{"id":131,"date":"2026-07-09T09:18:48","date_gmt":"2026-07-09T09:18:48","guid":{"rendered":"https:\/\/kawamoto-clinic.jp\/blog\/?p=131"},"modified":"2026-05-30T03:18:13","modified_gmt":"2026-05-30T03:18:13","slug":"post-131","status":"publish","type":"post","link":"https:\/\/kawamoto-clinic.jp\/blog\/post-131\/","title":{"rendered":"\u3010FIB-4\u3011\u809d\u81d3\u306e\u5065\u5eb7\u306f\u300c\u6570\u5024\u300d\u3067\u898b\u5b88\u308b\u3002FIB-4\u6307\u6570\u3067\u77e5\u308b\u809d\u7dda\u7dad\u5316\u306e\u30ea\u30b9\u30af\u3068\u5bfe\u7b56\u3000\u2502\u6d25\u304b\u308f\u3082\u3068\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u809d\u81d3\u306f\u300c\u6c88\u9ed9\u306e\u81d3\u5668\u300d\u3002\u304b\u306a\u308a\u9032\u884c\u3059\u308b\u307e\u3067\u75c7\u72b6\u304c\u51fa\u306b\u304f\u304f\u3001\u6c17\u3065\u3044\u305f\u3068\u304d\u306b\u306f\u809d\u786c\u5909\u3084\u809d\u304c\u3093\u306b\u81f3\u3063\u3066\u3044\u308b\u3053\u3068\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u79c1\u306f\u3053\u308c\u307e\u3067\u6551\u6025\u533b\u7642\u306e\u6700\u524d\u7dda\u3067\u3001\u6570\u591a\u304f\u306e\u91cd\u75c7\u60a3\u8005\uff08\u809d\u640d\u50b7\u3001\u809d\u786c\u5909\u3001\u809d\u4e0d\u5168\uff09\u3055\u3093\u3092\u8a3a\u3066\u304d\u307e\u3057\u305f\u3002\u5f53\u6642\u306f\u76ee\u306e\u524d\u306e\u547d\u3092\u6551\u3046\u3053\u3068\u304c\u6700\u512a\u5148\u3067\u3001\u300c\u809d\u81d3\u306e\u7dda\u7dad\u5316\uff08\u786c\u3055\uff09\u300d\u3092\u4e01\u5be7\u306b\u8aac\u660e\u3059\u308b\u4f59\u88d5\u306f\u6b63\u76f4\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u5730\u57df\u306e\u304b\u304b\u308a\u3064\u3051\u533b\uff08\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\uff09\u3068\u3057\u3066\u8a3a\u7642\u3059\u308b\u4eca\u3001\u79c1\u306e\u8003\u3048\u306f\u5909\u308f\u308a\u307e\u3057\u305f\u3002<strong>\u809d\u81d3\u3092\u300c\u60aa\u304f\u3055\u305b\u306a\u3044\u300d\u3053\u3068\u3053\u305d\u304c\u3001\u672a\u6765\u306e\u547d\u3092\u5b88\u308b\u6700\u3082\u73fe\u5b9f\u7684\u306a\u6226\u7565\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u305f\u3081\u306b\u3001\u5f53\u9662\u3067\u306f\u300cFIB-4\uff08\u30d5\u30a3\u30d6\u30d5\u30a9\u30fc\uff09\u6307\u6570\u300d\u3092\u7a4d\u6975\u7684\u306b\u6d3b\u7528\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. FIB-4\u6307\u6570\u3068\u306f\uff1f \u63a1\u8840\u3060\u3051\u3067\u308f\u304b\u308b\u300c\u809d\u81d3\u306e\u786c\u3055\u300d<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">FIB-4\u6307\u6570\u306f\u3001\u7279\u5225\u306a\u753b\u50cf\u691c\u67fb\u3092\u305b\u305a\u3068\u3082\u3001\u4e00\u822c\u7684\u306a\u5065\u5eb7\u8a3a\u65ad\u306e\u63a1\u8840\u30c7\u30fc\u30bf\u3060\u3051\u3067\u300c\u809d\u81d3\u306e\u7dda\u7dad\u5316\u30ea\u30b9\u30af\u300d\u3092\u53ef\u8996\u5316\u3067\u304d\u308b\u6307\u6a19\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5177\u4f53\u7684\u306b\u306f\u3001\u4ee5\u4e0b\u306e4\u3064\u306e\u9805\u76ee\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u8a08\u7b97\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u5e74\u9f62<\/strong><\/li>\n\n\n\n<li><strong>AST\uff08GOT\uff09<\/strong><\/li>\n\n\n\n<li><strong>ALT\uff08GPT\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u8840\u5c0f\u677f\u6570<\/strong><\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u8a08\u7b97\u5f0f\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"552\" height=\"100\" src=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2026\/02\/bandicam-2026-02-01-20-59-02-817.jpg\" alt=\"\" class=\"wp-image-132\" srcset=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2026\/02\/bandicam-2026-02-01-20-59-02-817.jpg 552w, https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2026\/02\/bandicam-2026-02-01-20-59-02-817-400x72.jpg 400w\" sizes=\"auto, (max-width: 552px) 100vw, 552px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u3082\u3068\u3082\u3068\u306fC\u578b\u809d\u708e\u306e\u305f\u3081\u306b\u958b\u767a\u3055\u308c\u307e\u3057\u305f\u304c\u3001\u73fe\u5728\u3067\u306fMASLD\uff08\u8102\u80aa\u6027\u809d\u75be\u60a3\uff0f\u65e7NAFLD\uff09\u3092\u542b\u3080\u3001\u5e45\u5e83\u3044\u6162\u6027\u809d\u75be\u60a3\u306e\u8a55\u4fa1\u306b\u6709\u7528\u3067\u3042\u308b\u3053\u3068\u304c\u4e16\u754c\u7684\u306b\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. \u306a\u305cFIB-4\u304c\u5fc5\u8981\u306a\u306e\u304b\uff1f\uff08\u56fd\u969b\u7684\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\uff09<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">FIB-4\u304c\u4e16\u754c\u4e2d\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3055\u308c\u308b\u7406\u7531\u306f\u3001<strong>\u300c\u9032\u884c\u3057\u305f\u809d\u7dda\u7dad\u5316\u3092\u898b\u9003\u3055\u306a\u3044\u80fd\u529b\u300d<\/strong>\u304c\u9ad8\u3044\u304b\u3089\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9032\u884c\u7dda\u7dad\u5316\u306e\u9664\u5916:<\/strong> Sterling\u3089\u306e\u7814\u7a76\uff082006\u5e74\uff09\u306b\u3088\u308a\u3001\u6570\u5024\u304c\u4f4e\u3051\u308c\u3070\u9032\u884c\u3057\u305f\u7dda\u7dad\u5316\u306e\u53ef\u80fd\u6027\u304c\u6975\u3081\u3066\u4f4e\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/li>\n\n\n\n<li><strong>\u9577\u671f\u4e88\u5f8c\u306e\u4e88\u6e2c:<\/strong> Angulo\u3089\uff082013\u5e74\uff09\u306f\u3001\u8102\u80aa\u6027\u809d\u75be\u60a3\u306b\u304a\u3044\u3066FIB-4\u304c\u5c06\u6765\u306e\u809d\u95a2\u9023\u30a4\u30d9\u30f3\u30c8\u3084\u6b7b\u4ea1\u30ea\u30b9\u30af\u3068\u5bc6\u63a5\u306b\u95a2\u9023\u3059\u308b\u3053\u3068\u3092\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u56fd\u969b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u63a8\u5968:<\/strong> \u6b27\u5dde\u809d\u81d3\u5b66\u4f1a\uff08EASL\uff09\u3084\u7c73\u56fd\u809d\u81d3\u5b66\u4f1a\uff08AASLD\uff09\u3067\u306f\u3001\u4e00\u6b21\u8a3a\u7642\u306e\u5834\u3067\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u3092\u52b9\u7387\u7684\u306b\u62fe\u3044\u4e0a\u3052\u308b\u30c4\u30fc\u30eb\u3068\u3057\u3066FIB-4\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u91cd\u8981\u306a\u306e\u306f\u3001<strong>\u300c\u6570\u5024\u304c\u4f4e\u3051\u308c\u3070\u3001\u3072\u3068\u307e\u305a\u5b89\u5fc3\u300d\u3068\u79d1\u5b66\u7684\u306a\u6839\u62e0\u3092\u6301\u3063\u3066\u8aac\u660e\u3067\u304d\u308b\u70b9<\/strong>\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. FIB-4\u6307\u6570\u306e\u898b\u65b9\u3068\u30ab\u30c3\u30c8\u30aa\u30d5\u5024<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u822c\u7684\u306b\u3001\u4ee5\u4e0b\u306e\u6570\u5024\u3092\u76ee\u5b89\u3068\u3057\u3066\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>FIB-4<\/strong><strong>\u6307\u6570\u306e\u5024<\/strong><\/td><td><strong>\u30ea\u30b9\u30af\u8a55\u4fa1<\/strong><\/td><td><strong>\u4eca\u5f8c\u306e\u5bfe\u5fdc<\/strong><\/td><\/tr><tr><td>1.3 \u672a\u6e80<\/td><td>\u4f4e\u30ea\u30b9\u30af<\/td><td>\u5b9a\u671f\u7684\u306a\u7d4c\u904e\u89b3\u5bdf<\/td><\/tr><tr><td>1.3 \u301c 2.67<\/td><td>\u4e2d\u9593\u30ea\u30b9\u30af<\/td><td>\u8a73\u3057\u304f\u8ffd\u52a0\u8a55\u4fa1\u30fb\u7d4c\u904e\u89b3\u5bdf<\/td><\/tr><tr><td>2.67 \u4ee5\u4e0a<\/td><td>\u9ad8\u30ea\u30b9\u30af<\/td><td>\u5c02\u9580\u533b\u306b\u3088\u308b\u7cbe\u5bc6\u691c\u67fb\u3092\u691c\u8a0e<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u203b\u9ad8\u9f62\u306e\u65b9\uff08\u7279\u306b65\u6b73\u4ee5\u4e0a\uff09\u306f\u6570\u5024\u304c\u9ad8\u304f\u51fa\u3084\u3059\u3044\u305f\u3081\u3001\u5e74\u9f62\u306b\u5fdc\u3058\u305f\u9069\u5207\u306a\u89e3\u91c8\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. \u300c\u809d\u6a5f\u80fd\u304c\u6b63\u5e38\uff1d\u5b89\u5fc3\u300d\u3067\u306f\u306a\u3044\u6642\u4ee3\u3078<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5065\u5eb7\u8a3a\u65ad\u3067\u300cAST\u30fbALT\u304c\u57fa\u6e96\u5024\u5185\u3060\u304b\u3089\u5927\u4e08\u592b\u300d\u3068\u8a00\u308f\u308c\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b9f\u306f\u3001\u8102\u80aa\u6027\u809d\u75be\u60a3\uff08MASLD\uff09\u306e\u5834\u5408\u3001<strong>\u30c8\u30e9\u30f3\u30b9\u30a2\u30df\u30ca\u30fc\u30bc\u306e\u5024\u304c\u6b63\u5e38\u3067\u3042\u3063\u3066\u3082\u3001\u6c34\u9762\u4e0b\u3067\u7dda\u7dad\u5316\u304c\u9032\u3093\u3067\u3044\u308b\u30b1\u30fc\u30b9<\/strong>\u304c\u73cd\u3057\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">FIB-4\u306f\u3001\u3053\u308c\u307e\u3067\u306e\u5065\u8a3a\u3067\u306f\u898b\u9003\u3055\u308c\u304c\u3061\u3060\u3063\u305f\u300c\u5c06\u6765\u306e\u91cd\u75c7\u5316\u4e88\u5099\u8ecd\u300d\u3092\u62fe\u3044\u4e0a\u3052\u308b\u305f\u3081\u306e\u3001\u975e\u5e38\u306b\u73fe\u5b9f\u7684\u3067\u79d1\u5b66\u7684\u306a\u30c4\u30fc\u30eb\u306a\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u5f53\u9662\u306e\u53d6\u308a\u7d44\u307f\uff1a\u5065\u8a3a\u30c7\u30fc\u30bf\u3092\u300c\u672a\u6765\u306e\u5065\u5eb7\u300d\u3078\u3064\u306a\u3050<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u6d25\u304b\u308f\u3082\u3068\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u5358\u306b\u7d50\u679c\u3092\u6e21\u3059\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6570\u5024\u306e\u898b\u3048\u308b\u5316:<\/strong> \u5f53\u9662\u3067\u53d7\u8a3a\u3055\u308c\u305f\u65b9\u306f\u3082\u3061\u308d\u3093\u3001\u4ed6\u9662\u306e\u5065\u8a3a\u7d50\u679c\u3092\u304a\u6301\u3061\u3044\u305f\u3060\u3051\u308c\u3070\u3001\u305d\u306e\u5834\u3067FIB-4\u3092\u7b97\u51fa\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5177\u4f53\u7684\u306a\u751f\u6d3b\u6539\u5584\u6848:<\/strong> 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