{"id":11497,"date":"2025-09-17T10:01:23","date_gmt":"2025-09-17T01:01:23","guid":{"rendered":"https:\/\/blog.jama.or.jp\/?p=11497"},"modified":"2025-09-19T12:30:59","modified_gmt":"2025-09-19T03:30:59","slug":"%e5%ba%83%e5%a0%b1%e3%81%8c%e9%81%b8%e3%81%b6%e6%80%9d%e3%81%84%e5%87%ba%e3%81%ae%e4%b8%80%e5%8f%b0%e2%91%aa%e3%80%8c%e3%83%91%e3%82%b8%e3%82%a7%e3%83%ad%e3%80%8d%ef%bc%88%e4%b8%89%e8%8f%b1%e8%87%aa","status":"publish","type":"post","link":"https:\/\/blog.jama.or.jp\/?p=11497","title":{"rendered":"\u5e83\u5831\u304c\u9078\u3076\u601d\u3044\u51fa\u306e\u4e00\u53f0\u246a\u300c\u30d1\u30b8\u30a7\u30ed\u300d\uff08\u4e09\u83f1\u81ea\u52d5\u8eca\uff09"},"content":{"rendered":"

JAMA\u30d6\u30ed\u30b0\u3092\u76e3\u4fee\u3059\u308b\u5404\u30e1\u30fc\u30ab\u30fc\u5e83\u5831\u62c5\u5f53\u8005\u304c\u3001\u30af\u30eb\u30de\u3084\u30d0\u30a4\u30af\u3092\u597d\u304d\u306b\u306a\u3063\u305f\u3001\u3082\u3057\u304f\u306f\u81ea\u52d5\u8eca\u696d\u754c\u306b\u9032\u3082\u3046\u3068\u601d\u3063\u305f\u304d\u3063\u304b\u3051\u3068\u306a\u3063\u305f\u3001\u3042\u308b\u3044\u306f\u696d\u52d9\u3067\u643a\u308f\u3063\u305f\u300c\u601d\u3044\u51fa\u306e1\u53f0\u300d\u3092\u30d4\u30c3\u30af\u30a2\u30c3\u30d7\u3057\u3066\u71b1\u304f\u8a9e\u308a\u307e\u3059\u3002<\/p>\n

\u7b2c11\u56de\u306f\u3001\u4e09\u83f1\u81ea\u52d5\u8eca<\/a>\u306e\u7406\u4e8b\u3067\u3001\u5e83\u5831\u90e8\u30c1\u30fc\u30d5\u30a8\u30ad\u30b9\u30d1\u30fc\u30c8\u306e\u5897\u5ca1\u6d69\u3055\u3093\u3067\u3059\u3002\u601d\u3044\u51fa\u306e1\u53f0\u306f\u3001\u4e16\u754c\u3067\u6700\u3082\u904e\u9177\u3068\u3044\u308f\u308c\u308b\u300c\u30d1\u30ea\u30fb\u30c0\u30ab\u30fc\u30eb\u30e9\u30ea\u30fc\uff08\u30d1\u30ea\u30c0\u30ab\/\u73fe\u30fb\u30c0\u30ab\u30fc\u30eb\u30e9\u30ea\u30fc\uff09<\/a>\u300d\u306b1987\u5e74\u304b\u3089\u81ea\u3089\u30c9\u30e9\u30a4\u30d0\u30fc\u3068\u3057\u3066\u642d\u4e57\u3057\u3066\u3044\u305f\u300c\u30d1\u30b8\u30a7\u30ed<\/a>\u300d\u3067\u3059\u3002<\/p>\n

2002\u5e74\u306803\u5e74\u306b\u306f\u65e5\u672c\u4eba\u521d\u3068\u306a\u308b\u30d1\u30ea\u30c0\u30ab2\u9023\u8987\u3092\u9054\u6210\u3001\u30b9\u30dd\u30fc\u30c4\u632f\u8208\u306b\u95a2\u308f\u308a\u3001\u6587\u90e8\u79d1\u5b66\u7701\u3088\u308a\u3001\u9855\u8457\u306a\u529f\u7e3e\u3092\u6b8b\u3057\u305f\u9078\u624b\u3084\u6307\u5c0e\u8005\u306b\u6388\u4e0e\u3055\u308c\u308b\u300c\u30b9\u30dd\u30fc\u30c4\u529f\u52b4\u8005\u9855\u5f70\u300d\u3092\u53d7\u5f70\u30022022\u5e74\u304b\u3089\u300c\u30c1\u30fc\u30e0\u4e09\u83f1\u30e9\u30ea\u30fc\u30a2\u30fc\u30c8<\/a>\u300d\u306e\u7dcf\u76e3\u7763\u3082\u52d9\u3081\u30018\u6708\u306b\u30bf\u30a4\u3067\u958b\u50ac\u3055\u308c\u305f\u300c\u30a2\u30b8\u30a2\u30af\u30ed\u30b9\u30ab\u30f3\u30c8\u30ea\u30fc\u30e9\u30ea\u30fc\u300d\u306b\u300c\u30c8\u30e9\u30a4\u30c8\u30f3\u300d\u3067\u53c2\u6226\u30013\u5e74\u3076\u308a2\u5ea6\u76ee\u306e\u7dcf\u5408\u512a\u52dd\u3092\u679c\u305f\u3057\u307e\u3057\u305f\u3002<\/p>\n

\u2015\u601d\u3044\u51fa\u306e1\u53f0\u3068\u306e\u51fa\u4f1a\u3044\u306f<\/strong>
\n\u300c\u5b9f\u5bb6\u306f\u6750\u6728\u5e97\u3067\u3001\u3088\u304f\u7236\u89aa\u306b\u5c71\u3078\u30af\u30eb\u30de\u3067\u9023\u308c\u3066\u884c\u3063\u3066\u3082\u3089\u3063\u305f\u5f71\u97ff\u3067\u5e7c\u5c11\u671f\u304b\u3089\u30af\u30eb\u30de\u306b\u8208\u5473\u3092\u6301\u3061\u300119\u6b73\u304b\u3089\u30e2\u30fc\u30bf\u30fc\u30b9\u30dd\u30fc\u30c4\u306b\u643a\u308f\u3063\u3066\u3001\u56fd\u5185\u306e\u30aa\u30d5\u30ed\u30fc\u30c9\u30ec\u30fc\u30b9\u306b\u30d7\u30e9\u30a4\u30d9\u30fc\u30c8\u3067\u53c2\u52a0\u3057\u3066\u3044\u307e\u3057\u305f\u300222\u6b73\u306e\u6642\u306b\u521d\u4ee3\u30d1\u30b8\u30a7\u30ed\u304c\u767a\u58f2\u3055\u308c\u3001\u305d\u306e\u969b\u306b\u4e57\u3089\u306a\u3044\u304b\u3068\u30aa\u30d5\u30a1\u30fc\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u30d1\u30b8\u30a7\u30ed\u3068\u82e6\u697d\u3092\u5171\u306b\u3057\u3066\u300140\u5e74\u4ee5\u4e0a\u304c\u7d4c\u3061\u307e\u3059\u3002\u305d\u306e\u610f\u5473\u3067\u306f\u3001\u79c1\u306b\u3068\u3063\u3066\u5144\u5f1f\u307f\u305f\u3044\u306a\u5b58\u5728\u3067\u3001\u305a\u3063\u3068\u4e00\u7dd2\u306b\u80b2\u3066\u3066\u3082\u3089\u3044\u3001\u4e16\u754c\u4e2d\u306e\u30ec\u30fc\u30b9\u306b\u53c2\u52a0\u3057\u3066\u6226\u3063\u3066\u304d\u305f\u30d1\u30fc\u30c8\u30ca\u30fc\u3067\u3059\u3002\u30af\u30eb\u30de\u306e\u4f7f\u3044\u52dd\u624b\u3092\u30ec\u30fc\u30b9\u3067\u611f\u3058\u3066\u3001\u305d\u308c\u3092\u5e02\u8ca9\u8eca\uff08\u306e\u958b\u767a\u306a\u3069\uff09\u306b\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3057\u3066\u3044\u307e\u3059\u300d<\/p>\n

\"\"<\/p>\n

\u2015\u30d1\u30b8\u30a7\u30ed\u306e\u30d1\u30ea\u30c0\u30ab\u53c2\u6226\u306b\u3064\u3044\u3066\u6559\u3048\u3066\u304f\u3060\u3055\u3044<\/strong>
\n\u300c\u4e09\u83f1\u81ea\u52d5\u8eca\u3068\u3057\u3066\u306f\u3001\u30aa\u30d5\u30ed\u30fc\u30c9\u30ec\u30fc\u30b9\u306e\u9802\u70b9\u3067\u3042\u308b\u30d1\u30ea\u30c0\u30ab\u306b1983\u5e74\u304b\u3089\u53c2\u6226\u3057\u3066\u30011\u5e74\u76ee\u306f\u5e02\u8ca9\u8eca\u7121\u6539\u9020\u30af\u30e9\u30b9\u3067\u512a\u52dd\u30012\u5e74\u76ee\u306f\u5e02\u8ca9\u8eca\u6539\u9020\u30af\u30e9\u30b9\u3067\u512a\u52dd\u300185\u5e74\u306b\u306f\u65e5\u672c\u8eca\u521d\u306e\u5feb\u6319\u3068\u306a\u308b\u7dcf\u5408\u512a\u52dd\u3092\u52dd\u3061\u53d6\u308a\u307e\u3057\u305f\u3002\u79c1\u304c\u30d1\u30ea\u30c0\u30ab\u306b\u53c2\u52a0\u3057\u305f\u306e\u306f87\u5e74\u3067\u3001\u5f53\u6642\u306f\u9078\u624b\u3068\u3057\u3066\u3001\u4e09\u83f1\u81ea\u52d5\u8eca\u306e\u770b\u677f\u3092\u80cc\u8ca0\u3063\u3066\u304a\u308a\u3001\u52dd\u3064\u3053\u3068\u3057\u304b\u8003\u3048\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u51fa\u5834\u3054\u3068\u306b\u3001\u8d70\u884c\u3057\u305f\u30af\u30eb\u30de\u3092\u65e5\u672c\u306b\u6301\u3061\u5e30\u308a\u3001\u3069\u3053\u304c\u75db\u3093\u3067\u3044\u308b\u304b\u3001\u3069\u3053\u304c\u6469\u8017\u3057\u3066\u3044\u308b\u304b\u306e\u691c\u8a3c\u3092\u91cd\u306d\u3001\u521d\u53c2\u6226\u304b\u308915\u5e74\u304b\u304b\u3063\u3066\u3084\u3063\u3068\u512a\u52dd\u3067\u304d\u307e\u3057\u305f\u3002\u53c2\u6226\u3092\u91cd\u306d\u3001\u30af\u30eb\u30de\u3065\u304f\u308a\u306b\u5bfe\u3059\u308b\u3053\u3060\u308f\u308a\u304c\u5f37\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u56fd\u5185\u5916\u306e\u30e9\u30a4\u30d0\u30eb\u30e1\u30fc\u30ab\u30fc\u304c\u591a\u304f\u3044\u308b\u4e2d\u3067\u3001\u3084\u308b\u304b\u3089\u306b\u306f\u7d76\u5bfe\u52dd\u3064\u3068\u3044\u3046\u5f37\u3044\u601d\u3044\u3092\u6301\u3063\u3066\u53d6\u308a\u7d44\u307f\u3001\u52dd\u3061\u7d9a\u3051\u308b\u305f\u3081\u306b\u6bce\u5e74\u3001\u30af\u30eb\u30de\u3082\u9032\u5316\u3057\u3066\u304d\u307e\u3057\u305f\u300d<\/p>\n

\"\"<\/p>\n

\u2015\u30e2\u30fc\u30bf\u30fc\u30b9\u30dd\u30fc\u30c4\u6d3b\u52d5\u3067\u5f97\u305f\u77e5\u898b\u306f\u30af\u30eb\u30de\u306e\u958b\u767a\u306a\u3069\u306b\u3082\u751f\u304b\u3055\u308c\u3066\u3044\u307e\u3059\u304b<\/strong>
\n\u300c\u30e9\u30ea\u30fc\u306f\u4f8b\u3048\u3070\u3001\u30a2\u30d5\u30ea\u30ab\u3068\u304b\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3068\u304b\u301d\u6975\u5730\u301f\u3078\u884c\u3063\u3066\u78ba\u5b9f\u306b\u5e30\u3063\u3066\u6765\u306a\u3051\u308c\u3070\u3044\u3051\u307e\u305b\u3093\u3002\u305d\u306e\u305f\u3081\u306b\u306f\u8010\u4e45\u6027\u3084\u4fe1\u983c\u6027\u304c\u30af\u30eb\u30de\u306b\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u8efd\u304f\u3066\u4e08\u592b\u306a\u30af\u30eb\u30de\u3092\u3064\u304f\u308b\u969b\u3001\u6750\u8cea\u3092\u4ee3\u3048\u305f\u308a\u3001\u6750\u6599\u3092\u8584\u304f\u3057\u305f\u308a\u3059\u308b\u306a\u3069\u30d9\u30b9\u30c8\u306a\u6240\u306f\u3053\u3053\u3060\u3068\u5206\u304b\u3063\u3066\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u30e9\u30ea\u30fc\u306f\u30b5\u30fc\u30ad\u30c3\u30c8\u3067\u884c\u3046\u30ec\u30fc\u30b9\u3068\u306f\u9055\u3044\u3001\u4e00\u822c\u9053\u306b\u8fd1\u3044\u9053\u3092\u8d70\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3042\u308a\u3068\u3042\u3089\u3086\u308b\u53b3\u3057\u3044\u74b0\u5883\u4e0b\u3067\u901f\u304f\u8d70\u308c\u308b\u30af\u30eb\u30de\u3092\u3064\u304f\u308b\u3068\u3044\u3046\u70b9\u3067\u306f\u3001\u3053\u308c\u307e\u3067\u4e09\u83f1\u81ea\u52d5\u8eca\u306e\u301d\u5f37\u3044\u30af\u30eb\u30de\u3065\u304f\u308a\u301f\u306e\u304a\u5f79\u306b\u7acb\u3066\u3066\u3053\u3089\u308c\u305f\u3068\u601d\u3063\u3066\u3044\u307e\u3059\u3002\u4eca\u3001\u79c1\u306f\u8eca\u4e21\u958b\u767a\u306e\u521d\u671f\u30fb\u4e2d\u671f\u3001\u5b8c\u6210\u9593\u8fd1\u3001\u305d\u308c\u305e\u308c\u306e\u6bb5\u968e\u3067\u7dcf\u5408\u8a55\u4fa1\u3082\u884c\u3044\u3001\u6280\u8853\u9762\u3067\u30a2\u30c9\u30d0\u30a4\u30b9\u3057\u3001\u304a\u5ba2\u3055\u307e\u306b\u63d0\u4f9b\u3059\u308b\u30af\u30eb\u30de\u3092\u898b\u6975\u3081\u308b\u4ed5\u4e8b\u306b\u3082\u643a\u308f\u3063\u3066\u3044\u307e\u3059\u3002\u793e\u5185\u3067\u30c6\u30b9\u30c8\u30c9\u30e9\u30a4\u30d0\u30fc\u306e\u6559\u80b2\u3082\u624b\u639b\u3051\u3066\u304a\u308a\u3001\u79c1\u306e\u904b\u8ee2\u6280\u8853\u3092\u82e5\u624b\u793e\u54e1\u306b\u6559\u3048\u3066\u3044\u307e\u3059\u30021\u5e74\u9593\u304b\u3051\u30666\u4eba\u306b\u6559\u3048\u308b\u6d3b\u52d5\u3067\u300115\u5e74\u7d9a\u3051\u3066\u304a\u308a\u3001\u4eca\u3067\u306f\u5f7c\u3089\u304c\u958b\u767a\u306e\u4e2d\u67a2\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u300d<\/p>\n

\"\"<\/p>\n

\u2015\u56fd\u5185\u3067\u306f\u3001\u5168\u56fd\u5404\u5730\u3067\u958b\u50ac\u3059\u308b\u56db\u8f2a\u99c6\u52d5\u8eca\u306e\u767b\u5742\u4f53\u9a13\u30a4\u30d9\u30f3\u30c8\u306b\u30c9\u30e9\u30a4\u30d0\u30fc\u3068\u3057\u3066\u53c2\u52a0\u3001\u30af\u30eb\u30de\u306e\u9b45\u529b\u3092\u8a34\u6c42\u3055\u308c\u3066\u3044\u307e\u3059<\/strong>
\n\u300c\u8ca9\u58f2\u5e97\u3084\u30ad\u30e3\u30f3\u30d7\u5834\u306a\u3069\u3067\u56db\u99c6\u3092\u304a\u5ba2\u3055\u307e\u306b\u4f53\u611f\u3044\u305f\u3060\u304f\u30a4\u30d9\u30f3\u30c8\u3068\u3057\u3066\u300124\u5e74\u306b\u306f\u53c2\u52a0\u8005\u304c\u5ef6\u307920\u4e07\u4eba\u3092\u7a81\u7834\u3057\u307e\u3057\u305f\u3002\u30d1\u30b8\u30a7\u30ed\u306f\u3044\u308f\u3086\u308b\u300eRV\uff08\u30ec\u30af\u30ea\u30a8\u30fc\u30b7\u30e7\u30ca\u30eb\u30fb\u30d3\u30fc\u30af\u30eb\uff09\u30d6\u30fc\u30e0\u300f\u306e\u706b\u4ed8\u3051\u5f79\u3067\u3057\u305f\u304c\u3001\u5929\u5019\u3084\u8def\u9762\u306a\u3069\u3092\u554f\u308f\u305a\u306b\u5b89\u5168\u306b\u697d\u3057\u304f\u5bb6\u65cf\u3067\u30c9\u30e9\u30a4\u30d6\u3067\u304d\u308b\u3068\u3044\u3046\u56db\u99c6\u306e\u9b45\u529b\u3092\u3001\u79c1\u304c\u5f97\u3066\u304d\u305f\u7d4c\u9a13\u304b\u3089\u4eca\u5f8c\u3082\u3055\u3089\u306b\u591a\u304f\u306e\u4eba\u306b\u4f1d\u3048\u3066\u3044\u304f\u3064\u3082\u308a\u3067\u3059\u300d<\/p>\n

\"\"<\/p>\n

\u3008\u601d\u3044\u51fa\u306e\uff11\u53f0\u3009<\/strong>
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\u95a2\u9023\u30ea\u30f3\u30af<\/strong><\/p>\n

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\u601d\u3044\u51fa\u306e\u4e00\u53f0\u30a2\u30fc\u30ab\u30a4\u30d6 \u2013 JAMA BLOG<\/strong>\u4e00\u822c\u793e\u56e3\u6cd5\u4eba\u65e5\u672c\u81ea\u52d5\u8eca\u5de5\u696d\u4f1a<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

JAMA\u30d6\u30ed\u30b0\u3092\u76e3\u4fee\u3059\u308b\u5404\u30e1\u30fc\u30ab\u30fc\u5e83\u5831\u62c5\u5f53\u8005\u304c\u3001\u30af\u30eb\u30de\u3084\u30d0\u30a4\u30af\u3092\u597d\u304d\u306b\u306a\u3063\u305f\u3001\u3082\u3057\u304f\u306f\u81ea\u52d5\u8eca\u696d\u754c\u306b\u9032 …<\/p>\n","protected":false},"author":1,"featured_media":11499,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[28,46,132],"class_list":["post-11497","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-jamagazine","tag-46","tag-132"],"_links":{"self":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/11497","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11497"}],"version-history":[{"count":8,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/11497\/revisions"}],"predecessor-version":[{"id":11580,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/11497\/revisions\/11580"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/media\/11499"}],"wp:attachment":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11497"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11497"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11497"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}