{"id":6181,"date":"2024-02-09T14:22:39","date_gmt":"2024-02-09T05:22:39","guid":{"rendered":"https:\/\/blog.jama.or.jp\/?p=6181"},"modified":"2024-02-09T14:22:39","modified_gmt":"2024-02-09T05:22:39","slug":"%e3%82%b7%e3%83%bc%e3%82%ba%e3%83%b3%e5%88%b0%e6%9d%a5%ef%bc%81%e4%b9%97%e8%bb%8a%e6%99%82%e3%81%ae%e8%8a%b1%e7%b2%89%e5%af%be%e7%ad%96","status":"publish","type":"post","link":"https:\/\/blog.jama.or.jp\/?p=6181","title":{"rendered":"\u30b7\u30fc\u30ba\u30f3\u5230\u6765\uff01\u4e57\u8eca\u6642\u306e\u82b1\u7c89\u5bfe\u7b56"},"content":{"rendered":"

\u4eca\u5e74\u3082\u82b1\u7c89\u30b7\u30fc\u30ba\u30f3\u304c\u5230\u6765\u3057\u307e\u3057\u305f\u3002\u6625\u5148\u306e\u30b9\u30ae\u3084\u30d2\u30ce\u30ad\u306e\u98db\u6563\u91cf\u306f\u7279\u306b\u591a\u3044\u3068\u8a00\u308f\u308c\u307e\u3059\u304c\u3001\u590f\u304b\u3089\u79cb\u306b\u304b\u3051\u3066\u3082\u30d6\u30bf\u30af\u30b5\u3084\u30e8\u30e2\u30ae\u306e\u82b1\u7c89\u304c\u98db\u3073\u307e\u3059\u3002\u82b1\u7c89\u75c7\u306e\u3064\u3089\u3044\u75c7\u72b6\u306f\u96c6\u4e2d\u529b\u3092\u843d\u3068\u3057\u3001\u904b\u8ee2\u306e\u59a8\u3052\u306b\u306a\u308a\u304b\u306d\u307e\u305b\u3093\u3002\u30ab\u30fc\u30a8\u30a2\u30b3\u30f3\u3084\u30ab\u30fc\u7528\u54c1\u3092\u3046\u307e\u304f\u4f7f\u3044\u3001\u82b1\u7c89\u30b7\u30fc\u30ba\u30f3\u3092\u4e57\u308a\u8d8a\u3048\u307e\u3057\u3087\u3046\u3002<\/p>\n

\u4e57\u8eca\u4e2d\u306e\u82b1\u7c89\u5bfe\u7b56\u306e\u57fa\u672c\u306f\u5927\u304d\u304f\u5206\u3051\u3066\uff13\u3064\u3042\u308a\u307e\u3059\u3002\uff11\u3064\u76ee\u306f\u82b1\u7c89\u3092\u8eca\u5185\u306b\u6301\u3061\u8fbc\u307e\u306a\u3044\u3053\u3068\u3067\u3059\u3002\u8eca\u306b\u4e57\u308b\u3068\u304d\u306f\u3001\u8863\u985e\u306b\u3064\u3044\u305f\u82b1\u7c89\u3092\u6255\u3044\u843d\u3068\u3057\u307e\u3057\u3087\u3046\u3002\u82b1\u7c89\u306e\u4ed8\u304d\u306b\u304f\u3044\u7d20\u6750\u306e\u8863\u985e\u3092\u9078\u3076\u3053\u3068\u3082\u826f\u3044\u3067\u3057\u3087\u3046\u3002\u7d20\u6750\u306e\u4e2d\u3067\u6700\u3082\u82b1\u7c89\u304c\u4ed8\u304d\u3084\u3059\u3044\u7d20\u6750\u306f\u30a6\u30fc\u30eb\u3060\u305d\u3046\u3067\u3059\u3002\u9006\u306b\u3001\u7dbf\u3084\u30dd\u30ea\u30a8\u30b9\u30c6\u30eb\u306a\u3069\u306e\u5316\u5b66\u7e4a\u7dad\u306f\u6bd4\u8f03\u7684\u3001\u82b1\u7c89\u304c\u4ed8\u7740\u3057\u306b\u304f\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\uff12\u3064\u76ee\u306e\u5bfe\u7b56\u306f\u3001\u82b1\u7c89\u3092\u8eca\u5185\u306b\u53d6\u308a\u8fbc\u307e\u306a\u3044\u3053\u3068\u3067\u3059\u3002\u4e57\u8eca\u6642\u306f\u7a93\u3092\u9589\u3081\u3066\u3044\u3066\u3082\u3001\u30a8\u30a2\u30b3\u30f3\u304c\u5916\u6c17\u4e2d\u306e\u82b1\u7c89\u3092\u5438\u3044\u3053\u3093\u3067\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u30a8\u30a2\u30b3\u30f3\u306f\u5185\u6c17\u5faa\u74b0\u306b\u3057\u3001\u5916\u306e\u7a7a\u6c17\u304c\u5165\u3089\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3057\u3087\u3046\u3002\u5185\u6c17\u5faa\u74b0\u306b\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u8eca\u5185\u306b\u5165\u308a\u8fbc\u3093\u3060\u82b1\u7c89\u3082\u30d5\u30a3\u30eb\u30bf\u30fc\u304c\u9664\u53bb\u3057\u3066\u304f\u308c\u308b\u306e\u3067\u3001\u8eca\u5185\u306e\u7a7a\u6c17\u3092\u3088\u308a\u6e05\u6d44\u306b\u4fdd\u3064\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n

\"\"\u30ab\u30fc\u30a8\u30a2\u30b3\u30f3\u306f\u5185\u6c17\u5faa\u74b0\u304c\u57fa\u672c<\/span><\/span><\/p>\n

\"\"\u30a8\u30a2\u30b3\u30f3\u30d5\u30a3\u30eb\u30bf\u30fc\u306e\u50cd\u304d<\/span><\/span><\/p>\n

\u30a8\u30a2\u30b3\u30f3\u306e\u30d5\u30a3\u30eb\u30bf\u30fc\u306f\u3001\u6392\u51fa\u30ac\u30b9\u3084\u305f\u3070\u3053\u306a\u3069\u306e\u81ed\u3044\u3092\u5438\u53ce\u3057\u305f\u308a\u3001\u82b1\u7c89\u3084\u307b\u3053\u308a\u3092\u9664\u53bb\u3057\u305f\u308a\u3059\u308b\u5f79\u5272\u304c\u3042\u308a\u307e\u3059\u3002\u6c5a\u308c\u304c\u305f\u307e\u308b\u3068\u76ee\u8a70\u307e\u308a\u3057\u3001\u52b9\u679c\u304c\u843d\u3061\u3066\u3057\u307e\u3046\u306e\u3067\u3001\u5b9a\u671f\u7684\u306a\u4ea4\u63db\u3092\u5fc3\u639b\u3051\u307e\u3057\u3087\u3046\u3002<\/p>\n

\"\"\u30d5\u30a3\u30eb\u30bf\u30fc\u306f\u5b9a\u671f\u7684\u306a\u4ea4\u63db\u3092<\/span><\/span><\/p>\n

\uff13\u3064\u76ee\u306f\u6e05\u6383\u3067\u82b1\u7c89\u3092\u9664\u53bb\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u8eca\u5185\u306b\u5165\u308a\u8fbc\u3093\u3060\u82b1\u7c89\u306f\u3001\u6642\u9593\u304c\u7d4c\u3064\u3068\u3001\u30c0\u30c3\u30b7\u30e5\u30dc\u30fc\u30c9\u306a\u3069\u306e\u8868\u9762\u306b\u843d\u3061\u307e\u3059\u3002\u82b1\u7c89\u304c\u821e\u3044\u4e0a\u304c\u3089\u306a\u3044\u3088\u3046\u3001\u30a6\u30a8\u30c3\u30c8\u30c6\u30a3\u30c3\u30b7\u30e5\u306a\u3069\u3067\u3075\u304d\u53d6\u308a\u307e\u3057\u3087\u3046\u3002\u30b7\u30fc\u30c8\u306a\u3069\u306e\u5e03\u7d20\u6750\u306e\u90e8\u5206\u306f\u3001\u6383\u9664\u6a5f\u3092\u304b\u3051\u305f\u308a\u3001\u7c98\u7740\u30af\u30ea\u30fc\u30ca\u30fc\u3067\u53d6\u308a\u9664\u3044\u305f\u308a\u3059\u308b\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n

\u30ab\u30fc\u7528\u54c1\u5e97\u306b\u884c\u304f\u3068\u3001\u82b1\u7c89\u30b7\u30fc\u30ba\u30f3\u306b\u5f79\u7acb\u3064\u7528\u54c1\u304c\u3044\u308d\u3044\u308d\u3068\u305d\u308d\u3063\u3066\u3044\u307e\u3059\u3002\u82b1\u7c89\u306e\u5b63\u7bc0\u306f\u5916\u51fa\u5148\u3067\u3082\u5bfe\u7b56\u3092\u884c\u3048\u308b\u3088\u3046\u3001\u300c\u8eca\u8f09\u53ef\u80fd\u306a\u30a2\u30a4\u30c6\u30e0\u304c\u4eba\u6c17\u300d\uff08\u30ab\u30fc\u7528\u54c1\u5e97\u62c5\u5f53\u8005\uff09\u3068\u8a00\u3044\u307e\u3059\u3002<\/p>\n

\u8eca\u5185\u306e\u7a7a\u6c17\u304b\u3089\u82b1\u7c89\u3092\u9664\u53bb\u3059\u308b\u30d5\u30a3\u30eb\u30bf\u30fc\u985e\u306b\u306f\u3001\u30a8\u30a2\u30b3\u30f3\u7528\u30d5\u30a3\u30eb\u30bf\u30fc\u306e\u307b\u304b\u306b\u3001\u8eca\u8f09\u7528\u306e\u7a7a\u6c17\u6e05\u6d44\u6a5f\u304c\u3042\u308a\u307e\u3059\u3002\u7a7a\u6c17\u6e05\u6d44\u6a5f\u306f\u3001\u8eca\u5185\u3092\u6d6e\u904a\u3059\u308b\u82b1\u7c89\u3092\u5438\u53ce\u3057\u3001\u7a7a\u6c17\u3092\u304d\u308c\u3044\u306b\u4fdd\u3064\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u5f62\u72b6\u306f\u3055\u307e\u3056\u307e\u3067\u3059\u304c\u3001\u30c9\u30ea\u30f3\u30af\u30db\u30eb\u30c0\u30fc\u306b\u53ce\u307e\u308a\u3001\u30b7\u30ac\u30fc\u30e9\u30a4\u30bf\u30fc\u30bd\u30b1\u30c3\u30c8\u306b\u63a5\u7d9a\u3059\u308b\u3060\u3051\u3067\u4f7f\u3048\u308b\u30bf\u30a4\u30d7\u304c\u4eba\u6c17\u3060\u305d\u3067\u3046\u3059\u3002\u307e\u305f\u3001\u30a4\u30aa\u30f3\u3092\u767a\u751f\u3057\u3001\u6d88\u81ed\u3084\u6297\u83cc\u30fb\u6297\u30a6\u30a4\u30eb\u30b9\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u30bf\u30a4\u30d7\u306f\u3001\u8eca\u5185\u306e\u5feb\u9069\u6027\u3092\u3055\u3089\u306b\u9ad8\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n

\"\"\u30c9\u30ea\u30f3\u30af\u30db\u30eb\u30c0\u30fc\u53ce\u7d0d\u30bf\u30a4\u30d7\u306e\u7a7a\u6c17\u6e05\u6d44\u6a5f<\/span><\/span><\/p>\n

\u30b7\u30fc\u30c8\u3084\u30d5\u30ed\u30a2\u30de\u30c3\u30c8\u306b\u4ed8\u7740\u3057\u305f\u82b1\u7c89\u3092\u3001\u52b9\u7387\u3088\u304f\u9664\u53bb\u3059\u308b\u7528\u5177\u3082\u3042\u308a\u307e\u3059\u3002\u4e2d\u3067\u3082\u3001\u30b7\u30fc\u30c8\u306e\u3059\u304d\u9593\u306a\u3069\u3001\u624b\u304c\u5c4a\u304d\u306b\u304f\u3044\u5834\u6240\u3092\u6383\u9664\u3067\u304d\u308b\u30cf\u30f3\u30c7\u30a3\u30e2\u30c3\u30d7\u306f\u3001\u300c\u82b1\u7c89\u30b7\u30fc\u30ba\u30f3\u306b\u58f2\u308c\u884c\u304d\u304c\u4f38\u3073\u308b\u300d\uff08\u30ab\u30fc\u7528\u54c1\u5e97\u62c5\u5f53\u8005\uff09\u3068\u3044\u3044\u307e\u3059\u3002\u30e2\u30c3\u30d7\u90e8\u306b\u5438\u7740\u6027\u306e\u9ad8\u3044\u7d20\u6750\u3092\u4f7f\u7528\u3057\u3001\u52b9\u679c\u7684\u306b\u82b1\u7c89\u3092\u9664\u53bb\u3067\u304d\u307e\u3059\u3002\u6298\u308a\u7573\u307f\u5f0f\u306a\u3069\u3001\u53ce\u7d0d\u6027\u3082\u517c\u306d\u5099\u3048\u305f\u3082\u306e\u3082\u3042\u308a\u3001\u8eca\u5185\u3067\u3082\u90aa\u9b54\u306b\u306a\u308a\u307e\u305b\u3093\u3002\u98a8\u306e\u529b\u3067\u82b1\u7c89\u3092\u6392\u9664\u3059\u308b\u30d6\u30ed\u30a2\u30fc\u306a\u3069\u3068\u7d44\u307f\u5408\u308f\u305b\u308c\u3070\u3001\u52b9\u7387\u3088\u304f\u6383\u9664\u3067\u304d\u307e\u3059\u3002<\/p>\n

\"\"\u624b\u304c\u5c4a\u304d\u306b\u304f\u3044\u5834\u6240\u3082\u6383\u9664\u3067\u304d\u308b\u30cf\u30f3\u30c7\u30a3\u30e2\u30c3\u30d7<\/span><\/span><\/p>\n

\u82b1\u7c89\u306e\u30b7\u30fc\u30ba\u30f3\u306f\u3001\u8eca\u5185\u306b\u82b1\u7c89\u3092\u53d6\u308a\u5165\u308c\u306a\u3044\u305f\u3081\u306b\u3082\u3001\u30dc\u30c7\u30a3\u8868\u9762\u3092\u307e\u3081\u306b\u304d\u308c\u3044\u306b\u3057\u3066\u304a\u304f\u3053\u3068\u3082\u5927\u5207\u3067\u3059\u3002\u5916\u51fa\u5148\u3067\u3082\u6d17\u8eca\u3067\u304d\u308b\u643a\u5e2f\u30b7\u30e3\u30ef\u30fc\u3084\u3001\u30df\u30e9\u30fc\u306a\u3069\u3092\u697d\u306b\u6d17\u6d44\u3067\u304d\u308b\u6d17\u8eca\u30b0\u30ed\u30fc\u30d6\u304c\u4fbf\u5229\u3067\u3059\u3002\u82b1\u7c89\u306f\u96e8\u306a\u3069\u3067\u4e00\u65e6\u6c34\u3092\u542b\u3093\u3067\u4e7e\u71e5\u3059\u308b\u3068\u3001\u30dc\u30c7\u30a3\u8868\u9762\u306b\u56fa\u7740\u3057\u3001\u901a\u5e38\u306e\u30b7\u30e3\u30f3\u30d7\u30fc\u3067\u306f\u3001\u306a\u304b\u306a\u304b\u843d\u3068\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u3002\u82b1\u7c89\u7528\u306b\u7279\u5316\u3057\u305f\u30b7\u30e3\u30f3\u30d7\u30fc\u306f\u3001\u6d17\u6d44\u6027\u80fd\u3092\u9ad8\u3081\u305f\u6eb6\u5264\u3092\u4f7f\u7528\u3057\u3066\u304a\u308a\u3001\u82b1\u7c89\u3092\u7c21\u5358\u306b\u6d17\u3044\u6d41\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n

\"\"
\n\u5916\u51fa\u5148\u3067\u4f7f\u3048\u308b\u643a\u5e2f\u30b7\u30e3\u30ef\u30fc<\/span><\/span><\/p>\n

\"\"\u6d17\u8eca\u30b0\u30ed\u30fc\u30d6<\/span><\/span><\/p>\n

\"\"\u82b1\u7c89\u7528\u30ab\u30fc\u30b7\u30e3\u30f3\u30d7\u30fc<\/span><\/span><\/p>\n

\u82b1\u7c89\u3060\u3051\u3067\u306a\u304f\u3001\u30c1\u30ea\u3084\u307b\u3053\u308a\u3001\u30ab\u30d3\u306a\u3069\u304c\u30a2\u30ec\u30eb\u30ae\u30fc\u75c7\u72b6\u306e\u539f\u56e0\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u82b1\u7c89\u30b7\u30fc\u30ba\u30f3\u306b\u9650\u3089\u305a\u3001\u8eca\u5185\u3092\u5e38\u306b\u6e05\u6f54\u306b\u4fdd\u3061\u3001\u30ab\u30fc\u30e9\u30a4\u30d5\u3092\u5feb\u9069\u306b\u904e\u3054\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

\u4eca\u5e74\u3082\u82b1\u7c89\u30b7\u30fc\u30ba\u30f3\u304c\u5230\u6765\u3057\u307e\u3057\u305f\u3002\u6625\u5148\u306e\u30b9\u30ae\u3084\u30d2\u30ce\u30ad\u306e\u98db\u6563\u91cf\u306f\u7279\u306b\u591a\u3044\u3068\u8a00\u308f\u308c\u307e\u3059\u304c\u3001\u590f\u304b\u3089\u79cb\u306b\u304b\u3051 …<\/p>\n","protected":false},"author":1,"featured_media":6182,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[28,46],"class_list":["post-6181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-jamagazine","tag-46"],"_links":{"self":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/6181","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=6181"}],"version-history":[{"count":7,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/6181\/revisions"}],"predecessor-version":[{"id":6197,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/6181\/revisions\/6197"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=\/wp\/v2\/media\/6182"}],"wp:attachment":[{"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.jama.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}