\u3053\u306e\u5b66\u8853\u8ad6\u6587\u306f\u3069\u306e\u3088\u3046\u306a\u7814\u7a76\u8ab2\u984c\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u308b\u306e\u304b\uff1f
\n\u5b66\u8853\u8ad6\u6587\u306e\u5177\u4f53\u7684\u306a\u30bf\u30a4\u30c8\u30eb\u3084\u8457\u8005\u3001\u30c6\u30fc\u30de\u3092\u6559\u3048\u3066\u3044\u305f\u3060\u3051\u308b\u3068\u3001\u305d\u306e\u8ad6\u6587\u304c\u3069\u306e\u3088\u3046\u306a\u7814\u7a76\u8ab2\u984c\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u308b\u306e\u304b\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u8aac\u660e\u3067\u304d\u307e\u3059\u3002<\/p>\n
\u3057\u304b\u3057\u3001\u4e00\u822c\u7684\u306b\u3001\u5b66\u8853\u8ad6\u6587\u306f\u6b21\u306e\u3088\u3046\u306a\u8981\u7d20\u306b\u57fa\u3065\u3044\u3066\u7814\u7a76\u8ab2\u984c\u306b\u53d6\u308a\u7d44\u307f\u307e\u3059\u3002<\/p>\n
\u7814\u7a76\u30c6\u30fc\u30de\u3068\u80cc\u666f \u8ad6\u6587\u306e\u5192\u982d\u3067\u3001\u7814\u7a76\u8005\u306f\u901a\u5e38\u3001\u81ea\u5206\u305f\u3061\u306e\u7814\u7a76\u306e\u80cc\u666f\u3068\u76ee\u7684\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n
\u3053\u308c\u306f\u65e2\u5b58\u306e\u7814\u7a76\u306e\u30ae\u30e3\u30c3\u30d7\u3084\u89e3\u6c7a\u3055\u308c\u3066\u3044\u306a\u3044\u554f\u984c\u3092\u6307\u6458\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n
\u3053\u306e\u30bb\u30af\u30b7\u30e7\u30f3\u3067\u3001\u7814\u7a76\u8ab2\u984c\u304c\u660e\u78ba\u306b\u8ff0\u3079\u3089\u308c\u307e\u3059\u3002<\/p>\n
\u7814\u7a76\u306e\u91cd\u8981\u6027\u3068\u76ee\u7684 \u7814\u7a76\u8ab2\u984c\u304c\u306a\u305c\u91cd\u8981\u3067\u3042\u308b\u304b\u3001\u305d\u3057\u3066\u305d\u306e\u8ab2\u984c\u3092\u89e3\u6c7a\u3059\u308b\u3053\u3068\u304c\u3069\u306e\u3088\u3046\u306b\u793e\u4f1a\u3084\u79d1\u5b66\u306b\u8ca2\u732e\u3059\u308b\u304b\u304c\u8aac\u660e\u3055\u308c\u308b\u90e8\u5206\u3067\u3059\u3002<\/p>\n
\u3053\u308c\u306b\u3088\u308a\u3001\u8aad\u8005\u306f\u305d\u306e\u7814\u7a76\u304c\u5fc5\u7136\u3067\u3042\u308b\u7406\u7531\u3092\u7406\u89e3\u3067\u304d\u307e\u3059\u3002<\/p>\n
\u4eee\u8aac\u3068\u7814\u7a76\u8cea\u554f \u591a\u304f\u306e\u8ad6\u6587\u306f\u5177\u4f53\u7684\u306a\u4eee\u8aac\u307e\u305f\u306f\u7814\u7a76\u8cea\u554f\u3092\u63d0\u793a\u3057\u307e\u3059\u3002<\/p>\n
\u3053\u308c\u306b\u3088\u308a\u3001\u7814\u7a76\u306e\u7126\u70b9\u304c\u660e\u78ba\u306b\u306a\u308a\u3001\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u305d\u306e\u8ab2\u984c\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3059\u308b\u306e\u304b\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n
\u65b9\u6cd5\u8ad6 \u3069\u306e\u3088\u3046\u306a\u624b\u6cd5\u3092\u7528\u3044\u3066\u8ab2\u984c\u306b\u53d6\u308a\u7d44\u3080\u306e\u304b\u3068\u3044\u3046\u8a73\u7d30\u304c\u8ff0\u3079\u3089\u308c\u307e\u3059\u3002<\/p>\n
\u4f8b\u3048\u3070\u3001\u5b9f\u9a13\u3001\u8abf\u67fb\u3001\u5206\u6790\u624b\u6cd5\u306a\u3069\u304c\u8a18\u8f09\u3055\u308c\u3066\u304a\u308a\u3001\u7814\u7a76\u306e\u518d\u73fe\u6027\u3092\u62c5\u4fdd\u3057\u307e\u3059\u3002<\/p>\n
\u7d50\u679c\u3068\u8003\u5bdf \u8ab2\u984c\u306b\u5bfe\u3059\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u3069\u306e\u3088\u3046\u306a\u7d50\u679c\u3092\u751f\u307f\u3001\u3069\u306e\u3088\u3046\u306b\u305d\u306e\u8ab2\u984c\u306b\u5bfe\u3059\u308b\u7406\u89e3\u304c\u9032\u3093\u3060\u306e\u304b\u3092\u793a\u3059\u90e8\u5206\u3067\u3059\u3002<\/p>\n
\u3053\u3053\u3067\u5b9f\u65bd\u3055\u308c\u305f\u5206\u6790\u3092\u901a\u3057\u3066\u3001\u7814\u7a76\u8ab2\u984c\u306b\u5bfe\u3059\u308b\u5177\u4f53\u7684\u306a\u77e5\u898b\u304c\u5f97\u3089\u308c\u307e\u3059\u3002<\/p>\n
\u7d50\u8ad6\u3068\u4eca\u5f8c\u306e\u8ab2\u984c \u7814\u7a76\u306e\u7d50\u8ad6\u3068\u3057\u3066\u3001\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u7814\u7a76\u8ab2\u984c\u304c\u9054\u6210\u3055\u308c\u305f\u304b\u304c\u8ff0\u3079\u3089\u308c\u3001\u65b0\u305f\u306b\u751f\u3058\u305f\u554f\u3044\u3084\u4eca\u5f8c\u306e\u7814\u7a76\u306e\u65b9\u5411\u6027\u3082\u63d0\u793a\u3055\u308c\u307e\u3059\u3002<\/p>\n
\u3082\u3057\u5177\u4f53\u7684\u306a\u8ad6\u6587\u306b\u3064\u3044\u3066\u306e\u60c5\u5831\u3092\u3044\u305f\u3060\u3051\u308c\u3070\u3001\u4e0a\u8a18\u306e\u69cb\u6210\u306b\u57fa\u3065\u304d\u3001\u7279\u5b9a\u306e\u8ad6\u6587\u306b\u95a2\u9023\u3059\u308b\u8a73\u7d30\u306a\u8aac\u660e\u3092\u63d0\u4f9b\u3067\u304d\u307e\u3059\u3002<\/p>\n
\u305d\u308c\u306b\u3088\u308a\u3001\u305d\u306e\u8ad6\u6587\u306e\u7814\u7a76\u8ab2\u984c\u306b\u5bfe\u3059\u308b\u53d6\u308a\u7d44\u307f\u306b\u3064\u3044\u3066\u3001\u3088\u308a\u5177\u4f53\u7684\u304b\u3064\u660e\u78ba\u306b\u8aac\u660e\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n
\u3053\u306e\u8ad6\u6587\u304c\u63a1\u7528\u3057\u3066\u3044\u308b\u7814\u7a76\u65b9\u6cd5\u3084\u30c7\u30b6\u30a4\u30f3\u306f\u4f55\u304b\uff1f
\n\u5b66\u8853\u8ad6\u6587\u306e\u7814\u7a76\u65b9\u6cd5\u3084\u30c7\u30b6\u30a4\u30f3\u3092\u7406\u89e3\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u307e\u305a\u5f53\u8a72\u8ad6\u6587\u305d\u306e\u3082\u306e\u3092\u8a73\u3057\u304f\u8aad\u3080\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u3053\u3067\u306f\u4e00\u822c\u7684\u306a\u7814\u7a76\u65b9\u6cd5\u3068\u30c7\u30b6\u30a4\u30f3\u306b\u3064\u3044\u3066\u6982\u8aac\u3057\u307e\u3059\u3002<\/p>\n
\u4ee5\u4e0b\u306b\u3001\u4e00\u822c\u7684\u306a\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3068\u305d\u306e\u7279\u5fb4\u3001\u305d\u3057\u3066\u305d\u308c\u3089\u3092\u9078\u629e\u3059\u308b\u969b\u306e\u6839\u62e0\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n
1. \u7814\u7a76\u65b9\u6cd5\u306e\u7a2e\u985e<\/p>\n
a. \u5b9a\u91cf\u7814\u7a76<\/p>\n
\u5b9a\u91cf\u7814\u7a76\u3067\u306f\u3001\u6570\u5024\u30c7\u30fc\u30bf\u3092\u53ce\u96c6\u3057\u3001\u7d71\u8a08\u7684\u624b\u6cd5\u3092\u7528\u3044\u3066\u5206\u6790\u3057\u307e\u3059\u3002<\/p>\n
\u3053\u306e\u65b9\u6cd5\u306f\u3001\u56e0\u679c\u95a2\u4fc2\u306e\u89e3\u660e\u3084\u30d1\u30bf\u30fc\u30f3\u306e\u7279\u5b9a\u306b\u5411\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u4ee3\u8868\u7684\u306a\u624b\u6cd5\u306b\u306f\u5b9f\u9a13\u7814\u7a76\u3001\u8abf\u67fb\u7814\u7a76\u3001\u76f8\u95a2\u7814\u7a76\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u5b9f\u9a13\u7814\u7a76 \u7814\u7a76\u8005\u304c\u72ec\u7acb\u5909\u6570\u3092\u64cd\u4f5c\u3057\u3001\u5f93\u5c5e\u5909\u6570\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u3092\u89b3\u5bdf\u3057\u307e\u3059\u3002<\/p>\n
\u56e0\u679c\u95a2\u4fc2\u306e\u7279\u5b9a\u306b\u975e\u5e38\u306b\u6709\u52b9\u3067\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u306f\u305d\u306e\u5178\u578b\u3067\u3059\u3002<\/p>\n
\u8abf\u67fb\u7814\u7a76 \u8cea\u554f\u7d19\u3084\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u901a\u3058\u3066\u30c7\u30fc\u30bf\u3092\u53ce\u96c6\u3057\u307e\u3059\u3002<\/p>\n
\u5927\u898f\u6a21\u306a\u30b5\u30f3\u30d7\u30eb\u306b\u57fa\u3065\u3044\u3066\u4e00\u822c\u5316\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n
\u76f8\u95a2\u7814\u7a76 \u5909\u6570\u9593\u306e\u95a2\u4fc2\u6027\u3092\u8abf\u3079\u307e\u3059\u304c\u3001\u56e0\u679c\u95a2\u4fc2\u306f\u7279\u5b9a\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n
b. \u5b9a\u6027\u7814\u7a76<\/p>\n
\u8cea\u7684\u306a\u30c7\u30fc\u30bf\u3092\u53ce\u96c6\u3057\u3001\u73fe\u8c61\u306e\u6df1\u3044\u7406\u89e3\u3092\u76ee\u6307\u3057\u307e\u3059\u3002<\/p>\n
\u4ee3\u8868\u7684\u306a\u624b\u6cd5\u306b\u306f\u30b1\u30fc\u30b9\u30b9\u30bf\u30c7\u30a3\u3001\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3001\u89b3\u5bdf\u7814\u7a76\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u30b1\u30fc\u30b9\u30b9\u30bf\u30c7\u30a3 \u7279\u5b9a\u306e\u500b\u4eba\u3084\u96c6\u56e3\u3092\u8a73\u7d30\u306b\u5206\u6790\u3057\u307e\u3059\u3002<\/p>\n
\u8907\u96d1\u306a\u73fe\u8c61\u306e\u7406\u89e3\u306b\u9069\u3057\u3066\u304a\u308a\u3001\u7406\u8ad6\u306e\u751f\u6210\u306b\u8ca2\u732e\u3057\u307e\u3059\u3002<\/p>\n
\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc \u5bfe\u8c61\u8005\u304b\u3089\u8a73\u7d30\u306a\u60c5\u5831\u3092\u5f15\u304d\u51fa\u3057\u307e\u3059\u3002<\/p>\n
\u30c6\u30fc\u30de\u306e\u6df1\u6398\u308a\u304c\u53ef\u80fd\u3067\u3001\u56de\u7b54\u8005\u306e\u8996\u70b9\u3092\u7406\u89e3\u3059\u308b\u306e\u306b\u9069\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u89b3\u5bdf\u7814\u7a76 \u81ea\u7136\u74b0\u5883\u4e0b\u3067\u306e\u884c\u52d5\u3092\u89b3\u5bdf\u3057\u307e\u3059\u3002<\/p>\n
\u53c2\u52a0\u89b3\u5bdf\u3068\u975e\u53c2\u52a0\u89b3\u5bdf\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
2. \u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306e\u9078\u629e\u6839\u62e0<\/p>\n
\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3092\u9078\u629e\u3059\u308b\u969b\u306e\u6839\u62e0\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u8981\u56e0\u306b\u57fa\u3065\u304d\u307e\u3059\u3002<\/p>\n
\u7814\u7a76\u76ee\u7684 \u7814\u7a76\u306e\u76ee\u7684\u304c\u4eee\u8aac\u691c\u8a3c\u3067\u3042\u308c\u3070\u3001\u5b9f\u9a13\u7814\u7a76\u304c\u9069\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u4e00\u65b9\u3001\u8aac\u660e\u3084\u7406\u89e3\u304c\u76ee\u7684\u306e\u5834\u5408\u3001\u8cea\u7684\u7814\u7a76\u304c\u6709\u52b9\u3067\u3059\u3002<\/p>\n
\u65e2\u5b58\u306e\u77e5\u8b58 \u65e2\u306b\u78ba\u7acb\u3055\u308c\u305f\u9818\u57df\u3067\u306f\u3001\u5b9a\u91cf\u7814\u7a76\u304c\u9069\u3057\u3066\u3044\u308b\u5834\u5408\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u65b0\u8208\u306e\u9818\u57df\u3067\u306f\u8cea\u7684\u7814\u7a76\u304c\u5fc5\u8981\u3068\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u30c7\u30fc\u30bf\u306e\u53ef\u7528\u6027 \u5b9a\u91cf\u5206\u6790\u306b\u5fc5\u8981\u306a\u30c7\u30fc\u30bf\u304c\u65e2\u306b\u5b58\u5728\u3059\u308b\u5834\u5408\u3001\u3053\u308c\u3092\u5229\u7528\u3059\u308b\u3053\u3068\u304c\u5b9f\u7528\u7684\u3067\u3059\u3002<\/p>\n
\u8cea\u7684\u30c7\u30fc\u30bf\u304c\u5bb9\u6613\u306b\u5f97\u3089\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u502b\u7406\u7684\u30fb\u5b9f\u7528\u7684\u5236\u7d04 \u4eba\u9593\u306e\u88ab\u9a13\u8005\u3092\u7528\u3044\u308b\u7814\u7a76\u3067\u306f\u502b\u7406\u7684\u8003\u616e\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n
\u307e\u305f\u3001\u5b9f\u9a13\u8a2d\u5b9a\u304c\u56f0\u96e3\u306a\u5834\u5408\u3001\u305d\u306e\u4ee3\u66ff\u3068\u3057\u3066\u89b3\u5bdf\u7814\u7a76\u306a\u3069\u304c\u9078\u629e\u3055\u308c\u307e\u3059\u3002<\/p>\n
3. \u7d50\u8ad6<\/p>\n
\u5177\u4f53\u7684\u306a\u8ad6\u6587\u306b\u3064\u3044\u3066\u306e\u7814\u7a76\u65b9\u6cd5\u3084\u30c7\u30b6\u30a4\u30f3\u306f\u3001\u305d\u306e\u7814\u7a76\u306e\u76ee\u7684\u3001\u4eee\u8aac\u3001\u5229\u7528\u53ef\u80fd\u306a\u30c7\u30fc\u30bf\u3001\u502b\u7406\u7684\u8003\u616e\u3001\u305d\u3057\u3066\u7814\u7a76\u8005\u306e\u5c02\u9580\u9818\u57df\u306e\u5f71\u97ff\u3092\u53d7\u3051\u3066\u9078\u629e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u5404\u7814\u7a76\u65b9\u6cd5\u306b\u306f\u9577\u6240\u3068\u77ed\u6240\u304c\u3042\u308a\u3001\u9078\u629e\u3055\u308c\u305f\u65b9\u6cd5\u304c\u305d\u306e\u76ee\u7684\u306b\u6700\u3082\u9069\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3092\u8a55\u4fa1\u3059\u308b\u306b\u306f\u3001\u305d\u3046\u3057\u305f\u8981\u56e0\u3092\u8003\u616e\u306b\u5165\u308c\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n
\u3082\u3057\u5177\u4f53\u7684\u306a\u8ad6\u6587\u3092\u8aad\u307e\u308c\u308b\u306e\u3067\u3042\u308c\u3070\u3001\u5c0e\u5165\u90e8\u5206\u3084\u65b9\u6cd5\u8ad6\u30bb\u30af\u30b7\u30e7\u30f3\u306b\u305d\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306e\u8a73\u7d30\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u306f\u305a\u3067\u3059\u306e\u3067\u3001\u305d\u3053\u304b\u3089\u3069\u306e\u30c7\u30b6\u30a4\u30f3\u304c\u9078\u3070\u308c\u305f\u306e\u304b\u3001\u305d\u3057\u3066\u305d\u306e\u7406\u7531\u3092\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n
\u7814\u7a76\u7d50\u679c\u306f\u4f55\u3092\u793a\u3057\u3066\u304a\u308a\u3001\u305d\u308c\u306b\u3088\u3063\u3066\u3069\u306e\u3088\u3046\u306a\u65b0\u3057\u3044\u77e5\u898b\u304c\u5f97\u3089\u308c\u308b\u306e\u304b\uff1f
\n\u5b66\u8853\u8ad6\u6587\u306e\u7814\u7a76\u7d50\u679c\u3084\u65b0\u3057\u3044\u77e5\u898b\u306b\u3064\u3044\u3066\u5177\u4f53\u7684\u306b\u8aac\u660e\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u305d\u306e\u8ad6\u6587\u306e\u30bf\u30a4\u30c8\u30eb\u3084\u30c6\u30fc\u30de\u3001\u307e\u305f\u306f\u7814\u7a76\u306e\u5206\u91ce\u306b\u3064\u3044\u3066\u306e\u8a73\u7d30\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n
\u305f\u3060\u3057\u3001\u4e00\u822c\u7684\u306b\u5b66\u8853\u8ad6\u6587\u304c\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u7814\u7a76\u7d50\u679c\u3092\u793a\u3057\u3001\u305d\u308c\u304c\u3069\u306e\u3088\u3046\u306a\u65b0\u3057\u3044\u77e5\u898b\u3092\u3082\u305f\u3089\u3059\u306e\u304b\u306b\u3064\u3044\u3066\u306e\u4e00\u822c\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u8aac\u660e\u3067\u304d\u307e\u3059\u3002<\/p>\n
1. \u7814\u7a76\u7d50\u679c\u306e\u6982\u8981<\/p>\n
\u307e\u305a\u3001\u7814\u7a76\u7d50\u679c\u306f\u3001\u5b9f\u65bd\u3055\u308c\u305f\u8abf\u67fb\u3084\u5b9f\u9a13\u3092\u901a\u3058\u3066\u5f97\u3089\u308c\u305f\u30c7\u30fc\u30bf\u3084\u60c5\u5831\u306b\u57fa\u3065\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u8ad6\u6587\u306f\u3001\u4eee\u8aac\u3092\u691c\u8a3c\u3059\u308b\u305f\u3081\u306b\u7528\u3044\u305f\u65b9\u6cd5\u8ad6\u3092\u660e\u78ba\u306b\u3057\u3001\u305d\u308c\u306b\u3088\u3063\u3066\u5f97\u3089\u308c\u305f\u7d50\u679c\u3092\u8a73\u7d30\u306b\u8a18\u8ff0\u3057\u307e\u3059\u3002<\/p>\n
\u3053\u306e\u30d7\u30ed\u30bb\u30b9\u306f\u3001\u30c7\u30fc\u30bf\u306e\u53ce\u96c6\u3001\u5206\u6790\u3001\u305d\u306e\u7d50\u679c\u306b\u5bfe\u3059\u308b\u89e3\u91c8\u3092\u542b\u307f\u307e\u3059\u3002<\/p>\n
2. \u65b0\u3057\u3044\u77e5\u898b<\/p>\n
\u8ad6\u6587\u304c\u3082\u305f\u3089\u3059\u65b0\u3057\u3044\u77e5\u898b\u3068\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u8981\u7d20\u3092\u542b\u3080\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3000
\n– \u65b0\u3057\u3044\u7406\u8ad6\u306e\u63d0\u6848 \u65e2\u5b58\u306e\u5b66\u8aac\u3092\u88dc\u5b8c\u3001\u4fee\u6b63\u3001\u307e\u305f\u306f\u65b0\u305f\u306b\u69cb\u7bc9\u3059\u308b\u77e5\u898b\u3002<\/p>\n
– \u5b9f\u7528\u7684\u306a\u5fdc\u7528 \u65b0\u305f\u306a\u6280\u8853\u3084\u65b9\u6cd5\u8ad6\u306e\u958b\u767a\u306b\u3088\u3063\u3066\u3082\u305f\u3089\u3055\u308c\u308b\u5b9f\u969b\u7684\u306a\u5fdc\u7528\u7bc4\u56f2\u306e\u62e1\u5927\u3002<\/p>\n
– \u30c7\u30fc\u30bf\u306e\u666e\u904d\u5316 \u53d6\u5f97\u3057\u305f\u30c7\u30fc\u30bf\u304c\u4ed6\u306e\u72b6\u6cc1\u3084\u30b5\u30f3\u30d7\u30eb\u306b\u3082\u9069\u7528\u53ef\u80fd\u304b\u306e\u793a\u5506\u3002<\/p>\n
– \u7570\u306a\u308b\u8996\u70b9 \u65e2\u5b58\u306e\u77e5\u898b\u3084\u4eee\u8aac\u306b\u5bfe\u3059\u308b\u53cd\u8a3c\u307e\u305f\u306f\u65b0\u3057\u3044\u8996\u70b9\u306e\u63d0\u4f9b\u3002<\/p>\n
3. \u6839\u62e0<\/p>\n
\u7814\u7a76\u7d50\u679c\u306e\u6839\u62e0\u306f\u3001\u5b9f\u9a13\u30c7\u30b6\u30a4\u30f3\u306e\u59a5\u5f53\u6027\u3001\u30b5\u30f3\u30d7\u30eb\u306e\u4ee3\u8868\u6027\u3001\u30c7\u30fc\u30bf\u306e\u4fe1\u983c\u6027\u30fb\u518d\u73fe\u6027\u306a\u3069\u306b\u57fa\u3065\u304d\u307e\u3059\u3002<\/p>\n
\u3053\u3053\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u70b9\u304c\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3000
\n– \u7d71\u8a08\u89e3\u6790 \u5f97\u3089\u308c\u305f\u7d50\u679c\u304c\u7d71\u8a08\u7684\u306b\u6709\u610f\u3067\u3042\u308b\u304b\u3092\u78ba\u8a8d\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u308b\u7d71\u8a08\u624b\u6cd5\u3002<\/p>\n
– \u5b9f\u9a13\u30fb\u8abf\u67fb\u65b9\u6cd5\u306e\u6b63\u78ba\u3055 \u4f7f\u7528\u3057\u305f\u65b9\u6cd5\u8ad6\u304c\u9069\u5207\u3067\u3042\u308a\u3001\u305d\u308c\u304c\u7d50\u679c\u306b\u3069\u306e\u3088\u3046\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u305f\u304b\u3002<\/p>\n
– \u65e2\u5b58\u306e\u6587\u732e\u3068\u306e\u6bd4\u8f03 \u65b0\u3057\u3044\u77e5\u898b\u304c\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u65e2\u5b58\u306e\u7814\u7a76\u3068\u6574\u5408\u6027\u304c\u3042\u308b\u304b\u3001\u307e\u305f\u306f\u3069\u3053\u3067\u7570\u306a\u308b\u304b\u3002<\/p>\n
4. \u7d50\u8ad6<\/p>\n
\u5b66\u8853\u8ad6\u6587\u306e\u7d50\u8ad6\u90e8\u5206\u3067\u306f\u3001\u7814\u7a76\u306e\u9650\u754c\u306b\u3064\u3044\u3066\u8a00\u53ca\u3057\u3001\u7d50\u679c\u304c\u793a\u5506\u3059\u308b\u3055\u3089\u306a\u308b\u7814\u7a76\u306e\u5fc5\u8981\u6027\u3092\u8ad6\u3058\u307e\u3059\u3002<\/p>\n
\u65b0\u3057\u3044\u77e5\u898b\u304c\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u7406\u8ad6\u3084\u5b9f\u52d9\u306b\u8ca2\u732e\u3059\u308b\u306e\u304b\u3092\u660e\u78ba\u306b\u3057\u3001\u7dcf\u5408\u7684\u306a\u7406\u89e3\u3092\u6df1\u3081\u308b\u305f\u3081\u306e\u6b21\u306e\u30b9\u30c6\u30c3\u30d7\u306b\u3064\u3044\u3066\u63d0\u6848\u3059\u308b\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u3082\u3057\u7279\u5b9a\u306e\u8ad6\u6587\u306b\u3064\u3044\u3066\u77e5\u308a\u305f\u3044\u5834\u5408\u306f\u3001\u8ad6\u6587\u306e\u30bf\u30a4\u30c8\u30eb\u3084\u30c6\u30fc\u30de\u3092\u6559\u3048\u3066\u3044\u305f\u3060\u3051\u308c\u3070\u3001\u3088\u308a\u5177\u4f53\u7684\u306a\u60c5\u5831\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002<\/p>\n
\u3053\u308c\u3089\u306e\u7814\u7a76\u7d50\u679c\u306f\u3069\u306e\u3088\u3046\u306b\u5b9f\u969b\u306e\u5fdc\u7528\u3084\u4ed6\u306e\u5206\u91ce\u306e\u7814\u7a76\u306b\u8ca2\u732e\u3059\u308b\u306e\u304b\uff1f
\n\u5b66\u8853\u8ad6\u6587\u304c\u5b9f\u969b\u306e\u5fdc\u7528\u3084\u4ed6\u306e\u5206\u91ce\u306e\u7814\u7a76\u306b\u3069\u306e\u3088\u3046\u306b\u8ca2\u732e\u3059\u308b\u304b\u306f\u3001\u7814\u7a76\u306e\u5185\u5bb9\u3084\u5206\u91ce\u306b\u3088\u3063\u3066\u5927\u304d\u304f\u7570\u306a\u308a\u307e\u3059\u304c\u3001\u4e00\u822c\u7684\u306a\u8ca2\u732e\u306e\u4ed5\u65b9\u306b\u3064\u3044\u3066\u304a\u7b54\u3048\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n
\u65b0\u3057\u3044\u77e5\u8b58\u306e\u63d0\u4f9b \u5b66\u8853\u8ad6\u6587\u306f\u65b0\u305f\u306a\u767a\u898b\u3084\u7406\u8ad6\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u3067\u3001\u7279\u5b9a\u306e\u5206\u91ce\u306e\u77e5\u8b58\u3092\u6df1\u3081\u307e\u3059\u3002<\/p>\n
\u305f\u3068\u3048\u3070\u3001\u65b0\u3057\u3044\u6750\u6599\u306e\u7814\u7a76\u306f\u5de5\u696d\u88fd\u54c1\u306e\u6027\u80fd\u5411\u4e0a\u3084\u30b3\u30b9\u30c8\u524a\u6e1b\u306b\u5bc4\u4e0e\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u6280\u8853\u306e\u9032\u6b69 \u7279\u5b9a\u306e\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u3092\u6539\u826f\u3059\u308b\u7814\u7a76\u306f\u3001\u305d\u306e\u5fdc\u7528\u7bc4\u56f2\u3092\u62e1\u5927\u3057\u307e\u3059\u3002<\/p>\n
\u305f\u3068\u3048\u3070\u3001\u6a5f\u68b0\u5b66\u7fd2\u306e\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3092\u6539\u826f\u3059\u308b\u7814\u7a76\u306f\u3001\u30c7\u30fc\u30bf\u5206\u6790\u3084\u81ea\u52d5\u904b\u8ee2\u8eca\u3001\u533b\u7642\u8a3a\u65ad\u306a\u3069\u306e\u5206\u91ce\u3067\u306e\u6280\u8853\u9032\u6b69\u3092\u4fc3\u9032\u3057\u307e\u3059\u3002<\/p>\n
\u653f\u7b56\u306e\u5f62\u6210 \u793e\u4f1a\u79d1\u5b66\u3084\u533b\u7642\u5206\u91ce\u306e\u7814\u7a76\u306f\u3001\u516c\u5171\u653f\u7b56\u306e\u5f62\u6210\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u305f\u3068\u3048\u3070\u3001\u75ab\u5b66\u7814\u7a76\u306e\u7d50\u679c\u306f\u3001\u5065\u5eb7\u653f\u7b56\u306e\u6539\u5584\u3084\u4e88\u9632\u63a5\u7a2e\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u7b56\u5b9a\u306b\u5229\u7528\u3055\u308c\u307e\u3059\u3002<\/p>\n
\u5b66\u969b\u7684\u306a\u9023\u643a \u3042\u308b\u5206\u91ce\u3067\u306e\u7814\u7a76\u6210\u679c\u304c\u4ed6\u306e\u5206\u91ce\u3067\u65b0\u305f\u306a\u7814\u7a76\u3092\u4fc3\u9032\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u305f\u3068\u3048\u3070\u3001\u91cf\u5b50\u7269\u7406\u5b66\u306e\u77e5\u898b\u306f\u3001\u60c5\u5831\u6280\u8853\u3084\u8a08\u7b97\u6a5f\u79d1\u5b66\u306e\u65b0\u305f\u306a\u7814\u7a76\u958b\u767a\u306b\u5fdc\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u7523\u696d\u3078\u306e\u5f71\u97ff \u57fa\u790e\u7814\u7a76\u304b\u3089\u6d3e\u751f\u3057\u305f\u6280\u8853\u306f\u3001\u3057\u3070\u3057\u3070\u65b0\u3057\u3044\u7523\u696d\u3084\u30d3\u30b8\u30cd\u30b9\u30e2\u30c7\u30eb\u306e\u5275\u51fa\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n
\u305f\u3068\u3048\u3070\u3001\u30d0\u30a4\u30aa\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u306e\u7814\u7a76\u306f\u533b\u85ac\u54c1\u958b\u767a\u3084\u8fb2\u696d\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u6839\u62e0\u3068\u3057\u3066\u3001\u3053\u308c\u3089\u306e\u5fdc\u7528\u306e\u4e8b\u4f8b\u304c\u6570\u591a\u304f\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n
\u305f\u3068\u3048\u3070\u3001\u30ce\u30fc\u30d9\u30eb\u8cde\u3092\u53d7\u8cde\u3057\u305f\u7814\u7a76\u304c\u9577\u3044\u5e74\u6708\u3092\u304b\u3051\u3066\u5b9f\u7528\u5316\u3055\u308c\u3001\u73fe\u5728\u306e\u6280\u8853\u3092\u652f\u3048\u3066\u3044\u308b\u3068\u3044\u3046\u4f8b\u304c\u3042\u308a\u307e\u3059\uff08MRI\u6280\u8853\u306e\u958b\u767a\u306a\u3069\uff09\u3002<\/p>\n
\u307e\u305f\u3001\u5b66\u8853\u8ad6\u6587\u306f\u3057\u3070\u3057\u3070\u5f15\u7528\u3055\u308c\u3001\u305d\u308c\u304c\u76f4\u63a5\u7684\u307e\u305f\u306f\u9593\u63a5\u7684\u306b\u65b0\u3057\u3044\u7814\u7a76\u3092\u751f\u307f\u51fa\u3057\u3001\u7d50\u679c\u3068\u3057\u3066\u65b0\u305f\u306a\u5fdc\u7528\u306e\u53ef\u80fd\u6027\u3092\u5207\u308a\u958b\u304f\u304d\u3063\u304b\u3051\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n
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