{"id":695,"date":"2010-12-01T10:45:30","date_gmt":"2010-12-01T01:45:30","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=695"},"modified":"2015-08-07T10:45:59","modified_gmt":"2015-08-07T01:45:59","slug":"%ef%bd%9e%e3%80%8c%e6%9b%b4%e5%b9%b4%e6%9c%9f%e3%80%8d%e3%81%ae%e5%a5%b3%e6%80%a7%e3%81%b8%e3%81%ae%e5%af%be%e5%bf%9c%ef%bd%9e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=695","title":{"rendered":"\uff5e\u300c\u66f4\u5e74\u671f\u300d\u306e\u5973\u6027\u3078\u306e\u5bfe\u5fdc\uff5e"},"content":{"rendered":"

\u3010\u6587\u732e\u540d\u3011
\nD. ASHLEY HILL, SUSAN R. HILL: Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms. American Family Physician: 82(7):801-807, 2010<\/p>\n

\u3010\u8981\u7d04\u3011
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\nKey\u3000Recommendations for Practice \uff1a\uff08R\uff18\u3001B\uff19\uff09
\n\u3000\u3010Bioidentical and compounded formulations\uff1b\u4eba\u4f53\u3068\u540c\u4e00\u306e\u3001\u8abf\u5408\u3055\u308c\u305f\u88fd\u5264\u3011
\nR\uff1aFDA\u304a\u3088\u3073\u7c73\u56fd\u7523\u5a66\u4eba\u79d1\u5b66\u4f1a\u306f\u3001\u914d\u5408\u30db\u30eb\u30e2\u30f3\u88fd\u5264\u306e\u51e6\u65b9\u306b\u95a2\u3059\u308b\u5b89\u5168\u6027\u3068\u6709\u52b9\u6027\u30c7\u30fc\u30bf\u306e\u6b20\u5982\u306b\u5bfe\u3057\u3066\u3001\u8b66\u544a\u3092\u767a\u3057\u3066\u3044\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebC\uff09\u3002
\n\u3000\u3010Bone health\uff1b\u9aa8\u306e\u5065\u5eb7\u3011
\nB\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u88dc\u5145\u7642\u6cd5\u306f\u9589\u7d4c\u5f8c\u9aa8\u7c97\u9b06\u75c7\u6027\u9aa8\u6298\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u9078\u629e\u80a2\u306e\u4e00\u3064\uff1bFDA\u306b\u8a8d\u53ef\u3055\u308c\u305f\u9aa8\u7c97\u9b06\u75c7\u6cbb\u7642\u3067\u306f\u306a\u3044\u3082\u306e\u306e\u3001\u975e\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u304c\u4f7f\u3048\u306a\u3044\u5834\u5408\u306e\u9078\u629e\u80a2\u306e\u4e00\u3064\u3068\u306a\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebB\uff09
\n\u3000\u3010Cancer risk\uff1b\u60aa\u6027\u816b\u760d\u306e\u30ea\u30b9\u30af\u3011
\nR\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u30fb\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u4f75\u7528\u7642\u6cd5\u30923\uff5e5\u5e74\u4ee5\u4e0a\u7d99\u7d9a\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u4e73\u764c\u306e\u30ea\u30b9\u30af\u304c\u4e0a\u6607\u3059\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebB\uff09
\nB\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u3067\u306f\u660e\u3089\u304b\u306a\u4e73\u764c\u306e\u30ea\u30b9\u30af\u4e0a\u6607\u306f\u8a8d\u3081\u3089\u308c\u306a\u3044\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebB\uff09
\nB\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u30fb\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u4f75\u7528\u7642\u6cd5\u306f\u5927\u8178\u764c\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3002\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u306b\u304a\u3051\u308b\u30ea\u30b9\u30af\u306e\u5909\u5316\u306f\u660e\u3089\u304b\u3067\u306a\u3044\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebB\uff09
\nR\uff1a\u5b50\u5bae\u306e\u3042\u308b\u5973\u6027\u3067\u306e\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u306f\u5b50\u5bae\u4f53\u764c\uff08\u5b50\u5bae\u5185\u819c\u764c\uff09\u306e\u30ea\u30b9\u30af\u3092\u4e0a\u6607\u3055\u305b\u308b\u305f\u3081\u3001\u5b8c\u5168\u306a\u5b50\u5bae\u306e\u6b8b\u3063\u305f\u5973\u6027\u304c\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3092\u4f7f\u7528\u3059\u308b\u5834\u5408\u306f\u3001\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u7642\u6cd5\u306e\u4f75\u7528\u304c\u52e7\u3081\u3089\u308c\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebC\uff09
\n\u3000\u3010Dosage and duration\uff1b\u7528\u91cf\u3068\u671f\u9593\u3011
\nB\uff1a\u66f4\u5e74\u671f\u75c7\u72b6\u3092\u8a34\u3048\u308b\u5973\u6027\u306b\u5bfe\u3057\u3066\u3001\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\u306f\u6cbb\u7642\u306e\u9078\u629e\u80a2\u306e\u4e00\u3064\u3067\u3042\u308a\u3001\u6700\u5c0f\u6709\u52b9\u91cf\u3092\u6700\u77ed\u306e\u671f\u9593\u3067\u7528\u3044\u3001\u5b9a\u671f\u7684\u306b\u518d\u8a55\u4fa1\u3092\u884c\u3046\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebC\uff09
\nR\uff1a\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\u30923\uff5e5\u5e74\u7d99\u7d9a\u3057\u305f\u5f8c\u306f\u3001\u6bce\u5e74\u6cbb\u7642\u306e\u7d42\u4e86\u3092\u8a66\u307f\u308b\u3079\u304d\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebC\uff09
\n\u3000\u3010Heart disease\uff1b\u5fc3\u75be\u60a3\u3011
\nR\uff1a\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\u306f\u5fc3\u75be\u60a3\u4e88\u9632\u3068\u3057\u3066\u306f\u3044\u304b\u306a\u308b\u5e74\u9f62\u306e\u5973\u6027\u306b\u5bfe\u3057\u3066\u3082\u52e7\u3081\u3089\u308c\u305a\u3001\u65e2\u5b58\u306e\u5fc3\u75be\u60a3\u6cbb\u7642\u306b\u3082\u306a\u3089\u306a\u3044\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebA\uff09
\nB\uff1a\u65e9\u671f\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08\u9589\u7d4c\u958b\u59cb\u306e\u6642\u671f\uff09\u306f\u3001\u66f4\u5e74\u671f\u75c7\u72b6\u3092\u8a34\u3048\u308b\u3001\u5fc3\u75be\u60a3\u306e\u30ea\u30b9\u30af\u306e\u4f4e\u3044\u5973\u6027\u306b\u5bfe\u3057\u3066\u306f\u59a5\u5f53\u306a\u3082\u306e\u3067\u3042\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebB\uff09
\nR\uff1a60\uff5e70\u6b73\u4ee3\u306e\u5973\u6027\u306b\u5bfe\u3057\u3066\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\u3092\u958b\u59cb\u3059\u308b\u3053\u3068\u306f\u3001\u51a0\u52d5\u8108\u75be\u60a3\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\uff1b\u3053\u306e\u6cbb\u7642\u6cd5\u306f\u30db\u30eb\u30e2\u30f3\u4ee5\u5916\u306e\u85ac\u7269\u7642\u6cd5\u306b\u8010\u3048\u3089\u308c\u306a\u3044\u6709\u75c7\u72b6\u306e\u5973\u6027\u306b\u5bfe\u3057\u3001\u6cbb\u7642\u306e\u30ea\u30b9\u30af\u3068\u6709\u76ca\u6027\u3092\u533b\u5e2b\u3068\u5341\u5206\u306b\u8b70\u8ad6\u3057\u305f\u4e0a\u3067\u306e\u307f\u884c\u308f\u308c\u308b\u3079\u304d\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebA\uff09
\n\u3000\u3010Stroke\uff1b\u8133\u6897\u585e\u3011
\nR\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u30fb\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u4f75\u7528\u7642\u6cd5\u3068\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u306f\u3044\u305a\u308c\u3082\u865a\u8840\u6027\u8133\u5352\u4e2d\u306e\u30ea\u30b9\u30af\u3092\u4e0a\u6607\u3055\u305b\u308b\u3002\u7279\u306b\u6cbb\u7642\u958b\u59cb\u5f8c1\uff5e2\u5e74\u9593\u306f\u30ea\u30b9\u30af\u304c\u9ad8\u3044\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebA\uff09
\nB\uff1a\u77e5\u898b\u306f\u4e00\u8cab\u3057\u3066\u3044\u306a\u3044\u3082\u306e\u306e\u300150\uff5e59\u6b73\u3067\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\u3092\u958b\u59cb\u3057\u305f\u5973\u6027\u3067\u306f\u8133\u5352\u4e2d\u30ea\u30b9\u30af\u306f\u4e0a\u6607\u3057\u306a\u3044\u3068\u601d\u308f\u308c\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebB\uff09
\n\u3000\u3010Vasomotor symptoms\uff1b\u8840\u7ba1\u4f5c\u52d5\u6027\u306e\u75c7\u72b6\u3011
\nB\uff1a\u66f4\u5e74\u671f\u306e\u8840\u7ba1\u904b\u52d5\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u306f\u6700\u3082\u6709\u52b9\u306a\u6cbb\u7642\u6cd5\u3067\u3042\u308a\u3001\u3053\u306e\u9069\u5fdc\u306b\u5bfe\u3057\u3066\u306fFDA\u3082\u8a8d\u53ef\u3057\u3066\u3044\u308b\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebA\uff09
\n\u3000\u3010VTE\uff1b\u9759\u8108\u8840\u6813\u75c7\u3011
\nR\uff1a\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u304a\u3088\u3073\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u30fb\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u4f75\u7528\u7642\u6cd5\u306fVTE\u306e\u30ea\u30b9\u30af\u3092\u4e0a\u6607\u3055\u305b\u308b\u3002\u7279\u306b\u6cbb\u7642\u958b\u59cb\u5f8c1\uff5e2\u5e74\u9593\u306f\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u300260\u6b73\u672a\u6e80\u3001\u3042\u308b\u3044\u306f\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5358\u72ec\u7642\u6cd5\u306e\u5973\u6027\u306e\u30ea\u30b9\u30af\u306f\u3084\u3084\u4f4e\u3044\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30ebA\uff09
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