{"id":782,"date":"2026-01-27T12:21:47","date_gmt":"2026-01-27T03:21:47","guid":{"rendered":"https:\/\/ito-pain.com\/blog\/?p=782"},"modified":"2026-01-27T12:33:28","modified_gmt":"2026-01-27T03:33:28","slug":"post-782","status":"publish","type":"post","link":"https:\/\/ito-pain.com\/blog\/post-782\/","title":{"rendered":"\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u2462\u3000\u4fdd\u5b58\u7642\u6cd5\u3000\u85ac\u7269\u30fb\u30d6\u30ed\u30c3\u30af\u6ce8\u5c04\u306b\u3064\u3044\u3066"},"content":{"rendered":"\n<p>\u3053\u3093\u306b\u3061\u306f\u3001\u3044\u3068\u3046\u30da\u30a4\u30f3\u30af\u30ea\u30cb\u30c3\u30af\u9662\u9577\u306e\u4f0a\u85e4\u3067\u3059\u3002\u4ee4\u548c\uff14\u5e74\u56fd\u6c11\u751f\u6d3b\u57fa\u790e\u8abf\u67fb\uff08\u539a\u52b4\u7701\uff09\u306b\u3088\u308b\u3068\u3001\u65e5\u672c\u4eba\u306e\u81ea\u899a\u75c7\u72b6\u306e\u30c8\u30c3\u30d7\u306f\u7537\u5973\u3068\u3082\u8170\u75db\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u30da\u30a4\u30f3\u30af\u30ea\u30cb\u30c3\u30af\u3067\u3082\u75bc\u75db\u3067\u6765\u3089\u308c\u308b\u60a3\u8005\u3055\u3093\u306e\u4e2d\u3067\u3082\u8170\u75db\u306e\u60a3\u8005\u3055\u3093\u306e\u5272\u5408\u304c\u6700\u3082\u9ad8\u3044\u3067\u3059\u3002\u305d\u3057\u3066\u3001\u9ad8\u9f62\u306e\u60a3\u8005\u3055\u3093\u306b\u306a\u308b\u307b\u3069\u3001\u8170\u75db\u306e\u539f\u56e0\u304c\u3001\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306b\u3088\u308b\u5272\u5408\u3082\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4eca\u56de\u306f\u3001\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff12\uff10\uff12\uff11\u5e74\u6539\u8a02\u7248\u3092\u3082\u3068\u306b\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u4fdd\u5b58\u7642\u6cd5\u306b\u3064\u3044\u3066\u306e\u8a71\u3092\u3057\u3066\u3044\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\uff13\u3064\u306e\u578b\uff08\u99ac\u5c3e\u578b\u30fb\u795e\u7d4c\u6839\u578b\u30fb\u6df7\u5408\u578b\uff09\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff12\uff10\uff12\uff11\u5e74\u6539\u8a02\u7248\u3067\u306f\u3001\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u7a2e\u985e\u306b\u3088\u3063\u3066\u3001\u6295\u85ac\u306e\u63a8\u5968\u304c\u9055\u3063\u3066\u304d\u307e\u3059\u306e\u3067\u3001\u307e\u305a\u306f\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\uff13\u3064\u306e\u578b\uff08\u99ac\u5c3e\u578b\u30fb\u795e\u7d4c\u6839\u578b\u30fb\u6df7\u5408\u578b\uff09\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"339\" src=\"https:\/\/ito-pain.com\/blog\/wp-content\/uploads\/2026\/01\/image-9-800x339.png\" alt=\"\" class=\"wp-image-784\" srcset=\"https:\/\/ito-pain.com\/blog\/wp-content\/uploads\/2026\/01\/image-9-800x339.png 800w, https:\/\/ito-pain.com\/blog\/wp-content\/uploads\/2026\/01\/image-9-400x170.png 400w, https:\/\/ito-pain.com\/blog\/wp-content\/uploads\/2026\/01\/image-9.png 811w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u5f15\u7528\u6587\u732e\uff1bJ. Nihon Univ. Med. Ass 2012 71(2) 116-122 \u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u8a3a\u65ad\u3068\u6cbb\u7642\u3000\u5927\u5cf6\u6b63\u53f2\u3000\u5fb3\u6a4b\u6cf0\u660e\u3000\u4e00\u90e8\u6539\u5909<\/p>\n\n\n\n<p>\u307e\u305a\u306f<strong>\u99ac\u5c3e\u578b<\/strong>\u3067\u3059\u304c\u3001\u786c\u819c\uff08\u810a\u9ac4\u306e\u5916\u5074\u3092\u8986\u3063\u3066\u3044\u308b\u819c\uff09\u304c\u5168\u5468\u6027\u306b\u5727\u8feb\u3055\u308c\u308b\u3068\u3001\u4e0b\u80a2\u306e\u3057\u3073\u308c\u3084\u75db\u307f\u3001\u81c0\u90e8\u75db\u306b\u52a0\u3048\u3066\u3001\u4f1a\u9670\u90e8\u306e\u9055\u548c\u611f\u3092\u8a34\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u4e00\u65b9\u3001<strong>\u795e\u7d4c\u6839\u578b<\/strong>\u306f\u3001\u5358\u4e00\u306e\u795e\u7d4c\u304c\u5727\u8feb\u306b\u3088\u3063\u3066\u969c\u5bb3\u3055\u308c\u308b\u3053\u3068\u3067\u3001\u969c\u5bb3\u3055\u308c\u305f\u795e\u7d4c\u6839\u652f\u914d\u306e\u9818\u57df\u3067\u3042\u308b\u4e0b\u80a2\u306e\u3057\u3073\u308c\u3084\u75db\u307f\u3001\u81c0\u90e8\u75db\u3092\u767a\u75c7\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u6df7\u5408\u578b<\/strong>\u306f\u7a0b\u5ea6\u306e\u5dee\u3053\u305d\u3042\u308c\u99ac\u5c3e\u578b\u30fb\u795e\u7d4c\u6839\u578b\u306e\u4e21\u65b9\u306e\u75c7\u72b6\u304c\u51fa\u73fe\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u85ac\u5264\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p>\u85ac\u7269\u6cbb\u7642\u306f\u3001\u6982\u306d\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3092\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u7279\u306b\u99ac\u5c3e\u75c7\u72b6\u3092\u6709\u3059\u308b\u5834\u5408\u306f\u3001\u30ea\u30de\u30d7\u30ed\u30b9\u30c8\uff08\u7d4c\u53e3\u30d7\u30ed\u30b9\u30bf\u30b0\u30e9\u30f3\u30b8\u30f3E1\u88fd\u5264\uff09\u306e\u4f7f\u7528\u304c\u3001\u533b\u5b66\u7684\u306a\u6839\u62e0\u3082\u5f37\u304f\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u795e\u7d4c\u6839\u578b\u306e\u60a3\u8005\u306b\u306f\u3001NSAIDs\u3068\u3044\u308f\u308c\u308b\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u306e\u6297\u708e\u75c7\u5264\uff08\u5e02\u8ca9\u85ac\u306e\u30ed\u30ad\u30bd\u30cb\u30f3\u3084\u30a4\u30d6\u30d7\u30ed\u30d5\u30a7\u30f3\u306a\u3069\u306e\u85ac\u5264\uff09\u306e\u77ed\u671f\u306e\u4f7f\u7528\u306f\u3001\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u99ac\u5c3e\u578b\u306e\u60a3\u8005\u306b\u306f\u63a8\u5968\u306f\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u30ac\u30d0\u30da\u30f3\u30c1\u30ce\u30a4\u30c9\uff08\u30ea\u30ea\u30ab\u00ae\u3084\u30bf\u30ea\u30fc\u30b8\u30a7\u00ae\u3001\u30ac\u30d0\u30da\u30f3\u00ae\uff09\u306e\u660e\u78ba\u306a\u63a8\u5968\u306f\u3067\u304d\u306a\u3044\u3068\u306e\u610f\u898b\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u53c2\u8003\u8cc7\u6599\uff1a\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff12\uff10\uff12\uff11\u5e74\u6539\u8a02\u7248<\/p>\n<\/blockquote>\n\n\n\n<p>\u9662\u9577\u81ea\u8eab\u306f\u3001\u81e8\u5e8a\u7d4c\u9a13\u304b\u3089\u3001\u30ac\u30d0\u30da\u30f3\u30c1\u30ce\u30a4\u30c9\u304c\u6709\u52b9\u306a\u60a3\u8005\u3055\u3093\u3082\u591a\u3044\u3068\u611f\u3058\u3066\u3044\u307e\u3059\u3002\u3068\u306f\u3044\u3063\u3066\u3082\u3001\u85ac\u5264\u306b\u3064\u3044\u3066\u3082\u305d\u3046\u3067\u3059\u304c\u3001\u6295\u4e0e\u65b9\u6cd5\u306b\u3088\u308b\u6e80\u8db3\u5ea6\u3082\u500b\u4eba\u5dee\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u4e0a\u8ff0\u4ee5\u5916\u306e\u85ac\u5264\u3082\u3044\u308d\u3044\u308d\u8a66\u3057\u3066\u60a3\u8005\u3055\u3093\u304c\u7d0d\u5f97\u3067\u304d\u308b\u85ac\u5264\u3092\u6c7a\u3081\u3066\u3044\u304f\u3053\u3068\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u30d6\u30ed\u30c3\u30af\u6ce8\u5c04\u306f\u6709\u52b9\u304b\uff1f\u30b9\u30c6\u30ed\u30a4\u30c9\u6295\u4e0e\u306f\u6709\u52b9\u304b\uff1f<\/h2>\n\n\n\n<p>\u786c\u819c\u5916\u30d6\u30ed\u30c3\u30af\u306e\u77ed\u671f\u7684\u306a\u75db\u307f\u3084\u3057\u3073\u308c\u306b\u5bfe\u3057\u3066\u306e\u52b9\u679c\u306f\u3001\u533b\u5b66\u7684\u306a\u8a3c\u62e0\u306b\u304a\u3044\u3066\u3082\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u9577\u671f\u7684\u306a\u30d6\u30ed\u30c3\u30af\u306e\u52b9\u679c\u306b\u3064\u3044\u3066\u306e\u52b9\u679c\u306f\u3001\u306f\u3063\u304d\u308a\u3057\u3066\u3044\u307e\u305b\u3093\u3002\u30b9\u30c6\u30ed\u30a4\u30c9\u306f\u52b9\u679c\u7684\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u9577\u671f\u9023\u7d9a\u6295\u4e0e\u306f\u5426\u5b9a\u7684\u306b\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\uff08\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u9577\u671f\u4f7f\u7528\u306f\u3001\u526f\u814e\u840e\u7e2e\u3084\u9aa8\u5bc6\u5ea6\u306b\u3082\u5f71\u97ff\u3092\u4e0e\u3048\u307e\u3059\uff09\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u53c2\u8003\u8cc7\u6599\uff1a\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff12\uff10\uff12\uff11\u5e74\u6539\u8a02\u7248<\/p>\n<\/blockquote>\n\n\n\n<h3 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class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u53c2\u8003\u6587\u732e\uff1aNeurology. 2025 Mar 11;104(5):e213361. doi: 10.1212\/WNL.0000000000213361. Epub 2025 Feb 12.Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN Guidelines Subcommittee Carmel Armon et all<\/p>\n<\/blockquote>\n\n\n\n<h3 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