{"id":9518,"date":"2025-02-28T18:38:08","date_gmt":"2025-02-28T09:38:08","guid":{"rendered":"https:\/\/blog.jama.or.jp\/?p=9518"},"modified":"2025-03-07T10:52:48","modified_gmt":"2025-03-07T01:52:48","slug":"%e6%97%a5%e5%b8%b8%e7%82%b9%e6%a4%9c%e3%81%ae%e9%87%8d%e8%a6%81%e6%80%a7%e3%82%92%e5%95%93%e7%99%ba%ef%bc%81%e2%80%90%e5%a4%a7%e5%9e%8b%e8%bb%8a%e8%bb%8a%e8%bc%aa%e8%84%b1%e8%90%bd%e4%ba%8b%e6%95%85","status":"publish","type":"post","link":"https:\/\/blog.jama.or.jp\/?p=9518","title":{"rendered":"\u65e5\u5e38\u70b9\u691c\u306e\u91cd\u8981\u6027\u3092\u5553\u767a\uff01\u2010\u5927\u578b\u8eca\u8eca\u8f2a\u8131\u843d\u4e8b\u6545\u9632\u6b62\u5553\u767a\u6d3b\u52d5"},"content":{"rendered":"<p>\u81ea\u5de5\u4f1a \u5927\u578b\u8eca\u4f01\u753b\u90e8\u4f1a\u5098\u4e0b\u306e\u5927\u578b\u8eca\u8eca\u8f2a\u8131\u843d\u4e8b\u6545\u9632\u6b62\u5206\u79d1\u4f1a\u306f\u4eca\u5e74\u5ea6\u30014\u30ab\u6240\u306eSA\/PA\u3001\u307e\u305f\u30c8\u30e9\u30c3\u30af\u30b9\u30c6\u30fc\u30b7\u30e7\u30f3\uff08TS\uff09\u306b\u304a\u3044\u3066\u3001\u8a086\u56de\u3001\u5927\u578b\u8eca\u8f2a\u8131\u843d\u4e8b\u6545\u9632\u6b62\u6a19\u8a9e\u300c\u304a\u3068\u3055\u306a\u3044\u300d\u306e\u5553\u767a\u6d3b\u52d5\u304a\u3088\u3073\u5927\u578b\u8eca\u30e6\u30fc\u30b6\u30fc\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5b9f\u5730\u30a2\u30f3\u30b1\u30fc\u30c8\u3092\u5b9f\u65bd\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>\u4eca\u5e74\u5ea6\u6700\u5f8c\u3068\u306a\u308b<a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/\u5927\u578b\u8eca\u5553\u767a\u5b9f\u65bd\u7b87\u6240.pdf\" target=\"_blank\" rel=\"noopener\">\uff16\u56de\u76ee\u306e\u8857\u982d\u5553\u767a\u6d3b\u52d5<\/a>\u304c\u30012\u670826\u65e5\u306b\u77e2\u677f\u30c8\u30e9\u30c3\u30af\u30b9\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u3066\u958b\u50ac\u3055\u308c\u307e\u3057\u305f\u3002\u30ca\u30c3\u30c8\u306e\u7de9\u307f\u70b9\u691c\u30b3\u30fc\u30ca\u30fc\u3092\u8a2d\u3051\u3001\u5b9f\u969b\u306e\u70b9\u691c\u4f5c\u696d\u3092\u4f53\u9a13\u3044\u305f\u3060\u304f\u306a\u3069\u3001\u591a\u304f\u306e\u5927\u578b\u8eca\u30e6\u30fc\u30b6\u30fc\u306b\u65e5\u5e38\u70b9\u691c\u306e\u91cd\u8981\u6027\u3092\u4f1d\u3048\u307e\u3057\u305f\u3002<\/p>\n<h3>\u3010\u52d5\u753b\u3011\u77e2\u677fTS\u3067\u306e\u6d3b\u52d5\uff082\/26\u5b9f\u65bd\uff09<\/h3>\n<div class=\"youtube\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/lA0BXCFUbWU?autoplay=1&amp;mute=1\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\"><\/span><\/iframe><\/div>\n<p>&nbsp;<\/p>\n<p><strong>\u5927\u578b\u8eca\u4f01\u753b\u90e8\u4f1a \u5927\u578b\u8eca\u8eca\u8f2a\u8131\u843d\u4e8b\u6545\u9632\u6b62\u5206\u79d1\u4f1a \u5206\u79d1\u4f1a\u9577\u3000\u95a2\u6839 \u660e\u5e74\u3000(\u3044\u3059\u309e\u81ea\u52d5\u8eca\u682a\u5f0f\u4f1a\u793e)<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9618\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/sekine_inta.png\" alt=\"\" width=\"563\" height=\"317\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/sekine_inta.png 1280w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/sekine_inta-640x360.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/sekine_inta-320x180.png 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/sekine_inta-768x432.png 768w\" sizes=\"auto, (max-width: 563px) 100vw, 563px\" \/><\/p>\n<blockquote>\n<p style=\"text-align: center;\">\u4eca\u56de\u306f\u30c8\u30e9\u30c3\u30af\u5354\u4f1a\u306e\u5354\u529b\u306e\u3082\u3068\u3001\u6803\u6728\u770c\u306e\u77e2\u677f\u30c8\u30e9\u30c3\u30af\u30b9\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u304a\u90aa\u9b54\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n\u5927\u578b\u30c8\u30e9\u30c3\u30af\u306e\u30c9\u30e9\u30a4\u30d0\u30fc\u306e\u7686\u3055\u307e\u306b\u65e5\u5e38\u70b9\u691c\u3067\u3042\u308b<br \/>\n\u30bf\u30a4\u30e4\u306e\u30db\u30a4\u30fc\u30eb\u30ca\u30c3\u30c8\u306e\u7de9\u307f\u70b9\u691c\u3092\u4f53\u9a13\u3057\u3066\u3044\u305f\u3060\u304f\u30a4\u30d9\u30f3\u30c8\u3092\u958b\u50ac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/\u5927\u578b\u8eca\u5553\u767a\u5b9f\u65bd\u7b87\u6240.pdf\" target=\"_blank\" rel=\"noopener\">\uff08<span data-teams=\"true\">\u3053\u308c\u307e\u3067\uff15\u56de\u306e\u30a4\u30d9\u30f3\u30c8\u3067<\/span>\uff09<\/a>\u306e\u3079500\u4eba\u4ee5\u4e0a\u306e\u30c9\u30e9\u30a4\u30d0\u30fc\u306b\u3054\u53c2\u52a0\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002<\/p>\n<p style=\"text-align: center;\">\u5927\u578b\u30c8\u30e9\u30c3\u30af\u306e\u30bf\u30a4\u30e4\u8131\u843d\u4e8b\u6545\u306f11\u6708\uff5e2\u6708\u3092\u30d4\u30fc\u30af\u306b\u3001<br \/>\n\u4e3b\u306b\u51ac\u7528\u30bf\u30a4\u30e4\u3078\u4ea4\u63db\u5f8c\u306b\u767a\u751f\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p style=\"text-align: center;\">\u9593\u3082\u306a\u304f\u4e8b\u6545\u306e\u30d4\u30fc\u30af\u306f\u904e\u304e\u3088\u3046\u3068\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u662f\u975e\u3068\u3082\u30c9\u30e9\u30a4\u30d0\u30fc\u306e\u7686\u3055\u307e\u3001\u30bf\u30a4\u30e4\u8131\u7740\u4f5c\u696d\u3092\u3055\u308c\u308b\u7686\u3055\u307e\u3001<br \/>\n\u8eca\u8f2a\u8131\u843d\u4e8b\u6545\u9632\u6b62\u306e\u5408\u8a00\u8449\u306f<\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 18pt;\"><strong>\u300c\u304a\u30fb\u3068\u30fb\u3055\u30fb\u306a\u30fb\u3044\u300d<\/strong><\/span><\/p>\n<p style=\"text-align: center;\">\u70b9\u691c\u3068\u6574\u5099\u3092\u3057\u3063\u304b\u308a\u884c\u3044\u307e\u3057\u3087\u3046\u3002\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u3057\u307e\u3059\u3002<\/p>\n<\/blockquote>\n<h3><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-9648 aligncenter\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/2024-_otosanai_16x9-1000x568.png\" alt=\"\" width=\"1000\" height=\"568\" \/><\/p>\n<h3>\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: 20%;\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-9518 gallery-columns-5 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=9590'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5082-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5082-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5082-640x360.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=9581'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5037-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5037-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5037-640x360.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=9588'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5074-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5074-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5074-640x360.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=9589'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5077-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5077-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5077-640x360.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=9576'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4977-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4977-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4977-640x360.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=9597'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5161-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5161-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5161-640x360.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=9593'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5114-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5114-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5114-640x360.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=9603'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5235-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5235-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5235-640x360.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=9580'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5028-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5028-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5028-640x360.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=9600'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5207-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5207-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5207-640x360.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=9586'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5054-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5054-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5054-640x360.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=9599'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5176-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5176-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5176-640x360.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=9595'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5125-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5125-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5125-640x360.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=9583'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5043-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5043-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5043-640x360.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=9579'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5020-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5020-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5020-640x360.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=9596'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5148-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5148-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5148-640x360.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=9584'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5046-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5046-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5046-640x360.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=9594'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5123-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5123-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5123-640x360.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=9591'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5099-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5099-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5099-640x360.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=9598'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5175-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5175-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5175-640x360.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=9602'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5232-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5232-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5232-640x360.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=9601'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5219-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5219-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5219-640x360.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=9605'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5308-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5308-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5308-640x360.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=9607'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5318-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5318-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5318-640x360.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=9608'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5323-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5323-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5323-640x360.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=9609'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5325-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5325-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5325-640x360.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=9610'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5335-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5335-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5335-640x360.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=9578'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4995-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4995-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4995-640x360.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=9604'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5266-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5266-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_5266-640x360.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=9577'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4991-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4991-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2025\/02\/IMG_4991-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h3>\u524d\u56de\u306e\u6d3b\u52d5\u306e\u69d8\u5b50\u3010\u9ad8\u5742SA\u3067\u306e\u6d3b\u52d5\uff0811\/27\u5b9f\u65bd\uff09\u3011<\/h3>\n<blockquote class=\"wp-embedded-content\" data-secret=\"4ZhjAztM6m\"><p><a href=\"https:\/\/blog.jama.or.jp\/?p=8726\">\u5927\u578b\u8eca\u8eca\u8f2a\u8131\u843d\u4e8b\u6545\u9632\u6b62\u300c\u304a\u3068\u3055\u306a\u3044\u300d\u5553\u767a\u6d3b\u52d5\u3092\u5b9f\u65bd<\/a><\/p><\/blockquote>\n<p><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;\u5927\u578b\u8eca\u8eca\u8f2a\u8131\u843d\u4e8b\u6545\u9632\u6b62\u300c\u304a\u3068\u3055\u306a\u3044\u300d\u5553\u767a\u6d3b\u52d5\u3092\u5b9f\u65bd&#8221; &#8212; JAMA BLOG \u4e00\u822c\u793e\u56e3\u6cd5\u4eba\u65e5\u672c\u81ea\u52d5\u8eca\u5de5\u696d\u4f1a\" 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