{"id":1813,"date":"2022-04-20T19:06:43","date_gmt":"2022-04-20T10:06:43","guid":{"rendered":"https:\/\/blog.jama.or.jp\/?p=1813"},"modified":"2022-04-20T19:06:43","modified_gmt":"2022-04-20T10:06:43","slug":"%e6%96%b0%e5%9e%8b%e3%82%b3%e3%83%ad%e3%83%8a%e6%84%9f%e6%9f%93%e6%8b%a1%e5%a4%a7%e3%81%ae%e8%87%aa%e5%8b%95%e8%bb%8a%e5%b8%82%e5%a0%b4%e3%81%b8%e3%81%ae%e5%bd%b1%e9%9f%bf%e5%ae%9f%e6%85%8b%e8%aa%bf","status":"publish","type":"post","link":"https:\/\/blog.jama.or.jp\/?p=1813","title":{"rendered":"\u65b0\u578b\u30b3\u30ed\u30ca\u611f\u67d3\u62e1\u5927\u306e\u81ea\u52d5\u8eca\u5e02\u5834\u3078\u306e\u5f71\u97ff\u5b9f\u614b\u8abf\u67fb\u3000\u7d4c\u6e08\u30fb\u79fb\u52d5\u30fb\u81ea\u52d5\u8eca\u4fa1\u5024\u89b3\u3092\u3081\u3050\u308b\u6d88\u8cbb\u8005\u306e\u5909\u5316"},"content":{"rendered":"<p style=\"text-align: right;\"><span style=\"font-family: arial, helvetica, 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\/>\n<span style=\"font-family: arial, helvetica, sans-serif;\">\u3053\u308c\u3089\u306e\u5909\u5316\u306f\u3001\u3044\u305a\u308c\u3082\u81ea\u52d5\u8eca\u306e\u8cfc\u5165\u30fb\u4fdd\u6709\u30fb\u5229\u7528\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3082\u306e\u3067\u3042\u308a\u3001\u30b3\u30ed\u30ca\u798d\u304c\u65b0\u8eca\u8ca9\u58f2\u3092\u6e1b\u5c11\u3055\u305b\u3066\u3044\u308b\u8981\u56e0\u306e\u3072\u3068\u3064\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\n<p><a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1815\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf2.png\" alt=\"\" width=\"886\" height=\"489\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf2.png 886w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf2-640x353.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf2-768x424.png 768w\" sizes=\"auto, (max-width: 886px) 100vw, 886px\" \/><\/a><\/p>\n<h3><span style=\"font-size: 14pt;\"><span style=\"font-family: arial, helvetica, sans-serif;\">\u25a0\u4e00\u65b9\u3067\u3001\u81ea\u52d5\u8eca\u3092\u8cb7\u3044\u305f\u3044\u3068\u601d\u3046\u6c17\u6301\u3061\u306f\u5897\u52a0\u50be\u5411\u306b<\/span><\/span><\/h3>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">\u3057\u304b\u3057\u3001\u4eca\u56de\u306e\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb\u7d50\u679c\u3092\u898b\u308b\u3068\u3001\u300c2019\u5e74\u5ea6\u6642\u70b9\u3067\u306f\u81ea\u52d5\u8eca\u3092\u8cb7\u3046\u4e88\u5b9a\u304c\u306a\u304b\u3063\u305f\u3082\u306e\u306e\u3001\u73fe\u5728\u306f\u8cb7\u3044\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u308b\uff08\u3082\u3057\u304f\u306f\u30b3\u30ed\u30ca\u4e0b\u3067\u65e2\u306b\u8cfc\u5165\u3057\u305f\uff09\u300d\u3068\u3044\u3046\u5272\u5408\u304c35%\u3068\u9ad8\u3044\u6c34\u6e96\u3067\u3059\u3002\u3053\u308c\u306f\u3001\u305d\u306e\u53cd\u5bfe\u306e\u300c2019\u5e74\u5ea6\u6642\u70b9\u306b\u306f\u3044\u305a\u308c\u81ea\u52d5\u8eca\u3092\u8cb7\u3046\u4e88\u5b9a\u3060\u3063\u305f\u304c\u3001\u3084\u3081\u305f\u300d\u3068\u3059\u308b\u5272\u5408\u306e2%\u3088\u308a\u3082\u975e\u5e38\u306b\u9ad8\u3044\u3068\u3044\u3048\u307e\u3059\u3002\u8eca\u3092\u8cb7\u3046\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u3064\u3044\u3066\u3082\u3001\u300c\u5143\u3005\u4e88\u5b9a\u3057\u3066\u3044\u305f\u6642\u671f\u3088\u308a\u3082\u65e9\u3044\u6642\u671f\u306b\u8cfc\u5165\u3057\u3088\u3046\u3068\u8003\u3048\u3066\u3044\u308b\u300d\u5272\u5408\u304c43%\u3001\u300c\u5f53\u521d\u306e\u4e88\u5b9a\u3088\u308a\u3082\u9045\u3044\u6642\u671f\u306b\u8cfc\u5165\u3057\u3088\u3046\u3068\u8003\u3048\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u5272\u5408\u304c14%\u3068\u306a\u3063\u3066\u304a\u308a\u3001\u81ea\u52d5\u8eca\u306e\u8cb7\u66ff\u30b5\u30a4\u30af\u30eb\u304c\u77ed\u671f\u5316\u3059\u308b\u52d5\u304d\u304c\u898b\u3089\u308c\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306b\u3001\u30b3\u30ed\u30ca\u4e0b\u306e\u81ea\u52d5\u8eca\u5e02\u5834\u3067\u306f\u65b0\u8eca\u8ca9\u58f2\u304c\u6e1b\u5c11\u3057\u3066\u3044\u308b\u306e\u3068\u306f\u9006\u306e\u52d5\u304d\u3068\u3057\u3066\u3001\u6d88\u8cbb\u8005\u306e\u8cfc\u5165\u610f\u5411\u306f\u3080\u3057\u308d\u6d3b\u6027\u5316\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u5b9f\u614b\u304c\u660e\u3089\u304b\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/span><br \/>\n<span style=\"font-family: arial, helvetica, sans-serif;\">\u5148\u307b\u3069\u898b\u305f\u3088\u3046\u306b\u901a\u52e4\u3084\u5916\u51fa\u306a\u3069\u306e\u79fb\u52d5\u306f\u5168\u822c\u306b\u6e1b\u3063\u3066\u3044\u307e\u3059\u304c\u3001\u81ea\u52d5\u8eca\u3067\u306e\u79fb\u52d5\u306b\u3064\u3044\u3066\u306f\u3001\u6e1b\u3063\u3066\u3044\u308b\u4eba\u304c12%\u306b\u5bfe\u3057\u3066\u3001\u5897\u3048\u3066\u3044\u308b\u4eba\u308212%\u3068\u3044\u3046\u7d50\u679c\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u79fb\u52d5\u76ee\u7684\u3068\u3057\u3066\u9060\u51fa\u306e\u65c5\u884c\u306a\u3069\u304c\u6e1b\u3063\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u81ea\u52d5\u8eca\u5229\u7528\u304c\u6e1b\u3063\u305f\u4eba\u306f\u898b\u3089\u308c\u307e\u3059\u304c\u3001\u4e00\u65b9\u3001\u30b3\u30ed\u30ca\u798d\u3067\u516c\u5171\u4ea4\u901a\u3067\u306e\u79fb\u52d5\u304c\u5927\u304d\u304f\u6e1b\u308b\u4e2d\u3067\u3001\u81ea\u52d5\u8eca\u306e\u5229\u7528\u3092\u5897\u3084\u3057\u305f\u4eba\u3082\u5c11\u306a\u304f\u306a\u304b\u3063\u305f\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf3.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1816\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf3.png\" alt=\"\" width=\"886\" height=\"556\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf3.png 886w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf3-574x360.png 574w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf3-768x482.png 768w\" sizes=\"auto, (max-width: 886px) 100vw, 886px\" \/><\/a><\/p>\n<h3><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14pt;\">\u25a0\u81ea\u52d5\u8eca\u8cfc\u5165\u610f\u5411\u304c\u5897\u52a0\u3057\u305f\u80cc\u666f\u306f\u3001\u81ea\u52d5\u8eca\u3078\u306e\u30a4\u30e1\u30fc\u30b8\u306e\u5909\u5316<\/span><\/h3>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">\u30b3\u30ed\u30ca\u798d\u306b\u304a\u3044\u3066\u3001\u516c\u5171\u4ea4\u901a\u306e\u5229\u7528\u3092\u63a7\u3048\u3066\u81ea\u52d5\u8eca\u3092\u5229\u7528\u3059\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u308b\u3068\u3044\u3046\u5909\u5316\u3082\u3001\u81ea\u52d5\u8eca\u306b\u5bfe\u3059\u308b\u30a4\u30e1\u30fc\u30b8\u304c\u30dd\u30b8\u30c6\u30a3\u30d6\u306b\u5909\u5316\u3057\u3066\u3044\u308b\u3053\u3068\u306b\u5f71\u97ff\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u4eca\u56de\u306e\u8abf\u67fb\u3067\u306f\u3001\u81ea\u52d5\u8eca\u306b\u5bfe\u3059\u308b\u30a4\u30e1\u30fc\u30b8\u306b\u3064\u3044\u3066\u300e\u81ea\u52d5\u8eca\u306b\u5bfe\u3059\u308b\u611f\u899a\u7684\u30a4\u30e1\u30fc\u30b8\uff08\u697d\u3057\u3044\uff0f\u3064\u307e\u3089\u306a\u3044\u3001\u683c\u597d\u826f\u3044\uff0f\u683c\u597d\u60aa\u3044\u3001\u3067\u304d\u308b\u3060\u3051\u4f7f\u3044\u305f\u3044\uff0f\u4f7f\u3044\u305f\u304f\u306a\u3044\u3001\u5b89\u5168\uff0f\u5371\u967a\u3001\u5b89\u5fc3\uff0f\u4e0d\u5b89\uff09\u300f\u3001\u300e\u81ea\u52d5\u8eca\u306e\u5229\u4fbf\u6027\u30fb\u5fc5\u8981\u6027\u30a4\u30e1\u30fc\u30b8\uff08\u4fbf\u5229\uff0f\u4e0d\u4fbf\u3001\u5fc5\u8981\u4e0d\u53ef\u6b20\uff0f\u5fc5\u8981\u306a\u3044\uff09\u300f\u3068\u3044\u3046\u89b3\u70b9\u3067\u8abf\u67fb\u3092\u884c\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\n<p><a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf4.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1817\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf4.png\" alt=\"\" width=\"822\" height=\"164\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf4.png 822w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf4-640x128.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf4-768x153.png 768w\" sizes=\"auto, (max-width: 822px) 100vw, 822px\" \/><\/a><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">\u305d\u306e\u7d50\u679c\u3001\u81ea\u52d5\u8eca\u306b\u5bfe\u3059\u308b\u611f\u899a\u7684\u30a4\u30e1\u30fc\u30b8\u306f\u3001\u826f\u3044\u30a4\u30e1\u30fc\u30b8\u3092\u6301\u3064\u3088\u3046\u306b\u306a\u3063\u305f26%\u3001\u60aa\u3044\u30a4\u30e1\u30fc\u30b8\u3092\u6301\u3064\u3088\u3046\u306b\u306a\u3063\u305f12%\u3001\u81ea\u52d5\u8eca\u306e\u5229\u4fbf\u6027\u30fb\u5fc5\u8981\u6027\u30a4\u30e1\u30fc\u30b8\u306f\u826f\u3044\u30a4\u30e1\u30fc\u30b8\u3092\u6301\u3064\u3088\u3046\u306b\u306a\u3063\u305f43%\u3001\u60aa\u3044\u30a4\u30e1\u30fc\u30b8\u3092\u6301\u3064\u3088\u3046\u306b\u306a\u3063\u305f3%\u3068\u3001\u3044\u305a\u308c\u3082\u826f\u3044\u30a4\u30e1\u30fc\u30b8\u304c\u5927\u304d\u304f\u4e0a\u6607\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3057\u305f\u3002<\/span><\/p>\n<p><a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf5.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1818\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf5.png\" alt=\"\" width=\"886\" height=\"420\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf5.png 886w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf5-640x303.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf5-768x364.png 768w\" sizes=\"auto, (max-width: 886px) 100vw, 886px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">\u306a\u304a\u3001\u69cb\u6210\u8981\u7d20\u3054\u3068\u306b\u898b\u308b\u3068\u3001\u7279\u306b\u300c\u697d\u3057\u3044\u300d\u300c\u683c\u597d\u826f\u3044\u300d\u300c\u4fbf\u5229\u300d\u300c\u5fc5\u8981\u4e0d\u53ef\u6b20\u300d\u3068\u3044\u3063\u305f\u70b9\u3067\u81ea\u52d5\u8eca\u306e\u30a4\u30e1\u30fc\u30b8\u304c\u3088\u304f\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u7279\u306b\u300c\u697d\u3057\u3044\u300d\u300c\u683c\u597d\u826f\u3044\u300d\u306a\u3069\u306e\u70b9\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b\u3053\u3068\u306f\u3001\u30b3\u30ed\u30ca\u611f\u67d3\u5bfe\u7b56\u306b\u3068\u3069\u307e\u3089\u306a\u3044\u81ea\u52d5\u8eca\u306e\u4fa1\u5024\u306e\u518d\u8a8d\u8b58\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3059\u3002<\/span><\/p>\n<p><a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf6.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1819\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf6.png\" alt=\"\" width=\"886\" height=\"592\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf6.png 886w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf6-539x360.png 539w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf6-768x513.png 768w\" sizes=\"auto, (max-width: 886px) 100vw, 886px\" \/><\/a><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">\u307e\u305f\u3001\u300c\u8cb7\u3044\u305f\u3044\u3068\u601d\u3046\u3088\u3046\u306b\u306a\u3063\u305f\u6c17\u6301\u3061\u300d\u306e\u80cc\u666f\u8981\u56e0\u3092\u5206\u6790\u3057\u305f\u3068\u3053\u308d\u3001\u7d4c\u6e08\u72b6\u6cc1\u3084\u79fb\u52d5\u983b\u5ea6\u3068\u306e\u76f8\u95a2\u306f\u4f4e\u304f\u3001\u81ea\u52d5\u8eca\u306b\u5bfe\u3059\u308b\u30a4\u30e1\u30fc\u30b8\u306e\u5909\u5316\u3068\u306e\u76f8\u95a2\u304c\u9ad8\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3057\u305f\u3002\u30b3\u30ed\u30ca\u524d\u3067\u306f\u3001\u81ea\u52d5\u8eca\u306e\u9700\u8981\u306b\u5f71\u97ff\u3059\u308b\u8981\u56e0\u3068\u3057\u3066\u7d4c\u6e08\u3084\u79fb\u52d5\u306e\u72b6\u6cc1\u3092\u8003\u3048\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3057\u305f\u304c\u3001\u4eca\u56de\u306e\u8abf\u67fb\u3067\u306f\u7d4c\u6e08\u3084\u79fb\u52d5\u306e\u5909\u5316\u3088\u308a\u3082\u81ea\u52d5\u8eca\u306b\u5bfe\u3059\u308b\u30a4\u30e1\u30fc\u30b8\u304c\u9700\u8981\u306b\u5f71\u97ff\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u304a\u308a\u3001\u30b3\u30ed\u30ca\u4e0b\u3067\u306e\u81ea\u52d5\u8eca\u5e02\u5834\u306e\u7279\u5fb4\u3067\u3042\u308b\u3068\u8a00\u3048\u307e\u3059\u3002<\/span><br 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src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf8.png\" alt=\"\" width=\"1949\" height=\"1051\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf8.png 1949w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf8-640x345.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf8-768x414.png 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf8-1536x828.png 1536w\" sizes=\"auto, (max-width: 1949px) 100vw, 1949px\" \/><\/a><\/p>\n<p><strong><span style=\"font-family: arial, helvetica, sans-serif;\">\u25a0\u8abf\u67fb\u5b9f\u65bd\u6982\u8981<\/span><\/strong><\/p>\n<p><a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf9.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1822\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf9.png\" alt=\"\" width=\"886\" height=\"99\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf9.png 886w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf9-640x72.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2022\/04\/\u753b\u50cf9-768x86.png 768w\" sizes=\"auto, (max-width: 886px) 100vw, 886px\" \/><\/a><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">\u8abf\u67fb\u65b9\u6cd5\uff1a\u30a4\u30f3\u30bf\u30fc\u30cd\u30c3\u30c8\u30a2\u30f3\u30b1\u30fc\u30c8\u8abf\u67fb<\/span><br \/>\n<span style=\"font-family: arial, helvetica, 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