\u526f\u4f5c\u7528\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3068\u85ac\u3092\u4f75\u7528\u3057\u305f\u3089\u3001\u6cbb\u7642\u6210\u7e3e\u304c\u4e0a\u304c\u3063\u305f\u3068\u3044\u3046\u8a71\u3067\u3042\u308b\u3002\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3060\u3051\u3067\u306f\u6cbb\u7642\u52b9\u679c\u304c\u4e0a\u304c\u3089\u306a\u3044\u5834\u5408\u3001\u307e\u305f\u306f\u85ac\u3060\u3051\u3067\u306f\u52b9\u679c\u304c\u4e0d\u5341\u5206\u306a\u5834\u5408\u306b\u4f75\u7528\u3059\u308b\u3068\u3044\u3046\u306e\u306f\u826f\u3044\u767a\u60f3\u3060\u3068\u601d\u308f\u308c\u308b\u3002<\/p>\n
http:\/\/www.dhcblog.com\/kamohara\/
\n\u6ccc\u5c3f\u5668\u5b66\u306e\u5c02\u9580\u30b8\u30e3\u30fc\u30ca\u30eb\u306b\u3001\u524d\u7acb\u817a\u80a5\u5927\u75c7\u306b\u5bfe\u3059\u308b\u533b\u85ac\u54c1\u3068\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306e\u4f75\u7528\u306b\u3088\u308b\u30b7\u30ca\u30b8\u30fc\u3092\u793a\u3057\u305f\u81e8\u5e8a\u7814\u7a76\u304c\u3001\u30a4\u30bf\u30ea\u30a2\u306e\u30b0\u30eb\u30fc\u30d7\u304b\u3089\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002(Prostate. 2014 Nov;74(15):1471-80)<\/p>\n
\u7537\u6027\u3067\u306f\u3001\u52a0\u9f62\u306b\u4f34\u3063\u3066\u524d\u7acb\u817a\u80a5\u5927\u75c7(BPH)\u306b\u3088\u308b\u6392\u5c3f\u969c\u5bb3\u306a\u3069\u306e\u75c7\u72b6\u304c\u751f\u3058\u307e\u3059\u3002
\n\u826f\u6027\u75be\u60a3\u3067\u3042\u308b\u524d\u7acb\u817a\u80a5\u5927\u75c7\u306b\u5bfe\u3057\u3066\u3001\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3067\u306f\u3001\u30ce\u30b3\u30ae\u30ea\u30e4\u30b7(\u5b66\u540dserenoa repens)\u304c\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u3002\uff08\u30ce\u30b3\u30ae\u30ea\u30e4\u30b7\u306f\u3001\u591a\u304f\u306e\u81e8\u5e8a\u8a66\u9a13\u306b\u3088\u3063\u3066\u6709\u52b9\u6027\u304c\u793a\u3055\u308c\u3066\u304a\u308a\u3001\u5b89\u5168\u6027\u306e\u9ad8\u3044\u30cf\u30fc\u30d6\u3067\u3059\u3002\u533b\u85ac\u54c1\u3068\u6bd4\u3079\u3066\u3082\u526f\u4f5c\u7528\u304c\u5c11\u306a\u304f\u3001\u5e83\u304f\u63a8\u5968\u3067\u304d\u308b\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u6210\u5206\u3067\u3059\u3002\uff09<\/p>\n
\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u306f\u3001\u524d\u7acb\u817a\u80a5\u5927\u75c7\u306b\u4f34\u3046\u6392\u5c3f\u969c\u5bb3\u306b\u7528\u3044\u3089\u308c\u308b\u533b\u85ac\u54c1\u3067\u3059\u3002
\n\u5c3f\u9053\u3084\u524d\u7acb\u817a\u306b\u5b58\u5728\u3059\u308b\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u03b11\u53d7\u5bb9\u4f53\u3092\u906e\u65ad\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u5c3f\u9053\u5185\u5727\u3092\u4e0b\u3052\u3001\u524d\u7acb\u817a\u80a5\u5927\u75c7\u306b\u4f34\u3046\u6392\u5c3f\u969c\u5bb3\u3092\u6539\u5584\u3057\u307e\u3059\u3002<\/p>\n
\u3055\u3066\u3001\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u30ce\u30b3\u30ae\u30ea\u30e4\u30b7\u30fb\u30ea\u30b3\u30d4\u30f3\u30fb\u30bb\u30ec\u30f3\u306e\u8907\u5408\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3068\u3001\u533b\u85ac\u54c1\u306e\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u3068\u306e\u4f75\u7528\u306b\u3088\u308b\u524d\u7acb\u817a\u80a5\u5927\u75c7\u306e\u75c7\u72b6\u3078\u306e\u4f5c\u7528\u304c\u691c\u8a3c\u3055\u308c\u307e\u3057\u305f\u3002
\n\u5177\u4f53\u7684\u306b\u306f\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u4e8c\u91cd\u76f2\u691c\u591a\u65bd\u8a2d\u5171\u540c\u7814\u7a76\u3068\u3057\u3066\u300155\u6b73\u304b\u308980\u6b73\u306e\u60a3\u8005225\u540d\u3092\u5bfe\u8c61\u306b\u3001
\n\u30b0\u30eb\u30fc\u30d7A:\uff1a\u8907\u5408\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u6295\u4e0e\u7fa4(\u30ce\u30b3\u30ae\u30ea\u30e4\u30b7\u30fb\u30ea\u30b3\u30d4\u30f3\u30fb\u30bb\u30ec\u30f3)
\n\u30b0\u30eb\u30fc\u30d7B\uff1a\u30bf\u30e0\u30b9\u30ed\u30b7\u30f30.4mg\u3001
\n\u30b0\u30eb\u30fc\u30d7C\uff1a\u8907\u5408\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u6295\u4e0e\u7fa4(\u30ce\u30b3\u30ae\u30ea\u30e4\u30b7\u30fb\u30ea\u30b3\u30d4\u30f3\u30fb\u30bb\u30ec\u30f3)\uff0b\u30bf\u30e0\u30b9\u30ed\u30b7\u30f30.4mg\u306e\u4f75\u7528\u7fa4
\n\u306e3\u7fa4\u306b\u3064\u3044\u3066\u3001\u4ecb\u5165\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002
\n(\u88ab\u9a13\u8005\u306e\u72b6\u614b\u306f\u3001PSA ≤ 4 ng\/ml, IPSS ≥12, prostate volume ≤60 cc, Qmax ≤15 ml\/sec, postvoid residual urine (PVR) <150 ml.)(PROCOMB trial\u3068\u3044\u3046\u7814\u7a76\u306e\u4e00\u74b0\u3067\u3059\u3002)\n\n\u4e3b\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u3001IPSS, PVR, Qmax\u3067\u3059\u3002\n\u89e3\u6790\u306e\u7d50\u679c\u30016\u30f5\u6708\u5f8c\u306e\u6642\u70b9\u3067\u3001\u307e\u305a\u3001IPSS\u306f\u3001\u30b0\u30eb\u30fc\u30d7C\u306e\u4f75\u7528\u6295\u4e0e\u7fa4\u306b\u304a\u3044\u3066\u3001\n\u30b0\u30eb\u30fc\u30d7A(P < 0.05)\u3084\u30b0\u30eb\u30fc\u30d7 B (P < 0.01) \u306b\u6bd4\u3079\u3066\u6709\u610f\u306b\u6e1b\u5c11(\u6539\u5584)\u3057\u307e\u3057\u305f\u3002\n\n\u307e\u305f\u3001PVR\u3082\u3001\u30b0\u30eb\u30fc\u30d7A (P < 0.01)\u306b\u6bd4\u3079\u3066\u3001\u6709\u610f\u306a\u6539\u5584\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\n\u6b21\u306b\u30016\u30f6\u6708\u304b\u308912\u30f6\u6708\u306e\u6642\u70b9\u3067\u306f\u3001\u30b0\u30eb\u30fc\u30d7C\u306e\u4f75\u7528\u6295\u4e0e\u7fa4\u306b\u304a\u3044\u3066\u3001\u30b0\u30eb\u30fc\u30d7A(P < 0.01)\u306b\u6bd4\u3079\u3066\u6709\u610f\u306a\u6e1b\u5c11(\u6539\u5584)\u3082\u898b\u3044\u3060\u3055\u308c\u307e\u3057\u305f\u3002\n\n1\u5e74\u5f8c\u306e\u6642\u70b9\u3067\u3082\u3001IPSS\u3084Qmax\u3068\u3044\u3063\u305f\u75c7\u72b6\u30b9\u30b3\u30a2\u306b\u304a\u3044\u3066\u3001\n\u4f75\u7528\u6295\u4e0e\u7fa4\u306b\u304a\u3051\u308b\u6709\u610f\u306a\u6539\u5584\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002(\u5358\u72ec\u6295\u4e0e\u7fa4\u306b\u6bd4\u3079\u3066 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