{"id":1236,"date":"2017-02-01T18:06:38","date_gmt":"2017-02-01T09:06:38","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1236"},"modified":"2017-02-01T18:07:40","modified_gmt":"2017-02-01T09:07:40","slug":"%e5%9a%a5%e4%b8%8b%e6%a9%9f%e8%83%bd%e4%bd%8e%e4%b8%8b%e3%81%a8%e3%81%a8%e3%82%8d%e3%81%bf%e5%89%a4","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1236","title":{"rendered":"\u56a5\u4e0b\u6a5f\u80fd\u4f4e\u4e0b\u3068\u3068\u308d\u307f\u5264"},"content":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d<br \/>\nROBBINS, JoAnne, et al. Comparison of 2 Interventions for Liquid Aspiration on Pneumonia Incidence  A Randomized Trial. Annals of internal medicine, 2008; 148\uff087\uff09: 509-518.<\/p>\n<p>\uff0d\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\uff0d<br \/>\n\u30fb60\u6b73\u4ee3\u300180\u6b73\u4ee3\u306e\u56a5\u4e0b\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u305f\u8a8d\u77e5\u75c7\u60a3\u8005\u306b\u5bfe\u3057\u3068\u308d\u307f\u5264\u3092\u4f7f\u7528\u3059\u308b\u75c7\u4f8b\u304c\u6700\u8fd1\u3042\u3063\u305f\u3002\u305d\u306e\u5185\u4e00\u4f8b\u306f\u30e0\u30bb\u304c\u7d9a\u3044\u305f\u305f\u3081\u3055\u3089\u306b\u3068\u308d\u307f\u3092<br \/>\n\u3000\u8db3\u3059\u304b\u76f8\u8ac7\u3057\u305f\u3002<br \/>\n\u30fb\u307e\u305f\u8133\u6897\u585e\u5f8c\u907a\u75c7\u3067\u56a5\u4e0b\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u305f\u8a8d\u77e5\u75c7\u306e\u306a\u304480\u6b73\u7537\u6027\u3092\u56a5\u4e0b\u9020\u5f71\u691c\u67fb\uff08VF\uff09\u306a\u3069\u7cbe\u67fb\u76ee\u7684\u306b\u7d39\u4ecb\u3057\u3001\u3068\u308d\u307f\u5264\u4f7f\u7528\u3092\u6307\u5c0e\u3055\u308c\u305f\u304c\u3001<br \/>\n\u3000\u672c\u4eba\u304c\u597d\u307e\u305a\u3068\u308d\u307f\u5264\u306f\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u3002\u3068\u308d\u307f\u5264\u306f\u7f8e\u5473\u3057\u304f\u306a\u304f\u306a\u308b\u3068\u805e\u304f\u3057\u3001\u4ed5\u65b9\u304c\u306a\u3044\u304b\u306a\u301c\u3068\u611f\u3058\u305f\u3002\u305d\u306e\u5f8c\u305d\u3082\u305d\u3082\u3069\u308c\u307b\u3069\u306e<br \/>\n\u3000\u52b9\u679c\u304c\u3042\u308b\u306e\u304b\u6c17\u306b\u306a\u3063\u305f\u3002<br \/>\n\u30fbPubMed\u3067\u300cThickened Fluid\u300d\u300cdysphagia\u300d\u300caspiration\u300d\u3092\u7d44\u307f\u5408\u308f\u305b\u691c\u7d22\u3059\u308b\u306a\u304b\u3067\u898b\u3064\u3051\u8aad\u3093\u3067\u307f\u305f\u3002<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\n\u3010Introduction\u3011<br \/>\n\u3000\u8aa4\u56a5\u6027\u80ba\u708e\u306f\u56a5\u4e0b\u969c\u5bb3\u306e\u3042\u308b\u865a\u5f31\u9ad8\u9f62\u8005\u306b\u304a\u3044\u3066\u826f\u304f\u3042\u308b\u3053\u3068\u3067\u3001\u591a\u304f\u306e\u4eba\u304c\u56a5\u4e0b\u969c\u5bb3\u306b\u3088\u308b\u6804\u990a\u5931\u8abf\u30fb\u8131\u6c34\u75c7\u30fb\u80ba\u708e\u30fbQOL\u4f4e\u4e0b\u306e\u305f\u3081\u30b1\u30a2\u3092\u5fc5\u8981\u3068\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u3089\u306e\u60a3\u8005\u306e\u8aa4\u56a5\u9632\u6b62\u306e\u305f\u3081\u306e\u4ecb\u5165\u306f\u65e5\u5e38\u7684\u306b\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u304c\u3001\u305d\u306e\u4ecb\u5165\u306e\u6709\u52b9\u6027\u306b\u3064\u3044\u3066\u306f\u307b\u3068\u3093\u3069\u77e5\u3089\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n<p>\u3010Method\u3011<br \/>\n\u3000\u30e9\u30f3\u30c0\u30e0\u5316\u4e26\u884c\u7fa4\u9593\u6bd4\u8f03\u8a66\u9a13\u3002\u671f\u9593\u306f1998\u5e746\u67089\u65e5\u304b\u30892005\u5e749\u670819\u65e5\u307e\u3067\u306e\u3046\u3061\u306e3\u30f6\u6708\u9593\u3002<br \/>\n\u300047\u306e\u6025\u6027\u671f\u75c5\u9662\u304a\u3088\u307379\u306e\u4e9c\u6025\u6027\u671f\u4f4f\u5c45\u65bd\u8a2d\uff08subacute residential facilities\uff09\u306e515\u4eba\u3067\u3001\u30b9\u30d7\u30fc\u30f33ml\u306e\u30b5\u30e9\u30b5\u30e9\u306a\u6db2\u4f53\u3092\u56a5\u4e0b\u3059\u308b\u3068\u304d\u3001\u3042\u308b\u3044\u306f\u3001\u56a5\u4e0b\u9020\u5f71\u691c\u67fb\u6642\u3084\u56a5\u4e0b\u6642\u306b \u7279\u306b\u4ecb\u5165\u306a\u3057\u306b\u8aa4\u56a5\u3092\u307f\u3068\u3081\u3089\u308c\u305f\u969b\u306b\u7814\u7a76\u3078\u767b\u9332\u3055\u308c\u305f\u3002\u8aa4\u56a5\u306f\u3001\u58f0\u5e2f\u4e0b\u306b\u89b3\u5bdf\u3055\u308c\u305f\u30d0\u30ea\u30a6\u30e0\u3068\u3057\u3066\u5b9a\u7fa9\u3055\u308c\u305f\u3002\u984e\u3092\u5f15\u3044\u305f\u59ff\u52e2\u3067\u30b5\u30e9\u30b5\u30e9\u6db2\u4f53\u3001\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u306a\u982d\u4f4d\u3067\u30cd\u30af\u30bf\u30fc\u69d8\u306e\u6db2\u4f53\u3001\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u306a\u982d\u4f4d\u3067\u30cf\u30c1\u30df\u30c4\u69d8\u306e\u6db2\u4f53\u306e3\u7fa4\u306b\u30e9\u30e0\u30c0\u30e0\u306b\u5272\u308a\u5f53\u3064\u3051\u3089\u308c\u305f\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff11.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff11-1024x617.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3\uff11\" width=\"640\" height=\"386\" class=\"aligncenter size-large wp-image-1237\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff11-1024x617.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff11-300x181.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff11.png 1394w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>Inclusion criteria\uff1a50\u6b73\u301c95\u6b73\u306e\u8a8d\u77e5\u75c7\u3042\u308b\u3044\u306f\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u60a3\u8005\u3002<br \/>\nExclusion criteria\uff1a\u904e\u53bb\u4e00\u5e74\u306e\u55ab\u7159\u3001\u73fe\u5728\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u4e71\u7528\u3001\u982d\u9838\u90e8\u764c\u306e\u65e2\u5f80\u300120\u5e74\u4ee5\u4e0a\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u4f9d\u5b58\u6027\u306e\u7cd6\u5c3f\u75c5\u3001\u7d4c\u9f3b\u80c3\u7ba1\u3001<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u9032\u884c\u6027\u3084\u611f\u67d3\u6027\u306e\u795e\u7d4c\u75be\u60a3\u30016\u9031\u4ee5\u5185\u306e\u80ba\u708e\u3002<\/p>\n<p>\u53c2\u52a0\u8005\u306f\u3001\u8aa4\u56a5\u304c\u7591\u308f\u308c\u305f\u5834\u5408\u3001\u56a5\u4e0b\u9020\u5f71\u691c\u67fb\u3092\u53d7\u3051\u305f\u3002<\/p>\n<p>\u4e00\u6642\u30a2\u30a6\u30c8\u30ab\u30e0\uff1a\u660e\u3089\u304b\u306a\u80ba\u708e\uff08\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u306b\u3088\u308b\u8a3a\u65ad\u3001\u3042\u308b\u3044\u306f38\u5ea6\u4ee5\u4e0a\u306e\u6301\u7d9a\u3059\u308b\u767a\u71b1\u3001\u8074\u8a3a\u6240\u898b\u3001\u767d\u8840\u7403\u3092\u8a8d\u3081\u308b\u75f0\u306e\u30b0\u30e9\u30e0\u67d3\u8272\u3001<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u547c\u5438\u5668\u75c5\u539f\u83cc\u3092\u8a8d\u3081\u308b\u75f0\u57f9\u990a\u306e4\u3064\u306e\u3046\u30613\u3064\u4ee5\u4e0a\u3092\u6e80\u305f\u3059\u3082\u306e\uff09<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u7591\u308f\u3057\u3044\u80ba\u708e\u3068\u306f\u3001\u4e0a\u8a18\u306e\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u3067\u306e\u8a3a\u65ad\u4ee5\u5916\u306e4\u3064\u306e\u3046\u30612\u3064\u6e80\u305f\u3059\u3082\u306e\u3068\u5b9a\u7fa9\u3002<br \/>\n\u4e8c\u6b21\u30a2\u30a6\u30c8\u30ab\u30e0\uff1a\u660e\u3089\u304b\u306a\u80ba\u708e\u3042\u308b\u3044\u306f\u6b7b\u4ea1<\/p>\n<p>\u3010Result\u3011<br \/>\n\u3000\u5bfe\u8c61\u8005\uff1a515\u4eba\u304c\u30e9\u30f3\u30c0\u30e0\u5272\u308a\u4ed8\u3051\u3055\u308c\u984e\u3092\u5f15\u3044\u305f\u59ff\u52e2\u3067\u30b5\u30e9\u30b5\u30e9\u6db2\u4f53259\u540d\u3001\u3068\u308d\u307f\u6db2\u4f53\u306f256\u540d\u3067\u305d\u306e\u5185\u8a33\u306f\u30cd\u30af\u30bf\u30fc\u69d8\u306e\u6db2\u4f53133\u540d\u3001<br \/>\n\u3000\u3000\u3000\u3000\u3000\u30cf\u30c1\u30df\u30c4\u69d8\u306e\u6db2\u4f53123\u540d\u3067\u3059\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff12.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff12-747x1024.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3\uff12\" width=\"640\" height=\"877\" class=\"aligncenter size-large wp-image-1238\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff12-747x1024.png 747w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff12-219x300.png 219w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff12.png 1050w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff13.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff13-1024x938.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3\uff13\" width=\"640\" height=\"586\" class=\"aligncenter size-large wp-image-1239\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff13-1024x938.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff13-300x275.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff13.png 1356w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><br \/>\nFigure 2\u3000\u984e\u3092\u5f15\u3044\u305f\u59ff\u52e2\u3068\u3068\u308d\u307f\u6db2\u4f53\u306b\u3088\u308b\u80ba\u708e\u306e\u7d2f\u7a4d\u7f79\u60a3\u7387<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff14.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff14.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3\uff14\" width=\"782\" height=\"778\" class=\"aligncenter size-full wp-image-1240\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff14.png 782w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff14-150x150.png 150w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff14-300x298.png 300w\" sizes=\"auto, (max-width: 782px) 100vw, 782px\" \/><\/a><\/p>\n<p>\u4e00\u6b21\u30a2\u30a6\u30c8\u30ab\u30e0\uff1a\u30ab\u30d7\u30e9\u30f3\u30de\u30a4\u30e4\u30fc\u66f2\u7dda\u3067\u4e09\u30f6\u6708\u9593\u306e\u80ba\u708e\u306e\u7d2f\u7a4d\u7f79\u60a3\u7387\u306f\u3001<br \/>\n\u3000\u984e\u3092\u5f15\u304f\u59ff\u52e20.098\uff0824\u4e8b\u4f8b\uff09\u3001\u3068\u308d\u307f\u6db2\u4f530.116\uff0828\u4e8b\u4f8b\uff09(hazard ratio [HR], 0.84 [95% CI, 0.49 to 1.45]; P = 0.53)<br \/>\n\u3068\u308d\u307f\u6db2\u4f53\u306e\u30cd\u30af\u30bf\u30fc\u3068\u30cf\u30c1\u30df\u30c4\u69d8\u3068\u3067\u3082\u6bd4\u8f03\u3057\u3066\u3044\u308b\u304c\u3001<br \/>\n\u3000\u30cd\u30af\u30bf\u30fc\u69d8\u6db2\u4f530.084\uff0810\u4e8b\u4f8b\uff09\u3001\u30cf\u30c1\u30df\u30c4\u69d8\u6db2\u4f530.150\uff0818\u4e8b\u4f8b\uff09( [HR], 0.50 [95% CI, 0.23 to 1.09]; P = 0.083)<\/p>\n<p>\u4e8c\u6b21\u30a2\u30a6\u30c8\u30ab\u30e0\uff1a\u30ab\u30d7\u30e9\u30f3\u30de\u30a4\u30e4\u30fc\u66f2\u7dda\u3067\u4e09\u30f6\u6708\u9593\u306e\u80ba\u708e\u3042\u308b\u3044\u306f\u6b7b\u4ea1\u306e\u7d2f\u7a4d\u7f79\u60a3\u7387\u306f\u3001<br \/>\n\u3000\u984e\u3092\u5f15\u304f\u59ff\u52e20.180\uff0846\u4e8b\u4f8b\uff09\u3001\u3068\u308d\u307f\u6db2\u4f530.183\uff0846\u4e8b\u4f8b\uff09(HR, 0.98 [95\uff05CI, 0.65 to 1.48]; P = 0.94)<br \/>\n\u3068\u308d\u307f\u6db2\u4f53\u306e\u30cd\u30af\u30bf\u30fc\u3068\u30cf\u30c1\u30df\u30c4\u69d8\u3068\u3067\u3082\u6bd4\u8f03\u3057\u3066\u3044\u308b\u304c\u3001\u30ab\u30d7\u30e9\u30f3\u30de\u30a4\u30e4\u30fc\u66f2\u7dda\u3067\u4e09\u30f6\u6708\u9593\u306e\u80ba\u708e\u3042\u308b\u3044\u306f\u6b7b\u4ea1\u306e\u7d2f\u7a4d\u7f79\u60a3\u7387\u306f\u3001<br \/>\n\u3000\u30cd\u30af\u30bf\u30fc\u69d8\u6db2\u4f530.163\uff0821\u4e8b\u4f8b\uff09\u3001\u30cf\u30c1\u30df\u30c4\u69d8\u6db2\u4f530.205\uff0825\u4e8b\u4f8b\uff09(HR, 0.76 [CI, 0.43 to 1.36]; P = 0.36)<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff15.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff15-1024x787.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3\uff15\" width=\"640\" height=\"492\" class=\"aligncenter size-large wp-image-1241\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff15-1024x787.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff15-300x231.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff15.png 1212w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff16.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff16-1024x893.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3\uff16\" width=\"640\" height=\"558\" class=\"aligncenter size-large wp-image-1242\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff16-1024x893.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff16-300x262.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff16.png 1224w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff17.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff17-1024x578.png\" alt=\"\u8cb4\u5cf6\u5148\u751f\u56f3\uff17\" width=\"640\" height=\"361\" class=\"aligncenter size-large wp-image-1243\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff17-1024x578.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff17-300x169.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/02\/\u8cb4\u5cf6\u5148\u751f\u56f3\uff17.png 1484w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>Table2\u306f \u984e\u5f15\u304d\u59ff\u52e2\u3001\u3068\u308d\u307f\uff08\u30cd\u30af\u30bf\u30fc\u69d8\u30fb\u30cf\u30c1\u30df\u30c4\u69d8\uff09\u6db2\u4f53\u306e\u305d\u308c\u305e\u308c\u306e\u7fa4\u3067\u306e\u6709\u5bb3\u4e8b\u8c61\u3001\u5165\u9662\u3001\u6b7b\u4ea1\u3092\u307e\u3068\u3081\u305f\u8868\u3067\u3059\u3002<br \/>\n\u5c11\u306a\u304f\u3068\u30821\u56de\u306e\u8131\u6c34\u3001\u5c3f\u8def\u611f\u67d3\u3001\u767a\u71b1\u3092\u767a\u75c7\u3057\u305f\u60a3\u8005\u306f\u3001\u3068\u308d\u307f\u7fa4\u3067\u984e\u3092\u5f15\u304f\u7fa4\u3088\u308a\u3082\u591a\u304f9\uff05\u5bfe5\uff05\uff08[CI, 0.3 to 9 \uff05]; P = 0.055\uff09\uff09\u3067\u3042\u3063\u305f\u3002<\/p>\n<p>\u3010Discussion\u3011<br \/>\n\u30fb\u8001\u4eba\u30db\u30fc\u30e0\u306e\u8133\u5352\u4e2d\u30fb\u8a8d\u77e5\u75c7\u30fb\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u306b\u304a\u3051\u308b\u7f79\u60a3\u7387\u306f20\u301c40\uff05\u3067\u3059\u304c\u3001\u767b\u9332\u60a3\u8005\u5168\u54e1\u306e3\u30f6\u6708\u80ba\u708e\u306e\u7d2f\u7a4d\u7f79\u60a3\u7387\u306f11\uff05\u3068\u4f4e\u304b\u3063\u305f\u3002<br \/>\n\u3000\u7121\u6cbb\u7642\u7fa4\u306e\u30b5\u30f3\u30d7\u30eb\u304c\u306a\u3044\u305f\u3081\u3001\u4ecb\u5165\u306e\u7d50\u679c\u304c\u8868\u3057\u3066\u3044\u308b\u3053\u306e\u4f4e\u3044\u6bd4\u7387\u304b\u4ed6\u306e\u30b1\u30a2\u304c\u3082\u305f\u3089\u3059\u5909\u5316\u304b\u3069\u3046\u304b\u5224\u65ad\u3067\u304d\u306a\u3044\u3002<br \/>\n\u30fb\u80ba\u708e\u306e\u7f79\u60a3\u7387\u3067\u3059\u304c\u3001\u30cd\u30af\u30bf\u30fc\u69d8\u6db2\u4f530.084\uff0810\u4e8b\u4f8b\uff09\u3001\u30cf\u30c1\u30df\u30c4\u69d8\u6db2\u4f530.150\uff0818\u4e8b\u4f8b\uff09( [HR], 0.50 [95% CI, 0.23 to 1.09]; P = 0.083)<br \/>\n\u3000\u30cf\u30c1\u30df\u30c4\u69d8\u6db2\u4f53\u306e\u60a3\u8005\u306e\u80ba\u708e\u6642\u5165\u9662\u671f\u9593\u306e\u4e2d\u592e\u5024\u304c\u3088\u308a\u9577\u304f\u3001\u30cd\u30af\u30bf\u30fc\u69d8\u6db2\u4f53\u306f\u30cf\u30c1\u30df\u30c4\u69d8\u6db2\u4f53\u3088\u308a\u6c17\u9053\u304b\u3089\u306e\u9664\u53bb\u304c\u5bb9\u6613\u3067\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<br \/>\n\u3000\u6db2\u4f53\u304c\u7c98\u6027\u3067\u3042\u308c\u3070\u3042\u308b\u307b\u3069\u3088\u308a\u5b89\u5168\u306b\u6442\u53d6\u3059\u308b\u3068\u3044\u3046\u524d\u63d0\u306f\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\u3084\u56a5\u4e0b\u9020\u5f71\u691c\u67fb\u306b\u57fa\u3065\u3044\u3066\u3044\u308b\u3002\uff08\u76ee\u306e\u524d\u3067\u8aa4\u56a5\u3092\u751f\u3058\u3066\u3044\u306a\u3044\u3060\u3051\u3002<br \/>\n\u3000\u7c98\u5ea6\u304c\u9ad8\u3051\u308c\u3070\u3001\u76ee\u306e\u524d\u3067\u8aa4\u56a5\u3057\u306a\u3044\u3088\u306d\u3002\u3057\u304b\u3057\u3001\u3086\u3063\u304f\u308a\u8aa4\u56a5\u3057\u3066\u3044\u308b\u3088\u306d\u3002\u3063\u3066\u3053\u3068\u3092\u8a00\u3063\u3066\u3044\u308b\uff1f\uff09<br \/>\n\u30fb\u56a5\u4e0b\u969c\u5bb3\u304c\u3042\u3063\u3066\u3082\u3001\u30b5\u30e9\u30b5\u30e9\u306a\u6db2\u4f53\u3067\u5473\u3084\u98df\u611f\u3092\u697d\u3057\u3081\u308b\u984e\u3092\u5f15\u3044\u305f\u59ff\u52e2\u306f\u9078\u629e\u80a2\u306b\u306a\u308b\u3002<br \/>\n\u3000\u3042\u308b\u3044\u306f\u56a5\u4e0b\u30d7\u30ed\u30bb\u30b9\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3084\u76e3\u8996\u3092\u8981\u3055\u306a\u3044\u30cd\u30af\u30bf\u30fc\u69d8\u306e\u6db2\u4f53\u3082\u5408\u7406\u7684\u306a\u9078\u629e\u3067\u3042\u308b\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\u30002017\u5e742\u67081\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d ROBBINS, JoAnne, et al. Comparison of 2 Interventions for Liquid Aspiration on Pneumonia Incidence A Ran &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1236\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u56a5\u4e0b\u6a5f\u80fd\u4f4e\u4e0b\u3068\u3068\u308d\u307f\u5264<\/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":[11],"tags":[],"class_list":["post-1236","post","type-post","status-publish","format-standard","hentry","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1236","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=1236"}],"version-history":[{"count":4,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1236\/revisions"}],"predecessor-version":[{"id":1248,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1236\/revisions\/1248"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}