{"created":"2023-06-19T11:23:35.914151+00:00","id":4162,"links":{},"metadata":{"_buckets":{"deposit":"c40b7a16-c75d-412d-9a23-aaf680630f04"},"_deposit":{"created_by":3,"id":"4162","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4162"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004162","sets":["7","7:23"]},"author_link":["12716","12717"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7","bibliographicPageEnd":"594","bibliographicPageStart":"590","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"カレントテラピー"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"糖原病性腎症は尿中アルブミン排j世量と糸球体漉過値(glomerularfiltration rate : GFR) によって第1期から第5期までに分類される. 糖原病性腎症の治療はこの病期によってポイントが示されている. 原中アルブミン排池量が'30~299mg/gCr を微量アルブ、ミン尿と定義し，早期腎症の診断に必須である. 第1~第3期A までは厳格な血糖コントロルが重要とされ，第2期以降は厳格な降庄治療も必要とされている. 第3~4期には蛋白制限食が推奨されている. また降庄治療においてはレニン・アンジオテンシン系(reninangiotensin system : RAS) 阻害薬による糖原病性腎症の進展阻止や寛解の工ビデンスが多く発表されている. さらに血糖ー血圧，指質，生活習慣の改善を含めた集学的治療は腎症の寛解や退縮をもたらす可能性が示唆されている. 糖尿病性腎症の早期診断と病期に応じた適切な治療が，増え続ける透析導入を抑制するために今後もますます必要とされる.","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0287-8445","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2008271728"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1146"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"544"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Haneda, Masakazu"},{"subitem_text_language":"en"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"安孫子, 亜津子","creatorNameLang":"ja"},{"creatorName":"アビコ, アツコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12716","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"羽田, 勝計","creatorNameLang":"ja"},{"creatorName":"ハネダ, マサカズ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12717","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"4884.pdf","filesize":[{"value":"846.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"4884.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4162/files/4884.pdf"},"version_id":"a0d3ef44-946f-4583-8234-725ff731e6f1"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"【糖尿病と血管病変　エビデンスに基づいた診療ガイドライン】 糖尿病性腎症の病期と治療戦略　―寛解と退縮を目指して―","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"【糖尿病と血管病変　エビデンスに基づいた診療ガイドライン】 糖尿病性腎症の病期と治療戦略　―寛解と退縮を目指して―","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-10-25"},"publish_date":"2012-10-25","publish_status":"0","recid":"4162","relation_version_is_last":true,"title":["【糖尿病と血管病変　エビデンスに基づいた診療ガイドライン】 糖尿病性腎症の病期と治療戦略　―寛解と退縮を目指して―"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T09:00:07.689625+00:00"}