{"id":1333,"date":"2017-06-07T11:32:47","date_gmt":"2017-06-07T02:32:47","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1333"},"modified":"2017-06-07T11:32:47","modified_gmt":"2017-06-07T02:32:47","slug":"%e6%8c%87%e7%a4%ba%e9%80%9a%e3%82%8a%e3%81%ab%e5%91%bc%e5%90%b8%e3%82%92%e8%a1%8c%e3%81%86%e3%81%93%e3%81%a8%e3%81%8c%e9%9b%a3%e3%81%97%e3%81%84%e6%b0%97%e7%ae%a1%e6%94%af%e5%96%98%e6%81%af%e6%82%a3","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1333","title":{"rendered":"\u6307\u793a\u901a\u308a\u306b\u547c\u5438\u3092\u884c\u3046\u3053\u3068\u304c\u96e3\u3057\u3044\u6c17\u7ba1\u652f\u5598\u606f\u60a3\u8005\u306b\u5bfe\u3059\u308b\u30b9\u30da\u30fc\u30b5\u30fc\u306e\u6709\u52b9\u6027"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nCates CJ, Welsh EJ, Rowe BH. Holding chambers (spacers) versus nebulisers for beta-agonist\u3000treatment of acute asthma (Review). Cochrane Database of Systematic Reviews. 2013; 13(9)<\/p>\n

\u2015\u8981\u7d04\u2015
\n\u3010\u80cc\u666f\u3011
\n\u3000\u5598\u606f\u767a\u4f5c\u306b\u304a\u3051\u308b\u03b2\u523a\u6fc0\u85ac\u5438\u5165\u306b\u306f\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u304c\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u304c\u3001\u30b9\u30da\u30fc\u30b5\u30fc\uff08\u201dHolding chambers\u201d\u307e\u305f\u306f\u201dspacers\u201d\uff09\u306b\u3088\u308bMDI\u5438\u5165\u3082\u540c\u7b49\u306e\u52b9\u679c\u304c\u3042\u308b\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308b\u3002\u307e\u305f\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u306f\u96fb\u6e90\u3084\u5b9a\u671f\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u304c\u5fc5\u8981\u3060\u3063\u305f\u308a\u3001\u5730\u57df\u3067\u7528\u3044\u308b\u306b\u306f\u3088\u308a\u9ad8\u4fa1\u3067\u3042\u3063\u305f\u308a\u3059\u308b\u3002<\/p>\n

\u3010\u76ee\u7684\u3011
\n\u3000\u5598\u606f\u767a\u4f5c\u6642\u306e\u03b2\u523a\u6fc0\u85ac\u5438\u5165\u306b\u304a\u3051\u308b\u3001\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u3068\u6bd4\u8f03\u3057\u305f\u30b9\u30da\u30fc\u30b5\u30fc\u306e\u52b9\u679c\u3092\u8a55\u4fa1\u3059\u308b\u3002<\/p>\n

\u3010\u691c\u7d22\u65b9\u6cd5\u3011
\n\u3000the Cochrane Airways Group Trial Register and reference lists of articles\u3092\u691c\u7d22\u3057\u305f\u3002\u8a73\u7d30\u306b\u3064\u3044\u3066\u8457\u8005\u3089\u306b\u9023\u7d61\u3092\u3068\u3063\u305f\u3002 <\/p>\n

\u3010\u9078\u629e\u57fa\u6e96\u3011
\n\u3000\u5598\u606f\u3092\u6709\u3059\u308b\u6210\u4eba\u3068\u5c0f\u5150\uff082\u6b73\u4ee5\u4e0a\uff09\u306b\u5bfe\u3057\u03b2\u523a\u6fc0\u85ac\u5438\u5165\u306b\u304a\u3051\u308b\u30b9\u30da\u30fc\u30b5\u30fc\u3068\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u3092\u6bd4\u8f03\u3057\u305f\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13<\/p>\n

\u3010\u30c7\u30fc\u30bf\u53ce\u96c6\u3068\u8a55\u4fa1\u3011
\n\u30002\u4eba\u306e\u8a55\u4fa1\u8005\u304c\u72ec\u7acb\u3057\u3066\u9078\u629e\u57fa\u6e96\u3092\u9069\u7528\u3057\u3001\u30c7\u30fc\u30bf\u3092\u9664\u5916\u3057\u3001\u30d0\u30a4\u30a2\u30b9\u306e\u30ea\u30b9\u30af\u3092\u8a55\u4fa1\u3057\u305f\u3002\u5931\u308f\u308c\u305f\u30c7\u30fc\u30bf\u306f\u8a55\u4fa1\u8005\u306b\u3088\u3063\u3066\u7372\u5f97\u3088\u3073\u898b\u7a4d\u3082\u308a\u3055\u308c\u305f\u3002\u7d50\u679c\u306f95\uff05\u4fe1\u983c\u533a\u9593\u306b\u306e\u3063\u3068\u3063\u3066\u5831\u544a\u3055\u308c\u305f\u3002<\/p>\n

\u3010\u8003\u5bdf\u3011
\n\u300039\u306e\u7814\u7a76\u306b\u304a\u3051\u308b1897\u4eba\u306e\u5c0f\u5150\u3068729\u4eba\u306e\u6210\u4eba\u3092\u7d44\u307f\u5165\u308c\u305f\u300233\u672c\u306e\u7814\u7a76\u306f\u6551\u6025\u6551\u547d\u5ba4\u3068\u5730\u57df\u306e\u305d\u308c\u306b\u76f8\u5f53\u3059\u308b\u5834\u6240\u3067\u30016\u672c\u306e\u7814\u7a76\u306f\u5598\u606f\u767a\u4f5c\u306e\u5165\u9662\u60a3\u8005\u3067\u884c\u308f\u308c\u305f\uff08207\u4eba\u306e\u5c0f\u5150\u306828\u4eba\u306e\u6210\u4eba\uff09\u3002\u03b2\u523a\u6fc0\u85ac\u306e\u5438\u5165\u65b9\u6cd5\u306f\u5165\u9662\u7387\u306b\u660e\u3089\u304b\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3055\u306a\u304b\u3063\u305f\u3002\u30b9\u30da\u30fc\u30b5\u30fc\u3068\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u306e\u5165\u9662\u306b\u5bfe\u3059\u308b\u30ea\u30b9\u30af\u6bd4\uff08RR\uff09\u306f\u6210\u4eba\u30670.94 (95% CI 0.61 to 1.43)\u3001\u5c0f\u5150\u306f0.71 (95% CI 0.47 to 1.08, moderate quality evidence)\u3060\u3063\u305f\u3002\u30b9\u30da\u30fc\u30b5\u30fc\u3092\u7528\u3044\u305f\u5c0f\u5150\u306b\u304a\u3044\u3066\u3001\u6551\u6025\u6551\u547d\u5ba4\u306e\u6ede\u5728\u6642\u9593\u306f\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u3067103\u5206\u3001\u30b9\u30da\u30fc\u30b5\u30fc\u306733\u5206\u77ed\u7e2e\u3057\u8457\u660e\u306a\u6e1b\u5c11\u3092\u8a8d\u3081\u305f\uff0895% CI -43 to -24 minutes, moderate quality evidence\uff09\u3002\u6210\u4eba\u3067\u306f\u6ede\u5728\u6642\u9593\u3001\u30d4\u30fc\u30af\u30d5\u30ed\u30fc\u3068\u52aa\u529b\u80ba\u6d3b\u91cf\u306b\u5dee\u3092\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002\u8108\u62cd\uff08mean difference -5% baseline \u300195% CI -8% to -2%, moderate quality evidence)\u3084\u632f\u6226\u767a\u751f\u7387 (RR 0.64; 95% CI 0.44 to 0.95, moderate quality evidence)\u306f\u5c0f\u5150\u306e\u30b9\u30da\u30fc\u30b5\u30fc\u7fa4\u3067\u4f4e\u304b\u3063\u305f\u3002<\/p>\n

\u3010\u8457\u8005\u306e\u7d50\u8ad6\u3011
\n\u3000\u6210\u4eba\u3067\u3082\u5c0f\u5150\u3067\u3082\u3001\u53c2\u52a0\u8005\u306e\u53cd\u5fdc\u6027\u306b\u5fdc\u3058\u3066\u81e8\u5e8a\u5bb6\u304c\u6cbb\u7642\u3092\u7e70\u308a\u8fd4\u3057\u305f\u308a\u5897\u91cf\u3057\u305f\u308a\u3059\u308b\u65b9\u6cd5\u306b\u304a\u3044\u3066\u3001\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u5438\u5165\u306f\u30b9\u30da\u30fc\u30b5\u30fc\u306b\u3088\u308bMDI\u5438\u5165\u306b\u6bd4\u8f03\u3057\u3066\u8457\u660e\u306a\u6539\u5584\u3092\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002\u5c0f\u5150\u306e\u5598\u606f\u767a\u4f5c\u3067\u306f\u30b9\u30da\u30fc\u30b5\u30fc\u306f\u30cd\u30d6\u30e9\u30a4\u30b6\u30fc\u306b\u6bd4\u3079\u5229\u70b9\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u3057\u304b\u3057\u672c\u7814\u7a76\u3067\u306f\u81f4\u6b7b\u7684\u306a\u5598\u606f\u767a\u4f5c\u306f\u9664\u5916\u3057\u305f\u305f\u3081\u3001\u305d\u3046\u3044\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3066\u9069\u5fdc\u3055\u308c\u3066\u306f\u306a\u3089\u306a\u3044\u3002<\/p>\n

\"\u4f50\u6cbb\u5148\u751f\u56f3\u2460\"<\/a>\"\u4f50\u6cbb\u5148\u751f\u56f3\u2461\"<\/a>\"\u4f50\u6cbb\u5148\u751f\u56f3\u2462\"<\/a>\"\u4f50\u6cbb\u5148\u751f\u56f3\u2463\"<\/a>
\n\"\u4f50\u6cbb\u5148\u751f\u56f3\u2464\"<\/a><\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n\u30002017\u5e746\u67087\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u2015\u6587\u732e\u540d\u2015 Cates CJ, Welsh EJ, Rowe BH. Holding chambers (spacers) versus nebulisers for beta-agonist\u3000treatment of … \u7d9a\u304d\u3092\u8aad\u3080 \u6307\u793a\u901a\u308a\u306b\u547c\u5438\u3092\u884c\u3046\u3053\u3068\u304c\u96e3\u3057\u3044\u6c17\u7ba1\u652f\u5598\u606f\u60a3\u8005\u306b\u5bfe\u3059\u308b\u30b9\u30da\u30fc\u30b5\u30fc\u306e\u6709\u52b9\u6027<\/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":[16,17],"tags":[],"class_list":["post-1333","post","type-post","status-publish","format-standard","hentry","category-16","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1333","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=1333"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1333\/revisions"}],"predecessor-version":[{"id":1858,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1333\/revisions\/1858"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}