{"id":8701,"date":"2024-11-27T18:31:21","date_gmt":"2024-11-27T09:31:21","guid":{"rendered":"https:\/\/blog.jama.or.jp\/?p=8701"},"modified":"2025-05-28T17:29:18","modified_gmt":"2025-05-28T08:29:18","slug":"%e5%ba%83%e5%a0%b1%e3%81%8c%e9%81%b8%e3%81%b6%e3%80%8c%e6%80%9d%e3%81%84%e5%87%ba%e3%81%ae1%e5%8f%b0%e3%80%8d%e3%80%80%e3%81%84%e3%81%99%e3%82%9e%e8%87%aa%e5%8b%95%e8%bb%8a%e3%80%80%e5%ba%83%e5%a0%b1","status":"publish","type":"post","link":"https:\/\/blog.jama.or.jp\/?p=8701","title":{"rendered":"\u5e83\u5831\u304c\u9078\u3076\u601d\u3044\u51fa\u306e\u4e00\u53f0\u2460\u300c\u30a2\u30c3\u30bd\u30fb\u30c7\u30a3\u30fb\u30d5\u30a3\u30aa\u30fc\u30ea\u300d\uff08\u3044\u3059\u309e\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\u958b\u767a\u3084\u767a\u8868\u30fb\u767a\u58f2\u306a\u3069\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\u4f1a\u54e114\u793e\u309250\u97f3\u9806\u306b\u3054\u7d39\u4ecb\u3059\u308b\u30b7\u30ea\u30fc\u30ba\u7b2c1\u56de\u306f\u3001\u3044\u3059\u309e\u81ea\u52d5\u8eca<\/a>\u30fb\u4e2d\u5c3e\u535a\u3055\u3093\u306eAsso di Fiori\uff08\u30a2\u30c3\u30bd\u30fb\u30c7\u30a3\u30fb\u30d5\u30a3\u30aa\u30fc\u30ea\uff1a\u5199\u771f\u53f3\uff09<\/a>\u3067\u3059\u3002\u30a4\u30bf\u30ea\u30a2\u8a9e\u3067\u300c\uff08\u30c8\u30e9\u30f3\u30d7\u306e\u672d\u3067\u3042\u308b\uff09\u30af\u30e9\u30d6\u306e\u30a8\u30fc\u30b9\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u805e\u304d\u306a\u308c\u306a\u3044\u8eca\u540d\u3067\u3059\u304c\u3001\u304b\u3064\u3066\u4eba\u6c17\u3092\u535a\u3057\u305f\u3044\u3059\u309e\u306e\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u30ab\u30fc\u300c\u30d4\u30a2\u30c3\u30c4\u30a1\u300d\uff08\u5199\u771f\u5de6\uff09<\/a>\u306e\u30b3\u30f3\u30bb\u30d7\u30c8\u30e2\u30c7\u30eb\u3067\u3059\u3002\u5b66\u751f\u6642\u4ee3\u304b\u3089\u61a7\u308c\u3001\u540c\u793e\u306b\u5165\u793e\u3059\u308b\u304d\u3063\u304b\u3051\u306b\u3082\u306a\u3063\u305f\u8eca\u3068\u304b\u3002\u305d\u3057\u3066\u3053\u306e\u8eca\u3068\u306e\u51fa\u4f1a\u3044\u304c\u3001\u305d\u306e\u5f8c\u306e\u4f1a\u793e\u4eba\u751f\u306b\u3082\u5c11\u306a\u304b\u3089\u305a\u5f71\u97ff\u3057\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n

\u2015\u3053\u306e\u8eca\u3068\u306e\u99b4\u308c\u521d\u3081\u306f<\/strong><\/p>\n

Asso di Fiori\u304c\u767a\u8868\u3055\u308c\u305f\u306e\u306f\u3001\u79c1\u304c\u9ad8\u6821\u751f\u306e\u9803\u3067\u3059\u3002\u305d\u306e\u5148\u9032\u6027\u3084\u3001\u30a4\u30bf\u30ea\u30a2\u306e\u8457\u540d\u30c7\u30b6\u30a4\u30ca\u30fc\u3001\u30b8\u30a6\u30b8\u30a2\u30fc\u30ed\u6c0f\u304c\u624b\u304c\u3051\u305f\u30ab\u30c3\u30b3\u3088\u3055\u306b\u61a7\u308c\u3066\u7f8e\u5927\u3092\u76ee\u6307\u3057\u3001\u30ab\u30fc\u30c7\u30b6\u30a4\u30ca\u30fc\u3092\u5fd7\u3057\u307e\u3057\u305f\u3002\u305d\u306e\u5f8c\u3001\u521d\u4ee3\u30d4\u30a2\u30c3\u30c4\u30a1\u304c\u30c7\u30d3\u30e5\u30fc\u3057\u305f\u306e\u306f1981\u5e74\u3067\u3001\u79c1\u304c\u5927\u5b66\u751f\u306e\u6642\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u305d\u306e\u5f8c\u306e\u9032\u8def\u3082\u81ea\u52d5\u8eca\u696d\u754c\u3092\u9078\u3076\u3053\u3068\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u305d\u3046\u3044\u3046\u610f\u5473\u3067\u306f\u79c1\u306e\u4eba\u751f\u3092\u6c7a\u3081\u305f\u3068\u3044\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n

\"\"

\u3044\u3059\u309e\u81ea\u52d5\u8eca\u306e\u4e2d\u5c3e\u535a\u3055\u3093<\/p><\/div>\n

\u2015\u306a\u305c\u5e02\u8ca9\u30e2\u30c7\u30eb\u3067\u306f\u306a\u304f\u3001\u30b3\u30f3\u30bb\u30d7\u30c8\u30e2\u30c7\u30eb\u306b\u601d\u3044\u51fa\u304c\u3042\u308b\u306e\u3067\u3059\u304b\uff1f<\/strong><\/p>\n

\u3054\u5b58\u3058\u306e\u901a\u308a\u300190\u5e74\u4ee3\u5f8c\u534a\u306e\u3044\u3059\u309e\u306f\u7d4c\u55b6\u60aa\u5316\u3067\u4e57\u7528\u8eca\u306e\u751f\u7523\u30fb\u958b\u767a\u3092\u5f90\u3005\u306b\u7e2e\u5c0f\u3057\u30012002\u5e74\u306b\u306f\u4e57\u7528\u8eca\u30d3\u30b8\u30cd\u30b9\u304b\u3089\u64a4\u9000\u3057\u307e\u3057\u305f\u3002\u793e\u5185\u306b\u6c88\u6ede\u30e0\u30fc\u30c9\u304c\u5e83\u307e\u308b\u4e2d\u3001\u5f53\u6642\u306e\u4e95\u7530\u7fa9\u5247\u793e\u9577\u304c\u300c\u30c1\u30e3\u30ec\u30f3\u30b8\u4e88\u7b97\u5236\u5ea6\u300d\u3092\u8a2d\u3051\u3001\u793e\u5185\u306e\u6d3b\u6027\u5316\u306b\u3064\u306a\u304c\u308b\u6d3b\u52d5\u3092\u516c\u52df\u3057\u305f\u3093\u3067\u3059\u3002\u305d\u306e\u6642\u3001\u30c7\u30b6\u30a4\u30f3\u30bb\u30f3\u30bf\u30fc\u306e\u5009\u5eab\u306e\u7247\u9685\u3067\u57c3\u3092\u304b\u3076\u3063\u3066\u3044\u305fAsso di Fiori\u306e\u4e8b\u3092\u601d\u3044\u51fa\u3057\u3001\u3053\u308c\u3092\u7526\u3089\u305b\u3088\u3046\u3068\u771f\u3063\u5148\u306b\u624b\u3092\u6319\u3052\u307e\u3057\u305f\u3002\u8cdb\u540c\u3059\u308b\u30e1\u30f3\u30d0\u30fc\u306f50\u4eba\u307b\u3069\u306b\u9054\u3057\u3001\u90e8\u54c1\u30e1\u30fc\u30ab\u30fc\u3084\u30bf\u30a4\u30e4\u30e1\u30fc\u30ab\u30fc\u306a\u3069\u3082\u5354\u529b\u3057\u3066\u304f\u308c\u307e\u3057\u305f\u3002<\/p>\n

\"\"<\/p>\n

\"\"

\u4f5c\u696d\u524d\u306e\u5149\u666f\u3002\u30ec\u30b9\u30c8\u30a2\u306b\u306f\u591a\u304f\u306e\u6709\u5fd7\u304c\u96c6\u307e\u3063\u305f\uff08\u53f3\u304b\u30897\u4eba\u76ee\u304c\u4e2d\u5c3e\u3055\u3093\uff09<\/p><\/div>\n

\u2015\u30ec\u30b9\u30c8\u30a2\u306f\u9806\u8abf\u3067\u3057\u305f\u304b<\/strong><\/p>\n

2000\u5e74\u521d\u982d\u306b\u7740\u624b\u30572001\u5e74\u306e\u534a\u3070\u307e\u3067\u306e1\u5e74\u534a\u3082\u306e\u9593\u3001\u307b\u307c\u4f11\u307f\u3092\u8fd4\u4e0a\u3057\u3001\u90e8\u6d3b\u306e\u69d8\u306a\u5f62\u3067\u53d6\u308a\u7d44\u307f\u3001\u3088\u3046\u3084\u304f\u30ec\u30b9\u30c8\u30a2\u304c\u5b8c\u4e86\u3057\u307e\u3057\u305f\u3002\u4e00\u756a\u5927\u5909\u3060\u3063\u305f\u306e\u306f\u3001\u30a4\u30f3\u30d1\u30cd\u90e8\u5206\u3067\u3001\u6301\u3061\u51fa\u3055\u308c\u305f\u307e\u307e\u7d1b\u5931\u3057\u3066\u3044\u305f\u305f\u3081\u3001\u5f53\u6642\u306e\u30c7\u30b6\u30a4\u30f3\u30b9\u30b1\u30c3\u30c1\u3084\u4f01\u753b\u66f8\u30fb\u4ed5\u69d8\u66f8\u3001\u5e83\u5831\u8cc7\u6599\u3001\u5199\u771f\u306a\u3069\u3092\u53c2\u8003\u306b\u3057\u3066\u518d\u73fe\u3055\u305b\u307e\u3057\u305f\u3002<\/p>\n

\"\"

\u6700\u3082\u82e6\u52b4\u3057\u305f\u3068\u3044\u3046\u30a4\u30f3\u30d1\u30cd\u518d\u73fe\u4f5c\u696d<\/p><\/div>\n

\u2015\u7526\u3063\u305fAsso\u306f\u305d\u306e\u5f8c\u3069\u3046\u306a\u308a\u307e\u3057\u305f\u304b\u3002<\/strong><\/p>\n

\u305d\u3053\u304b\u3089\u307e\u305f\u554f\u984c\u304c\u767a\u751f\u3057\u307e\u3057\u3066\u306d\u3002\u305b\u3063\u304b\u304f\u4fee\u5fa9\u3057\u305f\u306e\u306b\u3001\u793e\u5185\u306b\u306f\u5c55\u793a\u3059\u308b\u30b9\u30da\u30fc\u30b9\u3082\u306a\u304b\u3063\u305f\u3002\u305d\u3053\u3067\u30c8\u30e8\u30bf\u535a\u7269\u9928<\/a>\u3055\u3093\u306b\u304a\u9858\u3044\u3057\u3066\u3001\u9810\u304b\u3063\u3066\u3082\u3089\u3063\u305f\u3093\u3067\u3059\u3088\u3001\u306a\u3093\u306813\u5e74\u9593\u3082\u3002\u30ec\u30b9\u30c8\u30a2\u3057\u305f\u6709\u5fd7\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u591a\u304f\u306e\u540c\u50da\u304c\u300c\u6b74\u53f2\u3042\u308b\u4f1a\u793e\u306a\u306e\u306b\u535a\u7269\u9928\u3082\u306a\u3044\u306e\u304b\u300d\u300c\u30df\u30e5\u30fc\u30b8\u30a2\u30e0\u304c\u3042\u3063\u305f\u3089\u306a\u3041\u300d\u3068\u3044\u3063\u305f\u8a71\u3067\u76db\u308a\u4e0a\u304c\u308a\u307e\u3057\u305f\u3002<\/p>\n

\u2015\u3072\u3087\u3063\u3068\u3057\u3066\u3001\u73fe\u5728\u306e\u300c\u3044\u3059\u309e\u30d7\u30e9\u30b6<\/a>\u300d\u306f\u3053\u306e\u30ec\u30b9\u30c8\u30a2\u304c\u304d\u3063\u304b\u3051\u3060\u3063\u305f\u306e\u3067\u3059\u304b<\/strong><\/p>\n

Asso\u306e\u30ec\u30b9\u30c8\u30a2\u304c\u3046\u307e\u304f\u3044\u3063\u305f\u3053\u3068\u3067\u3001\u4f1a\u793e\u306e\u6b74\u53f2\u3092\u5f69\u308b\u591a\u304f\u306e\u65e7\u8eca\u306e\u30ec\u30b9\u30c8\u30a2\u6d3b\u52d5\u306b\u3064\u306a\u304c\u308a\u307e\u3057\u305f\u3002\u5275\u7acb80\u5468\u5e74\u306b\u969b\u3057\u3066\u3001\u535a\u7269\u9928\u306e\u5efa\u8a2d\u304c\u691c\u8a0e\u3055\u308c\u308b\u3053\u3068\u3068\u306a\u308a\u3001\u3042\u308f\u305b\u3066\u518d\u751f\u3057\u305f\u3044\u3059\u309e\u8eca\u3084\u5275\u696d\u304b\u3089\u306e\u6b74\u53f2\u3092\u5c55\u793a\u3059\u308b\u3053\u3068\u306e\u691c\u8a0e\u3082\u59cb\u307e\u308a\u307e\u3057\u305f\u3002\u305d\u308c\u307e\u3067\u81ea\u52d5\u8eca\u306e\u30c7\u30b6\u30a4\u30f3\u306b\u643a\u308f\u3063\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u3053\u3093\u306a\u7e01\u3067\u3044\u3059\u309e\u30d7\u30e9\u30b6\u306e\u8a2d\u7acb\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u306e\u30e1\u30f3\u30d0\u30fc\u3068\u3057\u3066\u95a2\u308f\u308a\u3001\u5b8c\u6210\u5f8c\u306e2017\u5e74\u304b\u308920\u5e74\u307e\u3067\u3044\u3059\u309e\u30d7\u30e9\u30b6\u306b\u52e4\u52d9\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n

\"\"

2015\u5e74\u306e\u30ce\u30b9\u30bf\u30eb\u30b8\u30c3\u30af2days\u306b\u5c55\u793a\u3055\u308c\u305fAsso di Fiori<\/p><\/div>\n

\"\"

\u30c7\u30b6\u30a4\u30f3\u4f01\u753b\u30fb\u7acb\u6848\u304b\u3089\u62c5\u5f53\u3057\u305f\u3044\u3059\u309e\u30d7\u30e9\u30b6\u306b\u3066<\/p><\/div>\n

\u3008\u601d\u3044\u51fa\u306e1\u53f0\u3009<\/strong><\/p>\n

Asso di Fiori\uff08\u30a2\u30c3\u30bd\u30fb\u30c7\u30a3\u30fb\u30d5\u30a3\u30aa\u30ea\uff09\u3002\u30a4\u30bf\u30eb\u30c7\u30b6\u30a4\u30f3<\/a>\u306e\u30b8\u30e7\u30eb\u30b8\u30a7\u30c3\u30c8\u30fb\u30b8\u30a6\u30b8\u30a2\u30fc\u30ed\u6c0f\u304c\u624b\u639b\u3051\u305f\u300c\u30d4\u30a2\u30c3\u30c4\u30a1\u300d\u306e\u30d7\u30ed\u30c8\u30bf\u30a4\u30d7\u306f\u30011979\u5e743\u6708\u306e\u30b8\u30e5\u30cd\u30fc\u30d6\u30b7\u30e7\u30fc\u3067\u767a\u8868\u3055\u308c\u305f\u3002\u30c8\u30e9\u30f3\u30d7\u306eA\uff08\u30a8\u30fc\u30b9\uff09\u3092\u8868\u3059\u300cAsso di\uff5e\u300d\u306f\u30b8\u30a6\u30b8\u30a2\u30fc\u30ed\u30c7\u30b6\u30a4\u30f3\u306e\u30b7\u30ea\u30fc\u30ba\u540d\u3067\u3001Fiori\u306f\u30b7\u30ea\u30fc\u30ba\u6700\u5f8c\u306e\u30e2\u30c7\u30eb\u3002\u4f4e\u3044\u30ce\u30fc\u30ba\u3068\u30a6\u30a8\u30c3\u30b8\u30b7\u30a7\u30a4\u30d7\u3001\u7a7a\u6c17\u62b5\u6297\u3092\u6291\u3048\u308b\u30d5\u30e9\u30c3\u30b7\u30e5\u30b5\u30fc\u30d5\u30a7\u30b9\u5316\u306a\u3069\u306b\u3088\u308a\u300145\u5e74\u306e\u6b73\u6708\u3092\u611f\u3058\u3055\u305b\u306a\u3044\u9020\u5f62\u7f8e\u3092\u91b8\u3057\u51fa\u3059\u30022001\u5e74\u306e\u30ec\u30b9\u30c8\u30a2\u5f8c\u306f\u4e00\u5ea6\u30c8\u30e8\u30bf\u535a\u7269\u9928\u3067\u4fdd\u7ba1\u3055\u308c\u305f\u5f8c\u3001\u73fe\u5728\u306f\u3044\u3059\u309e\u81ea\u52d5\u8eca\u3067\u7ba1\u7406\u3002\u3044\u3059\u309e\u30d7\u30e9\u30b6\u3067\u3082\u671f\u9593\u9650\u5b9a\u3067\u5c55\u793a\u3055\u308c\u3066\u3044\u305f\u3002<\/p>\n

\"\"

\u3044\u3059\u309e\u30d7\u30e9\u30b6\u306b\u5c55\u793a\u3055\u308c\u3066\u3044\u305fAsso di Fiori \u3092\u30c1\u30a7\u30c3\u30af\u3059\u308b\u4e2d\u5c3e\u3055\u3093<\/p><\/div>\n

\u95a2\u9023\u30ea\u30f3\u30af<\/strong><\/p>\n

\u3044\u3059\u309e\u81ea\u52d5\u8eca<\/strong><\/a><\/p>\n

\u3044\u3059\u309e\u30d7\u30e9\u30b6<\/strong><\/a><\/p>\n

2022\/07\/27_<\/span>\u81ea\u52d5\u8eca\u7523\u696d\u306e\u6b74\u53f2\u3092\u7d10\u89e3\u304f\u300c\u30af\u30eb\u30de\u3065\u304f\u308a\u65e5\u672c\u53f2\u300d\u304c\u30c8\u30e8\u30bf\u535a\u7269\u9928\u306b\u30aa\u30fc\u30d7\u30f3<\/span><\/a><\/strong><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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