c7a\u3081\u307e\u3059\uff08\u606f\u5207\u308c\u304c\u5f37\u3044\uff1f\u5897\u60aa\u304c\u591a\u3044\uff1f\u3067\u9078\u629e\u304c\u5909\u308f\u308b\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u300cCOPD\u3063\u307d\u3044\u3051\u3069\u78ba\u5b9a\u3067\u306f\u306a\u3044\u300d\u3068\u8a00\u308f\u308c\u305f\u3089\uff1f<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u54b3\u30fb\u305f\u3093\u30fb\u606f\u5207\u308c\u3084CT\u3067\u6c17\u9053\u306e\u5909\u5316\u304c\u3042\u3063\u3066\u3082\u3001\u30b9\u30d1\u30a4\u30ed\u3067\u306f\u57fa\u6e96\u306b\u5c4a\u304b\u306a\u3044\u4eba\u304c\u3044\u307e\u3059\u3002<\/li>\n\n\n\n<li>\u305d\u306e\u5834\u5408\u3067\u3082<strong>\u5c06\u6765COPD\u306b\u306a\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u3081<\/strong>\u306a\u306e\u3067\u3001<strong>\u7981\u7159\u30fb\u74b0\u5883\u5bfe\u7b56<\/strong>\u3001<strong>\u6bce\u5e74\u306e\u30b9\u30d1\u30a4\u30ed<\/strong>\u3001<strong>\u4f53\u529b\u3065\u304f\u308a<\/strong>\u304c\u5927\u5207\u3067\u3059\u3002<\/li>\n\n\n\n<li>\u73fe\u6642\u70b9\u3067\u306f\u3001<strong>\u5438\u5165\u85ac\u304c\u5fc5\u305a\u3057\u3082\u52b9\u304f\u3068\u306f\u9650\u3089\u306a\u3044<\/strong>\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u3044\u307e\u3059\uff08\u85ac\u306f\u75c7\u72b6\u3084\u5897\u60aa\u3067\u5224\u65ad\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">\u2605\u3055\u3066\u3001\u3053\u3053\u3067\u5598\u606f\u3068\u5408\u4f75\u3059\u308b\u3053\u3068\u306f\u306a\u3044\u306e\uff1f\u3068\u8003\u3048\u305f\u3042\u306a\u305f\u306f\u975e\u5e38\u306b\u5207\u308c\u8005\u3067\u3059\u3002<\/h4>\n\n\n\n<p>\u5598\u606f\u3068COPD\u306e\u5408\u4f75\u3057\u305f\u75c5\u614b\u3092ACO\uff08asthma-COPD overlap\uff09\u3068\u3044\u3044\u307e\u3059\u3002\u5598\u606f\uff08\u30a2\u30ec\u30eb\u30ae\u30fc\u6027\u708e\u75c7\u306b\u3088\u308b\u6c17\u9053\u72ed\u7a84\uff09\u3068COPD\uff08\u30bf\u30d0\u30b3\u306a\u3069\u6709\u5bb3\u7269\u8cea\u306b\u3088\u308b\u6c17\u9053\u72ed\u7a84\uff09\u306e\u4e21\u65b9\u306e\u7279\u5fb4\u3092\u4f75\u305b\u6301\u3064\u75c5\u614b\u306e\u7dcf\u79f0\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u65e5\u672c\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u306e\u624b\u5f15\u304d\u3067\u306f<\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<p id=\"p-3\">\u6b21\u306e (1)~(3)\u306e\u9805\u76ee\u3092\u3059\u3079\u3066\u6e80\u305f\u3059\u5fc5\u8981\u304c\u3042\u308b.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h3-5\"><strong>(1) \u57fa\u672c\u7684\u4e8b\u9805<\/strong><\/h3>\n\n\n\n<pre class=\"wp-block-preformatted\">\u4e0b\u8a182\u9805\u76ee\u306e\u3059\u3079\u3066\u3092\u6e80\u305f\u3059.<\/pre>\n\n\n\n<ul class=\"wp-block-list\">\n<li>40\u6b73\u4ee5\u4e0a<\/li>\n\n\n\n<li>\u6162\u6027\u6c17\u6d41\u9589\u585e (\u6c17\u7ba1\u652f\u62e1\u5f35\u85ac\u5438\u5165\u5f8c\u306e1\u79d2\u7387[FEV1\/FVC\u00d7100]&lt;70%)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h3-6\"><strong>(2) COPD\u306e\u7279\u5fb4<\/strong><\/h3>\n\n\n\n<pre class=\"wp-block-preformatted\">\u4e0b\u8a183\u9805\u76ee\u306e\u3044\u305a\u308c\u304b\u3092\u6e80\u305f\u3059.<\/pre>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u55ab\u7159\u6b74\u3042\u308b\u3044\u306f\u540c\u7a0b\u5ea6\u306e\u5927\u6c17\u6c5a\u67d3\u66dd\u9732 (10 pack-years\u4ee5\u4e0a=Brinkmann\u6307\u6570200\u4ee5\u4e0a)<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h5-3\">10 pack-years\u4ee5\u4e0a\u3068\u306f\uff641\u65e51\u7bb1\u306e\u55ab\u7159\u306a\u308910\u5e74\u4ee5\u4e0a\uff641\u65e52\u7bb1\u306e\u55ab\u7159\u306a\u30895\u5e74\u4ee5\u4e0a\u306e\u3053\u3068\u3092\u6307\u3059.<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80f8\u90e8CT\u306b\u304a\u3051\u308b\u6c17\u816b\u6027\u5909\u5316\u3092\u793a\u3059\u4f4e\u5438\u53ce\u9818\u57df (LAA : Low Attenuation Area) \u306e\u5b58\u5728<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h5-4\">CT\u3067\u64ae\u5f71\u3057\u305f\u80ba\u3092\u5de6\u53f3\u3067\u4e0a\u80ba\u91ce\uff65\u4e2d\u80ba\u91ce\uff65\u4e0b\u80ba\u91ce\u306e\u8a086\u3064\u306b\u5206\u5272\u3057\uff64\u305d\u308c\u305e\u308c\u306e\u6c17\u816b\u306e\u7a0b\u5ea6\u3092\u54044\u70b9\u6e80\u70b9\uff64\u8a0824\u70b9\u6e80\u70b9\u3067\u5408\u8a08\u3057\u3066\u8a55\u4fa1\u3059\u308bGoddard\u6cd5\u304c\u4e3b\u6d41. 8~15\u70b9\u304c\u4e2d\u7b49\u75c7\uff6416~24\u70b9\u304c\u91cd\u75c7.<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80ba\u62e1\u6563\u80fd\u969c\u5bb3 (%DLCO&lt;80% \u307e\u305f\u306f %DLCO\/VA&lt;80%)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h3-7\"><strong>(3) \u5598\u606f\u306e\u7279\u5fb4<\/strong><\/h3>\n\n\n\n<pre class=\"wp-block-preformatted\">\uff621\uff5e3\u306e\u3044\u305a\u308c\u304b2\u9805\u76ee\u4ee5\u4e0a\uff63 \u307e\u305f\u306f<\/pre>\n\n\n\n<pre class=\"wp-block-preformatted\">\uff621\uff5e3\u306e\u3044\u305a\u308c\u304b1\u9805\u76ee \u304b\u3064 4.\u305d\u306e\u4ed6\u306e\u7279\u5fb4\u306e2\u9805\u76ee\u4ee5\u4e0a\uff63\u3092\u6e80\u305f\u3059.<\/pre>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u5909\u52d5\u6027 (\u65e5\u5185\uff65\u65e5\u3005\uff65\u5b63\u7bc0) \u3042\u308b\u3044\u306f\u767a\u4f5c\u6027\u306e\u547c\u5438\u5668\u75c7\u72b6 (\u54b3\uff65\u75f0\uff65\u547c\u5438\u56f0\u96e3)<\/li>\n\n\n\n<li>40\u6b73\u4ee5\u524d\u306e\u5598\u606f\u306e\u65e2\u5f80<\/li>\n\n\n\n<li>\u547c\u6c17\u4e2d\u4e00\u9178\u5316\u7a92\u7d20\u6fc3\u5ea6 (FeNO) &gt;35ppb<\/li>\n\n\n\n<li>\u305d\u306e\u4ed6\u306e\u7279\u5fb4<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u901a\u5e74\u6027\u30a2\u30ec\u30eb\u30ae\u30fc\u6027\u9f3b\u708e\u306e\u5408\u4f75<\/li>\n\n\n\n<li>\u6c17\u9053\u53ef\u9006\u6027 (\u6c17\u7ba1\u652f\u62e1\u5f35\u85ac\u5438\u5165\u306b\u3088\u308a1\u79d2\u7387[FEV1\/FVC\u00d7100]&gt;12% \u304b\u3064 1\u79d2\u91cf[FEV1]&gt;200mL\u306e\u6539\u5584<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\" id=\"h5-5\">\u6c17\u7ba1\u652f\u62e1\u5f35\u85ac\u5438\u5165\u524d\u5f8c\u3067\u306eFEV1\u3092\u6bd4\u8f03\u3057\u3066\uff64\u6539\u5584\u7387\u304a\u3088\u3073\u6539\u5584\u91cf\u304b\u3089\u6c17\u9053\u53ef\u9006\u6027\u3092\u5224\u5b9a\u3059\u308b.<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u672b\u68a2\u8840\u597d\u9178\u7403&gt;5\uff05\u3042\u308b\u3044\u306f&gt;300\/\u03bcL<\/li>\n\n\n\n<li>IgE\u9ad8\u5024 (\u7dcfIgE\u3042\u308b\u3044\u306f\u901a\u5e74\u6027\u5438\u5165\u6297\u539f\u306b\u5bfe\u3059\u308b\u7279\u7570\u7684IgE\u304c\u9ad8\u5024)<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p>\u96e3\u3057\u3044\u3053\u3068\u304c\u66f8\u3044\u3066\u307e\u3059\u304c\u3001\u5598\u606f\u3063\u307d\u3044\u7279\u5fb4\u3092\u6301\u3063\u305f\u55ab\u7159\u30fb\u65e2\u55ab\u7159\u8005\u3068\u3044\u3046\u306e\u304c\u308f\u304b\u308a\u3084\u3059\u3044\u30a4\u30e1\u30fc\u30b8\u3067\u3057\u3087\u3046\u304b\u3002\u5598\u606f\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u3067\u3082\u3001COPD\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u306e\u4e2d\u3067\u3082\u7d04\uff13\u5272\u7a0b\u5ea6\u306e\u65b9\u304cACO\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u4e00\u822c\u7684\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3055\u308c\u3066\u3044\u306a\u3044\u5598\u606f\u3084\u5598\u606f\u3092\u5408\u4f75\u3057\u3066\u3044\u306a\u3044COPD\u3088\u308a\u3082\u3001\u547c\u5438\u6a5f\u80fd\u306e\u4f4e\u4e0b\u304c\u65e9\u304f\u3001\u7d2f\u7a4d\u751f\u5b58\u7387\u304c\u60aa\u3044\u50be\u5411\u306b\u3042\u308b<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u5831\u544a\u3067\u5dee\u304c\u3042\u308a\u4e00\u5b9a\u306e\u898b\u89e3\u306f\u51fa\u3066\u3044\u307e\u305b\u3093\u304c\u3001COPD\u3068\u540c\u7a0b\u5ea6\u306b\u80ba\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u306e\u306f\u9593\u9055\u3044\u306a\u3055\u305d\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"has-vivid-red-color has-text-color has-link-color wp-elements-a2ca57d0408d4abb9c3b1217d2beecaa\"><strong>\u91cd\u8981\u3053\u3068\u306f\u5598\u606f\u304c\u3042\u308b\u65b9\u306f\u305f\u3070\u3053\u306f\u53b3\u7981\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">COPD\u306e\u75c5\u671f\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td colspan=\"2\">\u75c5\u671f<\/td><td>\u5b9a\u7fa9<\/td><\/tr><tr><td>\u2160\u671f<\/td><td>\u8efd\u5ea6\u306e\u6c17\u6d41\u9589\u585e<\/td><td>%FEV1&nbsp;\u2267 80%<\/td><\/tr><tr><td>\u2161\u671f<\/td><td>\u4e2d\u7b49\u5ea6\u306e\u6c17\u6d41\u9589\u585e<\/td><td>50% \u2266 %FEV1&nbsp;\uff1c 80%<\/td><\/tr><tr><td>\u2162\u671f<\/td><td>\u9ad8\u5ea6\u306e\u6c17\u6d41\u9589\u585e<\/td><td>30% \u2266 %FEV1&nbsp;\uff1c 50%<\/td><\/tr><tr><td>\u2163\u671f<\/td><td>\u304d\u308f\u3081\u3066\u9ad8\u5ea6\u306e\u6c17\u6d41\u9589\u585e<\/td><td>%FEV1&nbsp;\uff1c 30%<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<p class=\"has-small-font-size\">\u6c17\u7ba1\u652f\u62e1\u5f35\u85ac\u6295\u4e0e\u5f8c\u306e1\u79d2\u7387\uff08FEV1\/FVC\uff0970\uff05\u672a\u6e80\u304c\u5fc5\u9808\u6761\u4ef6<\/p>\n\n\n\n<p class=\"has-small-font-size\">1\u79d2\u91cf\uff08FEV1\uff09\uff1a\u6700\u521d\u306e1\u79d2\u9593\u3067\u5410\u304d\u51fa\u305b\u308b\u606f\u306e\u91cf<\/p>\n\n\n\n<p class=\"has-small-font-size\">\u52aa\u529b\u80ba\u6d3b\u91cf\uff08FVC\uff09\uff1a\u601d\u3044\u5207\u308a\u606f\u3092\u5438\u3063\u3066\u304b\u3089\u5f37\u304f\u5410\u304d\u51fa\u3057\u305f\u3068\u304d\u306e\u606f\u306e\u91cf<\/p>\n\n\n\n<p class=\"has-small-font-size\">1\u79d2\u7387\uff08FEV1%\uff09\uff1aFEV\uff11\u5024\u3092FVC\u5024\u3067\u5272\u3063\u305f\u5024<\/p>\n\n\n\n<p class=\"has-small-font-size\">\u5bfe\u6a19\u6e961\u79d2\u91cf\uff08\uff05FEV1\uff09\uff1a\u6027\u3001\u5e74\u9f62\u3001\u8eab\u9577\u304b\u3089\u6c42\u3081\u305fFEV1\u306e\u6a19\u6e96\u5024\u306b\u5bfe\u3059\u308b\u5272\u5408<\/p>\n<\/div>\n\n\n\n<p>\u3042\u304f\u307e\u3067\u80ba\u6a5f\u80fd\u691c\u67fb\u3067\u306e\u5206\u985e\u3067\u3059\u306e\u3067\u3001\u75c7\u72b6\u3084\u65e5\u5e38\u751f\u6d3b\u3078\u306e\u5f71\u97ff\u3068\uff11\uff10\uff10\uff05\u76f8\u95a2\u3059\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3067\u3059\u304c\u3001\u591a\u304f\u306e\u5834\u5408\u306f\u80ba\u6a5f\u80fd\u304c\u60aa\u304f\u306a\u308b\u3068\u75c7\u72b6\u3082\u5f37\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">COPD\u306f\u5168\u8eab\u306e\u75c5<\/h2>\n\n\n\n<p>COPD\u3092\u80ba\u306e\u75c5\u6c17\u3068\u8003\u3048\u3066\u3044\u307e\u305b\u3093\u304b\uff1f<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>COPD\u306f\u300c\u80ba\u306e\u75c5\u6c17\u300d\u3067\u3042\u308b\u3068\u540c\u6642\u306b\u3001<strong>\u5168\u8eab\u6027\u708e\u75c7\u3092\u4f34\u3046\u5168\u8eab\u75be\u60a3<\/strong>\u3002<\/li>\n\n\n\n<li>\u708e\u75c7\u3084\u4f4e\u9178\u7d20\u3001\u8eab\u4f53\u6d3b\u52d5\u6027\u306e\u4f4e\u4e0b\u306a\u3069\u3092\u901a\u3058\u3066\u3001<strong>\u5168\u8eab\u306e\u81d3\u5668\u306b\u4e8c\u6b21\u7684\u306a\u5f71\u97ff<\/strong>\u3092\u53ca\u307c\u3059\u3002<\/li>\n\n\n\n<li>\u5408\u4f75\u75c7\u306e\u6709\u7121\u306f <strong>\u5897\u60aa\u983b\u5ea6\u30fbQOL\u30fb\u751f\u547d\u4e88\u5f8c<\/strong> \u306b\u5f37\u304f\u95a2\u308f\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u3068\u3055\u308c\u3066\u304a\u308a\u3001\u80ba\u306b\u8d77\u304d\u3066\u3044\u308b\u6162\u6027\u708e\u75c7\u3067\u5168\u8eab\u306e\u75c5\u6c17\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u3072\u3069\u3044\u5834\u5408\u306b\u306f\u98df\u4e8b\u3067\u3059\u3089\u606f\u5207\u308c\u306e\u305f\u3081\u3068\u308b\u3053\u3068\u304c\u3067\u304d\u305a\u306b\u8870\u5f31\u3057\u3066\u3044\u304d\u307e\u3059\u3002COPD\u306b\u95a2\u9023\u3057\u305f\u5168\u8eab\u306e\u75c5\u6c17\u3092\u307e\u3068\u3081\u3066\u307f\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\ude78 \u4e3b\u306a\u5168\u8eab\u5408\u4f75\u75c7<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u5206\u985e<\/th><th>\u4e3b\u306a\u5185\u5bb9<\/th><th>\u81e8\u5e8a\u7684\u610f\u7fa9<\/th><\/tr><\/thead><tbody><tr><td><strong>\u6804\u990a\u969c\u5bb3<\/strong><\/td><td>\u8102\u80aa\u91cf\u30fb\u9664\u8102\u80aa\u91cf\u306e\u6e1b\u5c11<\/td><td>\u4f4e\u4f53\u91cd\u306f\u6b7b\u4ea1\u30ea\u30b9\u30af\u4e0a\u6607\u3002\u98df\u4e8b\u30fb\u6804\u990a\u6307\u5c0e\u304c\u91cd\u8981\u3002<\/td><\/tr><tr><td><strong>\u9aa8\u683c\u7b4b\u6a5f\u80fd\u969c\u5bb3<\/strong><\/td><td>\u7b4b\u529b\u4f4e\u4e0b\u30fb\u7b4b\u7dda\u7dad\u69cb\u6210\u5909\u5316\u30fb\u9175\u7d20\u6d3b\u6027\u4f4e\u4e0b\uff08\u30b5\u30eb\u30b3\u30da\u30cb\u30a2\uff09<\/td><td>\u904b\u52d5\u8010\u5bb9\u80fd\u4f4e\u4e0b\u3001\u30d5\u30ec\u30a4\u30eb\u5316\u306b\u3064\u306a\u304c\u308b\u3002<\/td><\/tr><tr><td><strong>\u5fc3\u8840\u7ba1\u75be\u60a3<\/strong><\/td><td>\u9ad8\u8840\u5727\u30fb\u5fc3\u7b4b\u6897\u585e\u30fb\u72ed\u5fc3\u75c7\u30fb\u4e0d\u6574\u8108\u30fb\u8133\u8840\u7ba1\u969c\u5bb3<\/td><td>\u4e88\u5f8c\u60aa\u5316\u306e\u4e3b\u8981\u56e0\u3002\u5fc3\u4e0d\u5168\u30fb\u865a\u8840\u6027\u5fc3\u75be\u60a3\u306e\u4f75\u5b58\u591a\u3044\u3002<\/td><\/tr><tr><td><strong>\u9aa8\u7c97\u9b06\u75c7<\/strong><\/td><td>\u810a\u690e\u5727\u8feb\u9aa8\u6298\u30fb\u5927\u817f\u9aa8\u9838\u90e8\u9aa8\u6298<\/td><td>ADL\u30fbQOL\u4f4e\u4e0b\u3001\u65e5\u672c\u4eba\u3067\u306f\u6b7b\u4ea1\u7387\u5897\u52a0\u306b\u95a2\u4e0eCOPD6_20220726\u3002<\/td><\/tr><tr><td><strong>\u7cbe\u795e\u75be\u60a3<\/strong><\/td><td>\u4e0d\u5b89\u30fb\u6291\u3046\u3064<\/td><td>\u6162\u6027\u75be\u60a3\u306b\u3088\u308b\u5fc3\u7406\u7684\u30b9\u30c8\u30ec\u30b9\u3001\u751f\u6d3b\u5236\u9650\u306e\u5f71\u97ff\u3002<\/td><\/tr><tr><td><strong>\u4ee3\u8b1d\u6027\u75be\u60a3<\/strong><\/td><td>\u7cd6\u5c3f\u75c5\u30fb\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0<\/td><td>\u5168\u8eab\u6027\u708e\u75c7\u30fb\u30b9\u30c6\u30ed\u30a4\u30c9\u30fb\u904b\u52d5\u4e0d\u8db3\u306a\u3069\u304c\u95a2\u4e0e\u3002<\/td><\/tr><tr><td><strong>\u6d88\u5316\u5668\u75be\u60a3<\/strong><\/td><td>\u80c3\u6f70\u760d\u30fbGERD\uff08\u9006\u6d41\u6027\u98df\u9053\u708e\uff09<\/td><td>\u6162\u6027\u54b3\u55fd\u30fb\u80f8\u90e8\u5727\u8feb\u30fb\u85ac\u5264\u306a\u3069\u304c\u5f71\u97ff\u3002<\/td><\/tr><tr><td><strong>\u7761\u7720\u95a2\u9023\u75be\u60a3<\/strong><\/td><td>SAS\uff08\u7761\u7720\u6642\u7121\u547c\u5438\u75c7\u5019\u7fa4\uff09<\/td><td>\u591c\u9593\u4f4e\u9178\u7d20\u30fb\u65e5\u4e2d\u7720\u6c17\u30fb\u5fc3\u8840\u7ba1\u8ca0\u62c5\u3002<\/td><\/tr><tr><td><strong>\u8ca7\u8840<\/strong><\/td><td>\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u3084\u6804\u990a\u4e0d\u826f\u304c\u95a2\u4e0e<\/td><td>\u606f\u5207\u308c\u30fb\u5026\u6020\u611f\u306e\u5897\u60aa\u56e0\u5b50\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3068\u975e\u5e38\u306b\u6016\u3044\u75c5\u6c17\u3067\u3059\u3002\u305d\u3057\u3066\u55ab\u7159\u306f\u591a\u304f\u306e\u60aa\u6027\u816b\u760d\u3068\u95a2\u9023\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"630\" height=\"475\" src=\"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-content\/uploads\/2025\/10\/image.png\" alt=\"\" class=\"wp-image-177\" srcset=\"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-content\/uploads\/2025\/10\/image.png 630w, https:\/\/daigo-tsuji-iin.jp\/blog\/wp-content\/uploads\/2025\/10\/image-398x300.png 398w\" sizes=\"auto, (max-width: 630px) 100vw, 630px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/ganjoho.jp\/public\/pre_scr\/cause_prevention\/smoking\/tobacco02.html\" title=\"\">\u56fd\u7acb\u304c\u3093\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u306eHP<\/a>\u304b\u3089\u306e\u5f15\u7528\u306b\u306a\u308a\u307e\u3059\u304c\u4e0a\u8a18\u306e\u8d64\u5b57\u306e\u304c\u3093\u306f\u5f37\u3044\u95a2\u9023\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u53d7\u8a3a\u306e\u76ee\u5b89\uff08\u3053\u306e\u30c1\u30a7\u30c3\u30af\u306b\u5f53\u3066\u306f\u307e\u3063\u305f\u3089\u76f8\u8ac7\u3092\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5742\u3084\u968e\u6bb5\u3067<strong>\u540c\u5e74\u4ee3\u3088\u308a\u606f\u5207\u308c<\/strong>\u304c\u5f37\u3044<\/li>\n\n\n\n<li><strong>3\u304b\u6708\u4ee5\u4e0a<\/strong>\u54b3\u3084\u305f\u3093\u304c\u7d9a\u304f\uff08\u671d\u306b\u591a\u3044\uff09<\/li>\n\n\n\n<li><strong>\u98a8\u90aa\u306e\u3042\u3068<\/strong>\u3001\u54b3\u30fb\u305f\u3093\u30fb\u606f\u5207\u308c\u304c\u9577\u5f15\u304f\uff0f\u60aa\u5316\u3092<strong>\u5e74\u306b1\uff5e2\u56de\u4ee5\u4e0a<\/strong>\u304f\u308a\u8fd4\u3059<\/li>\n\n\n\n<li><strong>\u305f\u3070\u3053\u309210\u5e74\u4ee5\u4e0a<\/strong>\u5438\u3063\u3066\u3044\u305f\uff0f\u5438\u3063\u3066\u3044\u308b\uff08\u3084\u3081\u3066\u3044\u3066\u3082OK\uff09<\/li>\n\n\n\n<li>\u4f53\u91cd\u304c<strong>\u5897\u3048\u3059\u304e<\/strong>\uff08\u6d3b\u52d5\u6027\u4f4e\u4e0b\uff09\u307e\u305f\u306f<strong>\u6e1b\u3063\u3066\u304d\u305f<\/strong><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u3088\u304f\u3042\u308b\u8cea\u554f<\/h2>\n\n\n\n<p><strong>Q. \u691c\u67fb\u306f\u75db\u3044\uff1f\u6642\u9593\u306f\uff1f<\/strong><br>A. \u30b9\u30d1\u30a4\u30ed\u306f<strong>\u606f\u3092\u5439\u304f\u3060\u3051<\/strong>\u3002\u6570\u5206\u3067\u7d42\u308f\u308a\u307e\u3059\u3002\u75db\u307f\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p><strong>Q. \u85ac\u3067\u6cbb\u308b\uff1f<\/strong><br>A. \u5b8c\u5168\u306b\u5143\u306b\u623b\u3059\u306e\u306f\u96e3\u3057\u3044\u3067\u3059\u304c\u3001<strong>\u606f\u5207\u308c\u3092\u697d\u306b<\/strong>\u3057\u3001<strong>\u5897\u60aa\u3092\u6e1b\u3089\u3059<\/strong>\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u751f\u6d3b\u306e\u8cea\u304c\u4e0a\u304c\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>Q. \u7981\u7159\u306e\u52b9\u679c\u306f\uff1f\u4eca\u3055\u3089\u3067\u3082\u610f\u5473\u3042\u308b\uff1f<\/strong><br>A. <strong>\u3044\u3064\u3084\u3081\u3066\u3082\u610f\u5473\u304c\u3042\u308a\u307e\u3059\u3002\u9032\u884c\u3092\u660e\u3089\u304b\u306b\u9045\u3089\u305b<\/strong>\u3001\u85ac\u306e\u52b9\u304d\u3082\u826f\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>Q. \u904b\u52d5\u3057\u3066\u3044\u3044\u306e\uff1f<\/strong><br>A. \u3080\u3057\u308d**\u904b\u52d5\uff08\u6b69\u884c\u30fb\u7b4b\u30c8\u30ec\u30fb\u547c\u5438\u30ea\u30cf\uff09**\u304c\u91cd\u8981\u3002\u606f\u304c\u4e0a\u304c\u3089\u306a\u3044\u7bc4\u56f2\u304b\u3089\u5c11\u3057\u305a\u3064\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u3044\u307e\u304b\u3089\u3067\u304d\u308b\u3053\u3068\uff08\u8a3a\u65ad\u524d\u3067\u3082OK\uff09<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u7981\u7159<\/strong>\uff08\u5bb6\u65cf\u306e\u53d7\u52d5\u55ab\u7159\u5bfe\u7b56\u3082\uff09<\/li>\n\n\n\n<li><strong>\u6b69\u304f\uff0f\u8efd\u3044\u7b4b\u30c8\u30ec<\/strong>\u3092\u9031\u5408\u8a08150\u5206\u3081\u3056\u3059\uff08\u77ed\u6642\u9593\u00d7\u56de\u6570\u3067OK\uff09<\/li>\n\n\n\n<li><strong>\u30ef\u30af\u30c1\u30f3<\/strong>\uff1a\u30a4\u30f3\u30d5\u30eb\u30fb\u80ba\u708e\u7403\u83cc\u30fb\uff08\u5fc5\u8981\u306a\u3089\uff09COVID-19<\/li>\n\n\n\n<li><strong>\u4f53\u91cd\u30fb\u6804\u990a\u7ba1\u7406<\/strong>\uff1a\u75e9\u305b\u3059\u304e\uff0f\u4f53\u529b\u4f4e\u4e0b\u306f\u606f\u5207\u308c\u60aa\u5316\u306e\u30b5\u30a4\u30f3<\/li>\n\n\n\n<li><strong>\u54b3\u30fb\u305f\u3093\u30fb\u606f\u5207\u308c\u65e5\u8a8c<\/strong>\u3092\u3064\u3051\u308b\uff08\u60aa\u5316\u306e\u65e9\u671f\u767a\u898b\u306b\uff09<\/li>\n<\/ol>\n\n\n\n<h1 class=\"wp-block-heading\">\u307e\u3068\u3081<\/h1>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>COPD\u306f\u300c\u606f\u306e\u901a\u308a\u9053\u304c\u7d30\u304f\u306a\u308b\u75c5\u6c17\u300d<\/strong>\u3002\u9032\u884c\u3057\u3084\u3059\u3044\u3051\u308c\u3069\u3001<strong>\u65e9\u304f\u898b\u3064\u3051\u3066\u5bfe\u51e6\u3059\u308c\u3070\u606f\u5207\u308c\u306f\u697d\u306b\u3001\u5897\u60aa\u3082\u6e1b\u3089\u305b\u307e\u3059<\/strong>\u3002<\/li>\n\n\n\n<li><strong>\u8a3a\u65ad\u306e\u30ab\u30ae\u306f\u30b9\u30d1\u30a4\u30ed\u30e1\u30c8\u30ea\u30fc<\/strong>\uff08\u606f\u3092\u30d5\u30fc\u30c3\u3068\u5410\u304f\u691c\u67fb\uff09\u3002<strong>\u305f\u3070\u3053\u7d4c\u9a13\u304c\u3042\u308a<\/strong>\u3001\u606f\u5207\u308c\u30fb\u54b3\u30fb\u305f\u3093\u304c\u7d9a\u304f\u4eba\u306f\u4e00\u5ea6\u30c1\u30a7\u30c3\u30af\u3092\u3002<\/li>\n\n\n\n<li>\u6cbb\u7642\u306f <strong>\u5438\u5165\u85ac\uff0b\u751f\u6d3b\u7fd2\u6163\uff08\u7981\u7159\u30fb\u904b\u52d5\u30fb\u30ef\u30af\u30c1\u30f3\u30fb\u6804\u990a\uff09<\/strong> \u304c\u57fa\u672c\u3002\u30b4\u30fc\u30eb\u306f**\u300c\u606f\u5207\u308c\u3092\u8efd\u304f\u300d\u300c\u5897\u60aa\u3092\u6e1b\u3089\u3059\u300d\u300c\u65e5\u5e38\u3092\u53d6\u308a\u623b\u3059\u300d**\u3002<\/li>\n\n\n\n<li><strong>\u5fc3\u8840\u7ba1\u30fb\u9aa8\u7c97\u9b06\u75c7\u30fb\u7b4b\u529b\u4f4e\u4e0b\u30fb\u4e0d\u5b89\/\u6291\u3046\u3064\u30fb\u7761\u7720\u6642\u7121\u547c\u5438<\/strong>\u306a\u3069\u306e<strong>\u5168\u8eab\u5408\u4f75\u75c7\u3082\u30bb\u30c3\u30c8\u3067\u7ba1\u7406<\/strong>\u3059\u308b\u3068\u3001\u4e88\u5f8c\u3068QOL\u304c\u4e0a\u304c\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u60aa\u5316\u306e\u30b5\u30a4\u30f3<\/strong>\uff08\u606f\u5207\u308c\u306e\u6025\u306a\u5897\u52a0\uff0f\u305f\u3093\u304c\u5897\u3048\u308b\u30fb\u8272\u304c\u6fc3\u3044\uff0f\u767a\u71b1\uff09\u3092\u77e5\u308a\u3001<strong>\u65e9\u3081\u306b\u53d7\u8a3a<\/strong>\u3092\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u4eca\u65e5\u304b\u3089\u3067\u304d\u308b3\u3064<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u7981\u7159<\/strong>\uff08\u5bb6\u65cf\u306e\u53d7\u52d5\u55ab\u7159\u5bfe\u7b56\u3082\uff09<\/li>\n\n\n\n<li><strong>\u6b69\u304f\u30fb\u8efd\u3044\u7b4b\u30c8\u30ec<\/strong>\u3092\u6bce\u65e5\u5c11\u3057\u305a\u3064\uff08\u5408\u8a08150\u5206\/\u9031\u3092\u76ee\u6a19\uff09<\/li>\n\n\n\n<li><strong>\u30ef\u30af\u30c1\u30f3<\/strong>\uff08\u30a4\u30f3\u30d5\u30eb\u30fb\u80ba\u708e\u7403\u83cc\u30fb\u5fc5\u8981\u306b\u5fdc\u3058\u3066COVID-19\/RSV\uff09\u3092\u4e3b\u6cbb\u533b\u3068\u76f8\u8ac7<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">\u53d7\u8a3a\u306e\u76ee\u5b89<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>3\u304b\u6708\u4ee5\u4e0a<\/strong>\u306e\u54b3\u3084\u305f\u3093\uff0f<strong>\u968e\u6bb5\u3084\u5742\u3067\u540c\u5e74\u4ee3\u3088\u308a\u606f\u5207\u308c<\/strong><\/li>\n\n\n\n<li>\u98a8\u90aa\u306e\u3042\u3068\u75c7\u72b6\u304c\u9577\u5f15\u304f\u30fb<strong>\u5e741\u56de\u4ee5\u4e0a\u306e\u5897\u60aa<\/strong><\/li>\n\n\n\n<li><strong>10 pack-years<\/strong>\u4ee5\u4e0a\u306e\u55ab\u7159\u6b74\uff08\u904e\u53bb\u3067\u3082OK\uff09<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u3059\u3050\u53d7\u8a3a\u30fb\u6551\u6025\u76f8\u8ac7\u3092<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4f1a\u8a71\u304c\u9014\u5207\u308c\u308b\u307b\u3069\u82e6\u3057\u3044\uff0f<strong>\u30c1\u30a2\u30ce\u30fc\u30bc\uff08\u5507\u3084\u6307\u304c\u9752\u7d2b\uff09<\/strong><\/li>\n\n\n\n<li>\u6a2a\u306b\u306a\u308c\u306a\u3044\u307b\u3069\u306e\u547c\u5438\u56f0\u96e3\uff0f\u9ad8\u71b1\uff0b\u9ec4\u8272\uff5e\u7dd1\u306e\u3069\u308d\u3063\u3068\u3057\u305f\u75f0<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u606f\u5207\u308c\u3092<strong>\u5e74\u306e\u305b\u3044<\/strong>\u306b\u3057\u306a\u3044\u3053\u3068\u304c\u7b2c\u4e00\u6b69\u3002\u6c17\u306b\u306a\u308b\u65b9\u306f\u3001<strong>\u547c\u5438\u5668\u5185\u79d1\u3067\u30b9\u30d1\u30a4\u30ed\u30e1\u30c8\u30ea\u30fc<\/strong>\u3092\u53d7\u3051\u3066\u3001\u3042\u306a\u305f\u306b\u5408\u3063\u305f\u300c\u5438\u5165\u85ac\uff0b\u751f\u6d3b\u306e\u6574\u3048\u65b9\u300d\u3092\u4e00\u7dd2\u306b\u6c7a\u3081\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u5f53\u9662\u306f\u4eac\u90fd\u5e02\u4f0f\u898b\u533a\u918d\u9190\u5408\u5834\u753a\u306b\u3042\u308b\u3001\u547c\u5438\u5668\u5185\u79d1\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u5185\u79d1\u533b\u9662\u3067\u3059\u3002<br>\u4eac\u962a\u30d0\u30b9\u5408\u5834\u5ddd\u304b\u3089\u5f92\u6b69\u7d041\u5206<br>\u6771\u897f\u7dda\u77f3\u7530\u304b\u3089\u5f92\u6b69\u7d0410\u5206<br>\u8eca\u306e\u5834\u5408\u306f\u516d\u5730\u8535\u99c5\u304b\u30895\u5206\u3001\u5c71\u79d1\u99c5\u304b\u308915\u5206\u3001\u4eac\u962a\u5b87\u6cbb\u99c5\u304b\u3089\u308215\u5206\u3067\u3059\u3002<br>\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n<\/blockquote>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<p>\u5f53\u9662HP\u306f<a href=\"https:\/\/daigo-tsuji-iin.jp\/\" title=\"\">\u3053\u3061\u3089<\/a><\/p>\n\n\n\n<p>\u30a2\u30af\u30bb\u30b9\u306f<a href=\"https:\/\/daigo-tsuji-iin.jp\/access.html\" title=\"\">\u3053\u3061\u3089<\/a><\/p>\n\n\n\n<p>\u4e88\u7d04\u306f<a href=\"https:\/\/ssc10.doctorqube.com\/daigo-tsuji-iin\/\" title=\"\">\u3053\u3061\u3089<\/a><\/p>\n\n\n\n<p>\u516c\u5f0fLINE\u306f<a href=\"https:\/\/lin.ee\/kFc20lO\" title=\"\">\u3053\u3061\u3089<\/a>\uff1a\u305c\u3072\u3054\u767b\u9332\u304f\u3060\u3055\u3044<\/p>\n<\/div>\n\n\n\n<div class=\"tsuji-cta\" style=\"margin:2.5em 0;padding:1.5em 1.25em;background:#f5f9fc;border:1px solid #d6e4ee;border-radius:12px;font-family:-apple-system,BlinkMacSystemFont,'Hiragino Sans','Yu Gothic',sans-serif;\">\n  <p style=\"margin:0 0 1em;font-size:1.15em;font-weight:700;color:#0a4d6e;text-align:center;line-height:1.5;\">\u6c17\u306b\u306a\u308b\u75c7\u72b6\u304c\u3042\u308c\u3070\u3001\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044<\/p>\n  <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(220px,1fr));gap:12px;\">\n    <a href=\"tel:0755710951\" style=\"display:flex;flex-direction:column;align-items:center;justify-content:center;padding:14px 12px;background:#0a7cb8;color:#fff;text-decoration:none;border-radius:8px;font-weight:700;line-height:1.4;box-shadow:0 2px 4px rgba(0,0,0,0.08);\">\n      <span style=\"font-size:0.85em;opacity:0.95;\">\ud83d\udcde \u304a\u96fb\u8a71\u3067\u306e\u3054\u76f8\u8ac7<\/span>\n      <span style=\"font-size:1.2em;margin-top:4px;letter-spacing:0.02em;\">075-571-0951<\/span>\n    <\/a>\n    <a href=\"tel:05055387303\" style=\"display:flex;flex-direction:column;align-items:center;justify-content:center;padding:14px 12px;background:#2a9d8f;color:#fff;text-decoration:none;border-radius:8px;font-weight:700;line-height:1.4;box-shadow:0 2px 4px rgba(0,0,0,0.08);\">\n      <span style=\"font-size:0.85em;opacity:0.95;\">\ud83d\udcde \u3054\u4e88\u7d04\u5c02\u7528\u30c0\u30a4\u30e4\u30eb<\/span>\n      <span style=\"font-size:1.2em;margin-top:4px;letter-spacing:0.02em;\">050-5538-7303<\/span>\n    <\/a>\n    <a href=\"https:\/\/daigo-tsuji-iin.jp\/\" style=\"display:flex;flex-direction:column;align-items:center;justify-content:center;padding:14px 12px;background:#fff;color:#0a4d6e;text-decoration:none;border:2px solid #0a7cb8;border-radius:8px;font-weight:700;line-height:1.4;\">\n      <span style=\"font-size:0.85em;opacity:0.85;\">\ud83c\udfe5 \u8a3a\u7642\u6642\u9593\u30fb\u30a2\u30af\u30bb\u30b9<\/span>\n      <span style=\"font-size:1.05em;margin-top:4px;\">\u5f53\u9662\u30db\u30fc\u30e0\u30da\u30fc\u30b8<\/span>\n    <\/a>\n    <a href=\"https:\/\/ssc10.doctorqube.com\/daigo-tsuji-iin\/\" style=\"display:flex;flex-direction:column;align-items:center;justify-content:center;padding:14px 12px;background:#e76f51;color:#fff;text-decoration:none;border-radius:8px;font-weight:700;line-height:1.4;box-shadow:0 2px 4px rgba(0,0,0,0.08);\">\n      <span style=\"font-size:0.85em;opacity:0.95;\">\ud83d\uddd3 24\u6642\u9593\u53d7\u4ed8<\/span>\n      <span style=\"font-size:1.05em;margin-top:4px;\">Web\u4e88\u7d04\u306f\u3053\u3061\u3089<\/span>\n    <\/a>\n  <\/div>\n  <p style=\"margin:1em 0 0;font-size:0.85em;color:#5a6b78;text-align:center;line-height:1.6;\">\u4eac\u90fd\u5e02\u4f0f\u898b\u533a\u30fb\u8fbb\u533b\u9662\uff0f\u547c\u5438\u5668\u5185\u79d1\u30fb\u5185\u79d1<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u6700\u8fd1\u3001\u968e\u6bb5\u3092\u4e0a\u308b\u3068\u606f\u304c\u5207\u308c\u308b\u3001\u671d\u306e\u54b3\u3084\u305f\u3093\u304c\u5897\u3048\u305f\u3068\u611f\u3058\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f\u305d\u308c\u3092\u300c\u5e74\u306e\u305b\u3044\u300d\u300c\u904b\u52d5\u4e0d\u8db3\u300d\u3068\u601d\u3063\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u305d\u306e\u75c7\u72b6&#8230;<\/p>\n","protected":false},"author":2,"featured_media":135,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"class_list":["post-176","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/posts\/176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/comments?post=176"}],"version-history":[{"count":3,"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/posts\/176\/revisions"}],"predecessor-version":[{"id":273,"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/posts\/176\/revisions\/273"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/media\/135"}],"wp:attachment":[{"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/media?parent=176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/daigo-tsuji-iin.jp\/blog\/wp-json\/wp\/v2\/categories?post=176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}