{"id":95,"date":"2025-03-02T17:13:25","date_gmt":"2025-03-02T08:13:25","guid":{"rendered":"https:\/\/seikei-mori.com\/blog\/?p=95"},"modified":"2025-03-02T17:13:27","modified_gmt":"2025-03-02T08:13:27","slug":"post-95","status":"publish","type":"post","link":"https:\/\/seikei-mori.com\/blog\/post-95\/","title":{"rendered":"\u819d\u88cf\u306e\u75db\u307f\u3092\u5fb9\u5e95\u89e3\u660e\uff01\u8003\u3048\u3089\u308c\u308b\u539f\u56e0\u3068\u6cbb\u7642\u6cd5\u306e\u3059\u3079\u3066"},"content":{"rendered":"\n<p>\u819d\u88cf\u306e\u75db\u307f\u3067\u6b69\u304f\u306e\u304c\u3064\u3089\u3044\u3001\u6b63\u5ea7\u304c\u3067\u304d\u306a\u3044\u3068\u304a\u60a9\u307f\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f\u591a\u304f\u306e\u65b9\u304c\u7d4c\u9a13\u3059\u308b\u819d\u88cf\u306e\u75db\u307f\u306f\u3001\u653e\u7f6e\u3059\u308b\u3068\u65e5\u5e38\u751f\u6d3b\u306b\u5927\u304d\u306a\u652f\u969c\u3092\u304d\u305f\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u75db\u307f\u304c\u7d9a\u304f\u5834\u5408\u306f\u3001\u533b\u7642\u6a5f\u95a2\u3067\u306e\u8a3a\u5bdf\u304c\u304a\u3059\u3059\u3081\u3067\u3059\u3002\u672c\u8a18\u4e8b\u3067\u306f\u3001\u6574\u5f62\u5916\u79d1\u533b\u306e\u8996\u70b9\u304b\u3089\u4ee5\u4e0b\u306e\u30dd\u30a4\u30f3\u30c8\u3092\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u819d\u88cf\u306e\u75db\u307f\u306e\u539f\u56e0<\/li>\n\n\n\n<li>\u819d\u88cf\u306e\u75db\u307f\u306b\u6709\u52b9\u306a\u6cbb\u7642\u6cd5<\/li>\n\n\n\n<li>\u819d\u88cf\u306e\u75db\u307f\u3092\u4e88\u9632\u3059\u308b\u305f\u3081\u306e\u5bfe\u7b56<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u819d\u88cf\u306e\u75db\u307f\u306e\u539f\u56e04\u9078<\/h2>\n\n\n\n<p><strong>\u819d\u88cf\u306e\u75db\u307f\u306f\u3001\u3055\u307e\u3056\u307e\u306a\u539f\u56e0\u304c\u6f5c\u3093\u3067\u3044\u308b\u30b5\u30a4\u30f3\u3067\u3059\u3002<\/strong>\u75db\u307f\u3092\u653e\u7f6e\u3059\u308b\u3068\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u5927\u304d\u306a\u652f\u969c\u3092\u304d\u305f\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u819d\u88cf\u306e\u75db\u307f\u306e\u539f\u56e0\u306f\u3001\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ul 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class=\"wp-block-heading\">\u819d\u88cf\u306e\u75db\u307f\u306b\u6709\u52b9\u306a\u6cbb\u7642\u6cd55\u9078<\/h2>\n\n\n\n<p>\u819d\u88cf\u306e\u75db\u307f\u306e\u539f\u56e0\u306f\u8efd\u5ea6\u306e\u3082\u306e\u304b\u3089\u91cd\u5ea6\u306e\u3082\u306e\u307e\u3067\u3042\u308a\u307e\u3059\u3002\u9069\u5207\u306a\u6cbb\u7642\u6cd5\u3092\u9078\u629e\u3059\u308b\u305f\u3081\u306b\u3001\u75db\u307f\u306e\u539f\u56e0\u3092\u6b63\u3057\u304f<strong>\u77e5\u308b<\/strong>\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\u305d\u308c\u305e\u308c\u306e\u6cbb\u7642\u6cd5\u306e\u7279\u5fb4\u3084\u30e1\u30ea\u30c3\u30c8\u30fb\u30c7\u30e1\u30ea\u30c3\u30c8\u3092\u7406\u89e3\u3057\u3001\u533b\u5e2b\u3068\u76f8\u8ac7\u3057\u306a\u304c\u3089\u3001\u81ea\u5206\u306b\u5408\u3063\u305f\u6cbb\u7642\u6cd5\u3092\u898b\u3064\u3051\u307e\u3057\u3087\u3046\u3002\u6709\u52b9\u306a\u6cbb\u7642\u6cd5\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4fdd\u5b58\u7642\u6cd5<\/li>\n\n\n\n<li>\u85ac\u7269\u7642\u6cd5<\/li>\n\n\n\n<li>\u7406\u5b66\u7642\u6cd5<\/li>\n\n\n\n<li>\u6ce8\u5c04\u7642\u6cd5<\/li>\n\n\n\n<li>\u624b\u8853\u7642\u6cd5<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u4fdd\u5b58\u7642\u6cd5<\/h3>\n\n\n\n<p>\u4fdd\u5b58\u7642\u6cd5\u306f\u3001\u624b\u8853\u3092\u884c\u308f\u305a\u306b\u75db\u307f\u3092\u8efd\u6e1b\u3057\u3001\u819d\u306e\u6a5f\u80fd\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u3092\u76ee\u6307\u3059\u6cbb\u7642\u6cd5\u3067\u3059\u3002<strong>\u591a\u304f\u306e\u5834\u5408\u3001\u4fdd\u5b58\u7642\u6cd5(RICE\u51e6\u7f6e)\u304c\u6700\u521d\u306e\u6cbb\u7642\u9078\u629e\u80a2\u3068\u306a\u308a\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rest(\u5b89\u9759)<br>\u5b89\u9759\u306b\u3059\u308b\u3053\u3068\u3067\u3001\u708e\u75c7\u304c\u60aa\u5316\u3059\u308b\u306e\u3092\u9632\u304e\u307e\u3059\u3002\u75db\u307f\u304c\u5f37\u3044\u3068\u304d\u306f\u3001\u7121\u7406\u306b\u52d5\u304b\u3055\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002<\/li>\n\n\n\n<li>Ice(\u51b7\u5374)<br>\u51b7\u5374\u306f\u3001\u708e\u75c7\u3084\u816b\u308c\u3092\u6291\u3048\u308b\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002\u6c37\u56a2\u306a\u3069\u3092\u30bf\u30aa\u30eb\u3067\u5305\u307f\u300115\uff5e20\u5206\u7a0b\u5ea6\u3001\u819d\u88cf\u306b\u5f53\u3066\u3066\u51b7\u3084\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li>Compression(\u5727\u8feb)<br>\u5727\u8feb\u306f\u3001\u5f3e\u6027\u5305\u5e2f\u306a\u3069\u3067\u819d\u3092\u9069\u5ea6\u306b\u5727\u8feb\u3059\u308b\u3053\u3068\u3067\u3001\u816b\u308c\u3084\u5185\u51fa\u8840\u3092\u8efd\u6e1b\u3059\u308b\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002\u7de0\u3081\u4ed8\u3051\u3059\u304e\u308b\u3068\u8840\u884c\u304c\u60aa\u304f\u306a\u308b\u305f\u3081\u3001\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/li>\n\n\n\n<li>Elevation(\u6319\u4e0a)<br>\u6319\u4e0a\u306f\u3001\u8db3\u3092\u5fc3\u81d3\u3088\u308a\u9ad8\u3044\u4f4d\u7f6e\u306b\u4e0a\u3052\u308b\u3053\u3068\u3067\u8840\u6db2\u306e\u5faa\u74b0\u3092\u826f\u304f\u3057\u3001\u816b\u308c\u3092\u6291\u3048\u307e\u3059\u3002\u30af\u30c3\u30b7\u30e7\u30f3\u306a\u3069\u3092\u5229\u7528\u3057\u3066\u3001\u8db3\u3092\u9ad8\u304f\u4e0a\u3052\u3066\u4f11\u307f\u307e\u3057\u3087\u3046\u3002<\/li>\n<\/ul>\n\n\n\n<p>RICE\u51e6\u7f6e\u306b\u52a0\u3048\u3001<strong>\u88c5\u5177\u7642\u6cd5\u3084\u65e5\u5e38\u751f\u6d3b\u52d5\u4f5c\u6307\u5c0e<\/strong>\u306a\u3069\u3082\u884c\u308f\u308c\u307e\u3059\u3002\u88c5\u5177\u7642\u6cd5\u3067\u306f\u3001\u30b5\u30dd\u30fc\u30bf\u30fc\u3084\u30c6\u30fc\u30d4\u30f3\u30b0\u3092\u7528\u3044\u3066\u819d\u95a2\u7bc0\u3092\u56fa\u5b9a\u3057\u3001\u75db\u307f\u3092\u548c\u3089\u3052\u3001\u95a2\u7bc0\u3092\u4fdd\u8b77\u3057\u307e\u3059\u3002\u65e5\u5e38\u751f\u6d3b\u52d5\u4f5c\u6307\u5c0e\u3067\u306f\u3001\u819d\u306b\u8ca0\u62c5\u3092\u304b\u3051\u306b\u304f\u3044\u6b69\u304d\u65b9\u3084\u59ff\u52e2\u3001\u52d5\u4f5c\u306a\u3069\u3092\u6307\u5c0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u85ac\u7269\u7642\u6cd5<\/h3>\n\n\n\n<p><strong>\u85ac\u7269\u7642\u6cd5\u306f\u3001\u75db\u307f\u3084\u708e\u75c7\u3092\u6291\u3048\u308b\u85ac\u3092\u7528\u3044\u3066\u75c7\u72b6\u3092\u7de9\u548c\u3059\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/strong>\u5185\u670d\u85ac\u3084\u5916\u7528\u85ac\u304c\u3042\u308a\u3001\u75db\u307f\u306e\u7a0b\u5ea6\u3084\u539f\u56e0\u306b\u5408\u308f\u305b\u3066\u9069\u5207\u306a\u85ac\u304c\u9078\u629e\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u5185\u670d\u85ac\u306f\u3001\u75db\u307f\u6b62\u3081(\u93ae\u75db\u5264)\u3084\u708e\u75c7\u3092\u6291\u3048\u308b\u85ac(\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\uff1aNSAIDs)\u306a\u3069\u304c\u7528\u3044\u3089\u308c\u3001\u75db\u307f\u3084\u708e\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u7269\u8cea\u306e\u751f\u6210\u3092\u6291\u3048\u308b\u3053\u3068\u3067\u52b9\u679c\u3092\u767a\u63ee\u3057\u307e\u3059\u3002\u5916\u7528\u85ac\u306f\u3001\u75db\u307f\u3084\u708e\u75c7\u3092\u6291\u3048\u308b\u5857\u308a\u85ac\u3084\u6e7f\u5e03\u304c\u3042\u308a\u3001\u76ae\u819a\u304b\u3089\u5438\u53ce\u3055\u308c\u3066\u65bd\u8853\u90e8\u4f4d\u306b\u76f4\u63a5\u4f5c\u7528\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7406\u5b66\u7642\u6cd5<\/h3>\n\n\n\n<p><strong>\u7406\u5b66\u7642\u6cd5\u306f\u3001\u7406\u5b66\u7642\u6cd5\u58eb\u306b\u3088\u308b\u5c02\u9580\u7684\u306a\u904b\u52d5\u7642\u6cd5\u3084\u30de\u30c3\u30b5\u30fc\u30b8\u306a\u3069\u3092\u901a\u3058\u3066\u3001\u819d\u95a2\u7bc0\u306e\u6a5f\u80fd\u56de\u5fa9\u3092\u76ee\u6307\u3059\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<p>\u30b9\u30c8\u30ec\u30c3\u30c1\u306f\u3001\u819d\u95a2\u7bc0\u5468\u8fba\u306e\u7b4b\u8089\u306e\u67d4\u8edf\u6027\u3092\u9ad8\u3081\u3001\u95a2\u7bc0\u306e\u52d5\u304d\u3092\u30b9\u30e0\u30fc\u30ba\u306b\u3059\u308b\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002\u7b4b\u529b\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u306f\u3001\u819d\u95a2\u7bc0\u5468\u8fba\u306e\u7b4b\u8089\u3092\u5f37\u5316\u3059\u308b\u3053\u3068\u3067\u3001\u95a2\u7bc0\u3092\u5b89\u5b9a\u3055\u305b\u3001\u75db\u307f\u3092\u8efd\u6e1b\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u95a2\u7bc0\u53ef\u52d5\u57df\u8a13\u7df4\u306f\u3001\u95a2\u7bc0\u306e\u52d5\u304d\u3092\u6539\u5584\u3057\u3001\u65e5\u5e38\u751f\u6d3b\u52d5\u4f5c\u3092\u30b9\u30e0\u30fc\u30ba\u306b\u884c\u3048\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u7269\u7406\u7642\u6cd5\u3067\u306f\u3001\u6e29\u71b1\u7642\u6cd5\u3084\u96fb\u6c17\u523a\u6fc0\u7642\u6cd5\u306a\u3069\u3001\u75db\u307f\u306e\u8efd\u6e1b\u3084\u6cbb\u7652\u4fc3\u9032\u3092\u76ee\u7684\u3068\u3057\u305f\u6cbb\u7642\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6ce8\u5c04\u7642\u6cd5<\/h3>\n\n\n\n<p><strong>\u6ce8\u5c04\u7642\u6cd5\u306f\u3001\u819d\u95a2\u7bc0\u5185\u306b\u85ac\u5264\u3092\u6ce8\u5c04\u3059\u308b\u3053\u3068\u3067\u3001\u75db\u307f\u3084\u708e\u75c7\u3092\u76f4\u63a5\u7684\u306b\u6291\u3048\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/strong>\u5177\u4f53\u7684\u306a\u6ce8\u5c04\u7642\u6cd5\u306f\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u6ce8\u5c04\u3068\u30b9\u30c6\u30ed\u30a4\u30c9\u6ce8\u5c04\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u6ce8\u5c04\u306f\u3001\u95a2\u7bc0\u6db2\u306e\u4e3b\u6210\u5206\u3067\u3042\u308b\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u3092\u95a2\u7bc0\u5185\u306b\u88dc\u5145\u3059\u308b\u3053\u3068\u3067\u3001\u95a2\u7bc0\u306e\u52d5\u304d\u3092\u30b9\u30e0\u30fc\u30ba\u306b\u3059\u308b\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u30b9\u30c6\u30ed\u30a4\u30c9\u6ce8\u5c04\u306f\u3001\u6297\u708e\u75c7\u4f5c\u7528\u3092\u6301\u3064\u30b9\u30c6\u30ed\u30a4\u30c9\u85ac\u3092\u95a2\u7bc0\u5185\u306b\u6ce8\u5c04\u3059\u308b\u6cbb\u7642\u6cd5\u3067\u3001\u75db\u307f\u3084\u816b\u308c\u306e\u8efd\u6e1b\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u52b9\u679c\u306b\u306f\u500b\u4eba\u5dee\u304c\u3042\u308a\u3001\u533b\u5e2b\u3068\u306e\u76f8\u8ac7\u304c\u5fc5\u8981\u3067\u3059\u3002&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u624b\u8853\u7642\u6cd5<\/h3>\n\n\n\n<p><strong>\u4fdd\u5b58\u7642\u6cd5\u3084\u305d\u306e\u4ed6\u306e\u6cbb\u7642\u6cd5\u3092\u8a66\u3057\u3066\u3082\u5341\u5206\u306a\u52b9\u679c\u304c\u5f97\u3089\u308c\u306a\u3044\u5834\u5408\u3001\u5916\u79d1\u7684\u306a\u6cbb\u7642\u304c\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/strong>\u5177\u4f53\u7684\u306b\u306f\u3001\u75db\u307f\u306e\u8efd\u6e1b\u3084\u95a2\u7bc0\u306e\u6a5f\u80fd\u6539\u5584\u3092\u76ee\u7684\u3068\u3057\u3066\u3001\u4eba\u5de5\u95a2\u7bc0\u7f6e\u63db\u8853\u3084\u95a2\u7bc0\u93e1\u624b\u8853\u3001\u9aa8\u5207\u308a\u8853\u306a\u3069\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4eba\u5de5\u95a2\u7bc0\u7f6e\u63db\u8853\u306f\u3001\u640d\u50b7\u3057\u305f\u95a2\u7bc0\u3092\u4eba\u5de5\u95a2\u7bc0\u306b\u7f6e\u304d\u63db\u3048\u308b\u624b\u8853\u3067\u3059\u3002\u95a2\u7bc0\u93e1\u624b\u8853\u306f\u3001\u95a2\u7bc0\u93e1\u3068\u3044\u3046\u7d30\u3044\u30ab\u30e1\u30e9\u3092\u95a2\u7bc0\u5185\u306b\u633f\u5165\u3057\u3001\u95a2\u7bc0\u5185\u306e\u72b6\u614b\u3092\u78ba\u8a8d\u3057\u306a\u304c\u3089\u884c\u3046\u624b\u8853\u3067\u3059\u3002\u640d\u50b7\u3057\u305f\u534a\u6708\u677f\u3084\u976d\u5e2f\u306e\u4fee\u5fa9\u306a\u3069\u3092\u884c\u3044\u307e\u3059\u3002\u9aa8\u5207\u308a\u8853\u306f\u3001\u9aa8\u306e\u5f62\u3092\u4fee\u6b63\u3059\u308b\u3053\u3068\u3067\u3001\u95a2\u7bc0\u306b\u304b\u304b\u308b\u8ca0\u62c5\u3092\u8efd\u6e1b\u3059\u308b\u624b\u8853\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u819d\u88cf\u306e\u75db\u307f\u3092\u4e88\u9632\u3059\u308b\u305f\u3081\u306e\u5bfe\u7b564\u9078<\/h2>\n\n\n\n<p>\u65e5\u5e38\u751f\u6d3b\u3067\u306e\u5de5\u592b\u3084\u9069\u5ea6\u306a\u904b\u52d5\u306b\u3088\u308a\u3001\u819d\u3078\u306e\u8ca0\u62c5\u3092\u8efd\u6e1b\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u819d\u88cf\u306e\u75db\u307f\u3092\u4e88\u9632\u3059\u308b\u305f\u3081\u306e\u5bfe\u7b56\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9069\u5ea6\u306a\u904b\u52d5<\/li>\n\n\n\n<li>\u30b9\u30c8\u30ec\u30c3\u30c1<\/li>\n\n\n\n<li>\u4f53\u91cd\u7ba1\u7406<\/li>\n\n\n\n<li>\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584<\/li>\n<\/ul>\n\n\n\n<h3 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class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<p>Wirinaree Kampitak, Wannida Kertkiatkachorn, Srihatach Ngarmukos, Aree Tanavalee, Chotetawan Tanavalee, Chonruethai Tangkittithaworn.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36931354\/\"> Comparison of Analgesic Efficacies of the iPACK (Interspace Between the Popliteal Artery and Capsule of the Posterior Knee) and Genicular Nerve Blocks Used in Combination With the Continuous Adductor Canal Block After Total Knee Arthroplasty\uff1a A Randomized Clinical Trial<\/a>. <em>The Journal of Arthroplasty<\/em>, 2023, 38(9), p.1734-1741.e2.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u819d\u88cf\u306e\u75db\u307f\u3067\u6b69\u304f\u306e\u304c\u3064\u3089\u3044\u3001\u6b63\u5ea7\u304c\u3067\u304d\u306a\u3044\u3068\u304a\u60a9\u307f\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f\u591a\u304f\u306e\u65b9\u304c\u7d4c\u9a13\u3059\u308b\u819d\u88cf\u306e\u75db\u307f\u306f\u3001\u653e\u7f6e\u3059\u308b\u3068\u65e5\u5e38\u751f\u6d3b\u306b\u5927\u304d\u306a\u652f\u969c\u3092\u304d\u305f\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002 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