{"id":3497,"date":"2026-09-08T10:02:13","date_gmt":"2026-09-08T01:02:13","guid":{"rendered":"https:\/\/saito-cl-liver-regeneration.com\/blog\/?p=3497"},"modified":"2026-09-08T10:05:46","modified_gmt":"2026-09-08T01:05:46","slug":"post-3497","status":"publish","type":"post","link":"https:\/\/saito-cl-liver-regeneration.com\/blog\/post-3497\/","title":{"rendered":"\u3010\u809d\u81d3\u75c5\u5c02\u9580\u533b\u304c\u89e3\u8aac\u3011MELD\u30b9\u30b3\u30a2\u3068\u306f\uff1f\u809d\u79fb\u690d\u306e\u512a\u5148\u9806\u4f4d\u3092\u6c7a\u3081\u308b\u91cd\u75c7\u5ea6\u30b9\u30b3\u30a2\u3068\u809d\u81d3\u518d\u751f\u533b\u7642\u306e\u53ef\u80fd\u6027"},"content":{"rendered":"
\n
\"\"<\/figure>\n<\/div>\n\n\n

\u3053\u3093\u306b\u3061\u306f\u3002<\/p>\n\n\n\n

\u795e\u6238\u5e02\u897f\u533a\u306e\u3055\u3044\u3068\u3046\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u9662\u9577\u306e\u6589\u85e4\u96c5\u4e5f\u3067\u3059\u3002<\/p>\n\n\n\n

\u300c\u533b\u5e2b\u304b\u3089MELD\u30b9\u30b3\u30a2\u306b\u3064\u3044\u3066\u8aac\u660e\u3092\u53d7\u3051\u305f\u304c\u3001\u5177\u4f53\u7684\u306b\u3069\u306e\u3088\u3046\u306a\u6307\u6a19\u306a\u306e\u304b\u77e5\u308a\u305f\u3044\u300d<\/p>\n\n\n\n

\u300c\u809d\u786c\u5909\u304c\u9032\u307f\u3001\u809d\u79fb\u690d\u4ee5\u5916\u306e\u6cbb\u7642\u9078\u629e\u80a2\u304c\u306a\u3044\u304b\u63a2\u3057\u3066\u3044\u308b\u300d<\/p>\n\n\n\n

\u5916\u6765\u306b\u304a\u3044\u3066\u3001\u9032\u884c\u3057\u305f\u809d\u786c\u5909\u306e\u60a3\u8005\u69d8\u3084\u305d\u306e\u3054\u5bb6\u65cf\u304b\u3089\u3053\u306e\u3088\u3046\u306a\u5207\u5b9f\u306a\u3054\u76f8\u8ac7\u3092\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u591a\u304f\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u809d\u786c\u5909\u306e\u91cd\u75c7\u5ea6\u3092\u6e2c\u308b\u6307\u6a19\u3068\u3057\u3066\u306f\u300cChild-Pugh\uff08\u30c1\u30e3\u30a4\u30eb\u30c9\u30fb\u30d4\u30e5\u30fc\uff09\u5206\u985e\u300d\u304c\u5e83\u304f\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u8fd1\u5e74\u3001\u809d\u79fb\u690d\u306e\u512a\u5148\u9806\u4f4d\u6c7a\u5b9a\u3084\u672b\u671f\u809d\u4e0d\u5168\u306e\u77ed\u671f\u4e88\u5f8c\u3092\u6b63\u78ba\u306b\u4e88\u6e2c\u3059\u308b\u4e16\u754c\u57fa\u6e96\u3068\u3057\u3066\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u306e\u304c\u300cMELD\uff08\u30e1\u30eb\u30c9\uff09\u30b9\u30b3\u30a2\u300d\u3067\u3059\u3002<\/p>\n\n\n\n

\u4eca\u56de\u306f\u3001\u809d\u81d3\u75c5\u5c02\u9580\u533b\u306e\u8996\u70b9\u304b\u3089\u3001MELD\u30b9\u30b3\u30a2\u306e\u4ed5\u7d44\u307f\u3084\u8a08\u7b97\u65b9\u6cd5\u3001Child-Pugh\u5206\u985e\u3068\u306e\u9055\u3044\u3001\u305d\u3057\u3066\u5f53\u9662\u304c\u6ce8\u529b\u3059\u308b\u300c\u809d\u81d3\u518d\u751f\u533b\u7642\uff08\u81ea\u5df1\u8102\u80aa\u7531\u6765\u5e79\u7d30\u80de\u6cbb\u7642\uff09\u300d\u306b\u304a\u3051\u308b\u610f\u7fa9\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u25a0 1. MELD\u30b9\u30b3\u30a2\u3068\u306f\uff1a\u5ba2\u89b3\u7684\u30c7\u30fc\u30bf\u3067\u672b\u671f\u809d\u75be\u60a3\u306e\u4e88\u5f8c\u3092\u4e88\u6e2c\u3059\u308b\u4e16\u754c\u57fa\u6e96<\/strong><\/h2>\n\n\n
\n
\"\"<\/figure>\n<\/div>\n\n\n

MELD\u30b9\u30b3\u30a2\uff08Model for End-Stage Liver Disease\uff09\u306f\u3001\u7c73\u56fd\u30e1\u30a4\u30e8\u30fc\u30af\u30ea\u30cb\u30c3\u30af\u3067\u958b\u767a\u3055\u308c\u305f\u3001\u672b\u671f\u809d\u75be\u60a3\u306e\u91cd\u75c7\u5ea6\u304a\u3088\u3073\u77ed\u671f\u7684\u306a\u4e88\u5f8c\uff083\u30ab\u6708\u6b7b\u4ea1\u30ea\u30b9\u30af\uff09\u3092\u4e88\u6e2c\u3059\u308b\u305f\u3081\u306e\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u30b7\u30b9\u30c6\u30e0\u3067\u3059\u3002<\/p>\n\n\n\n

\u3082\u3068\u3082\u3068\u306f\u9580\u8108\u5727\u4ea2\u9032\u75c7\u306b\u5bfe\u3059\u308b\u30ab\u30c6\u30fc\u30c6\u30eb\u624b\u8853\uff08TIPS\uff09\u5f8c\u306e\u4e88\u5f8c\u3092\u4e88\u6e2c\u3059\u308b\u305f\u3081\u306b\u8003\u6848\u3055\u308c\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u9ad8\u3044\u4e88\u6e2c\u7cbe\u5ea6\u304c\u5b9f\u8a3c\u3055\u308c\u3001\u73fe\u5728\u3067\u306f\u7c73\u56fd\u81d3\u5668\u79fb\u690d\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\uff08UNOS\uff09\u3084\u65e5\u672c\u81d3\u5668\u79fb\u690d\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\uff08JOT\uff09\u306b\u304a\u3044\u3066\u300112\u6b73\u4ee5\u4e0a\u306e\u8133\u6b7b\u809d\u79fb\u690d\u767b\u9332\u60a3\u8005\u69d8\u306e\u512a\u5148\u9806\u4f4d\uff08\u533b\u5b66\u7684\u7dca\u6025\u5ea6\uff09\u3092\u6c7a\u5b9a\u3059\u308b\u6700\u91cd\u8981\u57fa\u6e96\u3068\u3057\u3066\u63a1\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u25a0 2. MELD\u30b9\u30b3\u30a2\u306e\u8a08\u7b97\u5f0f\u3068\u69cb\u6210\u9805\u76ee<\/strong><\/h2>\n\n\n
\n
\"\"<\/figure>\n<\/div>\n\n\n

MELD\u30b9\u30b3\u30a2\u306f\u3001\u4ee5\u4e0b\u306e\u300c3\u3064\u306e\u8840\u6db2\u691c\u67fb\u30c7\u30fc\u30bf\u300d\u306e\u307f\u3092\u7528\u3044\u3066\u7b97\u51fa\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u2460 \u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\uff08mg\/dL\uff09\uff1a\u814e\u6a5f\u80fd\u306e\u6307\u6a19
\u2461 \u8840\u6e05\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3\u5024\uff08mg\/dL\uff09\uff1a\u809d\u81d3\u306e\u89e3\u6bd2\u30fb\u6392\u6cc4\u529b\u306e\u6307\u6a19
\u2462 PT-INR\uff08\u56fd\u969b\u6a19\u6e96\u6bd4\uff09\uff1a\u809d\u81d3\u306e\u8840\u6db2\u51dd\u56fa\u56e0\u5b50\u5408\u6210\u80fd\u306e\u6307\u6a19<\/p>\n\n\n\n

PT-INR\u306f\u300c\u30d7\u30ed\u30c8\u30ed\u30f3\u30d3\u30f3\u6642\u9593\uff08PT\uff09\u300d\u3092\u56fd\u969b\u6a19\u6e96\u5316\u3057\u305f\u6570\u5024\u3067\u3059\u3002\u30d5\u30a3\u30d6\u30ea\u30ce\u30b2\u30f3\u3084\u7b2c\u2161\u30fb\u2166\u30fb\u2169\u56e0\u5b50\u306a\u3069\u3001\u809d\u81d3\u3067\u306e\u307f\u5408\u6210\u3055\u308c\u308b\u51dd\u56fa\u56e0\u5b50\u306e\u7523\u751f\u80fd\u304c\u843d\u3061\u308b\u3068\u5ef6\u9577\u3057\u307e\u3059\u3002\u809d\u786c\u5909\u306e\u9032\u884c\u5ea6\u3092\u53cd\u6620\u3059\u308b\u92ed\u654f\u306a\u6307\u6a19\u3068\u3057\u3066\u3001MELD\u30b9\u30b3\u30a2\u306e\u4e2d\u3067\u3082\u7279\u306b\u91cd\u307f\u304c\u5927\u304d\u3044\u9805\u76ee\u3067\u3059\u3002<\/p>\n\n\n\n

\u51fa\u5178\uff1a<\/p>\n\n\n\n

Serum albumin and prothrombin time as combined predictors of prognosis in liver cirrhosis<\/a><\/p>\n\n\n\n

\u8a08\u7b97\u5f0f\u306f\u4ee5\u4e0b\u306e\u5bfe\u6570\u8a08\u7b97\u306b\u57fa\u3065\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

MELD\u30b9\u30b3\u30a2 \uff1d 9.57 \u00d7 ln(\u30af\u30ec\u30a2\u30c1\u30cb\u30f3) \uff0b 3.78 \u00d7 ln(\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3) \uff0b 11.2 \u00d7 ln(PT-INR) \uff0b 6.43<\/p>\n\n\n\n

\u203bln\u306f\u81ea\u7136\u5bfe\u6570\u3002\u904e\u53bb1\u9031\u9593\u306b2\u56de\u4ee5\u4e0a\u306e\u8840\u6db2\u900f\u6790\u3092\u53d7\u3051\u305f\u5834\u5408\u306f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u5024\u30924.0\u3068\u3057\u3066\u8a08\u7b97\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u7b97\u51fa\u3055\u308c\u305f\u6570\u5024\u306f\u56db\u6368\u4e94\u5165\u3055\u308c\u30016\u70b9\u304b\u308940\u70b9\u306e\u6574\u6570\u3067\u8868\u3055\u308c\u307e\u3059\u3002\u6570\u5024\u304c\u9ad8\u304f\u306a\u308b\u307b\u3069\u809d\u6a5f\u80fd\u304a\u3088\u3073\u814e\u6a5f\u80fd\u306e\u969c\u5bb3\u304c\u6df1\u523b\u3067\u3042\u308a\u3001\u77ed\u671f\u7684\u306a\u751f\u547d\u4e88\u5f8c\u304c\u53b3\u3057\u3044\u3053\u3068\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u25a0 3. MELD\u30b9\u30b3\u30a2\u3068Child-Pugh\u5206\u985e\u306e\u9055\u3044<\/strong><\/h2>\n\n\n\n

\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u3001\u75c5\u614b\u306b\u5fdc\u3058\u3066Child-Pugh\u5206\u985e\u3068MELD\u30b9\u30b3\u30a2\u304c\u4f7f\u3044\u5206\u3051\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u4e21\u8005\u306b\u306f\u660e\u78ba\u306a\u7279\u5fb4\u306e\u9055\u3044\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u30fb\u4e3b\u89b3\u306e\u6392\u9664\u3068\u5ba2\u89b3\u6027<\/strong><\/h3>\n\n\n\n

Child-Pugh\u5206\u985e\u306b\u306f\u300c\u8179\u6c34\u300d\u3084\u300c\u809d\u6027\u8133\u75c7\u300d\u3068\u3044\u3063\u305f\u8a3a\u5bdf\u6240\u898b\uff08\u81ea\u899a\u75c7\u72b6\uff09\u304c\u542b\u307e\u308c\u308b\u305f\u3081\u3001\u533b\u5e2b\u306e\u5224\u65ad\u306b\u3088\u308b\u4e3b\u89b3\u304c\u5165\u308a\u8fbc\u3080\u4f59\u5730\u304c\u3042\u308a\u307e\u3059\u3002\u4e00\u65b9\u3001MELD\u30b9\u30b3\u30a2\u306f\u5b8c\u5168\u306b\u6570\u5024\u5316\u3055\u308c\u305f\u8840\u6db2\u30c7\u30fc\u30bf\u306e\u307f\u3067\u7b97\u51fa\u3055\u308c\u308b\u305f\u3081\u3001\u8a55\u4fa1\u8005\u306b\u3088\u308b\u30d6\u30ec\u304c\u306a\u304f\u3001\u516c\u5e73\u3067\u5ba2\u89b3\u7684\u306a\u8a55\u4fa1\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n

\u30fb\u300c\u809d\u814e\u9023\u95a2\uff08\u809d\u81d3\u3068\u814e\u81d3\u306e\u76f8\u4e92\u4f5c\u7528\uff09\u300d\u306e\u8a55\u4fa1<\/strong><\/h3>\n\n\n\n

\u809d\u786c\u5909\u304c\u9032\u884c\u3059\u308b\u3068\u3001\u814e\u81d3\u306e\u8840\u6d41\u304c\u4f4e\u4e0b\u3057\u3066\u300c\u809d\u814e\u75c7\u5019\u7fa4\u300d\u3068\u547c\u3070\u308c\u308b\u91cd\u7be4\u306a\u814e\u6a5f\u80fd\u969c\u5bb3\u3092\u4f75\u767a\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002MELD\u30b9\u30b3\u30a2\u306f\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\uff08\u814e\u6a5f\u80fd\uff09\u3092\u7d44\u307f\u8fbc\u3093\u3067\u3044\u308b\u305f\u3081\u3001\u809d\u81d3\u3060\u3051\u3067\u306a\u304f\u5168\u8eab\u306e\u751f\u547d\u7dad\u6301\u80fd\u529b\u3092\u3088\u308a\u30b7\u30e3\u30fc\u30d7\u306b\u53cd\u6620\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u4e00\u822c\u7684\u306b\u306f\u3001\u65e5\u5e38\u8a3a\u7642\u306e\u75c5\u671f\u628a\u63e1\u306b\u306fChild-Pugh\u5206\u985e\u304c\u3001\u809d\u79fb\u690d\u306e\u9069\u5fdc\u691c\u8a0e\u3084\u7dca\u6025\u5ea6\u306e\u5224\u5b9a\u306b\u306fMELD\u30b9\u30b3\u30a2\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u25a0 4. \u30b9\u30b3\u30a2\u306e\u76ee\u5b89\u3068\u81e8\u5e8a\u7684\u5224\u65ad<\/strong><\/h2>\n\n\n\n

MELD\u30b9\u30b3\u30a2\u306e\u70b9\u6570\u3068\u75c5\u614b\u306e\u76ee\u5b89\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n

\u30fb9\u70b9\u4ee5\u4e0b\uff1a\u8efd\u5ea6\u301c\u4e2d\u7b49\u5ea6\u306e\u809d\u969c\u5bb3\u3002\u6bd4\u8f03\u7684\u75c5\u72b6\u304c\u5b89\u5b9a\u3057\u3066\u3044\u308b\u72b6\u614b\u3067\u3059\u3002
\u30fb10\u301c14\u70b9\uff1a\u809d\u6a5f\u80fd\u4f4e\u4e0b\u304c\u76ee\u7acb\u3061\u59cb\u3081\u308b\u6bb5\u968e\u3002\u614e\u91cd\u306a\u7d4c\u904e\u89b3\u5bdf\u3068\u5c02\u9580\u7684\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3059\u3002
\u30fb15\u70b9\u4ee5\u4e0a\uff1a\u9032\u884c\u3057\u305f\u809d\u4e0d\u5168\u72b6\u614b\u3002\u56fd\u5185\u5916\u306e\u57fa\u6e96\u306b\u304a\u3044\u3066\u300c\u809d\u79fb\u690d\u3092\u672c\u683c\u7684\u306b\u691c\u8a0e\u3059\u308b\u5883\u754c\u30e9\u30a4\u30f3\u300d\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\u30fb20\u70b9\u4ee5\u4e0a\uff1a\u77ed\u671f\u7684\u306a\u6b7b\u4ea1\u30ea\u30b9\u30af\u304c\u6025\u6fc0\u306b\u4e0a\u6607\u3059\u308b\u91cd\u7be4\u306a\u72b6\u614b\u3067\u3001\u4e00\u523b\u3092\u4e89\u3046\u96c6\u5b66\u7684\u7ba1\u7406\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u809d\u79fb\u690d\u5f85\u6a5f\u30ea\u30b9\u30c8\u306b\u304a\u3044\u3066\u3082\u3001\u30b9\u30b3\u30a2\u304c\u9ad8\u3044\u60a3\u8005\u69d8\u307b\u3069\u4e0a\u4f4d\u306b\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u3001\u75c5\u72b6\u306e\u5909\u5316\u306b\u5fdc\u3058\u3066\u5b9a\u671f\u7684\u306a\u30b9\u30b3\u30a2\u306e\u518d\u63d0\u51fa\u3068\u66f4\u65b0\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u25a0 5. \u809d\u81d3\u518d\u751f\u533b\u7642\uff08\u81ea\u5df1\u8102\u80aa\u7531\u6765\u5e79\u7d30\u80de\u6cbb\u7642\uff09\u3068MELD\u30b9\u30b3\u30a2<\/strong><\/h2>\n\n\n
\n
\"\"<\/figure>\n<\/div>\n\n\n

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\u300c\u79fb\u690d\u306b\u81f3\u308b\u524d\u306e\u4ee3\u511f\u671f\u301c\u79fb\u884c\u671f\u306e\u6bb5\u968e\u3067\u3001\u306a\u3093\u3068\u304b\u75c5\u52e2\u3092\u62bc\u3057\u3068\u3069\u3081\u305f\u3044\u300d<\/p>\n\n\n\n

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\u30fb\u5e79\u7d30\u80de\u304c\u3082\u305f\u3089\u3059\u7d44\u7e54\u74b0\u5883\u306e\u6539\u5584<\/strong><\/h3>\n\n\n\n

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\u30fbMELD\u30b9\u30b3\u30a2\u69cb\u6210\u56e0\u5b50\u306e\u7dcf\u5408\u7684\u30b1\u30a2<\/strong><\/h3>\n\n\n\n

\u5e79\u7d30\u80de\u6cbb\u7642\u306b\u3088\u3063\u3066\u809d\u81d3\u306e\u5fae\u7d30\u306a\u8840\u6d41\u3084\u6a5f\u80fd\u304c\u5b89\u5b9a\u3059\u308b\u3068\u3001<\/p>\n\n\n\n

\u30fb\u7dcf\u30d3\u30ea\u30eb\u30d3\u30f3\u306e\u6392\u6cc4\u304c\u30b9\u30e0\u30fc\u30ba\u306b\u306a\u308b
\u30fb\u51dd\u56fa\u56e0\u5b50\u306e\u5408\u6210\u80fd\uff08PT-INR\uff09\u304c\u6539\u5584\u3059\u308b
\u30fb\u9580\u8108\u5727\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306b\u3088\u308a\u814e\u8840\u6d41\u304c\u4fdd\u305f\u308c\u3001\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306e\u60aa\u5316\u3092\u9632\u3050<\/p>\n\n\n\n

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\n
\"\"<\/figure>\n<\/div>\n\n\n

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\u30fb\u8840\u6db2\u691c\u67fb\u304b\u3089MELD\u30b9\u30b3\u30a2\u3084Child-Pugh\u5206\u985e\u306e\u6b63\u78ba\u306a\u72b6\u614b\u3092\u77e5\u308a\u305f\u3044
\u30fb\u809d\u786c\u5909\u3068\u8a3a\u65ad\u3055\u308c\u3001\u5c06\u6765\u306e\u60aa\u5316\u3084\u79fb\u690d\u3068\u3044\u3063\u305f\u6cbb\u7642\u9078\u629e\u80a2\u306b\u4e0d\u5b89\u3092\u611f\u3058\u3066\u3044\u308b
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\n
\"\"<\/a><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"

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