{"id":1120,"date":"2016-08-24T15:05:52","date_gmt":"2016-08-24T06:05:52","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1120"},"modified":"2016-08-24T15:05:52","modified_gmt":"2016-08-24T06:05:52","slug":"%e5%b0%bf%e7%ae%a1%e7%b5%90%e7%9f%b3%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e8%96%ac%e7%89%a9%e7%9a%84%e6%8e%92%e7%9f%b3%e4%bf%83%e9%80%b2%e7%99%82%e6%b3%95","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1120","title":{"rendered":"\u5c3f\u7ba1\u7d50\u77f3\u306b\u5bfe\u3059\u308b\u85ac\u7269\u7684\u6392\u77f3\u4fc3\u9032\u7642\u6cd5"},"content":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d
\nRobert Pickard et al. Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised, placebo-controlled trial . Lancet. 2015;386:341-349.<\/p>\n

\uff0d\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\uff0d
\n\u3000\u5c3f\u7ba1\u7d50\u77f3\u60a3\u8005\u3092\u4e45\u3057\u3076\u308a\u306b\u81ea\u5206\u3067\u8a3a\u308b\u6a5f\u4f1a\u304c\u3042\u3063\u305f\u3002
\n\u3000\u81ea\u7136\u6392\u77f3\u3092\u671f\u5f85\u3059\u308b\u969b\u3001\u672c\u75be\u60a3\u306f\u75bc\u75db\u304c\u5f37\u3044\u305f\u3081\u52b9\u679c\u304c\u671f\u5f85\u3055\u308c\u308b\u85ac\u5264\u306f\u6975\u529b\u63d0\u6848\u3057\u305f\u3044\u3002\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\uff08\u30cf\u30eb\u30ca\u30fc\u30eb\uff09\u3084\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\uff08\u30a2\u30c0\u30e9\u30fc\u30c8\uff09\u306e\u63a8\u5968\u306e\u8a18\u8f09\u3082\u3042\u308b\u304c\u30013\u301c4\u5e74\u307b\u3069\u524d\u306b\u540c\u85ac\u5264\u306f\u52b9\u679c\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u8ad6\u6587\u3092\u8aad\u3093\u3060\u8a18\u61b6\u304c\u3042\u308a\u3001\u518d\u5ea6\u78ba\u8a8d\u3057\u76f4\u305d\u3046\u3068\u601d\u3044\u9078\u3093\u3060\u3002<\/p>\n

\uff0d\u8981\u7d04\uff0d
\nIntroduction<\/strong>
\n\u4ee5\u524d\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u30e1\u30bf\u5206\u6790\u3067\u306f\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u30fb\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u306f\u81ea\u7136\u6392\u77f3\u306e\u52b9\u679c\u3092\u5831\u544a\u3057\u3066\u3044\u305f\u3002\u5c0f\u898f\u6a21\u30fb\u5358\u65bd\u8a2d\u3067\u3042\u308a\u3001\u3055\u3089\u306b\u4f4e\u301c\u4e2d\u7b49\u5ea6\u306e\u8a66\u9a13\u306e\u8cea\u3067\u3042\u3063\u305f\u3002\u307e\u305f\u8a66\u9a13\u30c7\u30b6\u30a4\u30f3\u306e\u30d0\u30e9\u3064\u304d\u304c\u3042\u308a\u3001\u8a55\u4fa1\u6307\u6a19\u3082\u7570\u306a\u3063\u3066\u3044\u305f\u3002\u306b\u3082\u95a2\u308f\u3089\u305a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3082\u3053\u308c\u3089\u306e\u85ac\u5264\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u305f\u3002\u3053\u306e\u305f\u3081\u3001\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u304c\u5fc5\u8981\u3068\u3055\u308c\u3066\u304a\u308a\u3001\u7b46\u8005\u3089\u304c\u691c\u8a3c\u3057\u305f\u3002<\/p>\n

Method<\/strong>
\n\u591a\u65bd\u8a2d\uff08\u82f1\u56fd\u306e24\u306e\u75c5\u9662\uff09\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u3001\u4e8c\u91cd\u76f2\u691c\u3001\u30d7\u30e9\u30bb\u30dc\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3001RCT
\n\u5c3f\u7ba1\u759d\u75db\u3092\u6765\u3057\u305f18\u6b73\u301c65\u6b73\u306e\u3001CT\u306710mm\u4ee5\u4e0b\u306e1\u500b\u306e\u5c3f\u7ba1\u7d50\u77f3\u3092\u8a8d\u3081\u305f\u60a3\u8005\u3002
\n\u30e9\u30f3\u30c0\u30e0\u306b\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\uff08400\u03bcg\/\u65e5\uff09\u3001\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\uff0830mg\/\u65e5\uff09\u3001\u304a\u3088\u3073\u30d7\u30e9\u30bb\u30dc\u306b\u5272\u308a\u5f53\u30664\u9031\u9593\u5185\u670d\u3057\u3066\u3082\u3089\u3063\u305f\uff08\u6392\u77f3\u3084\u51e6\u7f6e\u3092\u8981\u3057\u305f\u969b\u306b\u306f\u305d\u306e\u6642\u70b9\u3067\u4e2d\u6b62\uff09\u3002
\n\u51e6\u7f6e\u3092\u8981\u3055\u306a\u304b\u3063\u305f\u60a3\u8005\u306e\u5272\u5408\u3067\u8a55\u4fa1\u3002<\/p>\n

Result<\/strong>
\n\u30fb2011\u5e741\u670811\u65e5\u301c2013\u5e7412\u670820\u65e5\u307e\u3067\u306b1167\u4eba\u304c\u5272\u308a\u4ed8\u3051\u3089\u308c\u30011136\u4eba\u304c\u5206\u6790\u3055\u308c\u305f\uff0817\u4eba\uff1a\u4e0d\u7684\u78ba\u30fb14\u4eba\uff1a\u8ffd\u8de1\u4e0d\u80fd\uff09\u3002Figure 1\u8ad6\u6587\u53c2\u7167
\n\u30fb\u51e6\u7f6e\u4e0d\u8981\u3067\u3042\u3063\u305f\u5272\u5408\u306f\u30d7\u30e9\u30bb\u30dc\u7fa4\uff08379\u4eba\uff09\u306e80\uff05\u306b\u5bfe\u3057\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u7fa4\uff08387\u4eba\uff09\u306f81\uff05\u3067\u3042\u3063\u305f\u3002
\n\u3000\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u306e\u8abf\u6574\u30ea\u30b9\u30af\u5dee\u306f1.3\uff05\uff0895\uff05\u4fe1\u983c\u533a\u9593-5.7\u304b\u30898.3\u3001P\uff1d0.73\uff09\u3060\u3063\u305f\u3002
\n\u3000\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u7fa4\uff08379\u4eba\uff09\u308280\uff05\u3067\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u306e\u8abf\u6574\u30ea\u30b9\u30af\u5dee\u306f0.5\uff05\uff0895\uff05\u4fe1\u983c\u533a\u9593-5.6\u304b\u30896.5\uff0cP\uff1d0.88\uff09\u3067\u3042\u3063\u305f\u3002
\n\u3000\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u7fa4\u3068\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u7fa4\u3092\u5408\u308f\u305b\u3066\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u6bd4\u8f03\u3057\u305f\u304c\u3001\u5dee\u306f\u6709\u610f\u3067\u306f\u7121\u304b\u3063\u305f\uff08P\uff1d0.78\uff09\u3002\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u7fa4\u3068\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u7fa4\u306e
\n\u3000\u6bd4\u8f03\u306b\u304a\u3044\u3066\u3082\u3001\u6709\u610f\u5dee\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\uff08P\uff1d0.77\uff09Table 2
\n\u30fb\u6027\u5dee\u3001\u7d50\u77f3\u306e\u30b5\u30a4\u30ba\u3001\u7d50\u77f3\u306e\u4f4d\u7f6e\u306b\u3088\u308b\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3082\u884c\u308f\u308c\u305f\u304c\u540c\u69d8\u306e\u7d50\u679c\u3067\u3042\u3063\u305f\u3002Figure 2
\n\u30fb\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\uff08\u93ae\u75db\u85ac\u4f7f\u7528\u65e5\u6570\u3001\u6392\u77f3\u307e\u3067\u306e\u671f\u9593\uff09\u306b\u3082\u6709\u610f\u5dee\u306a\u3057\u3002Table 3
\n\u30fb\u91cd\u5927\u306a\u526f\u4f5c\u7528\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u7fa4\u3067\u300c\u4e00\u4f8b\u306f\u53f3\u8170\u90e8\u75db\u30fb\u4e0b\u75e2\u30fb\u5614\u5410\u3001\u4e00\u4f8b\u306f\u4e0d\u5feb\u611f\u30fb\u982d\u75db\u30fb\u80f8\u75db\u3001\u4e00\u4f8b\u306f\u91cd\u5ea6\u306e\u80f8\u75db\u30fb\u547c\u5438\u56f0\u96e3\u30fb\u5de6\u8155\u75db\u300d\u306e
\n\u30003\u4f8b\u304c\u5831\u544a\u3055\u308c\u305f\u3002\u307e\u305f\u30d7\u30e9\u30bb\u30dc\u7fa4\u3067\u300c\u982d\u75db\u30fb\u3081\u307e\u3044\u30fb\u3075\u3089\u3064\u304d\u30fb\u6162\u6027\u8179\u75db\u300d\u306e\u4e00\u4f8b\u304c\u5831\u544a\u3055\u308c\u305f\u3002<\/p>\n

\"\u8cb4\u5cf6\u5148\u751f\u56f3\u2460\"<\/a><\/p>\n

\"\u8cb4\u5cf6\u5148\u751f\u56f3\u2461\"<\/a><\/p>\n

\"\u8cb4\u5cf6\u5148\u751f\u56f3\u2462\"<\/a>
\n
\ndiscussion<\/strong>
\n\u4eca\u56de\u306e\u7d50\u679c\u3067\u306f\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u3068\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u306f\u6392\u77f3\u306b\u5bfe\u3057\u6709\u52b9\u6027\u3092\u793a\u305b\u306a\u304b\u3063\u305f\u3002
\n\u4ed6\u306e\u8a66\u9a13\u3067\u306f\u77f3\u306e\u30b5\u30a4\u30ba\u306e\u4e0b\u9650\uff083\u301c5mm\uff09\u3092\u8a2d\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u3053\u308c\u3089\u306e\u60a3\u8005\u7fa4\u3067\u306f\u3001\u85ac\u7269\u7684\u6392\u77f3\u4fc3\u9032\u7642\u6cd5\u306e\u6069\u6075\u3092\u53d7\u3051\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u4e8b\u304c\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n

\uff0d\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\uff0d
\n\u30fb\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u306f\u6709\u52b9\u6027\u3068\u526f\u4f5c\u7528\u306e\u89b3\u70b9\u304b\u3089\u51e6\u65b9\u3057\u306a\u3044\u3067\u3088\u3044\u306e\u3067\u306f\u3002
\n\u30fb\u4ed6\u306e\u8ad6\u6587\u3067\u306f5mm\u4ee5\u4e0a\u306e\u7d50\u77f3\u306b\u5bfe\u3057\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u306e\u52b9\u679c\u3092\u5831\u544a\u3057\u3066\u3044\u308b\u3082\u306e\u3082\u3042\u308b\u3002\u4eca\u56de\u306e\u526f\u4f5c\u7528\u3068\u306e\u517c\u306d\u5408\u3044\u304b\u3089\u51e6\u65b9\u691c\u8a0e\u3057\u3066\u3082\u3088\u3044\u306e\u3067\u306f\u3002
\n\u3000\uff08\u51e6\u65b9\u3059\u308b\u306b\u3057\u3066\u306e\u3001\u305d\u3082\u305d\u3082\u65e5\u672c\u3067\u306f\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3200\u03bcg\/\u65e5\u306e\u7528\u91cf\u3067\u7537\u6027\u306b\uff09
\n\u30fb\u4fdd\u5b58\u7684\u6cbb\u7642\u304c\u5bfe\u5fdc\u3068\u306a\u308b\u5c3f\u7ba1\u7d50\u77f3\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3066\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u3084\u30cb\u30d5\u30a7\u30b8\u30d4\u30f3\u3092\u51e6\u65b9\u3057\u3066\u3044\u307e\u3057\u305f\u304b\uff1f\u30bf\u30e0\u30b9\u30ed\u30b7\u30f3\u3092\u51e6\u65b9\u3057\u3066\u3044\u308b\u306a\u3089
\n\u3000\u305d\u306e\u5bfe\u8c61\u60a3\u8005\u3084\u7528\u91cf\u306f\u3069\u3046\u3057\u3066\u3044\u307e\u3059\u304b\uff1f
\n\u30fb\u3053\u306e\u7d50\u679c\u3092\u53d7\u3051\u3066\u3001\u3042\u306a\u305f\u306e\u51e6\u65b9\u306b\u5909\u5316\u304c\u3042\u308a\u307e\u3059\u304b\uff1f<\/strong><\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n\u30002016\u5e748\u67083\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d Robert Pickard et al. Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised … \u7d9a\u304d\u3092\u8aad\u3080 \u5c3f\u7ba1\u7d50\u77f3\u306b\u5bfe\u3059\u308b\u85ac\u7269\u7684\u6392\u77f3\u4fc3\u9032\u7642\u6cd5<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-1120","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1120"}],"version-history":[{"count":3,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1120\/revisions"}],"predecessor-version":[{"id":1126,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1120\/revisions\/1126"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}