{"id":6328,"date":"2024-03-08T13:34:30","date_gmt":"2024-03-08T04:34:30","guid":{"rendered":"https:\/\/blog.jama.or.jp\/?p=6328"},"modified":"2024-03-13T16:11:14","modified_gmt":"2024-03-13T07:11:14","slug":"%e8%b2%a1%e5%9b%a3","status":"publish","type":"post","link":"https:\/\/blog.jama.or.jp\/?p=6328","title":{"rendered":"\u3088\u308a\u826f\u3044\u793e\u4f1a\u3065\u304f\u308a\u306b\u8ca2\u732e\u3000\u81ea\u52d5\u8eca\u30e1\u30fc\u30ab\u30fc\u306e\u8ca1\u56e3\u6d3b\u52d5"},"content":{"rendered":"

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\u30b9\u30ba\u30ad\u8ca1\u56e3<\/strong>
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2020\u5e74\u5ea6\u306b\u306f\u3001\u8ca1\u56e3\u8a2d\u7acb40\u5468\u5e74\u3092\u8a18\u5ff5\u3057\u3001\u512a\u308c\u305f\u529f\u7e3e\u3092\u4e0a\u3052\u305f\u7814\u7a76\u8005\u30fb\u958b\u767a\u8005\u3092\u6bce\u5e74\u9855\u5f70\u3059\u308b\u300c\u3084\u3089\u307e\u3044\u304b\u5927\u8cde\u300d\u3068\u3001\u904e\u53bb\u306b\u8ca1\u56e3\u304c\u52a9\u6210\u3057\u305f\u7814\u7a76\u306e\u6210\u679c\u3092\u57fa\u306b\u3001\u9855\u8457\u306a\u529f\u7e3e\u3092\u6319\u3052\u305f\u7814\u7a76\u8005\u3092\u9855\u5f70\u3059\u308b\u300c\u3084\u3089\u307e\u3044\u304b\u7279\u5225\u8cde\u300d\u3092\u5275\u8a2d\u3057\u307e\u3057\u305f\u3002\u300c\u3084\u3089\u307e\u3044\u304b\u300d\u3068\u3044\u3046\u8a00\u8449\u306b\u306f\u3001\u9759\u5ca1\u770c\u897f\u90e8\u306e\u65b9\u8a00\u3067\u3001\u300c\u3068\u306b\u304b\u304f\u3084\u3063\u3066\u307f\u3088\u3046\u300d\u3068\u3044\u3046\u610f\u5473\u304c\u3042\u308a\u307e\u3059\u3002\u300c\u3042\u308c\u3053\u308c\u8003\u3048\u60a9\u3080\u3088\u308a\u3001\u307e\u305a\u884c\u52d5\u3057\u3088\u3046\u300d\u3068\u3044\u3046\u9060\u5dde\u4eba\u3068\u3057\u3066\u306e\u9032\u53d6\u306e\u7cbe\u795e\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002\u8ca1\u56e3\u3067\u306f\u6280\u8853\u8005\u4ea4\u6d41\u4f1a\u306a\u3069\u306e\u6d3b\u52d5\u3082\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n

\"\"\u30b9\u30ba\u30ad\u8ca1\u56e3\u300c\u7b2c\uff14\u56de\u3084\u3089\u307e\u3044\u304b\u5927\u8cde\u30fb\u7279\u5225\u8cde\u3001\u304a\u3088\u30732023\u5e74\u5ea6\u7814\u7a76\u52a9\u6210\u300d\u8d08\u5448\u5f0f\uff0824\u5e742\u6708\uff09<\/span><\/span><\/p>\n

\"\"\u7b2c4\u56de\u3084\u3089\u307e\u3044\u304b\u5927\u8cde\u30fb\u7279\u5225\u8cde\u306e\u53d7\u8cde\u8005\u3068\u9234\u6728\u4fca\u5b8f\u7406\u4e8b\u9577\uff08\u53f3\uff09\u3001\u9234\u6728\u4fee\u9867\u554f\uff08\u5de6\uff09<\/span><\/span><\/p>\n

\u30c8\u30e8\u30bf\u8ca1\u56e3<\/strong>
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\"\"\u30c8\u30e8\u30bf\u8ca1\u56e3\u300023\u5e74\u5ea6\u52a9\u6210\u91d1\u8d08\u5448\u5f0f<\/span><\/span><\/p>\n

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\u65e5\u7523\u8ca1\u56e3<\/strong>
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\"\"\u65e5\u7523\u8ca1\u56e3\u300c\u7406\u79d1\u6559\u80b2\u8cde\u30fb\u30ea\u30ab\u30b8\u30e7\u80b2\u6210\u8cde\u8d08\u5448\u5f0f\u300d\uff0823\u5e74\uff18\u6708\uff09<\/span><\/span><\/p>\n

\"\"\u65e5\u7523\u8ca1\u56e3\u300c\u672a\u6765\u306e\u30ea\u30fc\u30c0\u30fc\u6559\u5ba4\u30fb\u5c55\u958b\u7de8\u300d\uff0823\u5e74\uff18\u6708\uff09<\/span><\/span><\/p>\n

\u672c\u7530\u8ca1\u56e3<\/strong>
\n\u672c\u7530\u8ca1\u56e3<\/a>\uff08\u77f3\u7530\u5bdb\u4eba\u7406\u4e8b\u9577\uff09\u306f\u30011977\u5e7412\u6708\u3001\u672c\u7530\u5b97\u4e00\u90ce\u6c0f\u3068\u3001\u305d\u306e\u5f1f\u30fb\u5f01\u4e8c\u90ce\u6c0f\u306e\u5bc4\u4ed8\u91d1\u306b\u3088\u3063\u3066\u8a2d\u7acb\u3055\u308c\u307e\u3057\u305f\u3002\u672c\u7530\u6280\u7814\u5de5\u696d\u306f\u3001\u4ea4\u901a\u5b89\u5168\u3078\u306e\u53d6\u308a\u7d44\u307f\u3092\u76ee\u7684\u306b\u300170\u5e74\u306b\u300c\u30db\u30f3\u30c0\u5b89\u5168\u904b\u8ee2\u666e\u53ca\u672c\u90e8\u300d\u3092\u767a\u8db3\u3055\u305b\u300174\u5e74\u306b\u306f\u3001\u793e\u4f1a\u7684\u306a\u5e83\u304c\u308a\u3092\u76ee\u6307\u3057\u3001\u300c\u672c\u7530\u85e4\u6ca2\u8a18\u5ff5\u8ca1\u56e3\u56fd\u969b\u4ea4\u901a\u5b89\u5168\u5b66\u4f1a\uff08IATSS\uff09\u300d\u3092\u8a2d\u7acb\u3057\u307e\u3057\u305f\u300276\u5e74\u306b\u306fIATSS\u304c\u56fd\u969b\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0\u300c\u30c7\u30a3\u30b9\u30ab\u30d0\u30ea\u30fc\u30ba\uff08DISCOVERIES\uff09\u300d\u3092\u958b\u50ac\u3001\u305d\u306e\u53cd\u97ff\u306f\u5927\u304d\u304f\u3001\u7d99\u7d9a\u7684\u306a\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0\u306e\u958b\u50ac\u304c\u6c42\u3081\u3089\u308c\u305f\u3053\u3068\u304b\u3089\u3001\u30c7\u30a3\u30b9\u30ab\u30d0\u30ea\u30fc\u30ba\u306e\u904b\u55b6\u6bcd\u4f53\u3068\u3057\u3066\u3001\u672c\u7530\u8ca1\u56e3\u304c\u8a2d\u7acb\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u30c7\u30a3\u30b9\u30ab\u30d0\u30ea\u30fc\u30ba\u3067\u306f\u3001\u5730\u7403\u304c\u62b1\u3048\u308b\u8ab2\u984c\u3068\u305d\u306e\u89e3\u6c7a\u306e\u65b9\u5411\u6027\u306e\u8b70\u8ad6\u304c\u884c\u308f\u308c\u300179\u5e74\u306b\u306f\u30a8\u30b3\u30ed\u30b8\u30fc\u304b\u3089\u60f3\u8d77\u3055\u308c\u308b\u5730\u7403\u306b\u3084\u3055\u3057\u3044\u3068\u3044\u3046\u9650\u5b9a\u7684\u306a\u610f\u5473\u5408\u3044\u3092\u8d85\u3048\u3001\u5e38\u306b\u300c\u4eba\u9593\u300d\u3092\u5927\u5207\u306b\u3057\u300c\u81ea\u7136\u74b0\u5883\u300d\u3068\u300c\u4eba\u9593\u74b0\u5883\u300d\u306e\u4e21\u65b9\u3068\u306e\u8abf\u548c\u3092\u76ee\u6307\u3059\u79d1\u5b66\u6280\u8853\u54f2\u5b66\u300c\u30a8\u30b3\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u300d\u3092\u63d0\u5531\u3002\u7b2c4\u56de\u300c\u30c7\u30a3\u30b9\u30ab\u30d0\u30ea\u30fc\u30ba\u56fd\u969b\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 \u30b9\u30c8\u30c3\u30af\u30db\u30eb\u30e01979\u300d\u306b\u304a\u3044\u3066\u3001\u300c\u30c7\u30a3\u30b9\u30ab\u30d0\u30ea\u30fc\u30ba\u5ba3\u8a00\u300d\u3092\u767a\u8868\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u5ba3\u8a00\u306b\u57fa\u3065\u304d\u300180\u5e74\u306b\u306f\u56fd\u969b\u8912\u7ae0\u300c\u672c\u7530\u8cde\u300d\u3092\u5275\u8a2d\u3057\u30012006\u5e74\u306b\u306f\u3001\u8ca1\u56e3\u8a2d\u7acb30\u5468\u5e74\u8a18\u5ff5\u4e8b\u696d\u3068\u3057\u3066\u3001\u30a2\u30b8\u30a2\u5404\u56fd\u306e\u512a\u79c0\u306a\u7406\u5de5\u7cfb\u306e\u5b66\u751f\u3092\u5bfe\u8c61\u3068\u3057\u305f\u300cY-E-S\u5968\u52b1\u8cde\u300d\u304c\u30b9\u30bf\u30fc\u30c8\u3057\u307e\u3057\u305f\u3002<\/p>\n

\"\"\u672c\u7530\u8ca1\u56e3\u300123\u5e74\u5ea6\u672c\u7530\u8cde\u8d08\u5448\u5f0f\u3067\u306e\u8a18\u5ff5\u8b1b\u6f14\uff0823\u5e7411\u6708\uff09<\/span><\/span><\/p>\n

\"\"\u672c\u7530\u8ca1\u56e3\u3001Y-E-S\u5968\u52b1\u8cde<\/span><\/span><\/p>\n

\u30de\u30c4\u30c0\u8ca1\u56e3<\/strong>
\n\u30de\u30c4\u30c0\u8ca1\u56e3<\/a>\uff08\u83d6\u84b2\u7530\u6e05\u5b5d\u7406\u4e8b\u9577\uff09\u306f\u3001\u4e16\u754c\u306e\u4eba\u3005\u304c\u5171\u306b\u7e41\u6804\u3092\u5206\u304b\u3061\u5408\u3044\u3001\u5fc3\u8c4a\u304b\u306b\u751f\u304d\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u793e\u4f1a\u3065\u304f\u308a\u3092\u76ee\u6307\u3057\u30011984\u5e7410\u6708\u306b\u8a2d\u7acb\u3055\u308c\u305f\u8ca1\u56e3\u3067\u3059\u3002\u300e\u79d1\u5b66\u6280\u8853\u306e\u632f\u8208\u300f\u3068\u300e\u9752\u5c11\u5e74\u306e\u5065\u5168\u80b2\u6210\u300f\u306e\uff12\u672c\u3092\u67f1\u306b\u4e8b\u696d\u3092\u5c55\u958b\u3057\u3066\u3044\u307e\u3059\u3002\uff11\u3064\u76ee\u306e\u300e\u79d1\u5b66\u6280\u8853\u306e\u632f\u8208\u300f\u3067\u306f\u3001\u57fa\u790e\u7814\u7a76\u304a\u3088\u3073\u5fdc\u7528\u7814\u7a76\u306b\u5bfe\u3059\u308b\u7814\u7a76\u52a9\u6210\u3084\u3001\u4e2d\u56fd\u5730\u65b9\u3067\u958b\u50ac\u3055\u308c\u308b\u5c0f\u4e2d\u9ad8\u306e\u5150\u7ae5\u30fb\u751f\u5f92\u3092\u5bfe\u8c61\u3068\u3057\u305f\u79d1\u5b66\u4f53\u9a13\u306b\u5bfe\u3059\u308b\u4e8b\u696d\u52a9\u6210\u3092\u5b9f\u65bd\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u5e83\u5cf6\u5927\u5b66\u306a\u3069\u3068\u9023\u643a\u3057\u3001\u79d1\u5b66\u3059\u308b\u3053\u3053\u308d\u3092\u990a\u3046\u3079\u304f\u3001\u5c0f\u4e2d\u9ad8\u751f\u3092\u5bfe\u8c61\u306b\u300c\u79d1\u5b66\u308f\u304f\u308f\u304f\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u300d\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002
\n\uff12\u3064\u76ee\u306e\u300e\u9752\u5c11\u5e74\u306e\u5065\u5168\u80b2\u6210\u300f\u3067\u306f\u3001\u6559\u80b2\u73fe\u5834\u3084\u5e02\u6c11\u6d3b\u52d5\u306e\u6d3b\u6027\u5316\u306b\u5f79\u7acb\u3064\u7814\u7a76\u3078\u306e\u7814\u7a76\u52a9\u6210\u306e\u307b\u304b\u3001\u5e83\u5cf6\u770c\u3068\u5c71\u53e3\u770c\u306e\u5e02\u6c11\u56e3\u4f53\u3092\u5bfe\u8c61\u306b\u3001\u9752\u5c11\u5e74\u5065\u5168\u80b2\u6210\u306e\u305f\u3081\u306e\u6d3b\u52d5\u3092\u652f\u63f4\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u5e83\u5cf6\u5e02\u6587\u5316\u8ca1\u56e3\u3068\u5354\u50cd\u3067\u3001\u5150\u7ae5\u306e\u5275\u610f\u5de5\u592b\u3092\u80b2\u3080\u5408\u5bbf\u578b\u306e\u300c\u611f\u52d5\u587e\u30fb\u307f\u3061\u304f\u3055\u300d\u3092\u958b\u50ac\u3057\u305f\u308a\u3001NPO\u6cd5\u4eba\u30d4\u30d4\u30aa\u5b50\u3069\u3082\u30bb\u30f3\u30bf\u30fc\u3068\u9023\u643a\u3057\u3001\u88ab\u8650\u5f85\u5150\u3092\u652f\u63f4\u3059\u308b\u300c\u30b9\u30bf\u30fc\u30c8\u30e9\u30a4\u30f3\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u300d\u3092\u884c\u3063\u305f\u308a\u3057\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u82e5\u8005\u56e3\u4f53\u306e\u5730\u57df\u3067\u306e\u6d3b\u52d5\u3092\u5f8c\u62bc\u3057\u3059\u308b\u300c\u82e5\u8005\u00d7\u30c4\u30ca\u30b0\u30d0\u300d\u3001\u5e83\u5cf6\u5730\u533a\u306e\u5927\u5b66\u3067\u306e\u5bc4\u4ed8\u8b1b\u7fa9\u3001\u82e5\u8005\u306e\u672a\u6765\u3092\u62d3\u304f\u305f\u3081\u306e\u8b1b\u6f14\u4f1a\u306a\u3069\u3001\u5e45\u5e83\u3044\u6d3b\u52d5\u3092\u5c55\u958b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\"\"\u30de\u30c4\u30c0\u8ca1\u56e3\u3001\u5927\u5b66\u3067\u306e\u8d08\u5448\u5f0f<\/span><\/span><\/p>\n

\"\"\u30de\u30c4\u30c0\u8ca1\u56e3\u3001\u5e02\u6c11\u6d3b\u52d5\u3068\u7814\u7a76\u52a9\u6210\u306e\u5408\u540c\u6210\u679c\u5831\u544a\u4f1a<\/span><\/span><\/p>\n

\u30e4\u30de\u30cf\u767a\u52d5\u6a5f\u30b9\u30dd\u30fc\u30c4\u632f\u8208\u8ca1\u56e3<\/strong>
\n\u30e4\u30de\u30cf\u767a\u52d5\u6a5f\u30b9\u30dd\u30fc\u30c4\u632f\u8208\u8ca1\u56e3<\/a>\uff08YMFS\u3001\u6728\u6751\u9686\u662d\u7406\u4e8b\u9577\uff09\u306f\u30012006\u5e7411\u6708\u3001\u8c4a\u304b\u306a\u4eba\u9593\u6027\u306e\u6db5\u990a\u306b\u52b9\u679c\u7684\u306a\u300c\u30b9\u30dd\u30fc\u30c4\u632f\u8208\u300d\u3068\u300c\u30b9\u30dd\u30fc\u30c4\u6587\u5316\u300d\u306e\u91b8\u6210\u306b\u3088\u308b\u56fd\u5bb6\u793e\u4f1a\u3078\u306e\u8ca2\u732e\u3092\u76ee\u7684\u306b\u8a2d\u7acb\u3055\u308c\u307e\u3057\u305f\u3002\u30b9\u30dd\u30fc\u30c4\u306b\u89aa\u3057\u3080\u4eba\u3005\u3092\u5897\u3084\u3059\u300c\u30b9\u30dd\u30fc\u30c4\u4f53\u9a13\u4fc3\u9032\u4e8b\u696d\u300d\u3068\u3001\u30b9\u30dd\u30fc\u30c4\u3092\u901a\u3058\u3066\u5922\u3084\u76ee\u6a19\u306e\u5b9f\u73fe\u306b\u30c1\u30e3\u30ec\u30f3\u30b8\u3059\u308b\u4eba\u3092\u5fdc\u63f4\u3059\u308b\u300c\u30c1\u30e3\u30ec\u30f3\u30b8\u652f\u63f4\u4e8b\u696d\u300d\u306e\u4e21\u4e8b\u696d\u3092\u6709\u6a5f\u7684\u306b\u7d50\u3073\u4ed8\u3051\u3001\u672a\u6765\u4eba\u6750\u6210\u9577\u30e2\u30c7\u30eb\u306e\u78ba\u7acb\u3092\u76ee\u6307\u3057\u3066\u3044\u307e\u3059\u3002\u5909\u308f\u3089\u306c\u30d3\u30b8\u30e7\u30f3\u306f\u3001\u300c\u6311\u6226\u3059\u308b\u5fc3\u304c\u5171\u611f\u30fb\u79f0\u8cdb\u3055\u308c\u308b\u793e\u4f1a\u3065\u304f\u308a\u3078\u306e\u5bc4\u4e0e\u300d\u3067\u3042\u308a\u3001\u305d\u306e\u5b9f\u73fe\u306e\u305f\u3081\u3001\u5922\u306e\u5b9f\u73fe\u306b\u30c1\u30e3\u30ec\u30f3\u30b8\u3059\u308b\u4eba\u3092\u5fdc\u63f4\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u30b9\u30dd\u30fc\u30c4\u4f53\u9a13\u4fc3\u9032\u4e8b\u696d\u3067\u306f\u3001\u300c\u30b8\u30e5\u30cb\u30a2\u30e8\u30c3\u30c8\u30b9\u30af\u30fc\u30eb\u8449\u5c71\u300d\u3084\u300c\u30bb\u30fc\u30ea\u30f3\u30b0\u30fb\u30c1\u30e3\u30ec\u30f3\u30b8\u30ab\u30c3\u30d7IN\u6d5c\u540d\u6e56\u300d\u3092\u958b\u50ac\u3057\u305f\u308a\u3001\u30b9\u30dd\u30fc\u30c4\u6559\u6750\u306e\u63d0\u4f9b\u3084\u4f53\u9a13\u578b\u30b9\u30dd\u30fc\u30c4\u6559\u5ba4\u3001\u81ea\u7136\u4f53\u9a13\u7d75\u753b\u30b3\u30f3\u30c6\u30b9\u30c8\u3092\u5b9f\u65bd\u3057\u305f\u308a\u3057\u3066\u3044\u307e\u3059\u3002\u30c1\u30e3\u30ec\u30f3\u30b8\u652f\u63f4\u4e8b\u696d\u3067\u306f\u3001\u30a2\u30b9\u30ea\u30fc\u30c8\u3084\u7814\u7a76\u8005\u306e\u30c1\u30e3\u30ec\u30f3\u30b8\u3092\u652f\u63f4\u3059\u308b\u300c\u30b9\u30dd\u30fc\u30c4\u30c1\u30e3\u30ec\u30f3\u30b8\u52a9\u6210\u4e8b\u696d\u300d\u3068\u3001\u30b9\u30dd\u30fc\u30c4\u754c\u306e\u300c\u7e01\u306e\u4e0b\u306e\u529b\u6301\u3061\u300d\u3092\u8868\u5f70\u3059\u308b\u300c\u30e4\u30de\u30cf\u767a\u52d5\u6a5f\u30b9\u30dd\u30fc\u30c4\u632f\u8208\u8ca1\u56e3\u30b9\u30dd\u30fc\u30c4\u30c1\u30e3\u30ec\u30f3\u30b8\u8cde\u300d\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u8abf\u67fb\u7814\u7a76\u6d3b\u52d5\u3082\u5b9f\u65bd\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\"\"\u30e4\u30de\u30cf\u767a\u52d5\u6a5f\u30b9\u30dd\u30fc\u30c4\u632f\u8208\u8ca1\u56e3\u300c\u30b9\u30dd\u30fc\u30c4\u30c1\u30e3\u30ec\u30f3\u30b8\u52a9\u6210\u4e8b\u696d\u300d\u6210\u679c\u5831\u544a\u4f1a\uff0823\u5e74\uff13\u6708\uff09<\/span><\/span><\/p>\n

\"\"\u30e4\u30de\u30cf\u767a\u52d5\u6a5f\u30b9\u30dd\u30fc\u30c4\u632f\u8208\u8ca1\u56e3\u300c\u30b9\u30dd\u30fc\u30c4\u30c1\u30e3\u30ec\u30f3\u30b8\u8cde\u300d\u8a18\u5ff5\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0\uff0823\u5e74\uff16\u6708\uff09<\/span><\/span><\/p>\n

\u3053\u306e\u3088\u3046\u306b\u3001\u81ea\u52d5\u8eca\u30e1\u30fc\u30ab\u30fc\u3067\u306f\u3001\u901a\u5e38\u306e\u4e8b\u696d\u6d3b\u52d5\u306e\u307b\u304b\u306b\u3082\u3001\u3088\u308a\u826f\u3044\u793e\u4f1a\u3092\u5b9f\u73fe\u3059\u308b\u305f\u3081\u306e\u6d3b\u52d5\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u304b\u3089\u3082\u5404\u793e\u306e\u8ca1\u56e3\u6d3b\u52d5\u306b\u671f\u5f85\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n

\u95a2\u9023\u30ea\u30f3\u30af<\/h3>\n

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