{"id":18536,"date":"2022-07-29T17:29:42","date_gmt":"2022-07-29T08:29:42","guid":{"rendered":"https:\/\/www.kamaboko.mom\/sakanano\/column\/?p=18536"},"modified":"2025-03-11T12:08:53","modified_gmt":"2025-03-11T03:08:53","slug":"%e7%94%9f%e5%91%bd%e3%82%92%e5%ae%88%e3%82%8b%ef%bc%81%e9%9d%9e%e5%b8%b8%e6%99%82%e3%81%ab%e3%81%9f%e3%82%93%e3%81%b1%e3%81%8f%e8%b3%aa%e3%81%8c%e5%a4%a7%e5%88%87%e3%81%aa%e7%90%86%e7%94%b1","status":"publish","type":"post","link":"https:\/\/www.kamaboko.mom\/sakanano\/column\/basic\/post18536.html","title":{"rendered":"\u751f\u547d\u3092\u5b88\u308b\uff01\u975e\u5e38\u6642\u306b\u305f\u3093\u3071\u304f\u8cea\u304c\u5927\u5207\u306a\u7406\u7531"},"content":{"rendered":"\n<p>\u3000\u53f0\u98a8\u3084\u5927\u96e8\u306e\u5f71\u97ff\u3067\u3001\u7dca\u6025\u907f\u96e3\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u5834\u9762\u3092\u898b\u308b\u4e8b\u3082\u5897\u3048\u3066\u304d\u307e\u3057\u305f\u3002<br>\u4e00\u822c\u7684\u306b\u907f\u96e3\u6240\u306b\u6551\u63f4\u7269\u8cea\u304c\u5c4a\u304f\u306e\u306f\u3001\u707d\u5bb3\u767a\u751f3\u65e5\u5f8c\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u308c\u307e\u3067\u306e\u9593\u306b\u3001\u3044\u304b\u306b\u81ea\u5206\u306e\u4f53\u8abf\u3092\u7dad\u6301\u3059\u308b\u884c\u52d5\u3092\u3068\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u30fb\u30fb\u30fb\u305d\u308c\u306b\u306f\u3001\u975e\u5e38\u6301\u51fa\u3057\u3067\u3044\u304b\u306b\u300c\u826f\u8cea\u306a\u305f\u3093\u3071\u304f\u8cea\u300d\u3092\u78ba\u4fdd\u3067\u304d\u308b\u304b\u3001\u304c\u30dd\u30a4\u30f3\u30c8\u3067\u3059\u3002\u305d\u306e\u7406\u7531\u3092\u8aac\u660e\u3057\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\t\t\t\t<div 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class=\"uagb-toc-link__trigger\">\u305f\u3093\u3071\u304f\u8cea\u306f\u300c\u7b4b\u8089\u306e\u5d29\u58ca\u3092\u9632\u3050\u300d<\/a><li class=\"uagb-toc__list\"><a href=\"#\u305f\u3093\u3071\u304f\u8cea\u306e\u8cea\u3082\u5927\u5207\" class=\"uagb-toc-link__trigger\">\u305f\u3093\u3071\u304f\u8cea\u306e\u300c\u8cea\u300d\u3082\u5927\u5207<\/a><li class=\"uagb-toc__list\"><a href=\"#\u307e\u3068\u3081\" class=\"uagb-toc-link__trigger\">\u307e\u3068\u3081<\/a><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\n\n<h2 class=\"wp-block-heading\">\u305f\u3093\u3071\u304f\u8cea\u306f\u300c\u7b4b\u8089\u306e\u5d29\u58ca\u3092\u9632\u3050\u300d<\/h2>\n\n\n\n<p>\u975e\u5e38\u6642\u306e\u305f\u3093\u3071\u304f\u8cea\u306e\u5927\u5207\u3055\u3092\u77e5\u308b\u305f\u3081\u306b\u306f\u3001\u707d\u5bb3\u5f8c\u306e\u98e2\u9913\u306e\u72b6\u6cc1\u306b\u5fdc\u3058\u305f\u4ee3\u8b1d\u306e\u5909\u5316\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u7406\u89e3\u3057\u3066\u304a\u304f\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002\u77ed\u671f\u30fb\u9577\u671f\u30fb\u4fb5\u8972\u6642\u306b\u5206\u3051\u3066\u8aac\u660e\u3057\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u77ed\u671f\u98e2\u9913\u6642\u306e\u4ee3\u8b1d\u306e\u5909\u5316<\/h4>\n\n\n\n<p>\u98e2\u9913\u5f53\u521d\u306f\u3001\u809d\u81d3\u3084\u7b4b\u8089\u4e2d\u306b\u84c4\u3048\u3066\u3044\u308b\u7cd6\u8cea\uff08\u30b0\u30ea\u30b3\u30fc\u30b2\u30f3\uff09\u3092\u5206\u89e3\u3057\u305f\u30b0\u30eb\u30b3\u30fc\u30b9\u3092\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3068\u3057\u3066\u4f7f\u7528\u3057\u307e\u3059\u3002\u3057\u304b\u3057\u8caf\u8535\u91cf\u306f\u5c11\u306a\u304f\u3001\u7d76\u98df\u3059\u308c\u3070\u5341\u6570\u6642\u9593\u3067\u67af\u6e07\u3057\u3066\u3057\u307e\u3044\u307e\u3059\u3002<br>\u305d\u3046\u3059\u308b\u3068\u751f\u4f53\u306f\u7b4b\u8089\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u4f53\u305f\u3093\u3071\u304f\u3092\u5206\u89e3\u3057\u3066\u751f\u3058\u305f\u30a2\u30df\u30ce\u9178\u3092\u6b21\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u306b\u3057\u3088\u3046\u3068\u3057\u307e\u3059\u3002\u7b4b\u8089\u306e\u5206\u89e3\u306b\u3088\u3063\u3066\u751f\u307e\u308c\u305f\u30a2\u30df\u30ce\u9178\uff08\u30a2\u30e9\u30cb\u30f3\uff09\u304c\u809d\u81d3\u306b\u904b\u3070\u308c\u3001\u7cd6\u65b0\u751f\u306b\u3088\u308a\u30b0\u30eb\u30b3\u30fc\u30b9\u306b\u5909\u63db\u3055\u308c\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3068\u3057\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002\u305f\u3093\u3071\u304f\u8cea\u306e\u88dc\u7d66\u304c\u884c\u308f\u308c\u306a\u3044\u3068\u3001\u6025\u901f\u306a\u305f\u3093\u3071\u304f\u8cea\u306e\u5d29\u58ca\u304c\u767a\u751f\u3057\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"932\" height=\"366\" src=\"https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u77ed\u671f.jpg\" alt=\"\" class=\"wp-image-18593\" srcset=\"https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u77ed\u671f.jpg 932w, https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u77ed\u671f-300x118.jpg 300w, https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u77ed\u671f-768x302.jpg 768w\" sizes=\"auto, (max-width: 932px) 100vw, 932px\" \/><figcaption class=\"wp-element-caption\">Lin, E., et al. Systemic response to injury and metabolic support. In Schwartz\u2019s Principles of Surgery (Burnicardi F.C., et al eds.) McGraw-Hill Professional, pp 3-41, 2004.\u3088\u308a\u4f5c\u56f3<\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u9577\u671f\u98e2\u9913\u6642\u306e\u4ee3\u8b1d\u306e\u5909\u5316<\/h4>\n\n\n\n<p>\u98e2\u9913\u304c\u9577\u671f\u306b\u304a\u3088\u3076\u5834\u5408\u306f\u3001\u4f53\u305f\u3093\u3071\u304f\u3001\u81d3\u5668\u6a5f\u80fd\u306e\u7dad\u6301\u306e\u305f\u3081\u3001\u4f53\u305f\u3093\u3071\u304f\u306e\u5206\u89e3\u306f\u6291\u3048\u3089\u308c\u307e\u3059\u3002<br>\u8102\u80aa\u7d44\u7e54\u304c\u5206\u89e3\u3055\u308c\u3066\u3067\u304d\u305f\u3001\u8102\u80aa\u9178\u3068\u30b1\u30c8\u30f3\u4f53\u304c\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3068\u3057\u3066\u4f7f\u7528\u3055\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u306b\u707d\u5bb3\u306a\u3069\u306e\u4fb5\u8972\u306e\u8981\u7d20\u304c\u52a0\u308f\u308b\u3068\u30fb\u30fb\u30fb\u30fb\u30fb<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"901\" height=\"360\" src=\"https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u9577\u671f.jpg\" alt=\"\" class=\"wp-image-18591\" srcset=\"https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u9577\u671f.jpg 901w, https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u9577\u671f-300x120.jpg 300w, https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u9577\u671f-768x307.jpg 768w\" sizes=\"auto, (max-width: 901px) 100vw, 901px\" \/><figcaption class=\"wp-element-caption\">Lin, E., et al. Systemic response to injury and metabolic support. In Schwartz\u2019s Principles of Surgery (Burnicardi F.C., et al eds.) McGraw-Hill Professional, pp 3-41, 2004.\u3088\u308a\u4f5c\u56f3<\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u4fb5\u8972\u6642\u306e\u4ee3\u8b1d\u306e\u5909\u5316<\/h4>\n\n\n\n<p>\u707d\u5bb3\u306a\u3069\u306e\u4fb5\u8972\u6642\u306b\u306f\u3001\u751f\u547d\u7dad\u6301\u304c\u512a\u5148\u3055\u308c\u3001\u3059\u3079\u3066\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u4ee3\u8b1d\u304c\u4ea2\u9032\u3057\u307e\u3059\u3002\u809d\u81d3\u304b\u3089\u306f\u30b0\u30eb\u30b3\u30fc\u30b9\u304c\u3001\u7b4b\u8089\u304b\u3089\u306f\u30a2\u30df\u30ce\u9178\u304c\u3001\u8102\u80aa\u7d44\u7e54\u304b\u3089\u306f\u8102\u80aa\u9178\u304c\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3068\u3057\u3066\u5229\u7528\u3055\u308c\u307e\u3059\u3002 \u98e2\u9913\u6642\u3068\u306e\u5927\u304d\u306a\u9055\u3044\u306f\u3001\u98e2\u9913\u6642\u306b\u306f\u4f53\u305f\u3093\u3071\u304f\u306e\u7dad\u6301\u306e\u305f\u3081\u4ee3\u8b1d\u304c\u4f4e\u4e0b\u3059\u308b\u306e\u306b\u5bfe\u3057\u3001\u4fb5\u8972\u6642\u306f\u4fb5\u8972\u306e\u5927\u304d\u3055\u306b\u5fdc\u3058\u3066\u4ee3\u8b1d\u304c\u4ea2\u9032\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u4fb5\u8972\u306b\u5fdc\u3058\u305f\u3001\u305f\u3093\u3071\u304f\u8cea\u88dc\u7d66\u304c\u884c\u308f\u308c\u306a\u3044\u3068\u6025\u6fc0\u306a\u4f53\u305f\u3093\u3071\u304f\u306e\u640d\u5931\u304c\u751f\u3058\u3066\u3057\u307e\u3044\u307e\u3059\u3002<strong>\u7b4b\u8089\u306e\u5206\u89e3\u3001\u5d29\u58ca\u3092\u9632\u3050\u305f\u3081\u306b\u306f\u3001\u98e2\u9913\u30fb\u4fb5\u8972\u306e\u521d\u671f\u306b\u3044\u304b\u306b\u300c\u305f\u3093\u3071\u304f\u8cea\u300d\u3092\u88dc\u7d66\u3067\u304d\u308b\u304b\u304c\u5927\u5207\u3067\u3059\uff01<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"892\" height=\"411\" src=\"https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u4fb5\u8972.jpg\" alt=\"\" class=\"wp-image-18592\" srcset=\"https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u4fb5\u8972.jpg 892w, https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u4fb5\u8972-300x138.jpg 300w, https:\/\/www.kamaboko.mom\/sakanano\/column\/wp-content\/uploads\/2022\/07\/\u4fb5\u8972-768x354.jpg 768w\" sizes=\"auto, (max-width: 892px) 100vw, 892px\" \/><figcaption class=\"wp-element-caption\">Long, C.L. et al : Metabolic response to injury and illness : estimation of &nbsp;energy and protein needs from indirect calorimetry and nitrogen balance. JPEN J. Parenter Eternal Nutr. 1979; 3 : 452-456.\u3088\u308a\u4f5c\u56f3<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u305f\u3093\u3071\u304f\u8cea\u306e\u300c\u8cea\u300d\u3082\u5927\u5207<\/h2>\n\n\n\n<p>\u3067\u306f\u3001\u305f\u3093\u3071\u304f\u8cea\u306a\u3089\u4f55\u3067\u3082\u826f\u3044\u304b\u3068\u3044\u3046\u3068\u305d\u3093\u306a\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u8eab\u4f53\u304c\u5f31\u3063\u3066\u3044\u308b\u3068\u304d\u306f\u3001\u305f\u3093\u3071\u304f\u8cea\u306e\u4ee3\u8b1d\u3082\u5f31\u3063\u3066\u3044\u308b\u306e\u3067\u3001\u98df\u3079\u3066\u3082\u6d88\u5316\u30fb\u5438\u53ce\u3055\u308c\u3066\u3044\u304b\u306a\u3044\u3053\u3068\u3082\u60f3\u5b9a\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u98df\u3079\u308b\u306e\u304c\u96e3\u3057\u3044\u5834\u5408\u306f\u3001\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3067\u304a\u624b\u8efd\u306b\u6442\u53d6\u3059\u308b\u3001\u3068\u3044\u3046\u3084\u308a\u65b9\u3082\u3067\u304d\u307e\u3059\u3002\u304a\u3059\u3059\u3081\u306f\u305f\u3093\u3071\u304f\u8cea\u3092\u5438\u53ce\u3057\u3084\u3059\u304f\u3057\u305f<span 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