{"id":34,"date":"2007-10-31T09:11:26","date_gmt":"2007-10-31T00:11:26","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/blog\/?p=34"},"modified":"2014-04-16T15:36:05","modified_gmt":"2014-04-16T06:36:05","slug":"%e3%83%a1%e3%82%bf%e3%83%9c%e6%8c%87%e6%a8%99%e3%81%ae%e6%a4%9c%e8%a8%8e%ef%bc%88hba1c-5-2-%e8%85%b9%e5%9b%b2%ef%bc%89","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=34","title":{"rendered":"\u30e1\u30bf\u30dc\u6307\u6a19\u306e\u691c\u8a0e\uff08HbA1C 5.2%, \u8179\u56f2\uff09"},"content":{"rendered":"
\n

\u7279\u5b9a\u5065\u8a3a\u306e\u7d39\u4ecb\u3092\u3057\u305f\u3070\u304b\u308a\u3067\u3059\u306e\u3067\u3001\u95a2\u9023\u3057\u305f\u3082\u306e\u3068\u3057\u3066\u3001\u539a\u52b4\u7701\u79d1\u5b66\u7814\u7a76\u8cbb\u696d\u7e3e\u96c6\u304b\u3089\u3067\u3059\u3002
\n\u90fd\u9053\u5e9c\u770c\u7b49\u306e\u751f\u6d3b\u7fd2\u6163\u75c5\u30ea\u30b9\u30af\u56e0\u5b50\u306e\u683c\u5dee\u304a\u3088\u3073\u7d4c\u5e74\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u624b\u6cd5\u306b\u95a2\u3059\u308b\u691c\u8a0e<\/b>\uff08\u4e3b\u4efb\u3001\u5409\u6c60\u4fe1\u7537\u3001\u72ec\u7acb\u884c\u653f\u6cd5\u4eba\u3000\u56fd\u7acb\u5065\u5eb7\u30fb\u6804\u990a\u7814\u7a76\u6240\u3001H18\u5e74\u5ea6\uff09\u3002
\n\u5206\u62c5\u5831\u544a\u3068\u3057\u3066\u3001\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0\u95a2\u9023\u6307\u6a19\u306e\u691c\u8a0e<\/b>\uff08\u7530\u5dbc\u3001\u6771\u4eac\u6148\u6075\u4f1a\u533b\u79d1\u5927\u5b66\u5185\u79d1\uff09<\/p>\n

————————————————————————
\n\u25a0\u7814\u7a76\u76ee\u7684\uff1a<\/b>\u30e1\u30bf\u30dc\u75c7\u5019\u7fa4\u767a\u75c7\u30ea\u30b9\u30af\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u305f\u3081\u306b\u3001\u8cea\u306e\u9ad8\u3044\u30c7\u30fc\u30bf\u306e\u53ce\u96c6\u3068\u6bd4\u8f03\u3001\u3055\u3089\u306b\u7d4c\u5e74\u5909\u5316\u3092\u89b3\u5bdf\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001
\n(1)HbA1c\u306e\u7cbe\u5ea6\u7ba1\u7406\u3001\u306a\u3089\u3073\u306b\u7cd6\u4ee3\u8b1d\u95a2\u9023\u6307\u6a19\u3068\u3057\u3066\u306e\u59a5\u5f53\u6027,\u3000
\n(2)\u7cd6\u5c3f\u75c5\u767a\u75c7\u4e88\u6e2c\u6307\u6a19\u3068\u3057\u3066\u306e\u7a7a\u8179\u6642\u8840\u7cd6\u5024\u304a\u3088\u3073HbA1C\u5024\u3001
\n(3)\u30e1\u30bf\u30dc\u75c7\u5019\u7fa4\u6307\u6a19\u306e\u8179\u56f2\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u5024
\n\u3092\u691c\u8a0e\u3057\u305f\u3002<\/p>\n

<\/p>\n

\u25a0\u5bfe\u8c61\u96c6\u56e3\uff1a<\/b>
\n(1)\u5e73\u621015\u5e74\u56fd\u6c11\u5065\u5eb7\u30fb\u6804\u990a\u8abf\u67fb\u30b3\u30db\u30fc\u30c8\u3001
\n(2)\u8239\u5f62\u753a\u30b3\u30db\u30fc\u30c8*
\n*\uff1a\u3000\u3044\u305a\u308c\u3082\u65e2\u77e5\u7cd6\u5c3f\u75c5\u3092\u542b\u307e\u306a\u3044\u5168\u4f4f\u6c11\u3092\u5bfe\u8c61\u306bOGTT\u3092\u4e00\u6b21\u691c\u67fb\u3068\u3059\u308b\u7cd6\u5c3f\u75c5\u691c\u8a3a\u3092\u5b9f\u65bd\u3002<\/p>\n

<\/p>\n

\u25a0\u7d50\u679c\u3068\u7d50\u8ad6\uff1a<\/b>
\n(1)HbA1C\u5024\u306f\u65bd\u8a2d\u9593\u683c\u5dee\u3042\u308a\u3001\u6a19\u6e96\u7269\u8cea\u306e\u5229\u7528\u3067\u89e3\u6d88\u306b\u3064\u306a\u304c\u308b\u3060\u308d\u3046\u3002
\n(2)\u5065\u8a3a\u5224\u5b9a\u5024\u3068\u3057\u3066\u3000HbA1C 5.5%\u306e\u59a5\u5f53\u6027\uff1a
\n\u7a7a\u8179\u6642\u8840\u7cd6\u3068HbA1C\u3068\u306f\u76f8\u95a2\u304c\u3042\u308a\u3001110mg\/dl\u3001100mg\/dl\u306b\u76f8\u5f53\u3059\u308bHbA1C\u306f\u30005.5%\u30015.3%\u3067\u3042\u3063\u305f\u3002\u7cd6\u5c3f\u75c5\u767a\u75c7\u306f\u3001HbA1C\u30005.3%\u3092\u8d85\u3048\u308b\u3068\u9ad8\u304f\u306a\u3063\u305f\u3002\uff08\u56f3\uff13\uff09<\/p>\n

<\/p>\n

\"metabo\"<\/a>\n<\/p>\n


<\/p>\n

\n(3)\u5c71\u5f62\u770c\u8239\u5f62\u753a\u3067\u306e\u7d041200\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u7814\u7a76\u3067\u3001\u89b3\u5bdf5\u5e74\u76ee\u306e\u7cd6\u5c3f\u75c5\u767a\u75c7\u7387\u3092\u8abf\u67fb\u3057\u305f\u3002\u7a7a\u8179\u6642\u8840\u7cd6\u3001HbA1C\u30924\u5206\u5272\u306b\u3057\u3066\u3001\u6bd4\u8f03\u3057\u305f\u3002\u5e74\u9f62\u3068\u6027\u5225\u3067\u8abf\u6574\u3057\u3066\u3082\u3001\u7a7a\u8179\u6642\u8840\u7cd6(<90, 90-99, 100-109, 110-125mg\/dl)\u3001HbA1C\uff08<4.9, 4.9-4.99, 5.0-5.19, 5.2-7.0%)\u3001\u306e\u4e21\u8005\u304c\u4e0a\u6607\u3059\u308b\u3059\u308b\u306b\u5f93\u3063\u3066\u30015\u5e74\u5f8c\u306e\u7cd6\u5c3f\u75c5\u767a\u75c7\u304c\u4e0a\u6607\u3057\u305f\u3002\u7cd6\u5c3f\u75c5\u767a\u75c7\u306e\u95be\u5024\u306f\u3044\u305a\u308c\u306b\u3082\u898b\u3064\u304b\u3089\u306a\u304b\u3063\u305f\u3002
\n\u7a7a\u8179\u6642\u8840\u7cd6<90\u306b\u6bd4\u8f03\u3057\u3066\u3001100-109mg\u3067\u306f5.6\u500d\u3001110-125mg\u3067\u306f15\u500d\u3001HbA1C\u3067\u307f\u308b\u3068\u30014.9%\u306b\u6bd4\u8f03\u3057\u3066\u3001\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u3082\u306e\u306f\u3001HbA1C 5.2%\u4ee5\u4e0a\u3067\u3042\u3063\u305f\u3002\uff08\u56f3\uff14\uff09
\nHbA1C 5.2%\u306f\u3001\u5e73\u621020\u5e74\u304b\u3089\u958b\u59cb\u3055\u308c\u308b\u5065\u8a3a\u30b7\u30b9\u30c6\u30e0\u306b\u304a\u3044\u3066\u3001\u975e\u7cd6\u5c3f\u75c5\u60a3\u8005\u306b\u304a\u3051\u308b5\u5e74\u5f8c\u306e\u7cd6\u5c3f\u75c5\u767a\u75c7\u30ea\u30b9\u30af\u96c6\u56e3\u3092\u62bd\u51fa\u3059\u308b\u305f\u3081\u306b\u59a5\u5f53\u306a\u5024\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u4eca\u5f8c\u3001\u6709\u7528\u304b\u3069\u3046\u304b\u691c\u8a3c\u3059\u308b\u4e88\u5b9a\u3002<\/p>\n

<\/p>\n

\"fig4\"<\/a>\n<\/p>\n


<\/p>\n

(4)\u30e1\u30bf\u30dc\u75c7\u5019\u7fa4\u306e\u8179\u56f2\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u5024\uff1a<\/b>
\n\u7d049000\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u3066\u8abf\u67fb\u3057\u305f\u3002\u8179\u56f2\u306f\u3001\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u306e\u5185\u81d3\u8102\u80aa\u84c4\u7a4d\uff08\u81cd\u9ad8\u306e\u5185\u81d3\u8102\u80aa\u9762\u7a4d100cm⊃2⊃\uff09\u306e\u30de\u30fc\u30ab\u30fc\u3068\u3057\u3066\u3001\u30a6\u30a8\u30b9\u30c8\u5468\u56f2\u5f84\u304c\u7537\u602785cm\u3001\u5973\u602790cm\u3068\u5b9a\u7fa9\u3057\u305f\u3002
\n\u8102\u8cea\u3001\u7cd6\u4ee3\u8b1d\u7570\u5e38\u306a\u3069\u306e\u56e0\u5b50\u3092\uff12\u3064\u4ee5\u4e0a\u3092\u3082\u3064\u3082\u306e\u306e\u62bd\u51fa\u3059\u308b\u305f\u3081\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u8179\u56f2\u3092ROC\u304b\u3089\u7b97\u51fa\u3057\u3001\u5404\u3005\u9069\u5207\u306a\u3082\u306e\u3068\u5224\u65ad\u3055\u308c\u305f\u3002\uff08\u56f3\uff09<\/p>\n

<\/p>\n

\n\"roc\"<\/a>
\n

\n————————————————————————<\/p>\n

<\/p>\n

\u524d\u56de\u306e\u7279\u5b9a\u5065\u8a3a\u306b\u3064\u3044\u3066\u306e\u8a71\u984c\u3067\u7d39\u4ecb\u3057\u305fKoriyama point\u3092\u53c2\u7167\u3059\u308b\u3068\u3001\u3059\u3050\u306b\u5206\u304b\u308a\u307e\u3059\u304c\u3001\u3053\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u5024\u306b\u3088\u308b\u7d50\u679c\u306f\u5bb9\u6613\u306b\u60f3\u5b9a\u3055\u308c\u308b\u3082\u306e\u3067\u3059\u3002\u3057\u304b\u3082\u3001HbA1C\u306a\u3069\u306f\u3001\u5404\u30ab\u30c6\u30b4\u30ea\u30fc\u304c\u4e00\u5b9a\u3067\u306f\u306a\u3044\u3053\u3068\u3067\u3001HbA1C 5.2% \u4ee5\u4e0a\u3068\u3044\u3046\u611f\u3058\u3067\u3059\u3002RCO\u66f2\u7dda\u3067\u306e\u7537\u6027AUC\uff08area under curve\uff09\u306f0.66\u3067\u3042\u308a\u3001\u307b\u3068\u3093\u30690.5\u306b\u8fd1\u3044\u3082\u306e\u3067\u3059\u30020.5\u3068\u3044\u3046\u306e\u306f\u3001\u78ba\u738750%\u3068\u3044\u3046\u610f\u5473\u3067\u3001\u201d50\uff05\u306e\u5272\u5408\u3067\u6b63\u3057\u304f\u5206\u985e\u3067\u304d\u305f\u201d\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n

<\/p>\n

\u672c\u696d\u7e3e\u96c6\u3067\u306f\u3001CD-ROM\u304c\u3064\u3044\u3066\u304a\u308a\u975e\u5e38\u306b\u89aa\u5207\u30fb\u4e01\u5be7\u3067\u3059\u3002
\n\u25cf<\/b> \u90fd\u9053\u5e9c\u770c\u7b49\u306e\u751f\u6d3b\u7fd2\u6163\u75c5\u30ea\u30b9\u30af\u56e0\u5b50\u306e\u683c\u5dee\u304a\u3088\u3073\u7d4c\u5e74\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u624b\u6cd5\u306b\u95a2\u3059\u308b\u691c\u8a0e\u3000\u5409\u6c60\u73ed(H18)<\/b><\/a>
\n\u25cf<\/b> \u5409\u6c60\u73ed\u696d\u7e3e<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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