{"id":1657,"date":"2013-10-03T17:24:46","date_gmt":"2013-10-03T08:24:46","guid":{"rendered":"https:\/\/www.taiyou-clinic.jp\/blog\/?p=1657"},"modified":"2013-10-03T17:26:06","modified_gmt":"2013-10-03T08:26:06","slug":"%e5%a4%a7%e8%b1%86%e3%82%a4%e3%82%bd%e3%83%95%e3%83%a9%e3%83%9c%e3%83%b3%e3%81%ab%e3%82%88%e3%82%8b%e5%89%8d%e7%ab%8b%e8%85%ba%e3%81%8c%e3%82%93%e3%83%aa%e3%82%b9%e3%82%af%e4%bd%8e%e4%b8%8b%e4%bd%9c","status":"publish","type":"post","link":"https:\/\/www.taiyou-clinic.jp\/blog\/archives\/1657","title":{"rendered":"\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u306b\u3088\u308b\u524d\u7acb\u817a\u304c\u3093\u30ea\u30b9\u30af\u4f4e\u4e0b\u4f5c\u7528"},"content":{"rendered":"

\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u306b\u3088\u308b\u524d\u7acb\u817a\u304c\u3093\u30ea\u30b9\u30af\u4f4e\u4e0b\u4f5c\u7528\u3000<\/b>
\n\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u306e\u6297\u764c\u4f5c\u7528\u306f\u81ea\u7136\u7269\u8cea\u306e\u4e2d\u3067\u3082\u975e\u5e38\u306b\u5f37\u3044\u3002\u30a2\u30e1\u30ea\u30ab\u306b\u306f\u30d2\u30fc\u30e9\u30f3\u3068\u3044\u3046\u5927\u8c46\u306e\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u304c\u3042\u308b\u304c\u3001\u3053\u308c\u3082\u307e\u305f\u30ac\u30f3\u306b\u5bfe\u3059\u308b\u52b9\u679c\u304c\u5f37\u3044\u3002<\/p>\n

\u6b8b\u5ff5\u306a\u304c\u3089\u3001\u500b\u4eba\u8f38\u5165\u3082\u96e3\u3057\u3044\u306e\u304c\u73fe\u72b6\u3067\u3042\u308b\u3053\u3068\u304c\u6b8b\u5ff5\u3067\u3042\u308b\u3002<\/p>\n

\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a\uff0a
\nhttp:\/\/www.dhcblog.com\/kamohara\/<\/a><\/p>\n

\u6ccc\u5c3f\u5668\u79d1\u5b66\u306e\u5c02\u9580\u30b8\u30e3\u30fc\u30ca\u30eb(\u96fb\u5b50\u7248)\u306b\u3001\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u306b\u3088\u308b\u524d\u7acb\u817a\u304c\u3093\u30ea\u30b9\u30af\u4f4e\u4e0b\u4f5c\u7528\u3092\u793a\u3057\u305f\u30e1\u30bf\u89e3\u6790\u304c\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306e\u30b0\u30eb\u30fc\u30d7(University of Melbourne)\u304b\u3089\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002
\n(BJU Int.<\/i> 2013 Sep 5.)<\/p>\n

\u3053\u308c\u307e\u3067\u306e\u57fa\u790e\u7814\u7a76\u3084\u75ab\u5b66\u7814\u7a76\u306b\u3088\u3063\u3066\u3001\u524d\u7acb\u817a\u304c\u3093\u30ea\u30b9\u30af\u4f4e\u4e0b\u4f5c\u7528\u3092\u793a\u3059\u6a5f\u80fd\u6027\u98df\u54c1\u6210\u5206\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002
\n\u4ee3\u8868\u7684\u306a\u6210\u5206\u306b\u3001\u30c8\u30de\u30c8\u306e\u30d5\u30a1\u30a4\u30c8\u30b1\u30df\u30ab\u30eb\u3067\u3042\u308b\u30ea\u30b3\u30d4\u30f3\u3001\u5927\u8c46\u304a\u3088\u3073\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u304c\u3042\u308a\u307e\u3059\u3002
\n\u5927\u8c46\u3067\u306f\u3001\u5927\u8c46\u30bf\u30f3\u30d1\u30af\u306b\u3088\u308b\u8102\u8cea\u4ee3\u8b1d\u6539\u5584\u4f5c\u7528\u3001\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u306b\u3088\u308b\u5973\u6027\u30db\u30eb\u30e2\u30f3\u69d8\u4f5c\u7528\u3084\u6297\u9178\u5316\u4f5c\u7528\u3092\u4ecb\u3057\u305f\u6a5f\u80fd\u6027\u306a\u3069\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u3055\u3066\u3001\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u524d\u7acb\u817a\u304c\u3093\u306b\u5bfe\u3059\u308b\u5927\u8c46\u304a\u3088\u3073\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u306e\u5b89\u5168\u6027\u3068\u6709\u52b9\u6027\u306b\u95a2\u3059\u308b\u30e1\u30bf\u89e3\u6790\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u5177\u4f53\u7684\u306b\u306f\u3001\u5404\u7a2e\u533b\u5b66\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9(MEDLINE, EMBASE, AMED, CINAHL, Cochrane)\u304b\u3089\u62bd\u51fa\u3055\u308c\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3092\u5bfe\u8c61\u306b\u3001\u30fb\u5927\u8c46\u3042\u308b\u3044\u306f\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u3092\u3001\u98df\u4e8b\u304b\u3089\u3001\u3082\u3057\u304f\u306f\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3068\u3057\u3066\u6442\u53d6\u3057\u3001\u30fb\u524d\u7acb\u817a\u304c\u3093\u3068\u8a3a\u65ad\u3055\u308c\u305f\u60a3\u8005\u306b\u304a\u3051\u308b2\u6b21\u4e88\u9632(\u518d\u767a\u4e88\u9632)\u3001
\n\u30fb\u524d\u7acb\u817a\u304c\u3093\u9032\u884c\u6291\u5236\/\u88dc\u5b8c\u7642\u6cd5\u3068\u3057\u3066\u306e\u610f\u7fa9\u304c\u8abf\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

RCT8\u5831\u304c\u691c\u51fa\u3055\u308c\u30016\u5831\u306f\u524d\u7acb\u817a\u304c\u3093\u60a3\u8005\u304c\u88ab\u9a13\u8005\u3067\u3042\u308a\u30012\u5831\u306f\u524d\u7acb\u817a\u304c\u3093\u30ea\u30b9\u30af\u7fa4\u304c\u88ab\u9a13\u8005\u3068\u306a\u3063\u305f\u7814\u7a76\u3067\u3057\u305f\u3002<\/p>\n

\u30e1\u30bf\u89e3\u6790\u306e\u7d50\u679c\u3001\u524d\u7acb\u817a\u304c\u3093\u9ad8\u30ea\u30b9\u30af\u7fa4\u3092\u5bfe\u8c61\u306b\u3057\u305f2\u5831\u3067\u306f\u3001\u305d\u306e\u5f8c\u306e\u5927\u8c46\u3042\u308b\u3044\u306f\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u306e\u6295\u4e0e\u306b\u3088\u3063\u3066\u3001\u524d\u7acb\u817a\u304c\u3093\u767a\u75c7\u30ea\u30b9\u30af\u304c51\uff05\u4f4e\u4e0b\u3057\u3066\u3044\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002
\n(RR = 0.49, 95%CI 0.26, 0.95)<\/p>\n

\u305f\u3060\u3057\u3001\u6295\u4e0e\u91cf\u3084\u6295\u4e0e\u671f\u9593\u306f\u69d8\u3005\u3067\u3042\u308a\u3001\u88ab\u9a13\u8005\u306e\u6570\u3082\u5c11\u306a\u304f\u3001RCT\u9593\u3067\u306e\u4e0d\u5747\u4e00\u6027\u304c\u898b\u51fa\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\n\u306a\u304a\u3001\u5404\u7fa4\u306b\u3066\u3001PSA\u5024\u3084\u6027\u30b9\u30c6\u30ed\u30a4\u30c9\u30db\u30eb\u30e2\u30f3\u5024(SHBG, testosterone, free testosterone, estradiol and DHT)\u306b\u6709\u610f\u306a\u5dee\u306f\u793a\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n

\u4ee5\u4e0a\u306e\u30c7\u30fc\u30bf\u304b\u3089\u3001\u5927\u8c46\u304a\u3088\u3073\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3(\u98df\u4e8b\u3042\u308b\u3044\u306f\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8)\u306b\u3088\u308b\u524d\u7acb\u817a\u304c\u3093\u30ea\u30b9\u30af\u4f4e\u4e0b\u4f5c\u7528\u304c\u793a\u5506\u3055\u308c\u307e\u3059\u3002<\/p>\n

\u524d\u7acb\u817a\u304c\u3093\u30ea\u30b9\u30af\u4f4e\u4e0b\u4f5c\u7528\u3092\u793a\u3059\u4ee3\u8868\u7684\u306a\u6a5f\u80fd\u6027\u6210\u5206\u3068\u3057\u3066\u3001\u30c8\u30de\u30c8\u306e\u30d5\u30a1\u30a4\u30c8\u30b1\u30df\u30ab\u30eb\u3067\u3042\u308b\u30ea\u30b3\u30d4\u30f3\u3001\u5927\u8c46\u304a\u3088\u3073\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u304c\u3042\u308a\u307e\u3059\u3002
\n\u30c8\u30de\u30c8\u306b\u306f\u3001\u30ab\u30ed\u30c6\u30ce\u30a4\u30c9\u7cfb\u30d5\u30a1\u30a4\u30c8\u30b1\u30df\u30ab\u30eb\u306e1\u7a2e\u3067\u3042\u308b\u30ea\u30b3\u30d4\u30f3(\u30ea\u30b3\u30da\u30f3)<\/a>\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002
\n\u8d64\u8272\u8272\u7d20\u306e\u30ea\u30b3\u30d4\u30f3<\/a>\u306f\u3001\u6297\u9178\u5316\u4f5c\u7528\u3084\u6297\u304c\u3093\u4f5c\u7528\u3092\u6709\u3057\u3066\u304a\u308a\u3001\u75ab\u5b66\u7814\u7a76\u3067\u306f\u3001\u80ba\u304c\u3093\u3084\u524d\u7acb\u817a\u304c\u3093\u3001\u5927\u8178\u304c\u3093\u3001\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u4f4e\u6e1b\u52b9\u679c\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u00a0\u5927\u8c46\u306a\u3069\u690d\u7269\u6027\u98df\u54c1\u306e\u4e00\u90e8\u306b\u306f\u3001\u5973\u6027\u30db\u30eb\u30e2\u30f3\u69d8\u4f5c\u7528\u3092\u6709\u3059\u308b\u30d5\u30a1\u30a4\u30c8\u30b1\u30df\u30ab\u30eb\u306e1\u7a2e\u3001\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u985e\u304c\u8c4a\u5bcc\u306b\u542b\u307e\u308c\u3066\u304a\u308a\u3001\u5973\u6027\u7279\u6709\u306e\u75c5\u6c17\u306b\u5bfe\u3059\u308b\u4e88\u9632\u3084\u6539\u5584\u4f5c\u7528\u306a\u3069\u306e\u6a5f\u80fd\u6027\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u6a5f\u80fd\u6027\u98df\u54c1\u7d20\u6750\u3092\u542b\u3080\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3067\u306f\u3001\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u542b\u6709\u98df\u54c1\u304c\u88fd\u54c1\u5316\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

(\u30a2\u30b0\u30ea\u30b3\u30f3\u578b\u3067\u306f\u306a\u304f\u3066)\u5927\u8c46\u98df\u54c1\u306b\u5b58\u5728\u3059\u308b\u5316\u5408\u7269\u306e\u5f62\u3067\u3042\u308b\u30b0\u30ea\u30b3\u30b7\u30c9\u578b(\u914d\u7cd6\u4f53\u578b)\u306e\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u985e\u3067\u3042\u308c\u3070\u3001\u4e73\u304c\u3093\u306e\u4e88\u9632\u3060\u3051\u3067\u306f\u306a\u304f\u3066\u3001\u4e73\u304c\u3093\u30b5\u30d0\u30a4\u30d0\u30fc\u306e\u6b7b\u4ea1\u7387\u4f4e\u4e0b\u3084\u518d\u767a\u4e88\u9632\u306b\u3082\u88dc\u5b8c\u7684\u306b\u5229\u7528\u3067\u304d\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n

(\u75ab\u5b66\u7814\u7a76\u306e\u30c7\u30fc\u30bf\u306f\u3001\u5927\u8c46\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3067\u306f\u306a\u304f\u3066\u5927\u8c46\u98df\u54c1\u3067\u3042\u308a\u3001\u5927\u8c46\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306e\u52b9\u679c\u306b\u3064\u3044\u3066\u306f\u5225\u9014\u3001\u81e8\u5e8a\u8a66\u9a13\u306b\u3088\u308b\u691c\u8a3c\u304c\u5fc5\u8981\u3067\u3042\u308b\u3001\u3068\u3044\u3046\u6279\u5224\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u305f\u3060\u3001\u4e73\u304c\u3093\u30b5\u30d0\u30a4\u30d0\u30fc\u306e\u65b9\u3067\u3001\u3044\u3064\u306b\u306a\u308b\u304b\u308f\u304b\u3089\u306a\u3044\u81e8\u5e8a\u8a66\u9a13\u306e\u7d50\u679c\u3092\u5f85\u3063\u3066\u3044\u3089\u308c\u306a\u3044\u3001\u3068\u3044\u3046\u5834\u5408\u306b\u306f\u3001\u9078\u629e\u80a2\u306e\u4e00\u3064\u3068\u3057\u3066\u3001\u30b0\u30ea\u30b3\u30b7\u30c9\u578b\u306e\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u304c\u3042\u308b\u3001\u3068\u3044\u3046\u8a71\u3067\u3059\u3002)<\/p>\n

DHC\u3067\u306f\u3001\u5927\u8c46\u30a4\u30bd\u30d5\u30e9\u30dc\u30f3<\/a>\u3001\u30d7\u30a8\u30e9\u30ea\u30a2\u30df\u30ea\u30d5\u30a3\u30ab<\/a>\u3068\u3044\u3063\u305f\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3001\u30ec\u30c3\u30c9\u30af\u30ed\u30fc\u30d0\u30fc\u3092\u542b\u3080\u5973\u6027\u5411\u3051\u306e\u8907\u5408\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8<\/a>\u306a\u3069\u3092\u88fd\u54c1\u5316\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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