{"id":5933,"date":"2024-01-05T21:00:50","date_gmt":"2024-01-05T12:00:50","guid":{"rendered":"https:\/\/blog.jama.or.jp\/?p=5933"},"modified":"2024-01-09T16:11:19","modified_gmt":"2024-01-09T07:11:19","slug":"%e6%96%b0%e4%bc%9a%e9%95%b7%e3%81%ab%e8%a8%97%e3%81%95%e3%82%8c%e3%81%9f%e3%82%bf%e3%82%b9%e3%82%ad-%e8%87%aa%e5%8b%95%e8%bb%8a%ef%bc%95%e5%9b%a3%e4%bd%93%e8%b3%80%e8%a9%9e%e4%ba%a4%e6%8f%9b","status":"publish","type":"post","link":"https:\/\/blog.jama.or.jp\/?p=5933","title":{"rendered":"\u65b0\u4f1a\u9577\u306b\u8a17\u3055\u308c\u305f\u30bf\u30b9\u30ad &#8212; \u81ea\u52d5\u8eca\uff15\u56e3\u4f53\u8cc0\u8a5e\u4ea4\u6b53\u4f1a\u3092\u958b\u50ac"},"content":{"rendered":"<p>2024\u5e741\u67085\u65e5\u3001\u81ea\u52d5\u8eca\uff15\u56e3\u4f53\uff08<a href=\"https:\/\/blog.jama.or.jp\" target=\"_blank\" rel=\"noopener\" data-wpel-link=\"internal\">\u81ea\u5de5\u4f1a<\/a>\u3001<a href=\"https:\/\/www.japia.or.jp\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">\u90e8\u5de5\u4f1a<\/a>\u3001<a href=\"https:\/\/www.jabia.or.jp\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">\u8eca\u5de5\u4f1a<\/a>\u3001<a href=\"https:\/\/www.jamta.com\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">\u81ea\u6a5f\u5de5<\/a>\u3001<a href=\"http:\/\/www.jada.or.jp\" target=\"_blank\" rel=\"noopener external noreferrer\" data-wpel-link=\"external\">\u81ea\u8ca9\u9023<\/a>\uff09\u306b\u3088\u308b\u8cc0\u8a5e\u4ea4\u6b53\u4f1a\u304c\u90fd\u5185\u3067\u958b\u50ac\u3055\u308c\u307e\u3057\u305f\u3002\u304a\u3088\u305d1,200\u540d\u306e\u53c2\u52a0\u8005\u304c\u898b\u5b88\u308b\u4e2d\u3001\u524d\u4f1a\u9577\u306e\u8c4a\u7530\u7ae0\u7537\u3088\u308a\u30bf\u30b9\u30ad\u304c\u6e21\u3055\u308c\u305f\u65b0\u4f1a\u9577\u306e\u7247\u5c71\u6b63\u5247\u304c\u6240\u4fe1\u3092\u8868\u660e\u3057\u307e\u3057\u305f\u3002<\/p>\n<h3>\u25a0\u4e3b\u50ac\u8005\u6328\u62f6\u52d5\u753b<\/h3>\n<p><iframe loading=\"lazy\" title=\"\u65b0\u4f1a\u9577\u306b\u8a17\u3055\u308c\u305f\u30bf\u30b9\u30ad\uff1a\u81ea\u52d5\u8eca\uff15\u56e3\u4f53\u8cc0\u8a5e\u4ea4\u6b53\u4f1a\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/7-M0IhburJU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h3>\u25a0\u4f1a\u9577\u3000\u7247\u5c71 \u6b63\u5247\uff08\u3044\u3059\u309e\u81ea\u52d5\u8eca \u4ee3\u8868\u53d6\u7de0\u5f79\u4f1a\u9577\uff09<\/h3>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5936\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-scaled.jpg 2560w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-540x360.jpg 540w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-768x512.jpg 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-1536x1024.jpg 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/h3>\n<p>\u307e\u305a\u306f\u3001\u4ee4\u548c\uff16\u5e74\u80fd\u767b\u534a\u5cf6\u5730\u9707\u306b\u3088\u308a\u72a0\u7272\u3068\u306a\u3089\u308c\u305f\u65b9\u3005\u306b\u5fc3\u3088\u308a\u304a\u6094\u307f\u7533\u3057\u4e0a\u3052\u308b\u3068\u3068\u3082\u306b\u3001\u88ab\u707d\u3055\u308c\u305f\u65b9\u3005\u306b\u5fc3\u3088\u308a\u304a\u898b\u821e\u3044\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002\u88ab\u707d\u5730\u57df\u306e\u307f\u306a\u3055\u307e\u306e\u5b89\u5168\u78ba\u4fdd\u3001\u305d\u3057\u3066\u4e00\u65e5\u3082\u65e9\u3044\u5fa9\u65e7\u30fb\u5fa9\u8208\u3092\u8877\u5fc3\u3088\u308a\u304a\u7948\u308a\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002<br \/>\n\u672c\u65e5\u306f\u3054\u591a\u5fd9\u306e\u4e2d\u3001\u5409\u7530 \u7d4c\u6e08\u7523\u696d\u5927\u81e3\u653f\u52d9\u5b98\u3001\u56fd\u571f\u4ea4\u901a\u7701 \u9db4\u7530\u7269\u6d41\u30fb\u81ea\u52d5\u8eca\u5c40\u9577\u3092\u306f\u3058\u3081\u3001\u3053\u306e\u3088\u3046\u306b\u591a\u304f\u306e\u65b9\u3005\u306b\u3054\u81e8\u5e2d\u3092\u8cdc\u308a\u307e\u3057\u3066\u3001\u8aa0\u306b\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3059\u3002\u81ea\u52d5\u8eca\uff15\u56e3\u4f53\u3092\u4ee3\u8868\u3044\u305f\u3057\u307e\u3057\u3066\u3001\u65b0\u5e74\u306e\u3054\u6328\u62f6\u3092\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002<\/p>\n<p>\u6628\u5e74\u3092\u632f\u308a\u8fd4\u308a\u307e\u3059\u3068\u3001\u30b3\u30ed\u30ca\u798d\u304b\u3089\u3001\u3088\u3046\u3084\u304f\u901a\u5e38\u306e\u793e\u4f1a\u751f\u6d3b\u3084\u7d4c\u6e08\u6d3b\u52d5\u3092\u53d6\u308a\u623b\u3059\u3053\u3068\u3092\u5b9f\u611f\u3067\u304d\u305f1\u5e74\u3060\u3063\u305f\u3068\u601d\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u6d77\u5916\u304b\u3089\u306e\u89b3\u5149\u5ba2\u3084\u30d3\u30b8\u30cd\u30b9\u30d1\u30fc\u30bd\u30f3\u306e\u65b9\u3092\u304a\u898b\u304b\u3051\u3059\u308b\u6a5f\u4f1a\u3082\u5897\u3048\u308b\u306a\u3069\u3001\u65e5\u672c\u5168\u4f53\u306b\u6d3b\u6c17\u304c\u623b\u308a\u59cb\u3081\u305f\u5e74\u3067\u3042\u3063\u305f\u304b\u3068\u601d\u3044\u307e\u3059\u3002\u65b0\u305f\u306a\uff11\u5e74\u306e\u59cb\u307e\u308a\u3092\u3001\u7686\u3055\u307e\u65b9\u3068\u4f9b\u306b\u3067\u304d\u308b\u3053\u3068\u306b\u611f\u8b1d\u7533\u3057\u4e0a\u3052\u308b\u3068\u3068\u3082\u306b\u3001\uff12\uff10\uff12\uff14\u5e74\u304c\u81ea\u52d5\u8eca\u7523\u696d\u306b\u3068\u3063\u3066\u3001\u3088\u308a\u4e00\u5c64\u98db\u8e8d\u306e\u5e74\u3068\u306a\u308b\u3088\u3046\u3001\u696d\u754c\u4e00\u4e38\u3068\u306a\u3063\u3066\u53d6\u308a\u7d44\u3093\u3067\u307e\u3044\u308a\u305f\u3044\u3068\u5b58\u3058\u307e\u3059\u3002<\/p>\n<p>\u79c1\u306f\u3001\u672c\u5e741\u67081\u65e5\u3088\u308a\u3001\u65e5\u672c\u81ea\u52d5\u8eca\u5de5\u696d\u4f1a\u306e\u4f1a\u9577\u8077\u306b\u5c31\u4efb\u3044\u305f\u3057\u307e\u3057\u305f\u3002\uff11\uff10\uff10\u5e74\u306b1\u5ea6\u306e\u5927\u5909\u9769\u306e\u771f\u3063\u53ea\u4e2d\u3067\u4f1a\u9577\u8077\u3092\u62c5\u3046\u3053\u3068\u306b\u3064\u3044\u3066\u3001\u6539\u3081\u3066\u3001\u305d\u306e\u91cd\u8cac\u306b\u8eab\u306e\u5f15\u304d\u7de0\u307e\u308b\u601d\u3044\u3067\u3054\u3056\u3044\u307e\u3059\u3002\u540d\u5b9f\u3068\u3082\u306b\u672c\u65e5\u304b\u3089\u81ea\u5de5\u4f1a\u65b0\u4f53\u5236\u304c\u30b9\u30bf\u30fc\u30c8\u3059\u308b\u308f\u3051\u3067\u3059\u304c\u3001\u8c4a\u7530\u524d\u4f1a\u9577\u306b\u7bc9\u304d\u4e0a\u3052\u3066\u3044\u305f\u3060\u3044\u305f\u8ab2\u984c\u89e3\u6c7a\u306b\u5bfe\u3057\u3001\u30c1\u30fc\u30e0\u3067\u53d6\u308a\u7d44\u3080\u5f62\u3092\u9032\u5316\u3055\u305b\u3001\u526f\u4f1a\u9577\u3084\u7406\u4e8b\u306e\u7686\u3055\u307e\u3068\u4e00\u81f4\u5354\u529b\u3057\u306a\u304c\u3089\u3001\u5168\u529b\u3067\u3053\u306e\u96e3\u5c40\u3092\u4e57\u308a\u8d8a\u3048\u3066\u3044\u304f\u6c7a\u610f\u3067\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3055\u3066\u3001\u79c1\u305f\u3061\u304c\u76f4\u9762\u3057\u3066\u3044\u308b\u8ab2\u984c\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u307e\u3059\u304c\u3001\u4eca\u5f8c\u3082\u81ea\u52d5\u8eca\u53ca\u3073\u30e2\u30d3\u30ea\u30c6\u30a3\u7523\u696d\u304c\u57fa\u5e79\u7523\u696d\u3068\u3057\u3066\u65e5\u672c\u7d4c\u6e08\u306b\u8ca2\u732e\u3059\u308b\u305f\u3081\u306b<br \/>\n\u5411\u3053\u3046\uff12\u5e74\u7a0b\u5ea6\u3092\u30b9\u30b3\u30fc\u30d7\u306b\u53d6\u308b\u3079\u304d\u5177\u4f53\u7684\u306a\u30a2\u30af\u30b7\u30e7\u30f3\u3092\u6d17\u3044\u51fa\u3057\u3001<a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues.png\" target=\"_blank\" rel=\"noopener\"><strong>\uff17\u3064\u306e\u8ab2\u984c<\/strong><\/a>\u3068\u3057\u3066\u53d6\u308a\u307e\u3068\u3081\u305f\u3053\u3068\u306f\u3001\u3054\u6848\u5185\u306e\u901a\u308a\u3067\u3054\u3056\u3044\u307e\u3059\u3002\u3053\u306e\u4e2d\u3067\u7269\u6d41\u306e\u505c\u6ede\u304c\u61f8\u5ff5\u3055\u308c\u308b\uff12\uff10\uff12\uff14\u5e74\u554f\u984c\u3078\u306e\u5bfe\u5fdc\u306f\u3001\u55ab\u7dca\u306e\u793e\u4f1a\u8ab2\u984c\u3067\u3059\u3002\u81ea\u52d5\u8eca\u7523\u696d\u306e\u67a0\u3092\u8d85\u3048\u3066\u3001\u4ed6\u7523\u696d\u3068\u306e\u9023\u643a\u3092\u56f3\u308a\u3001\u81ea\u52d5\u904b\u8ee2\u6280\u8853\u306e\u7a4d\u6975\u7684\u63a1\u7528\u3084\u904b\u884c\u30b7\u30b9\u30c6\u30e0\u306e\u66f4\u306a\u308b\u52b9\u7387\u5316\u306a\u3069\u3001\u5404\u7a2e\u53d6\u308a\u7d44\u307f\u3092\u63a8\u9032\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u3001\u30ab\u30fc\u30dc\u30f3\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u5b9f\u73fe\u306b\u3064\u3044\u3066\u306f<br \/>\n<strong>\u300c\u6575\u306f\u70ad\u7d20\u3067\u3042\u308a\u5185\u71c3\u6a5f\u95a2\u3067\u306f\u306a\u3044\u300d<\/strong><br \/>\n\u3068\u3057\u3066\u3001<strong>\u30de\u30eb\u30c1\u30d1\u30b9\u30a6\u30a8\u30a4<\/strong>\u306e\u5fc5\u8981\u6027\u3092\u4e16\u754c\u306b\u8a34\u3048\u3066\u307e\u3044\u308a\u307e\u3057\u305f\u3002\u96fb\u52d5\u8eca\u306e\u666e\u53ca\u4fc3\u9032\u306b\u5fc5\u8981\u306a\u30a4\u30f3\u30d5\u30e9\u6574\u5099\u3084\u3053\u308c\u3089\u3092\u5f8c\u62bc\u3057\u3059\u308b\u653f\u7b56\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u30e2\u30d3\u30ea\u30c6\u30a3\u7523\u696d\u3078\u306e\u5927\u304d\u306a\u5909\u9769\u671f\u306e\u30c1\u30e3\u30f3\u30b9\u3068\u6349\u3048\u3001\u7814\u7a76\u958b\u767a\u6295\u8cc7\u3092\u5897\u52a0\u3055\u305b\u3001\u65b0\u305f\u306a\u5e02\u5834\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u958b\u62d3\u3059\u308b\u3053\u3068\u3067\u3001\u7af6\u4e89\u529b\u306e\u5411\u4e0a\u306b\u5411\u3051\u3066\u53d6\u308a\u7d44\u3093\u3067\u307e\u3044\u308a\u307e\u3059\u3002<br \/>\n\u3055\u3089\u306b\u306f\u3001\u56fd\u7523\u96fb\u6c60\u30fb\u534a\u5c0e\u4f53\u306e\u56fd\u969b\u7af6\u4e89\u529b\u78ba\u4fdd\u3001\u7af6\u4e89\u529b\u3042\u308b\u30af\u30ea\u30fc\u30f3\u30a8\u30cd\u30eb\u30ae\u30fc\u3001\u696d\u754c\u3092\u8de8\u3044\u3060\u30c7\u30fc\u30bf\u9023\u643a\u3068\u3044\u3063\u305f\u8ab2\u984c\u306b\u3064\u3044\u3066\u3082\u3001\u5168\u529b\u3067\u89e3\u6c7a\u306b\u5411\u3051\u3066\u9081\u9032\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u3001\u6628\u5e74\u79cb\u306b\u306f<a href=\"https:\/\/blog.jama.or.jp\/?p=5600\" target=\"_blank\" rel=\"noopener\"><strong>\u30b8\u30e3\u30d1\u30f3\u30e2\u30d3\u30ea\u30c6\u30a3\u30b7\u30e7\u30fc<\/strong><\/a>\u3092\u958b\u50ac\u3044\u305f\u3057\u307e\u3057\u305f\u3002\u30af\u30eb\u30de\u304c\u30e2\u30d3\u30ea\u30c6\u30a3\u306b\u9032\u5316\u3059\u308b\u3053\u3068\u3067\u65b0\u305f\u306a\u4fa1\u5024\u3092\u5275\u9020\u3059\u308b\u30e2\u30d3\u30ea\u30c6\u30a3\u793e\u4f1a\u306e\u5b9f\u73fe\u306b\u3080\u3051\u3001\uff15\uff10\uff10\u793e\u306e\u4f01\u696d\u30fb\u56e3\u4f53\u306e\u7686\u3055\u307e\u3068\u4f5c\u308a\u4e0a\u3052\u308b\u3053\u3068\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u7d50\u679c\u3068\u3057\u3066\uff11\uff11\uff11\u4e07\u4eba\u306e\u304a\u5ba2\u3055\u307e\u306b\u3054\u6765\u5834\u3044\u305f\u3060\u304d\u3001\u30e2\u30d3\u30ea\u30c6\u30a3\u7523\u696d\u3078\u306e\u671f\u5f85\u3001\u305d\u306e\u53ef\u80fd\u6027\u3092\u63b4\u3080\u3053\u3068\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u95a2\u308f\u3063\u3066\u3044\u305f\u3060\u3044\u305f\u5168\u3066\u306e\u7686\u3055\u307e\u306b\u3001\u6539\u3081\u3066\u5fa1\u793c\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002<\/p>\n<p>\u305d\u3057\u3066\u672c\u65e5\u306f\u3001\u308f\u305f\u304f\u3057\u304b\u3089\u306e\u3001\u305f\u3063\u3066\u306e\u304a\u9858\u3044\u3068\u3057\u3066\u3001\u3053\u306e\u30b8\u30e3\u30d1\u30f3\u30e2\u30d3\u30ea\u30c6\u30a3\u30b7\u30e7\u30fc\u3092\u5f15\u3063\u5f35\u3063\u3066\u3044\u305f\u3060\u3044\u305f\u8c4a\u7530\u524d\u4f1a\u9577\u306b\u304a\u8d8a\u3057\u3044\u305f\u3060\u3044\u3066\u304a\u308a\u307e\u3059\u3002\u9577\u5e74\u81ea\u5de5\u4f1a\u306b\u3054\u5c3d\u529b\u3044\u305f\u3060\u304d\u3001\u306a\u304b\u3067\u3082\u8fd1\u5e74\u306f\u5f37\u529b\u306a\u30ea\u30fc\u30c0\u30fc\u30b7\u30c3\u30d7\u3067\u81ea\u5de5\u4f1a\u6539\u9769\u3092\u65ad\u884c\u3057\u3066\u3044\u305f\u3060\u3044\u305f\u8c4a\u7530\u524d\u4f1a\u9577\u306b\u6df1\u304f\u611f\u8b1d\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002\u4e00\u5ea6\u30de\u30a4\u30af\u3092\u304a\u6e21\u3057\u3057\u3001\u305c\u3072\u304a\u8a71\u3092\u3044\u305f\u3060\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<h3>\u25a0\u524d\u4f1a\u9577\u3000\u8c4a\u7530 \u7ae0\u7537\uff08\u30c8\u30e8\u30bf\u81ea\u52d5\u8eca \u4ee3\u8868\u53d6\u7de0\u5f79\u4f1a\u9577\uff09<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5935\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-scaled.jpg 2560w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-540x360.jpg 540w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-768x512.jpg 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-1536x1024.jpg 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><br \/>\n\u307e\u305a\u306f\u3001\u80fd\u767b\u534a\u5cf6\u3067\u767a\u751f\u3057\u305f\u5927\u5730\u9707\u306a\u3089\u3073\u306b\u7fbd\u7530\u7a7a\u6e2f\u3067\u306e\u98db\u884c\u6a5f\u4e8b\u6545\u306b\u3088\u308a\u3001\u304a\u4ea1\u304f\u306a\u308a\u306b\u306a\u3089\u308c\u305f\u65b9\u3005\u306e\u3054\u51a5\u798f\u3092\u304a\u7948\u308a\u3044\u305f\u3057\u307e\u3059\u3068\u3068\u3082\u306b\u3001\u88ab\u707d\u3055\u308c\u305f\u7686\u3055\u307e\u306b\u5fc3\u3088\u308a\u304a\u898b\u821e\u3044\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002<\/p>\n<p>\u7247\u5c71\u4f1a\u9577\u306e\u3054\u6307\u540d\u306b\u3088\u308a\u3001\u3072\u3068\u3053\u3068\u3054\u6328\u62f6\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u30022010\u5e74\u306b\u521d\u3081\u3066\u81ea\u5de5\u4f1a\u306e\u526f\u4f1a\u9577\u3092\u62dd\u547d\u3057\u3066\u304b\u308913\u5e74\u534a\u30012018\u5e74\u306b\u4e8c\u5ea6\u76ee\u306e\u4f1a\u9577\u306b\u5c31\u4efb\u3057\u3066\u304b\u30895\u5e74\u534a\u3002\u591a\u304f\u306e\u65b9\u3005\u306b\u652f\u3048\u3089\u308c\u3001\u3053\u306e\u5ea6\u3001\u7247\u5c71\u4f1a\u9577\u306b<strong>\u30bf\u30b9\u30ad<\/strong>\u3092\u304a\u6e21\u3057\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002\u7686\u3055\u307e\u306e\u3054\u652f\u63f4\u306b\u5fc3\u3088\u308a\u5fa1\u793c\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002\u672c\u5f53\u306b\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5954\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c92.png\" alt=\"\" width=\"1920\" height=\"1080\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c92.png 1920w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c92-640x360.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c92-320x180.png 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c92-768x432.png 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c92-1536x864.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/p>\n<p>\u81ea\u5de5\u4f1a\u306e\u6b74\u53f2\u3092\u632f\u308a\u8fd4\u308a\u307e\u3059\u3068\u30011960\u5e74\u4ee3\u306b\u521d\u4ee3\u4f1a\u9577\u3092\u52d9\u3081\u3089\u308c\u305f \u5ddd\u53c8\u514b\u4e8c\u3055\u3093\u304b\u3089 1990\u5e74\u4ee3\u521d\u982d\u306e5\u4ee3\u76ee\u4f1a\u9577\u4e45\u7c73\u8c4a\u3055\u3093\u307e\u3067\u306f\u3001\u7686\u3055\u30934\u5e74\u4ee5\u4e0a\u3001\u4f1a\u9577\u8077\u3092\u52d9\u3081\u3066\u3053\u3089\u308c\u307e\u3057\u305f\u3002\u6392\u30ac\u30b9\u898f\u5236\u3001\u30aa\u30a4\u30eb\u30b7\u30e7\u30c3\u30af\u3001\u8cbf\u6613\u6469\u64e6\u306a\u3069\u3001\u6570\u3005\u306e\u5371\u6a5f\u3092\u4e57\u308a\u8d8a\u3048\u3001\u5148\u9054\u304c\u81ea\u5de5\u4f1a\u306e\u790e\u3092\u7bc9\u304b\u308c\u305f\u3001\u307e\u3055\u306b\u5275\u696d\u671f\u3060\u3063\u305f\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>\u305d\u308c\u4ee5\u964d\u306f\u3001\u4f1a\u9577\u306e\u4efb\u671f\u304c\u77ed\u304f\u306a\u308a\u3001\u65e5\u7523\u3001\u30c8\u30e8\u30bf\u3001\u30db\u30f3\u30c0\u306e3\u793e\u306b\u3088\u308b\u6301\u3061\u56de\u308a\u304c\u5b9a\u7740\u3044\u305f\u3057\u307e\u3057\u305f\u3002\u305d\u3057\u3066\u3001CASE\u9769\u547d\u306b\u3088\u308a\u3001\u81ea\u52d5\u8eca\u696d\u754c\u304c\u300c100\u5e74\u306b\u4e00\u5ea6\u306e\u5927\u5909\u9769\u671f\u300d\u306b\u7a81\u5165\u3059\u308b\u4e2d\u3001\u79c1\u306f\u3001\u4e8c\u5ea6\u76ee\u306e\u4f1a\u9577\u306b\u5c31\u4efb\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u30b3\u30ed\u30ca\u5371\u6a5f\u3001\u30ab\u30fc\u30dc\u30f3\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u306a\u3069\u3001\u81ea\u52d5\u8eca\u7523\u696d\u306e\u69cb\u9020\u6539\u9769\u306b\u53d6\u308a\u7d44\u3080\u4e2d\u3067\u3001<br \/>\n<strong>\u300c\u81ea\u52d5\u8eca\u306f\u307f\u3093\u306a\u3067\u3084\u308b\u7523\u696d\u300d<\/strong><br \/>\n<strong>\u300c\u672a\u6765\u306f\u307f\u3093\u306a\u3067\u3064\u304f\u308b\u3082\u306e\u300d<\/strong><br \/>\n\u3044\u3064\u3057\u304b\u3001\u305d\u308c\u304c\u5408\u8a00\u8449\u3068\u306a\u308a\u3001<strong>\u300c\u30af\u30eb\u30de\u3092\u8d70\u3089\u305b\u308b550\u4e07\u4eba\u300d<\/strong>\u306e\u30c1\u30fc\u30e0\u304c\u3067\u304d\u305f\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5956\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c97-640x360.png\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c97-640x360.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c97-320x180.png 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c97-768x432.png 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c97-1536x864.png 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c97.png 1920w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>\u3088\u304f\u4f1a\u9577\u8077\u306f\u300c\u795e\u8f3f\u300d\u3060\u3068 \u8a00\u308f\u308c\u305f\u308a\u3044\u305f\u3057\u307e\u3059\u304c\u3001\u300c\u795e\u8f3f\u300d\u306e\u300c\u8f3f\u300d\u3068\u3044\u3046\u5b57\u306b\u306f\u3001\u30af\u30eb\u30de\u306e\u6587\u5b57\u304c\u5165\u3063\u3066\u304a\u308a\u307e\u3059\u3002\u62c5\u3050\u3079\u304d\u306f\u4f1a\u9577\u3067\u306f\u306a\u304f\u3001\u81ea\u52d5\u8eca\u7523\u696d\u305d\u306e\u3082\u306e\u3067\u3042\u308b\u3002\u305d\u3093\u306a\u60f3\u3044\u3067\u3001\u79c1\u3082 \u4ef2\u9593\u3068\u4e00\u7dd2\u306b\u306a\u3063\u3066\u3001\u300c550\u4e07\u4eba\u300d\u306e \u300c\u795e\u8f3f\u300d\u3092\u62c5\u3044\u3067\u307e\u3044\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>\u6628\u5e74\u306e\u30b8\u30e3\u30d1\u30f3\u30e2\u30d3\u30ea\u30c6\u30a3\u30b7\u30e7\u30fc\u3067\u306f\u3001\u81ea\u52d5\u8eca\u696d\u754c\u306e\u67a0\u3092\u8d8a\u3048\u3066\u591a\u304f\u306e\u4ef2\u9593\u304c\u3001<br \/>\n<strong>\u300c\u4e57\u308a\u305f\u3044\u672a\u6765\u3092\u63a2\u3057\u306b\u3044\u3053\u3046\uff01\u300d<\/strong><br \/>\n\u3068\u3044\u3046\u30e1\u30c3\u30bb\u30fc\u30b8\u3092\u767a\u4fe1\u3057\u3066\u304f\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u305d\u3057\u3066\u3001\u8fce\u3048\u305f2024\u5e74\u3002\u5bcc\u58eb\u30b9\u30d4\u30fc\u30c9\u30a6\u30a7\u30a4\u3067\u306e\u521d\u65e5\u306e\u51fa\u3002\u30cb\u30e5\u30fc\u30a4\u30e4\u30fc\u99c5\u4f1d\u30678\u5e74\u3076\u308a\u306e\u512a\u52dd\u3002\u559c\u3093\u3060\u306e\u3082\u675f\u306e\u9593\u3001\u80fd\u767b\u534a\u5cf6\u3067\u306e\u5927\u5730\u9707\u306b\u3088\u308a\u3001\u6df1\u3044\u60b2\u3057\u307f\u304b\u3089\u306e\u30b9\u30bf\u30fc\u30c8\u306b\u306a\u308a\u307e\u3057\u305f\u300213\u5e74\u524d\u3001\u6771\u65e5\u672c\u5927\u9707\u707d\u306e\u6642\u306b\u88ab\u707d\u5730\u306e\u65b9\u304b\u3089\u639b\u3051\u3066\u3044\u305f\u3060\u3044\u305f\u8a00\u8449\u304c\u3001\u79c1\u306e\u8133\u88cf\u306b\u8607\u308a\u307e\u3057\u305f\u3002<br \/>\n<strong>\u300c\u5143\u6c17\u306a\u5730\u57df\u3001\u4f1a\u793e\u306e\u4eba\u305f\u3061\u304c \u88ab\u707d\u3057\u305f\u5730\u57df\u306e\u5206\u307e\u3067\u9811\u5f35\u3063\u3066\u3001 \u65e5\u672c\u3092\u652f\u3048\u3066\u304f\u3060\u3055\u3044\u300d<\/strong><\/p>\n<p>\u4eca\u306e\u65e5\u672c\u306b\u306f\u3001550\u4e07\u4eba\u306e\u5f37\u304f\u3066\u3001\u305f\u304f\u307e\u3057\u3044\u73fe\u5834\u304c\u3042\u308a\u307e\u3059\u3002\u88ab\u707d\u3055\u308c\u305f\u65b9\u3005\u304c\u3001\u4e00\u65e5\u3082\u65e9\u304f\u3001\u65e5\u5e38\u3068\u7b11\u9854\u3092\u53d6\u308a\u623b\u305b\u308b\u3088\u3046\u3001550\u4e07\u4eba\u306e\u4ef2\u9593\u3068\u3068\u3082\u306b\u3001\u79c1\u81ea\u8eab\u3082\u52d5\u3044\u3066\u307e\u3044\u308a\u307e\u3059\u3002\u4eca\u3053\u305d\u3001\u5bfe\u7acb\u3084\u5206\u65ad\u3001\u4e89\u3044\u3084\u8ab9\u8b17\u4e2d\u50b7\u3092\u3084\u3081\u3066\u3001\u304a\u4e92\u3044\u306b\u52a9\u3051\u5408\u3044\u3001\u7b11\u9854\u3067\u300c\u3042\u308a\u304c\u3068\u3046\u300d\u3068\u8a00\u3044\u5408\u3046\u3002\u305d\u3093\u306a\u5927\u4eba\u306e\u59ff\u3092\u898b\u305b\u308b\u6642\u3060\u3068\u601d\u3044\u307e\u3059\u3002<br \/>\n\u4eca\u5e74\u306f\u3001\u9707\u707d\u304b\u3089\u306e\u5fa9\u8208\u306b\u52a0\u3048\u3001\u7269\u6d41\u306e2024\u5e74\u554f\u984c\u306a\u3069\u3001\u50cd\u304d\u65b9\u304c\u554f\u308f\u308c\u308b\u5e74\u3067\u3082\u3042\u308a\u307e\u3059\u3002<br \/>\n\u3044\u305a\u308c\u3082\u3001\u305d\u306e\u89e3\u6c7a\u306b\u5411\u3051\u3066\u306f\u3001\u81ea\u5206\u4ee5\u5916\u306e\u8ab0\u304b\u3092\u60f3\u3046\u300c\u512a\u3057\u3055\u300d\u304c\u5927\u5207\u306b\u306a\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5957\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c99-640x360.png\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c99-640x360.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c99-320x180.png 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c99-768x432.png 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c99-1536x864.png 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/\u30b9\u30e9\u30a4\u30c99.png 1920w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>\u300c\u512a\u300d\u3057\u3044\u3068\u3044\u3046\u5b57\u306f\u300c\u4eba\u3092100\u56de\u611b\u3059\u308b\u300d\u3068\u66f8\u304d\u307e\u3059\u3002\u540c\u3058\u65e5\u672c\u306b\u3001\u540c\u3058\u5730\u7403\u306b\u751f\u304d\u308b\u4eba\u305f\u3061\u3078\u306e\u611b\u3001\u3053\u308c\u304b\u3089\u751f\u307e\u308c\u3066\u304f\u308b\u5b50\u4f9b\u305f\u3061\u3078\u306e\u611b\u3002\u305d\u3093\u306a\u611b\u304c\u3042\u3075\u308c\u308b\u5e74\u3068\u306a\u308a\u307e\u3059\u3053\u3068\u3092\u7948\u5ff5\u3044\u305f\u3057\u307e\u3057\u3066\u3001\u79c1\u306e\u6328\u62f6\u3068\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n<h3>\u25a0\u4f1a\u9577\u3000\u7247\u5c71 \u6b63\u5247<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5934\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-scaled.jpg 2560w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-540x360.jpg 540w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-768x512.jpg 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-1536x1024.jpg 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/h3>\n<p>\u529b\u5f37\u304f\u3001\u307e\u305f\u611b\u306e\u3042\u308b\u304a\u8a00\u8449\u3092\u3044\u305f\u3060\u304d\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<br \/>\n\u8c4a\u7530\u524d\u4f1a\u9577\u304b\u3089\u78ba\u304b\u306b<strong>\u300c\u30bf\u30b9\u30ad\u300d<\/strong>\u3092\u53d7\u3051\u53d6\u308a\u307e\u3057\u305f\u3002<\/p>\n<p>\u4eca\u5f8c\u79c1\u305f\u3061\u306f\u81ea\u52d5\u8eca\u4ee5\u5916\u306e\u69d8\u3005\u306a\u7523\u696d\u306e\u7686\u69d8\u3068\u3082\u624b\u3092\u643a\u3048\u3066\u3001\u5b98\u6c11\u306e\u30aa\u30fc\u30eb\u30b8\u30e3\u30d1\u30f3\u3067\u69d8\u3005\u306a\u8ab2\u984c\u3092\u89e3\u6c7a\u3057\u3001\u6301\u7d9a\u53ef\u80fd\u306a\u30e2\u30d3\u30ea\u30c6\u30a3\u306e\u672a\u6765\u3092\u7bc9\u3044\u3066\u307e\u3044\u308a\u307e\u3059\u306e\u3067\u3001\u5f15\u304d\u7d9a\u304d\u3054\u6307\u5c0e\u3001\u3054\u97ad\u64bb\u3092\u8cdc\u308a\u307e\u3059\u3088\u3046\u304a\u9858\u3044\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002<\/p>\n<p>\u6700\u5f8c\u306b\u3001\u672c\u65e5\u3054\u51fa\u5e2d\u306e\u7686\u3055\u307e\u65b9\u306e\u3001\u4eca\u5e74\uff11\u5e74\u306e\u3054\u6e05\u6804\u3092\u7948\u5ff5\u3044\u305f\u3057\u307e\u3057\u3066\u3001\u79c1\u304b\u3089\u306e\u3054\u6328\u62f6\u3068\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5937\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-scaled.jpg 2560w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-480x360.jpg 480w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-768x576.jpg 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-1536x1152.jpg 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<h3>\u25a0\u30d5\u30a9\u30c8\u30ae\u30e3\u30e9\u30ea\u30fc<\/h3>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 33%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-5933 gallery-columns-3 gallery-size-thumbnail'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5943'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4966-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4966-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4966-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5944'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4969-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5944\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4969-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4969-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5944'>\n\t\t\t\t(\u5de6\u304b\u3089)\u81ea\u5de5\u4f1a\u4f1a\u9577 \u7247\u5c71\u6b63\u5247\u3001\u90e8\u5de5\u4f1a\u6709\u99ac\u6d69\u4e8c\u4f1a\u9577\u3001\u8eca\u5de5\u4f1a\u5897\u4e95\u656c\u4e8c\u4f1a\u9577\u3001\u81ea\u6a5f\u5de5\u5c71\u7530\u52dd\u5df1\u7406\u4e8b\u9577\u3001\u81ea\u8ca9\u9023\u91d1\u5b50\u76f4\u5e79\u4f1a\u9577\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5946'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4980-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4980-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4980-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5947'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4983-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4983-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4983-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5945'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4971-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5945\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4971-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_4971-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5945'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u526f\u4f1a\u9577\u4e09\u90e8\u654f\u5b8f\u3001\u65e5\u9ad9\u7965\u535a\u3001\u5185\u7530\u8aa0\u3001\u9234\u6728\u4fca\u5b8f\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5937'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5937\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3334-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5937'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u4f1a\u9577 \u7247\u5c71\u6b63\u5247\n\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5948'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5007-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5948\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5007-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5007-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5948'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u4f1a\u9577 \u7247\u5c71\u6b63\u5247\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5936'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5936\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5006-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5936'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u4f1a\u9577 \u7247\u5c71\u6b63\u5247\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5934'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5934\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5000-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5934'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u4f1a\u9577 \u7247\u5c71\u6b63\u5247\n\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5938'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3338-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5938\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3338-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3338-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5938'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u524d\u4f1a\u9577 \u8c4a\u7530\u7ae0\u7537\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5939'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5013-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5939\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5013-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5013-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5939'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u524d\u4f1a\u9577 \u8c4a\u7530\u7ae0\u7537\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5940'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5022-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5940\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5022-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5022-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5940'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u524d\u4f1a\u9577 \u8c4a\u7530\u7ae0\u7537\n\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5935'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5935\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5024-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5935'>\n\t\t\t\t\u81ea\u5de5\u4f1a\u524d\u4f1a\u9577 \u8c4a\u7530\u7ae0\u7537\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5949'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5044-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5949\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5044-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5044-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5949'>\n\t\t\t\t\u7d4c\u6e08\u7523\u696d\u5927\u81e3\u653f\u52d9\u5b98 \u5409\u7530\u5ba3\u5f18\u6c0f\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5950'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5052-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5950\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5052-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5052-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5950'>\n\t\t\t\t\u7d4c\u6e08\u7523\u696d\u5927\u81e3\u653f\u52d9\u5b98 \u5409\u7530\u5ba3\u5f18\u6c0f\n\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5951'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5057-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5951\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5057-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5057-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5951'>\n\t\t\t\t\u56fd\u571f\u4ea4\u901a\u7701 \u7269\u6d41\u30fb\u81ea\u52d5\u8eca\u5c40\u9577 \u9db4\u7530\u6d69\u4e45 \u6c0f\u3000\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5952'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5058-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-5952\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5058-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_5058-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-5952'>\n\t\t\t\t\u56fd\u571f\u4ea4\u901a\u7701 \u7269\u6d41\u30fb\u81ea\u52d5\u8eca\u5c40\u9577 \u9db4\u7530\u6d69\u4e45 \u6c0f\u3000\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5941'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3331-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3331-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3331-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5942'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3332-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3332-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2024\/01\/IMG_3332-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl>\n\t\t\t<br style='clear: both' \/>\n\t\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>2024\u5e741\u67085\u65e5\u3001\u81ea\u52d5\u8eca\uff15\u56e3\u4f53\uff08\u81ea\u5de5\u4f1a\u3001\u90e8\u5de5\u4f1a\u3001\u8eca\u5de5\u4f1a\u3001\u81ea\u6a5f\u5de5\u3001\u81ea\u8ca9\u9023\uff09\u306b\u3088\u308b\u8cc0\u8a5e\u4ea4\u6b53\u4f1a\u304c\u90fd\u5185\u3067\u958b &#8230;<\/p>\n","protected":false},"author":1,"featured_media":5959,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[63,51,53],"class_list":["post-5933","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-63","tag-51","tag-53"],"_links":{"self":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/5933","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=5933"}],"version-history":[{"count":9,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/5933\/revisions"}],"predecessor-version":[{"id":5968,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/5933\/revisions\/5968"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/media\/5959"}],"wp:attachment":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}