{"id":17,"date":"2025-12-11T11:55:28","date_gmt":"2025-12-11T11:55:28","guid":{"rendered":"https:\/\/kawamoto-clinic.jp\/blog\/?p=17"},"modified":"2025-12-11T11:55:28","modified_gmt":"2025-12-11T11:55:28","slug":"post-17","status":"publish","type":"post","link":"https:\/\/kawamoto-clinic.jp\/blog\/post-17\/","title":{"rendered":"\u5f53\u9662\u306b\u304b\u304b\u3063\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u60a3\u8005\u3055\u3093\u3068\u306f\uff1f"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u4e09\u91cd\u770c\u6d25\u5e02\u306e\u300c\u5317\u7c73\u578bER\u300d\u3092\u76ee\u6307\u3059\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089<\/h2>\n\n\n\n<p>\u7686\u3055\u3093\u306f\u3001\u3053\u308c\u307e\u3067\u306b\u5927\u304d\u306a\u75c5\u6c17\u3084\u30b1\u30ac\u3092\u3057\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b\uff1f<br>\u79c1\u81ea\u8eab\u3001\u5b50\u4f9b\u306e\u6642\u304b\u3089\u73fe\u5728\u306b\u81f3\u308b\u307e\u3067\u3001\u3044\u308d\u3044\u308d\u306a\u75c5\u6c17\u3084\u30b1\u30ac\u3092\u7d4c\u9a13\u3057\u3066\u304d\u307e\u3057\u305f\u3002\u3069\u306e\u75c5\u6c17\u3082\u3001\u6700\u521d\u306f\u300c\u3061\u3087\u3063\u3068\u5909\u3060\u306a\u300d\u3068\u3044\u3046\u8efd\u3044\u75c7\u72b6\u304b\u3089\u59cb\u307e\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u300c\u8efd\u3044\u75c7\u72b6\u300d\u306e\u6bb5\u968e\u3067\u3001\u5fc5\u8981\u306a\u691c\u67fb\u3092\u884c\u3044\u3001\u91cd\u3044\u75c5\u6c17\u304b\u3069\u3046\u304b\u3092\u898b\u6975\u3081\u308b\u3053\u3068\u304c\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u306e\u5927\u304d\u306a\u5f79\u5272\u3067\u3059\u3002\u8840\u6db2\u691c\u67fb\u3001CT\u691c\u67fb\u3001\u8d85\u97f3\u6ce2\uff08\u30a8\u30b3\u30fc\uff09\u3001\u5fc3\u96fb\u56f3\u306a\u3069\u306e\u691c\u67fb\u306f\u3001\u5fc3\u7b4b\u6897\u585e\u3084\u80ba\u708e\u3001\u80c6\u77f3\u3001\u5c3f\u8def\u7d50\u77f3\u3001\u8133\u5352\u4e2d\u306a\u3069\u3001\u591a\u304f\u306e\u6551\u6025\u75be\u60a3\u306e\u8a3a\u65ad\u306b\u5fc5\u9808\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002(Yancey &amp; O\u2019Rourke, Emergency Department Triage, 2023)<\/p>\n\n\n\n<p>\u6d25\u304b\u308f\u3082\u3068\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u3053\u3046\u3057\u305f\u57fa\u672c\u7684\u306a\u6551\u6025\u8a3a\u7642\u306b\u5fc5\u8981\u306a\u6a5f\u5668\u3092\u4e00\u901a\u308a\u305d\u308d\u3048\u3001\u571f\u66dc\u65e5\u30fb\u65e5\u66dc\u65e5\u3082\u8a3a\u7642\u3057\u3066\u304a\u308a\u3001\u300c\u6025\u306a\u4f53\u8abf\u4e0d\u826f\u306e\u3068\u304d\u306b\u3001\u307e\u305a\u76f8\u8ac7\u3067\u304d\u308b\u5834\u6240\u300d\u3092\u76ee\u6307\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1\uff0e\u5f53\u9662\u3067\u3067\u304d\u308b\u691c\u67fb\u3068\u3001\u9023\u643a\u3057\u3066\u5bfe\u5fdc\u3059\u308b\u691c\u67fb<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"436\" src=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_2gtn52gtn52gtn52.jpg\" alt=\"\" class=\"wp-image-26\" srcset=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_2gtn52gtn52gtn52.jpg 800w, https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_2gtn52gtn52gtn52-400x218.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u5f53\u9662\u3067\u5b9f\u65bd\u3067\u304d\u308b\u4e3b\u306a\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6db2\u691c\u67fb\uff08\u708e\u75c7\u53cd\u5fdc\u3001\u8ca7\u8840\u3001\u96fb\u89e3\u8cea\u3001\u814e\u6a5f\u80fd\u3001\u809d\u6a5f\u80fd\u306a\u3069\uff09<\/li>\n\n\n\n<li>CT\u691c\u67fb\uff08\u982d\u90e8\u30fb\u80f8\u90e8\u30fb\u8179\u90e8\u306a\u3069\u306e\u5358\u7d14CT\uff09<\/li>\n\n\n\n<li>\u8d85\u97f3\u6ce2\u691c\u67fb\uff08\u8179\u90e8\u30a8\u30b3\u30fc\u3001\u5fc3\u81d3\u30a8\u30b3\u30fc\u3001\u4e0b\u80a2\u9759\u8108\u30a8\u30b3\u30fc\u306a\u3069\uff09<\/li>\n\n\n\n<li>\u5fc3\u96fb\u56f3<\/li>\n\n\n\n<li>\u30ec\u30f3\u30c8\u30b2\u30f3\u691c\u67fb<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u304c\u305d\u308d\u3046\u3053\u3068\u3067\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u300c\u3088\u304f\u3042\u308b\u3051\u308c\u3069\u898b\u9003\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u300d\u75c5\u6c17\u3092\u3001\u305d\u306e\u5834\u3067\u3042\u308b\u7a0b\u5ea6\u8a55\u4fa1\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80ba\u708e\u30fb\u6c17\u7ba1\u652f\u708e\u306a\u3069\u306e\u547c\u5438\u5668\u611f\u67d3\u75c7<\/li>\n\n\n\n<li>\u80c6\u306e\u3046\u708e\u30fb\u80c6\u77f3\u3001\u81b5\u708e\u3001\u866b\u5782\u708e\u3001\u8178\u9589\u585e\u306a\u3069\u306e\u8179\u75db\u306e\u539f\u56e0<\/li>\n\n\n\n<li>\u5c3f\u8def\u7d50\u77f3\u3084\u814e\u76c2\u814e\u708e\u306a\u3069\u306e\u6ccc\u5c3f\u5668\u75be\u60a3<\/li>\n\n\n\n<li>\u5fc3\u4e0d\u5168\u3084\u4e0d\u6574\u8108\u3001\u5fc3\u7b4b\u6897\u585e\u304c\u7591\u308f\u308c\u308b\u80f8\u75db<\/li>\n\n\n\n<li>\u982d\u90e8\u6253\u64b2\u5f8c\u306e\u982d\u84cb\u5185\u51fa\u8840\u306e\u6709\u7121\u3000\u306a\u3069<\/li>\n<\/ul>\n\n\n\n<p>\u4e00\u65b9\u3067\u3001MRI\u691c\u67fb\u3084\u9020\u5f71CT\u306e\u3088\u3046\u306b\u3001\u3088\u308a\u9ad8\u5ea6\u306a\u8a2d\u5099\u304c\u5fc5\u8981\u306a\u691c\u67fb\u3082\u3042\u308a\u307e\u3059\u3002<br>\u3053\u308c\u3089\u306f\u8133\u6897\u585e\u306e\u8a73\u7d30\u306a\u8a55\u4fa1\u3084\u3001\u304c\u3093\u306e\u9032\u884c\u5ea6\u8a55\u4fa1\u3001\u8840\u7ba1\u75c5\u5909\u306e\u7cbe\u67fb\u306a\u3069\u306b\u6709\u7528\u3067\u3059\u304c\u3001\u5f53\u9662\u3067\u306f\u5b9f\u65bd\u3067\u304d\u307e\u305b\u3093\u3002\u305d\u306e\u4ee3\u308f\u308a\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u300c\u3053\u306e\u75c7\u72b6\u3068\u6240\u898b\u306a\u3089\u3001\u9020\u5f71CT\u3084MRI\u304c\u5fc5\u8981\u3060\u300d<\/li>\n\n\n\n<li>\u300c\u3053\u306e\u307e\u307e\u3067\u306f\u547d\u306b\u95a2\u308f\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u300d<\/li>\n<\/ul>\n\n\n\n<p>\u3068\u5224\u65ad\u3057\u305f\u5834\u5408\u306b\u306f\u3001\u8fd1\u96a3\u306e\u57fa\u5e79\u75c5\u9662\u30fb\u5927\u5b66\u75c5\u9662\u306b\u3059\u307f\u3084\u304b\u306b\u7d39\u4ecb\u3057\u3001\u691c\u67fb\u30fb\u6cbb\u7642\u304c\u6ede\u308a\u306a\u304f\u9032\u3080\u3088\u3046\u9023\u643a\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u300c\u3067\u304d\u308b\u3053\u3068\u306f\u304d\u3061\u3093\u3068\u5f53\u9662\u3067\u5b8c\u7d50\u3057\u3001\u5fc5\u8981\u306a\u3068\u304d\u306f\u8ff7\u308f\u305a\u5927\u304d\u306a\u75c5\u9662\u3078\u3064\u306a\u3050\u300d\u2015\u2015\u3053\u306e\u7dda\u5f15\u304d\u304c\u3001\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u306b\u3082\u3063\u3068\u3082\u6c42\u3081\u3089\u308c\u308b\u5f79\u5272\u3060\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2\uff0e\u5317\u7c73\u578bER\u306e\u8003\u3048\u65b9\uff1a\u300c\u7dca\u6025\u6027\u300d\u3068\u300c\u91cd\u75c7\u5ea6\u300d\u306e2\u8ef8\u3067\u8a3a\u308b<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"436\" src=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_sakkbisakkbisakk.jpg\" alt=\"\" class=\"wp-image-24\" srcset=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_sakkbisakkbisakk.jpg 800w, https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_sakkbisakkbisakk-400x218.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u79c1\u304c\u7814\u4fee\u533b\u3068\u3057\u3066\u50cd\u3044\u3066\u3044\u305f\u75c5\u9662\u3067\u306f\u3001\u3044\u308f\u3086\u308b\u5317\u7c73\u578bER\uff08\u6551\u6025\u5916\u6765\uff09\u3092\u30e2\u30c7\u30eb\u306b\u3057\u305f\u8a3a\u7642\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u6551\u6025\u533b\u7642\u3067\u306f\u3001\u75c5\u540d\u305d\u306e\u3082\u306e\u3088\u308a\u3082\u5148\u306b<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u3069\u308c\u304f\u3089\u3044\u6025\u3044\u3067\u5bfe\u5fdc\u3059\u3079\u304d\u304b\uff08<strong>\u7dca\u6025\u6027<\/strong>\uff09<\/li>\n\n\n\n<li>\u547d\u306b\u95a2\u308f\u308b\u91cd\u3044\u72b6\u614b\u304b\u3069\u3046\u304b\uff08<strong>\u91cd\u75c7\u5ea6<\/strong>\uff09<\/li>\n<\/ul>\n\n\n\n<p>\u3068\u3044\u30462\u3064\u306e\u8ef8\u3067\u8003\u3048\u307e\u3059\u3002\u6570\u5b66\u3067\u3044\u3046X\u8ef8\u30fbY\u8ef8\u306e\u30a4\u30e1\u30fc\u30b8\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4e16\u754c\u4e2d\u306e\u6551\u6025\u5916\u6765\u3067\u4f7f\u308f\u308c\u3066\u3044\u308b\u30c8\u30ea\u30a2\u30fc\u30b8\u30b9\u30b1\u30fc\u30eb\uff08Emergency Severity Index\u306a\u3069\uff09\u3082\u3001\u300c\u3069\u306e\u60a3\u8005\u3055\u3093\u3092\u512a\u5148\u7684\u306b\u8a3a\u308b\u3079\u304d\u304b\u300d\u3092\u6c7a\u3081\u308b\u305f\u3081\u306b\u3001\u75c7\u72b6\u306e\u7dca\u6025\u6027\u3084\u91cd\u75c7\u5ea6\u3067\u60a3\u8005\u3055\u3093\u3092\u5206\u985e\u3059\u308b\u4ed5\u7d44\u307f\u3068\u3057\u3066\u767a\u5c55\u3057\u3066\u304d\u307e\u3057\u305f\u3002(Yancey &amp; O\u2019Rourke, Emergency Department Triage, 2023)<\/p>\n\n\n\n<p>\u3053\u306e\u8003\u3048\u65b9\u3092\u3001\u308f\u304b\u308a\u3084\u3059\u304f4\u3064\u306e\u30d1\u30bf\u30fc\u30f3\u306b\u3059\u308b\u3068\u3001\u6b21\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u7dca\u6025\u6027\u3082\u91cd\u75c7\u5ea6\u3082\u9ad8\u3044<\/strong><br>\u4f8b\uff1a\u5fc3\u7b4b\u6897\u585e\u3001\u8133\u5352\u4e2d\u3001\u5927\u52d5\u8108\u89e3\u96e2\u3001\u91cd\u75c7\u5916\u50b7\u306a\u3069<br>\u2192 \u4e00\u523b\u3082\u65e9\u304f\u9ad8\u5ea6\u533b\u7642\u6a5f\u95a2\u3078\u642c\u9001\u304c\u5fc5\u8981\u3002<\/li>\n\n\n\n<li><strong>\u7dca\u6025\u6027\u306f\u9ad8\u3044\u304c\u3001\u91cd\u75c7\u5ea6\u306f\u6bd4\u8f03\u7684\u4f4e\u3044<\/strong><br>\u4f8b\uff1a\u6fc0\u3057\u3044\u8179\u75db\u3060\u304c\u30b7\u30e7\u30c3\u30af\u3067\u306f\u306a\u3044\u3001\u5c3f\u8def\u7d50\u77f3\u306b\u3088\u308b\u5f37\u3044\u75db\u307f\u300138\uff5e40\u2103\u306e\u9ad8\u71b1\u3067\u3064\u3089\u3044\u3001\u3072\u3069\u3044\u637b\u632b\u3084\u9aa8\u6298\u7591\u3044\u3000\u306a\u3069<br>\u2192 \u5f53\u9662\u306e\u3088\u3046\u306a\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u8a55\u4fa1\u30fb\u6cbb\u7642\u3092\u5b8c\u7d50\u3067\u304d\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/li>\n\n\n\n<li><strong>\u7dca\u6025\u6027\u306f\u4f4e\u3044\u304c\u3001\u91cd\u75c7\u5ea6\u306f\u9ad8\u3044<\/strong><br>\u4f8b\uff1a\u304c\u3093\u304c\u5f37\u304f\u7591\u308f\u308c\u308b\u6162\u6027\u7684\u306a\u4f53\u91cd\u6e1b\u5c11\u3001\u9577\u5f15\u304f\u8840\u75f0\u3001\u6162\u6027\u306e\u80f8\u6c34\u3084\u8179\u6c34\u306a\u3069<\/li>\n\n\n\n<li><strong>\u7dca\u6025\u6027\u3082\u91cd\u75c7\u5ea6\u3082\u4f4e\u3044<\/strong><br>\u4f8b\uff1a\u6570\u9031\u9593\u7d9a\u304f\u8efd\u3044\u54b3\u3084\u9f3b\u6c34\u3001\u6162\u6027\u7684\u306a\u982d\u75db\u3001\u8efd\u3044\u82b1\u7c89\u75c7\u306a\u3069<br>\u2192 \u304b\u304b\u308a\u3064\u3051\u30af\u30ea\u30cb\u30c3\u30af\uff08\u3082\u3057\u304f\u306f\u5f53\u9662\uff09\u3067\u7d4c\u904e\u3092\u898b\u306a\u304c\u3089\u6cbb\u7642\u3057\u3066\u3044\u304f\u306e\u304c\u9069\u3057\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ol>\n\n\n\n<p>\u5f53\u9662\u304c\u76ee\u6307\u3059\u306e\u306f\u3001\u300c\u2461\uff1a\u7dca\u6025\u6027\u306f\u9ad8\u3044\u304c\u91cd\u75c7\u5ea6\u306f\u6bd4\u8f03\u7684\u4f4e\u3044\u300d\u3068\u300c\u2463\uff1a\u7dca\u6025\u6027\u3082\u91cd\u75c7\u5ea6\u3082\u4f4e\u3044\u300d\u60a3\u8005\u3055\u3093\u3092\u4e2d\u5fc3\u306b\u8a3a\u7642\u3057\u3064\u3064\u3001\u300c\u2460\u3084\u2462\u306b\u3042\u305f\u308b\u5371\u967a\u306a\u30b5\u30a4\u30f3\u3092\u898b\u9003\u3055\u305a\u3001\u5fc5\u8981\u306a\u3068\u304d\u306f\u3059\u3050\u306b\u4e0a\u4f4d\u75c5\u9662\u306b\u3064\u306a\u3050\u5317\u7c73\u578bER\u30b9\u30bf\u30a4\u30eb\u300d\u3067\u3059\u3002\u5e78\u3044\u306a\u3053\u3068\u306b\u65e5\u672c\u306e\u6551\u6025\u533b\u7642\u306e\u60a3\u8005\u3055\u3093\u306e70\uff05\u4ee5\u4e0a\u306f\u2461\u3068\u2463\u306e\u60a3\u8005\u3055\u3093\u304c\u5360\u3081\u3066\u304a\u308a\u3001\u5f53\u9662\u3067\u5b8c\u7d50\u3067\u304d\u308b\u60a3\u8005\u3055\u3093\u3084\u75c5\u6c17\u306f\u591a\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u6211\u3005\u3001\u6551\u6025\u533b\u306f\u3001\u77ed\u6642\u9593\u3067\u7dca\u6025\u6027\u3068\u91cd\u75c7\u5ea6\u3092\u898b\u629c\u304d\u3001\u3069\u3053\u307e\u3067\u3092\u305d\u306e\u5834\u3067\u6cbb\u7642\u3057\u3001\u3069\u306e\u6642\u70b9\u3067\u30d0\u30c8\u30f3\u3092\u6e21\u3059\u304b\u3092\u5224\u65ad\u3059\u308b\u8a13\u7df4\u3092\u53d7\u3051\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u7d4c\u9a13\u3092\u3001\u5730\u57df\u306e\u30af\u30ea\u30cb\u30c3\u30af\u30ec\u30d9\u30eb\u306b\u843d\u3068\u3057\u8fbc\u3080\u306e\u304c\u3001\u6d25\u304b\u308f\u3082\u3068\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u306e\u7279\u5fb4\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>3\uff0e\u300c\u3044\u3064\u3082\u306e\u304b\u304b\u308a\u3064\u3051\u300d\u3068\u300c\u5f53\u9662\u300d\u306e\u5f79\u5272\u5206\u62c5<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"436\" src=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_n1ww29n1ww29n1ww.jpg\" alt=\"\" class=\"wp-image-27\" srcset=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_n1ww29n1ww29n1ww.jpg 800w, https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_n1ww29n1ww29n1ww-400x218.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u591a\u304f\u306e\u65b9\u306b\u306f\u3001\u3059\u3067\u306b\u300c\u3044\u3064\u3082\u306e\u304b\u304b\u308a\u3064\u3051\u306e\u983c\u308c\u308b\u5148\u751f\u300d\u300c\u901a\u3044\u6163\u308c\u305f\u8eab\u8fd1\u306a\u30af\u30ea\u30cb\u30c3\u30af\u300d\u304c\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u306a\u305c\u3001\u4f53\u8abf\u304c\u60aa\u304f\u306a\u3063\u305f\u3068\u304d\u306b\u3001\u307e\u305a\u305d\u3053\u3078\u884c\u304f\u306e\u304c\u826f\u3044\u306e\u304b\u3002<br>\u305d\u308c\u306f\u3001\u305d\u306e\u5148\u751f\uff08\u533b\u5e2b\uff09\u304c\u7686\u3055\u3093\u306e<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u3044\u3064\u3082\u306e\u8840\u5727\u30fb\u8108\u62cd<\/li>\n\n\n\n<li>\u3053\u308c\u307e\u3067\u306e\u8a3a\u5bdf\u5185\u5bb9<\/li>\n\n\n\n<li>\u904e\u53bb\u306e\u8840\u6db2\u691c\u67fb\u30fb\u753b\u50cf\u691c\u67fb\u306e\u7d50\u679c<\/li>\n\n\n\n<li>\u5bb6\u65cf\u6b74\u3084\u751f\u6d3b\u7fd2\u6163<\/li>\n<\/ul>\n\n\n\n<p>\u3092\u4e00\u756a\u3088\u304f\u7406\u89e3\u3057\u3066\u3044\u308b\u304b\u3089\u3067\u3059\u3002\u3064\u307e\u308a\u672c\u5f53\u306e\u60a3\u8005\u3055\u3093\u3092\u77e5\u3063\u3066\u304f\u3060\u3055\u3063\u3066\u3044\u308b\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3044\u304f\u3064\u304b\u306e\u7814\u7a76\u3067\u3082\u3001\u300c\u304b\u304b\u308a\u3064\u3051\u533b\uff08usual source of care\uff09\u304c\u3044\u308b\u4eba\u300d\u306f\u3001\u305d\u3046\u3067\u306a\u3044\u4eba\u306b\u6bd4\u3079\u3066\u3001\u4e88\u9632\u63a5\u7a2e\u3084\u304c\u3093\u691c\u8a3a\u3001\u8840\u5727\u7ba1\u7406\u306a\u3069\u306e\u5fc5\u8981\u306a\u533b\u7642\u3092\u53d7\u3051\u3084\u3059\u304f\u3001\u6b7b\u4ea1\u7387\u3084\u533b\u7642\u8cbb\u3082\u4f4e\u304f\u306a\u308b\u50be\u5411\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(Starfield et al., Milbank Quarterly, 2005)<\/p>\n\n\n\n<p>\u6551\u6025\u306e\u73fe\u5834\u3067\u306f\u3001\u521d\u3081\u3066\u4f1a\u3046\u60a3\u8005\u3055\u3093\u3092\u8a3a\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u904e\u53bb\u306e\u60c5\u5831\u304c\u306a\u3044\u305f\u3081\u306b\u3001\u3069\u3046\u3057\u3066\u3082\u8840\u6db2\u691c\u67fb\u3084CT\u3001\u30ec\u30f3\u30c8\u30b2\u30f3\u306a\u3069\u3001\u591a\u304f\u306e\u691c\u67fb\u304c\u5fc5\u8981\u306b\u306a\u308a\u3001\u305d\u306e\u5206\u3060\u3051\u533b\u7642\u8cbb\u3082\u5897\u3048\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u305f\u3081\u79c1\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u304b\u304b\u308a\u3064\u3051\u306e\u5148\u751f\u306e\u8a3a\u7642\u6642\u9593\u5185\u306b\u8d77\u3053\u3063\u305f\u6025\u306a\u767a\u71b1\u3084\u8179\u75db\u306f\u3001\u307e\u305a\u306f\u300c\u3044\u3064\u3082\u306e\u5148\u751f\u300d\u306b\u76f8\u8ac7\u3057\u3066\u307b\u3057\u3044<\/strong><\/li>\n\n\n\n<li><strong>\u304b\u304b\u308a\u3064\u3051\u304c\u4f11\u8a3a\u306e\u6642\u9593\u5e2f\u3084\u66dc\u65e5\u3001\u591c\u9593\u30fb\u4f11\u65e5\uff08\u571f\u66dc\u65e5\u3001\u65e5\u66dc\u65e5\uff09\u306b\u6025\u306a\u75c7\u72b6\u304c\u51fa\u305f\u3068\u304d\u306b\u3001\u5f53\u9662\u3092\u6d3b\u7528\u3057\u3066\u307b\u3057\u3044<\/strong><\/li>\n<\/ul>\n\n\n\n<p>\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3082\u3061\u308d\u3093\u3001\u307e\u3060\u304b\u304b\u308a\u3064\u3051\u533b\u304c\u3044\u306a\u3044\u65b9\u304c\u3001\u5f53\u9662\u3092\u300c\u304b\u304b\u308a\u3064\u3051\u300d\u3068\u3057\u3066\u9078\u3093\u3067\u304f\u3060\u3055\u308b\u306e\u3082\u5927\u6b53\u8fce\u3067\u3059\u3002\u305d\u306e\u5834\u5408\u306f\u3001\u6025\u306a\u75c7\u72b6\u3060\u3051\u3067\u306a\u304f\u3001\u751f\u6d3b\u7fd2\u6163\u75c5\u306e\u7ba1\u7406\u3084\u5065\u5eb7\u8a3a\u65ad\u306e\u30d5\u30a9\u30ed\u30fc\u306a\u3069\u3001\u9577\u671f\u7684\u306a\u5065\u5eb7\u7ba1\u7406\u3082\u4e00\u7dd2\u306b\u884c\u3063\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4\uff0e\u300c\u304b\u3089\u3060\u3092\u597d\u304d\u306b\u306a\u308b\u300d\u305f\u3081\u306e\u304b\u304b\u308a\u3064\u3051\u533b\u7642<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"436\" data-id=\"23\" src=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_38o96y38o96y38o9.jpg\" alt=\"\" class=\"wp-image-23\" srcset=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_38o96y38o96y38o9.jpg 800w, https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_38o96y38o96y38o9-400x218.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>\u5b66\u751f\u6642\u4ee3\u3001\u79c1\u306f\u6b74\u53f2\uff08\u793e\u4f1a\uff09\u3068\u53e4\u5178\uff08\u56fd\u8a9e\uff09\u304c\u5927\u306e\u82e6\u624b\u3067\u3001\u30c6\u30b9\u30c8\u3067\u306f\u3088\u304f\u8d64\u70b9\u3092\u53d6\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u4e00\u65b9\u3067\u6570\u5b66\u306f\u5927\u597d\u304d\u3067\u3001\u4eca\u3067\u3082\u5b50\u3069\u3082\u306e\u6559\u79d1\u66f8\u3092\u501f\u308a\u3066\u554f\u984c\u3092\u89e3\u304f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6210\u7e3e\u304c\u826f\u304b\u3063\u305f\u306e\u306f\u5f53\u7136\u3001\u6570\u5b66\u306e\u65b9\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u5dee\u3092\u751f\u3093\u3060\u306e\u306f\u3001\u300c\u30bb\u30f3\u30b9\u300d\u3067\u306f\u306a\u304f\u300c\u597d\u304d\u306b\u306a\u308c\u305f\u304b\u3069\u3046\u304b\u300d\u3060\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3001\u305d\u308c\u3092\u6c7a\u3081\u308b\u5927\u304d\u306a\u8981\u56e0\u304c\u300c\u826f\u3044\u6570\u5b66\u306e\u5148\u751f\u3068\u306e\u51fa\u4f1a\u3044\u300d\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u6551\u6025\u533b\u3068\u3057\u3066\u3001\u610f\u8b58\u304c\u306a\u3044\u60a3\u8005\u3055\u3093\u3001\u8840\u5727\u304c\u4fdd\u3066\u306a\u3044\u91cd\u75c7\u306e\u60a3\u8005\u3055\u3093\u3092\u591a\u304f\u8a3a\u3066\u304d\u307e\u3057\u305f\u3002\u305d\u306e\u305f\u3073\u306b\u3001<\/p>\n\n\n\n<p>\u300c\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u3001\u81ea\u5206\u306e\u304b\u3089\u3060\u3092\u597d\u304d\u306b\u306a\u308c\u3066\u3044\u305f\u3060\u308d\u3046\u304b\u300d<br>\u300c\u3082\u3057\u3082\u3046\u5c11\u3057\u65e9\u304f\u3001\u8840\u5727\u3084\u751f\u6d3b\u7fd2\u6163\u306b\u76ee\u3092\u5411\u3051\u3089\u308c\u3066\u3044\u305f\u3089\u3001\u9055\u3046\u672a\u6765\u304c\u3042\u3063\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u300d<\/p>\n\n\n\n<p>\u3068\u611f\u3058\u308b\u3053\u3068\u304c\u5897\u3048\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u9ad8\u8840\u5727\u3084\u7cd6\u5c3f\u75c5\u3001\u8102\u8cea\u7570\u5e38\u75c7\u306a\u3069\u306e\u751f\u6d3b\u7fd2\u6163\u75c5\u306f\u3001\u9069\u5207\u306b\u6cbb\u7642\u3059\u308c\u3070\u3001\u8133\u5352\u4e2d\u3084\u5fc3\u7b4b\u6897\u585e\u306a\u3069\u306e\u91cd\u5927\u306a\u5408\u4f75\u75c7\u3092\u6e1b\u3089\u305b\u308b\u3053\u3068\u304c\u3001\u591a\u304f\u306e\u5927\u898f\u6a21\u81e8\u5e8a\u7814\u7a76\u304b\u3089\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u4f8b\u3048\u3070\u3001\u8840\u5727\u3092\u4e0b\u3052\u308b\u6cbb\u7642\u306b\u3088\u308a\u3001\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u5fc3\u7b4b\u6897\u585e\u3084\u8133\u5352\u4e2d\u306a\u3069\uff09\u306e\u30ea\u30b9\u30af\u304c\u7d0420\uff05\u4f4e\u4e0b\u3057\u305f\u3068\u3044\u3046\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002(SPRINT Research Group, N Engl J Med, 2015)<\/p>\n\n\n\n<p>\u5f53\u9662\u3092\u304b\u304b\u308a\u3064\u3051\u306b\u3057\u3066\u304f\u3060\u3055\u3063\u305f\u60a3\u8005\u3055\u3093\u306b\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u306a\u305c\u8840\u5727\u3092\u4e0b\u3052\u308b\u5fc5\u8981\uff08\u9069\u5207\u306a\u8840\u5727\u306b\u7dad\u6301\u3059\u308b\u5fc5\u8981\uff09\u304c\u3042\u308b\u306e\u304b<\/li>\n\n\n\n<li>\u306a\u305c\u5869\u5206\u3092\u63a7\u3048\u305f\u65b9\u304c\u3044\u3044\u306e\u304b<\/li>\n\n\n\n<li>\u306a\u305c\u904b\u52d5\u304c\u5927\u4e8b\u306a\u306e\u304b<\/li>\n\n\n\n<li>\u306a\u305c\u7981\u7159\u30fb\u6e1b\u9152\u304c\u5fc5\u8981\u306a\u306e\u304b<\/li>\n<\/ul>\n\n\n\n<p>\u3092\u3001\u3067\u304d\u308b\u3060\u3051\u308f\u304b\u308a\u3084\u3059\u304f\u3001\u7d0d\u5f97\u611f\u3092\u6301\u3063\u3066\u7406\u89e3\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u79c1\u304c\u6570\u5b66\u306e\u5148\u751f\u304b\u3089\u305d\u3046\u3057\u3066\u3082\u3089\u3063\u305f\u3088\u3046\u306b\u3001<br><strong>\u300c\u304b\u3089\u3060\u306e\u3053\u3068\u3092\u5b66\u3076\u306e\u304c\u3061\u3087\u3063\u3068\u697d\u3057\u3044\u300d\u300c\u81ea\u5206\u306e\u304b\u3089\u3060\u3092\u5927\u4e8b\u306b\u3057\u305f\u3044\u300d<\/strong><br>\u3068\u611f\u3058\u3066\u3082\u3089\u3048\u308b\u3088\u3046\u306a\u300c\u5065\u5eb7\u306e\u5148\u751f\u300d\u306b\u306a\u308b\u3053\u3068\u304c\u3001\u5f53\u9662\u306e\u304b\u304b\u308a\u3064\u3051\u60a3\u8005\u3055\u3093\u3078\u306e\u7d04\u675f\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5\uff0e\u96c6\u4e2d\u6cbb\u7642\u5f8c\u75c7\u5019\u7fa4\uff08PICS\uff09\u5916\u6765\u306b\u3064\u3044\u3066<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"436\" src=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_f6qvuif6qvuif6qv.jpg\" alt=\"\" class=\"wp-image-25\" srcset=\"https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_f6qvuif6qvuif6qv.jpg 800w, https:\/\/kawamoto-clinic.jp\/blog\/wp-content\/uploads\/2025\/12\/Gemini_Generated_Image_f6qvuif6qvuif6qv-400x218.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>\u79c1\u304c\u9577\u304f\u643a\u308f\u3063\u3066\u304d\u305f\u96c6\u4e2d\u6cbb\u7642\uff08ICU\uff09\u306e\u4e16\u754c\u3067\u306f\u3001\u6551\u547d\u7387\u304c\u4e0a\u304c\u308b\u4e00\u65b9\u3067\u3001<strong>ICU\u3092\u751f\u304d\u3066\u9000\u5ba4\u3057\u305f\u3042\u3068\u306b\u6b8b\u308b\u5f8c\u907a\u75c7<\/strong>\u304c\u5927\u304d\u306a\u554f\u984c\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u96c6\u4e2d\u6cbb\u7642\u5f8c\u75c7\u5019\u7fa4\uff08Post-Intensive Care Syndrome\uff1aPICS\uff09\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8eab\u4f53\u6a5f\u80fd\u306e\u4f4e\u4e0b\uff08\u7b4b\u529b\u4f4e\u4e0b\u3001\u606f\u5207\u308c\u3001\u65e5\u5e38\u751f\u6d3b\u52d5\u4f5c\u306e\u56f0\u96e3\u306a\u3069\uff09<\/li>\n\n\n\n<li>\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\uff08\u7269\u5fd8\u308c\u3001\u6ce8\u610f\u529b\u306e\u4f4e\u4e0b\u306a\u3069\uff09<\/li>\n\n\n\n<li>\u7cbe\u795e\u7684\u306a\u4e0d\u8abf\uff08\u4e0d\u5b89\u3001\u3046\u3064\u3001PTSD\u306a\u3069\uff09<\/li>\n<\/ul>\n\n\n\n<p>\u304cICU\u9000\u5ba4\u5f8c\u3082\u7d9a\u304f\u72b6\u614b\u3092\u6307\u3057\u307e\u3059\u3002\u56fd\u5185\u5916\u306e\u7814\u7a76\u3067\u306f\u3001ICU\u3092\u9000\u5ba4\u3057\u305f\u60a3\u8005\u3055\u3093\u306e\u7d04\u534a\u6570\u524d\u5f8c\u3067\u3001\u4f55\u3089\u304b\u306ePICS\u306e\u75c7\u72b6\u304c\u898b\u3089\u308c\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(Tilburgs et al., Critical Care Medicine, 2025)<\/p>\n\n\n\n<p>\u65e5\u672c\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a\u3067\u3082\u3001PICS\u306f\u91cd\u8981\u306a\u8ab2\u984c\u3068\u3057\u3066\u53d6\u308a\u4e0a\u3052\u3089\u308c\u3066\u304a\u308a\u3001\u8eab\u4f53\u30fb\u8a8d\u77e5\u30fb\u30e1\u30f3\u30bf\u30eb\u306e3\u3064\u306e\u9818\u57df\u304c\u4e92\u3044\u306b\u5f71\u97ff\u3057\u5408\u3046\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002(https:\/\/www.jsicm.org\/provider\/pics\/pics01.html)<\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u73fe\u72b6\u3067\u306f<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u300cICU\u9000\u5ba4\u5f8c\u306e\u3057\u3093\u3069\u3055\u300d\u304cPICS\u3068\u3044\u3046\u540d\u524d\u306e\u3042\u308b\u554f\u984c\u3060\u3068\u77e5\u3089\u308c\u3066\u3044\u306a\u3044<\/li>\n\n\n\n<li>\u3069\u3053\u306b\u76f8\u8ac7\u3057\u3066\u3088\u3044\u304b\u308f\u304b\u3089\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<p>\u3068\u3044\u3046\u60a3\u8005\u3055\u3093\u30fb\u3054\u5bb6\u65cf\u304c\u307e\u3060\u591a\u3044\u306e\u304c\u5b9f\u60c5\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u6d25\u304b\u308f\u3082\u3068\u6551\u6025\u30fb\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001<strong>\u96c6\u4e2d\u6cbb\u7642\u5f8c\u75c7\u5019\u7fa4\u5916\u6765<\/strong>\u3068\u3057\u3066\u3001<\/p>\n\n\n\n<ul 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