{"id":29128,"date":"2026-04-04T02:44:00","date_gmt":"2026-04-03T17:44:00","guid":{"rendered":"https:\/\/sakuda-clinic.com\/doctor\/?p=29128"},"modified":"2026-03-30T15:23:27","modified_gmt":"2026-03-30T06:23:27","slug":"%e8%85%8e%e8%87%93%e3%82%92%e5%ae%88%e3%82%8b%e8%96%ac%e3%81%8c%e9%80%86%e5%8a%b9%e6%9e%9c%e3%81%ab%e8%a6%8b%e3%81%88%e3%82%8b%e3%81%a8%e3%81%8d%e2%80%95%e6%a4%9c%e6%9f%bb%e3%81%ae%e6%95%b0%e5%ad%97","status":"publish","type":"post","link":"https:\/\/sakuda-clinic.com\/doctor\/?p=29128","title":{"rendered":"\u814e\u81d3\u3092\u5b88\u308b\u85ac\u304c\u9006\u52b9\u679c\u306b\u898b\u3048\u308b\u3068\u304d\u2015\u691c\u67fb\u306e\u6570\u5b57\u304c\u60aa\u304f\u898b\u3048\u3066\u3082\u3001\u85ac\u3092\u7d9a\u3051\u308b\u7406\u7531"},"content":{"rendered":"\n<p style=\"font-size:18px\">\u3000<\/p>\n\n\n\n<p 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style=\"font-size:18px\">\u3057\u304b\u3082\u73fe\u5b9f\u306b\u306f\u3001\u8131\u6c34\u3001\u4f4e\u8840\u5727\u3001\u9ad8\u30ab\u30ea\u30a6\u30e0\u8840\u75c7\u3001\u307b\u304b\u306e\u85ac\u306e\u5f71\u97ff\u306a\u3069\u3001\u4e2d\u6b62\u3092\u8003\u3048\u3056\u308b\u3092\u5f97\u306a\u3044\u4e8b\u60c5\u3082\u6df7\u3056\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u305d\u306e\u305f\u3081\u81e8\u5e8a\u3067\u306f\u3001\u8a31\u5bb9\u7bc4\u56f2\u3088\u308a\u5c0f\u3055\u306a\u5909\u52d5\u3067\u3082\u85ac\u304c\u6b62\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u7e70\u308a\u8fd4\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u3000<\/p>\n\n\n\n<p style=\"font-size:18px\">\u30ab\u30ca\u30c0\u30fb\u30de\u30cb\u30c8\u30d0\u5dde\u306e\u96fb\u5b50\u533b\u7642\u8a18\u9332\u3092\u4f7f\u3063\u305f\u4eca\u56de\u306e\u7814\u7a76\u306f\u3001\u3053\u306e\u554f\u3044\u3092\u5f8c\u308d\u5411\u304d\u306b\u8ffd\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">RAS\u963b\u5bb3\u85ac\u3092\u65b0\u305f\u306b\u59cb\u3081\u306690\u65e5\u4ee5\u5185\u306beGFR\u304c15\uff05\u4ee5\u4e0a\u4f4e\u4e0b\u3057\u305f\u4eba\u30925273\u4eba\u898b\u3044\u3060\u3057\u3001\u305d\u306e\u3046\u3061\u5e74\u9f62\u3084\u6301\u75c5\u306a\u3069\u306e\u9055\u3044\u3092\u3067\u304d\u308b\u3060\u3051\u305d\u308d\u3048\u305f4233\u4eba\u3092\u89e3\u6790\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p 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style=\"font-size:18px\">eGFR\u306e\u4f4e\u4e0b\u306f\u3001\u7cf8\u7403\u4f53\u306b\u304b\u304b\u308b\u5727\u304c\u4e0b\u304c\u3063\u305f\u7d50\u679c\u3068\u3057\u3066\u8d77\u3053\u308a\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u3064\u307e\u308a\u3001\u6570\u5024\u304c\u843d\u3061\u305f\u305d\u306e\u77ac\u9593\u306b\u3001\u85ac\u306f\u30d5\u30a3\u30eb\u30bf\u30fc\u3092\u5b88\u308b\u65b9\u5411\u306b\u50cd\u304d\u59cb\u3081\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u305d\u308c\u3092\u76f4\u3061\u306b\u300c\u60aa\u5316\u300d\u3068\u8aad\u3093\u3067\u4e2d\u6b62\u3059\u308b\u3053\u3068\u306f\u3001\u5b88\u308b\u305f\u3081\u306b\u8d77\u304d\u3066\u3044\u308b\u5909\u5316\u3092\u9014\u4e2d\u3067\u65ad\u3061\u5207\u3063\u3066\u3057\u307e\u3046\u5834\u9762\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u4eca\u56de\u306e\u8ad6\u6587\u306f\u3001\u305d\u3046\u53d7\u3051\u53d6\u308c\u308b\u4f59\u5730\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u3082\u3061\u308d\u3093\u3053\u308c\u306f\u5f8c\u308d\u5411\u304d\u306e\u89b3\u5bdf\u7814\u7a76\u3067\u3042\u308a\u3001\u4e2d\u6b62\u306e\u7406\u7531\u3092\u3059\u3079\u3066\u628a\u63e1\u3067\u304d\u3066\u306f\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u3082\u3068\u3082\u3068\u72b6\u614b\u306e\u60aa\u3044\u60a3\u8005\u304c\u4e2d\u6b62\u7fa4\u306b\u504f\u3063\u3066\u3044\u305f\u53ef\u80fd\u6027\u3082\u6b8b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u3000<\/p>\n\n\n\n<p style=\"font-size:18px\">\u305d\u308c\u3067\u3082\u3001\u3053\u306e\u7d50\u679c\u3060\u3051\u3067\u65e5\u5e38\u8a3a\u7642\u306e\u5224\u65ad\u304c\u3059\u3050\u5909\u308f\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u6570\u5b57\u304c\u4e0b\u304c\u308b\u60a3\u8005\u3092\u524d\u306b\u3057\u3066\u533b\u5e2b\u304c\u305f\u3081\u3089\u3046\u306e\u306f\u3001\u85ac\u3092\u60dc\u3057\u3080\u304b\u3089\u3067\u306f\u306a\u304f\u3001\u305d\u306e\u4eba\u3092\u60aa\u3044\u307b\u3046\u3078\u50be\u3051\u305f\u304f\u306a\u3044\u304b\u3089\u3067\u3059\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u4f53\u91cd\u8a08\u306e\u8868\u793a\u3001\u691c\u67fb\u7d50\u679c\u3001\u901a\u5e33\u306e\u6b8b\u9ad8\u3002\u4e0b\u304c\u308b\u6570\u5b57\u3092\u524d\u306b\u3057\u3066\u300c\u5f85\u3064\u300d\u3053\u3068\u306f\u3001\u5224\u65ad\u3092\u653e\u68c4\u3057\u3066\u3044\u308b\u3088\u3046\u3067\u843d\u3061\u7740\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u3051\u308c\u3069\u3001\u305d\u306e\u6570\u5b57\u304c\u4f55\u306e\u53cd\u6620\u306a\u306e\u304b\u3092\u898b\u5206\u3051\u308b\u6642\u9593\u306f\u3001\u4e0d\u5b89\u306e\u901f\u3055\u306e\u4e2d\u304b\u3089\u3053\u307c\u308c\u3084\u3059\u3044\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u814e\u81d3\u306e\u6cbb\u7642\u306f\u3001\u305d\u306e\u53d6\u308a\u3053\u307c\u3057\u3060\u3051\u3067\u306a\u304f\u3001\u305d\u306e\u305f\u3081\u3089\u3044\u306e\u4e2d\u306b\u3042\u308b\u5fc3\u914d\u3068\u3082\u5411\u304d\u5408\u3063\u3066\u3044\u308b\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p style=\"font-size:18px\">\u3000<\/p>\n\n\n\n<p style=\"font-size:18px\"><strong>\u53c2\u8003\u6587\u732e\uff1a<\/strong><\/p>\n\n\n\n<p style=\"font-size:18px\"><strong>Ku E, Tangri N, Brar R, McCulloch CE, Sarnak MJ. Discontinuation of RAS Inhibition After an Acute Decline in Estimated Glomerular Filtration Rate.&nbsp;<em>JAMA Netw Open<\/em>. 2026;9(3):e263680. Published 2026 Mar 2. doi:10.1001\/jamanetworkopen.2026.3680<\/strong><\/p>\n\n\n\n<p style=\"font-size:18px\">\u3000<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/sakuda-clinic.com\/doctor\/wp-content\/uploads\/2026\/03\/Discontinuation-of-RAS-Inhibition-After-an-Acute-Decline-in-Estimated-Glomerular-Filtration-Rate.jpg\" alt=\"\" class=\"wp-image-29129\" srcset=\"https:\/\/sakuda-clinic.com\/doctor\/wp-content\/uploads\/2026\/03\/Discontinuation-of-RAS-Inhibition-After-an-Acute-Decline-in-Estimated-Glomerular-Filtration-Rate.jpg 600w, https:\/\/sakuda-clinic.com\/doctor\/wp-content\/uploads\/2026\/03\/Discontinuation-of-RAS-Inhibition-After-an-Acute-Decline-in-Estimated-Glomerular-Filtration-Rate-300x200.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/figure>\n<\/div>\n\n\n<p 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