{"id":321,"date":"2023-01-11T05:41:36","date_gmt":"2023-01-10T20:41:36","guid":{"rendered":"https:\/\/fujimakimedical.com\/?p=321"},"modified":"2023-01-20T02:47:09","modified_gmt":"2023-01-19T17:47:09","slug":"%e8%bf%91%e8%b5%a4%e5%a4%96%e7%b7%9a%e5%88%86%e5%85%89%e6%b3%95%e3%81%ab%e3%82%88%e3%82%8b%e3%82%b3%e3%83%b3%e3%83%91%e3%83%bc%e3%83%88%e3%83%a1%e3%83%b3%e3%83%88%e7%97%87%e5%80%99%e7%be%a4%e3%81%ae","status":"publish","type":"post","link":"https:\/\/fujimakimedical.com\/?p=321","title":{"rendered":"\u8fd1\u8d64\u5916\u7dda\u5206\u5149\u6cd5\u306b\u3088\u308b\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u75c7\u5019\u7fa4\u306e\u8a3a\u65ad"},"content":{"rendered":"\n<p>\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u75c7\u5019\u7fa4\u306f\u4e3b\u306b\u5916\u50b7\u3084\u533b\u7642\u884c\u70ba\u3092\u8a98\u56e0\u3068\u3059\u308b\u7b4b\u8089\u5185\u5727\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u306e\u7570\u5e38\u306a\u5727\u4e0a\u6607\u3067\u704c\u6d41\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u3067\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u704c\u6d41\u969c\u5bb3\u306f\u6c38\u7d9a\u7684\u306a\u7b4b\u8089\u3092\u542b\u3081\u305f\u7d44\u7e54\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u8108\u306e\u6d88\u5931\u3084\u84bc\u767d\u304c\u75c7\u72b6\u3068\u3057\u3066\u73fe\u308c\u308b\u524d\u306b\u7b4b\u819c\u5207\u958b\u306a\u3069\u306e\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u3055\u308c\u3066\u304a\u308a\u3001\u5727\u529b\u30e2\u30cb\u30bf\u30fc\u306b\u3088\u308b\u8a3a\u65ad\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u6b63\u78ba\u306b\u7d20\u65e9\u304f\u8a3a\u65ad\u3001\u6cbb\u7642\u3092\u884c\u3046\u305f\u3081\u306b\u88dc\u52a9\u7684\u306a\u8a3a\u65ad\u6280\u8853\u306f\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u7d39\u4ecb\u3059\u308b\u8ad6\u6587\u306f\u8fd1\u8d64\u5916\u7dda\u5206\u5149\u6cd5\uff08NIRS)\u306b\u3088\u308b\u8a3a\u65ad\u306e\u53ef\u80fd\u6027\u3092\u5927\u578b\u52d5\u7269\u3092\u4f7f\u7528\u3057\u305f\u5b9f\u9a13\u306b\u3088\u308a\u793a\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana-1024x1024.png\" alt=\"\" class=\"wp-image-322\" srcset=\"https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana-1024x1024.png 1024w, https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana-300x300.png 300w, https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana-150x150.png 150w, https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana-768x768.png 768w, https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana-1536x1536.png 1536w, https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana-700x700.png 700w, https:\/\/fujimakimedical.com\/wp-content\/uploads\/2023\/01\/Rheumatology-pana.png 2000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>\u5185\u5bb9\u306f\u4e0b\u8a18\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u30d0\u30c3\u30af\u30b0\u30e9\u30a6\u30f3\u30c9<\/h2>\n\n\n\n<p>\u8fd1\u8d64\u5916\u7dda\u5206\u5149\u6cd5 (NIRS) \u306f\u3001\u56db\u80a2\u6025\u6027\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u75c7\u5019\u7fa4 (ACS) \u306e\u8a3a\u65ad\u306b\u5f79\u7acb\u3064\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u304a\u308a\u3001\u56db\u80a2\u306e\u704c\u6d41\u3092\u76e3\u8996\u3059\u308b\u9023\u7d9a\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u6a5f\u80fd\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\uff21\uff23\uff33\u306e\u767a\u75c7\u306e\u7406\u89e3\u3092\u52a9\u3051\u3001\uff21\uff23\uff33\u3092\u8a3a\u65ad\u3059\u308b\u3088\u308a\u826f\u3044\u65b9\u6cd5\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306b\u3001\uff21\uff23\uff33\u306e\u30d6\u30bf\u30e2\u30c7\u30eb\u304c\u958b\u767a\u3055\u308c\u305f\u3002<\/p>\n\n\n\n<p>\u672c\u7814\u7a76\u306e\u76ee\u7684\u306f\u3001ACS \u306e\u30d0\u30eb\u30fc\u30f3\u5727\u7e2e\u30e2\u30c7\u30eb\u306b\u304a\u3044\u3066\u3001NIRS\u3001\u811b\u9aa8\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u5185\u5727 (TICP)\u3001\u811b\u9aa8\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u5185\u704c\u6d41\u5727 (TIPP)\u3001\u708e\u75c7\u304a\u3088\u3073\u7b4b\u8089\u640d\u50b7\u306e\u8840\u6e05\u30de\u30fc\u30ab\u30fc\u3092\u8a55\u4fa1\u3057\u3001\u76f8\u95a2\u3055\u305b\u308b\u3053\u3068\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u65b9\u6cd5<\/h2>\n\n\n\n<p>\uff16\u982d\u306e\u30d6\u30bf\u3092\u4f7f\u7528\u3057\u305f\u3002\u982d\u84cb\u811b\u9aa8\u7b4b\u306e\u4e0b\u3067\u30d0\u30eb\u30fc\u30f3\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u81a8\u3089\u307e\u305b\u305f\u3002<\/p>\n\n\n\n<p>\u53ce\u7e2e\u671f\u3001\u62e1\u5f35\u671f\u3001\u304a\u3088\u3073\u5e73\u5747\u52d5\u8108\u5727;&nbsp;\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u5727\u529b;&nbsp;\u304a\u3088\u3073\u30aa\u30ad\u30b7\u30e1\u30c8\u30ea\u30fc\u306f\u3001\u30d0\u30eb\u30fc\u30f3\u306e\u81a8\u5f35\/\u53ce\u7e2e\u306e\u524d\u3001\u6700\u4e2d\u3001\u304a\u3088\u3073\u5f8c\u306b\u6e2c\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002\u7b4b\u8089\u640d\u50b7\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u306e\u305f\u3081\u306b\u982d\u84cb\u811b\u9aa8\u7b4b\u3092\u53ce\u96c6\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30f3\u30ad\u30ca\u30fc\u30bc\u3001\u30df\u30aa\u30b0\u30ed\u30d3\u30f3\u3001\u816b\u760d\u58ca\u6b7b\u56e0\u5b50\u03b1\u3001IL-1\u03b2\u3001\u304a\u3088\u3073IL-6\u304c\u6e2c\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u30c7\u30fc\u30bf\u5206\u6790\u306b\u306f\u3001TICP\u3001NIRS\u3001\u304a\u3088\u3073 TIPP \u6e2c\u5b9a\u5024\u306e\u9055\u3044\u3001\u306a\u3089\u3073\u306b\u30af\u30ec\u30a2\u30c1\u30f3\u30ad\u30ca\u30fc\u30bc\u3001\u30df\u30aa\u30b0\u30ed\u30d3\u30f3\u3001\u816b\u760d\u58ca\u6b7b\u56e0\u5b50 \u03b1\u3001IL-1\u03b2\u3001\u304a\u3088\u3073 IL-6 \u30ec\u30d9\u30eb\u306e\u6642\u70b9\u9593\u306e\u6bd4\u8f03\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u30d4\u30a2\u30bd\u30f3\u76f8\u95a2\u306f\u3001\u7b4b\u8089\u306e\u5909\u6027\u3068\u6d6e\u816b\u3001\u304a\u3088\u3073NIRS\u306b\u3064\u3044\u3066\u8a08\u7b97\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7d50\u679c<\/h2>\n\n\n\n<p>TICP \u306e\u5897\u52a0\u3068 TIPP \u306e\u6e1b\u5c11\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u8fd1\u8d64\u5916\u5206\u5149\u6cd5\u306f\u3001\u3059\u3079\u3066\u306e\u540c\u3058\u6642\u70b9\u3067\u7d44\u7e54\u306e\u9178\u7d20\u5316\u306e\u6709\u610f\u306a\u5909\u5316\u3092\u691c\u51fa\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u30df\u30aa\u30b0\u30ed\u30d3\u30f3\u306f\u300145.7 \u00b1 13.0 ng\/mL (\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3) \u304b\u3089 219.5 \u00b1 57.3 ng\/mL (\u30d0\u30eb\u30fc\u30f3\u53ce\u7e2e) \u306b\u5927\u5e45\u306b\u5897\u52a0\u3057\u3001\u8a66\u9a13\u671f\u9593\u4e2d\u5897\u52a0\u3057\u7d9a\u3051\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u30af\u30ec\u30a2\u30c1\u30f3\u30ad\u30ca\u30fc\u30bc\u306f\u3001\u30d0\u30eb\u30fc\u30f3\u53ce\u7e2e\u306e 2 \u6642\u9593\u5f8c\u306b\u6709\u610f\u306b\u5897\u52a0\u3057\u307e\u3057\u305f\u3002\u982d\u84cb\u811b\u9aa8\u7b4b\u306e\u5909\u6027\u3001\u58ca\u6b7b\u3001\u304a\u3088\u3073\u6d6e\u816b\u306e\u30b9\u30b3\u30a2\u306f\u3001\u5bfe\u7167\u811a\u3088\u308a\u3082\u30c6\u30b9\u30c8\u306e\u65b9\u304c\u9ad8\u304b\u3063\u305f.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7d50\u8ad6<\/h2>\n\n\n\n<p>\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u306e\u8fd1\u8d64\u5916\u5206\u5149\u6cd5\u306f\u3001\u3053\u306e ACS \u306e\u30d6\u30bf \u30d0\u30eb\u30fc\u30f3 \u30e2\u30c7\u30eb\u306b\u304a\u3051\u308b TICP \u3068 TIPP \u306e\u5897\u52a0\u3068\u6e1b\u5c11\u306e\u4e21\u65b9\u306e\u4fe1\u983c\u3067\u304d\u308b\u9ad8\u611f\u5ea6\u306e\u6e2c\u5b9a\u3092\u63d0\u4f9b\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u30af\u30ec\u30a2\u30c1\u30f3\u30ad\u30ca\u30fc\u30bc\u3068\u30df\u30aa\u30b0\u30ed\u30d3\u30f3\u306f\u3001\u30d0\u30eb\u30fc\u30f3\u9664\u53bb\u5f8c\u306b\u5927\u5e45\u306b\u5897\u52a0\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u7b4b\u8089\u306e\u5909\u6027\u3001\u6d6e\u816b\u3001\u51fa\u8840\u3001\u304a\u3088\u3073 NIRS \u306e\u9593\u306b\u6709\u610f\u306a\u76f8\u95a2\u95a2\u4fc2\u304c\u898b\u3064\u304b\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u5f15\u7528\u6587\u732e<\/p>\n\n\n\n<p>Budsberg, S. C. , Shuler, M. S. , Hansen, M. , Uhl, E. &amp; Freedman, B. A.&nbsp;(2016).&nbsp;Comparison of NIRS, serum biomarkers, and muscle damage in a porcine balloon compression model of acute compartment syndrome.&nbsp;<em>Journal of Trauma and Acute Care Surgery,&nbsp;81&nbsp;<\/em>(5),&nbsp;876-881.&nbsp;doi: 10.1097\/TA.0000000000001225.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u75c7\u5019\u7fa4\u306f\u4e3b\u306b\u5916\u50b7\u3084\u533b\u7642\u884c\u70ba\u3092\u8a98\u56e0\u3068\u3059\u308b\u7b4b\u8089\u5185\u5727\u30b3\u30f3\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u306e\u7570\u5e38\u306a\u5727\u4e0a\u6607\u3067\u704c\u6d41\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u3067\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002 \u704c\u6d41\u969c\u5bb3\u306f\u6c38\u7d9a\u7684\u306a\u7b4b\u8089\u3092\u542b\u3081\u305f\u7d44\u7e54\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002 \u8108\u306e\u6d88\u5931\u3084\u84bc\u767d\u304c\u75c7\u72b6\u3068\u3057&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-321","post","type-post","status-publish","format-standard","hentry","category-6"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=\/wp\/v2\/posts\/321","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=321"}],"version-history":[{"count":2,"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=\/wp\/v2\/posts\/321\/revisions"}],"predecessor-version":[{"id":355,"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=\/wp\/v2\/posts\/321\/revisions\/355"}],"wp:attachment":[{"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=321"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=321"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fujimakimedical.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=321"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}