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\n(\u30a6)\u80cc\u666f
\n\u201c\u98df\u5f8c\u8840\u7cd6\u5024\u306e\u4e0a\u6607\u6291\u5236\u4f5c\u7528\u201d
\n\u6211\u304c\u56fd\u306b\u304a\u3051\u308b\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0\u3092\u306f\u3058\u3081\u3068\u3057\u305f\u751f\u6d3b\u7fd2\u6163\u75c5\u306e\u60a3\u8005\u6570\u306e\u5897\u52a0\u3001\u306a\u304b\u3067\u3082\u7cd6\u5c3f\u75c5\u60a3\u8005\u6570\u304c\u5897\u52a0\u3057\u3001\u6975\u3081\u6df1\u523b\u306a\u554f\u984c\u306e\u4e00\u3064\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u7cd6\u5c3f\u75c5\u306b\u7f79\u60a3\u3057\u306a\u3044\u305f\u3081\u306b\u306f\u3001\u98df\u4e8b\u3000\u7642\u6cd5\u306a\u3069\u306b\u3088\u308a\u3001\u98df\u5f8c\u306e\u8840\u7cd6\u5024\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\u3002\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\uff08\u6c34\u6eb6\u3000\u6027\u98df\u7269\u7e4a\u7dad\uff09\u306f\u98df\u5f8c\u306e\u8840\u7cd6\u5024\u4e0a\u6607\u3092\u6291\u5236\u3059\u308b\u4f5c\u7528\u3092\u6301\u3064\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u6709\u52b9\u6027\u3092\u8a55\u4fa1\u3059\u308b\u70ba\u3001\u691c\u8a3c\u3092\u3057\u305f\u3002
\n\u201c\u6574\u8178\u4f5c\u7528\u201d
\n\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u306f\u3001\u4fbf\u901a\u53ca\u3073\u4fbf\u6027\u6539\u5584\u4f5c\u7528\u3092\u6301\u3064\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u3000\u4fbf\u901a\u6539\u5584\u4f5c\u7528\u306b\u95a2\u3057\u3066\u306f\u3001\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u304c\u6d88\u5316\u9175\u7d20\u306b\u3088\u308b\u52a0\u6c34\u5206\u89e3\u3092\u307b\u3068\u3093\u3069\u53d7\u3051\u305a\u3001\u305d\u306e\u5927\u90e8\u5206\u304c\u3000\u5927\u8178\u306b\u5230\u9054\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u7cde\u4fbf\u5bb9\u91cf\u3092\u5897\u5927\u3059\u308b\u70ba\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

(\u30a8)\u30ec\u30d3\u30e5\u30fc\u5bfe\u8c61\u3068\u3057\u305f\u7814\u7a76\u306e\u7279\u6027
\n\u201c\u98df\u5f8c\u8840\u7cd6\u5024\u306e\u4e0a\u6607\u6291\u5236\u4f5c\u7528\u201d
\n\u672c\u7814\u7a76\u306e\u30c7\u30b6\u30a4\u30f3\u306f\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u3042\u308b\u3002PubMed\u3001Cochrane Library\u3001\u3000\u533b\u4e2d\u8a8cWeb\u3001CiNii Articles\u306e4\u3064\u306e\u96fb\u5b50\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3092\u4f7f\u7528\u3057\u3001\u5065\u5e38\u6210\u4eba\u3092\u5bfe\u8c61\u306b\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u3092\u7528\u3044\u3066\u98df\u5f8c\u8840\u7cd6\u5024\u306e\u4e0a\u6607\u6291\u5236\u4f5c\u7528\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u3092\u53ce\u96c6\u3057\u305f\u3002\u5404RCT\u8ad6\u6587\u306e\u8cea\u306e\u8a55\u4fa1\u3092\u884c\u3044\u30013\u3064\u306e\u8a55\u4fa1\u9805\u76ee\u300c\u98df\u5f8c\u8840\u7cd6\u502430\u5206\u300d\u3001\u300c\u98df\u5f8c\u8840\u7cd6\u502460\u5206\u300d\u3001\u300c\u98df\u5f8c\u8840\u7cd6\u5024\u306e\u6fc3\u5ea6\u66f2\u7dda\u4e0b\u9762\u7a4d\uff08AUC 0-120min\uff09\u300d\u306b\u3064\u3044\u3066\u3001\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u6442\u53d6\u7fa4\u3068\u5bfe\u3000\u7167\u7fa4\u306e\u5dee\u306e\u30c7\u30fc\u30bf\u3092\u7d71\u5408\u3057\u305f\u3002\u7d71\u5408\u306e\u624b\u6cd5\u306f\u3001Random effect model\u3067\u3042\u308bDerSimonian-Laired\u6cd5\u3092\u7528\u3044\u305f\u3002
\n\u201c\u6574\u8178\u4f5c\u7528\u201d
\n\u672c\u7814\u7a76\u306e\u30c7\u30b6\u30a4\u30f3\u306f\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u3042\u308b\u3002PubMed\u3001Cochrane Library\u3001\u3000\u533b\u4e2d\u8a8cWeb\u3001CiNii Articles\u306e4\u3064\u306e\u96fb\u5b50\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3092\u4f7f\u7528\u3057\u3001\u5065\u5e38\u6210\u4eba\u3042\u308b\u3044\u306f\u4fbf\u79d8\u50be\u5411\u306e\u6210\u4eba\u3092\u5bfe\u8c61\u306b\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u3092\u7528\u3044\u3066\u6574\u8178\u4f5c\u7528\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u3092\u53ce\u96c6\u3057\u305f\u3002\u5404RCT\u8ad6\u6587\u306e\u8cea\u306e\u8a55\u4fa1\u3092\u884c\u3044\u30012\u3064\u306e\u8a55\u4fa1\u9805\u76ee\u300c\u6392\u4fbf\u56de\u6570\u300d\u300c\u6392\u4fbf\u91cf\u300d\u306b\u3064\u3044\u3066\u3001\u96e3\u6d88\u5316\u3000\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u6442\u53d6\u7fa4\u3068\u5bfe\u7167\u7fa4\u306e\u5dee\u306e\u30c7\u30fc\u30bf\u3092\u7d71\u5408\u3057\u305f\u3002\u7d71\u5408\u306e\u624b\u6cd5\u306f\u3001Random effect model\u3067\u3042\u308bDerSimonian-Laired\u6cd5\u3092\u7528\u3044\u305f\u3002
\n(\u30aa)\u4e3b\u306a\u7d50\u679c
\n\u201c\u98df\u5f8c\u8840\u7cd6\u5024\u306e\u4e0a\u6607\u6291\u5236\u4f5c\u7528\u201d
\n43\u5831\u306e\uff32\uff23\uff34\u8ad6\u6587\u304c\u62bd\u51fa\u3055\u308c\u305f\u3002\u7d71\u8a08\u89e3\u6790\u306e\u7d50\u679c\u3001\u5168\u3066\u306e\u8a55\u4fa1\u9805\u76ee\u306b\u304a\u3044\u3066\u3001\u5bfe\u7167\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u6442\u53d6\u7fa4\u304c\u6709\u610f\u306b\u98df\u5f8c\u8840\u7cd6\u5024\u3092\u4f4e\u4e0b\u3055\u305b\u3053\u3068\u304c\u8a8d\u3081\u3000\u3000\u3000\u3000\u3000\u3089\u308c\u305f\u3002\u3055\u3089\u306b\u3001\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\uff08\u98df\u7269\u7e4a\u7dad\u3068\u3057\u3066\uff09\u6442\u53d6\u91cf\u306e\u4e2d\u592e\u5024\u306f5g\u3067\u3042\u3063\u305f\u3002
\n\u201c\u6574\u8178\u4f5c\u7528\u201d
\n26\u5831\u306e\uff32\uff23\uff34\u8ad6\u6587\u304c\u62bd\u51fa\u3055\u308c\u305f\u3002\u7d71\u8a08\u89e3\u6790\u306e\u7d50\u679c\u3001\u300c\u6392\u4fbf\u56de\u6570\u300d\u300c\u6392\u4fbf\u91cf\u300d\u306b\u304a\u3044\u3066\u3001\u5bfe\u7167\u7fa4\u3068\u6bd4\u3000\u8f03\u3057\u3066\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\u6442\u53d6\u7fa4\u306f\u6709\u610f\u306a\u4fbf\u901a\u6539\u5584\u4f5c\u7528\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\u3055\u3089\u306b\u3001\u96e3\u6d88\u5316\u6027\u30c7\u30ad\u30b9\u30c8\u30ea\u30f3\uff08\u98df\u7269\u7e4a\u7dad\u3068\u3057\u3066\uff09\u6442\u53d6\u91cf\u306e\u4e2d\u592e\u5024\u306f5g\u3067\u3042\u3063\u305f\u3002
\n(\u30ab)\u79d1\u5b66\u7684\u6839\u62e0\u306e\u8cea
\n\u201c\u98df\u5f8c\u8840\u7cd6\u5024\u306e\u4e0a\u6607\u6291\u5236\u4f5c\u7528\u201d
\n\u5bfe\u8c61\u3068\u3059\u308b\u8ad6\u6587\u306f\u3001\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08\uff32\uff23\uff34\uff09\u3067\u3042\u308a\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u7dcf\u4f53\u306e\u8cea\u306e\u8a55\u4fa1\u306b\u304a\u3044\u3066\u3001\u5404\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u7dcf\u4f8b\u6570\u306f308\uff5e1,094\u4f8b\u3068\u4f8b\u6570\u304c\u591a\u304f\u3001\u4e0d\u7cbe\u78ba\u6027\u306f\u306a\u3044\u3068\u5224\u65ad\u3057\u305f\u3002\u516c\u8868\u30d0\u30a4\u30a2\u30b9\u306e\u5b58\u5728\u306f\u5426\u5b9a\u3055\u308c\u306a\u304b\u3063\u305f\u304c\u3001\u672a\u516c\u8868\u8ad6\u6587\u3092\u60f3\u5b9a\u3057\u3066\u3082\u3001\u7dcf\u5408\u52b9\u679c\u91cf\u306f\u6709\u610f\u3067\u3042\u3063\u305f\u3053\u3068\u304b\u3089\u3001\u516c\u8868\u30d0\u30a4\u30a2\u30b9\u306e\u5f71\u97ff\u306f\u5c0f\u3055\u3044\u3068\u5224\u65ad\u3057\u305f\u3002\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306b\u3088\u308b\u7d71\u5408\u52b9\u679c\u91cf\u306f\u6709\u610f\u3067\u3042\u3063\u305f\u3002\u4ee5\u4e0a\u306e\u3053\u3068\u304b\u3089\u3001\u5168\u3066\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u5f37\u3055\u306f\uff21\uff08\u5f37\u3044\uff09\u3068\u5224\u65ad\u3055\u308c\u305f\u3002
\n\u4eca\u5f8c\u306e\u7814\u7a76\u306b\u3088\u3063\u3066\u306f\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306e\u7d50\u679c\u304c\u5909\u308f\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u7d99\u7d9a\u3057\u305f\u8abf\u67fb\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u98df\u4e8b\u7642\u6cd5\u3060\u3051\u3067\u306a\u304f\u3001\u904b\u52d5\u7642\u6cd5\u3001\u305d\u306e\u4ed6\u751f\u6d3b\u7fd2\u6163\u306a\u3069\u3068\u306e\u4ea4\u7d61\u56e0\u5b50\u306e\u5f71\u97ff\u306b\u3064\u3044\u3066\u3001\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981\u3068\u8003\u3048\u3089\u308c\u308b\u3002
\n\u201c\u6574\u8178\u4f5c\u7528\u201d
\n\u5bfe\u8c61\u3068\u3059\u308b\u8ad6\u6587\u306f\u3001\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08\uff32\uff23\uff34\uff09\u3067\u3042\u308a\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u7dcf\u4f53\u306e\u8cea\u306e\u8a55\u4fa1\u306b\u304a\u3044\u3066\u3001\u300c\u6392\u4fbf\u56de\u6570\u300d\u3001\u300c\u6392\u4fbf\u91cf\u300d\u3001\u5404\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u7dcf\u4f8b\u6570\u306f1,104\u4f8b\u3068\u4f8b\u6570\u304c\u591a\u304f\u3001\u4e0d\u7cbe\u78ba\u6027\u306f\u306a\u3044\u3068\u5224\u65ad\u3057\u305f\u3002\u516c\u8868\u30d0\u30a4\u30a2\u30b9\u306e\u5b58\u5728\u306f\u5426\u5b9a\u3055\u308c\u306a\u304b\u3063\u305f\u304c\u3001\u672a\u516c\u8868\u8ad6\u6587\u3092\u60f3\u5b9a\u3057\u3066\u3082\u3001\u7dcf\u5408\u52b9\u679c\u91cf\u306f\u6709\u610f\u3067\u3042\u3063\u305f\u3053\u3068\u304b\u3089\u3001\u516c\u8868\u30d0\u30a4\u30a2\u30b9\u306e\u5f71\u97ff\u306f\u5c0f\u3055\u3044\u3068\u5224\u65ad\u3057\u305f\u3002\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306b\u3088\u308b\u7d71\u5408\u52b9\u679c\u91cf\u306f\u6709\u610f\u3067\u3042\u3063\u305f\u3002\u4ee5\u4e0a\u306e\u3053\u3068\u304b\u3089\u3001\u5404\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u5f37\u3055\u306f\uff21\uff08\u5f37\u3044\uff09\u3068\u5224\u65ad\u3000\u3055\u308c\u305f\u3002\u4eca\u5f8c\u306e\u7814\u7a76\u306b\u3088\u3063\u3066\u306f\u3001\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306e\u7d50\u679c\u304c\u5909\u308f\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u7d99\u3000\u7d9a\u3057\u305f\u8abf\u67fb\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u6574\u8178\u4f5c\u7528\u306f\u751f\u6d3b\u7fd2\u6163\u75c5\u3082\u91cd\u8981\u306a\u8981\u56e0\u3067\u3042\u308a\u3001\u4e00\u3064\u306e\u98df\u54c1\u3060\u3051\u3092\u3000\u6442\u53d6\u3059\u308c\u3070\u554f\u984c\u306a\u3044\u3068\u3044\u3046\u8003\u3048\u3067\u306f\u306a\u304f\u3001\u98df\u751f\u6d3b\u3084\u904b\u52d5\u306a\u3069\u306b\u3082\u6ce8\u610f\u3092\u6255\u3046\u5fc5\u8981\u304c\u3042\u308b\u3002\u9069\u5207\u306a\u6574\u8178\u4f5c\u7528\u3092\u7d99\u7d9a\u3059\u308b\u3046\u3048\u3067\u5fc5\u8981\u306a\u8981\u7d20\u3068\u3057\u3066\u3001\u98df\u4e8b\u7642\u6cd5\u3060\u3051\u3067\u306a\u304f\u3001\u904b\u52d5\u7642\u6cd5\u3001\u7761\u7720\u306a\u3069\u306e\u751f\u6d3b\u7fd2\u6163\u306a\u3069\u3068\u306e\u4ea4\u7d61\u56e0\u5b50\u306e\u5f71\u97ff\u306b\u3064\u3044\u3066\u3001\u7d99\u7d9a\u3057\u305f\u7814\u7a76\u304c\u5fc5\u8981\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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