{"id":1558,"date":"2018-09-12T18:09:43","date_gmt":"2018-09-12T09:09:43","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1558"},"modified":"2018-09-12T18:09:43","modified_gmt":"2018-09-12T09:09:43","slug":"%e6%95%97%e8%a1%80%e7%97%87%e6%80%a7%e3%82%b7%e3%83%a7%e3%83%83%e3%82%af%e3%81%ae%e6%82%a3%e8%80%85%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e3%82%b9%e3%83%86%e3%83%ad%e3%82%a4%e3%83%89%e6%8a%95%e4%b8%8e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1558","title":{"rendered":"\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3059\u308b\u30b9\u30c6\u30ed\u30a4\u30c9\u6295\u4e0e"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nB.Venkatesh, et al. Adjunctive glucocorticoid therapy in patients with septic shock. NEJM. 2018;378(9): 797-808.<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u25a0Introduction:<br \/>\n\u30fb\u5165\u9662\u60a3\u8005\u306e\u6557\u8840\u75c7\u306b\u3088\u308b\u6b7b\u4ea1\u7387\u306f30-45%<br \/>\n\u30fb\u30b0\u30eb\u30b3\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u306f\u300140\u5e74\u4ee5\u4e0a\u88dc\u52a9\u7642\u6cd5\u3068\u3057\u3066\u4f7f\u7528\u3055\u308c\u3066\u304d\u305f\u304c\u3001\u305d\u306e\u5b89\u5168\u6027\u3084\u52b9\u679c\u306b\u3064\u3044\u3066\u306f\u660e\u3089\u304b\u3067\u306a\u3044\u3002<br \/>\n\u30fb1980\u5e74\u4ee3\u306b\u884c\u308f\u308c\u305fRCT\u3067\u306f\u3001\u9ad8\u7528\u91cf\u306e\u30e1\u30c1\u30eb\u30d7\u30ec\u30c9\u30cb\u30be\u30ed\u30f3\uff0830mg\/kg\uff09\u306e\u6295\u4e0e\u306f\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u3066\u6b7b\u4ea1\u7387\u3092\u5897\u52a0\u3055\u305b\u305f\u3002<br \/>\n\u30fb2\u3064\u306eRCT\u306b\u3066\u3001\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3059\u308b\u4f4e\u7528\u91cf\u306e\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\uff08200mg\/\u65e5\uff09\u306e\u6295\u4e0e\u304c\u6b7b\u4ea1\u7387\u3092\u6e1b\u5c11\u3055\u305b\u308b\u304b\u691c\u8a0e\u3055\u308c\u305f\u304c\u7d50\u679c\u306f\u4e00\u81f4\u3057\u306a\u304b\u3063\u305f\u3002\u3055\u3089\u306b\u3053\u306e\u7814\u7a76\u3067\u306f\u3001\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u7fa4\u3067\u30b7\u30e7\u30c3\u30af\u306e\u65e9\u671f\u518d\u767a\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002<br \/>\n\u30fb\u305d\u306e\u5f8c\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30fb\u30ec\u30d3\u30e5\u30fc\u3084\u30e1\u30bf\u30fb\u30a2\u30ca\u30e9\u30a4\u30b7\u30b9\u3067\u306f\u3001\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3059\u308b\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u306e\u4f7f\u7528\u304c\u826f\u3044\u306e\u304b\u60aa\u3044\u306e\u304b\u3001\u78ba\u56fa\u305f\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u793a\u305b\u306a\u304b\u3063\u305f\u3002<br \/>\n\u30fb\u6700\u8fd1\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u88dc\u6db2\u3068\u6607\u5727\u5264\u6295\u4e0e\u306b\u3088\u308a\u8840\u884c\u52d5\u614b\u304c\u5b89\u5b9a\u3057\u306a\u3044\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3001\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u52e7\u3081\u3089\u308c\u3066\u3044\u308b\u304c\u3001\u8cea\u306e\u4f4e\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u3082\u306e\u306e\u305f\u3081\u3001\u305d\u306e\u63a8\u5968\u5ea6\u306f\u5f31\u3044\u3002<br \/>\n\u30fb\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3059\u308b\u30b0\u30eb\u30b3\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u306e\u52b9\u679c\u304c\u4e0d\u78ba\u5b9f\u306a\u305f\u3081\u3001\u81e8\u5e8a\u73fe\u5834\u306b\u3088\u3063\u3066\u6cbb\u7642\u304c\u7570\u306a\u308b\u3002<br \/>\n\u30fb\u6613\u611f\u67d3\u6027\u3001\u4ee3\u8b1d\u3001\u795e\u7d4c\u3084\u7b4b\u8089\u306e\u5909\u5316\u3068\u3044\u3063\u305f\u30b0\u30eb\u30b3\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u306b\u3088\u308b\u526f\u4f5c\u7528\u304c\u3001\u3055\u3089\u306b\u81e8\u5e8a\u7684\u306a\u4e0d\u78ba\u5b9f\u6027\u3092\u5897\u3057\u3066\u3044\u308b\u3002<br \/>\n\u30fb\u3053\u306e\u305f\u3081\u6211\u3005\u306f\u3001\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3059\u308b\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u306e\u6295\u4e0e\u306f\u30d7\u30e9\u30bb\u30dc\u3088\u308a\u3082\u6b7b\u4ea1\u7387\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3068\u3044\u3046\u4eee\u8aac\u306e\u3082\u3068Adjunctive corticosteroid treatment in clinically ill patients with septic shock\uff08ADRENAL\uff09\u8a66\u9a13\u3092\u884c\u306a\u3063\u305f\u3002<br \/>\n\u25a0Method\uff1a<br \/>\n\u25a0trial design and oversight<br \/>\n\u30fbinvestigator-initiated, international, pragmatic, double-blind, parallel-group, randomized, controlled trial<br \/>\n\u30fb\u53c2\u52a0\u3057\u305f\u306e\u306f\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3001\u30a4\u30ae\u30ea\u30b9\u3001\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9\u3001\u30b5\u30a6\u30b8\u30a2\u30e9\u30d3\u30a2\u3001\u30c7\u30f3\u30de\u30fc\u30af<br \/>\n\u30fb\u30b9\u30dd\u30f3\u30b5\u30fc\uff1athe George institute for global health, Australia<br \/>\n\u25a0patients<br \/>\n\u30fb18\u6b73\u4ee5\u4e0a\u306e\u6210\u4eba<br \/>\n\u30fb\u4eba\u5de5\u547c\u5438\u5668\u7ba1\u7406\u4e2d\u3001\u81e8\u5e8a\u7684\u306b\u611f\u67d3\u75c7\u306e\u7591\u3044\u304c\u5f37\u3044\u3001SIRS\u306e\u57fa\u6e96\u3092\uff12\u9805\u76ee\u4ee5\u4e0a\u6e80\u305f\u3059\u3001\u6607\u5727\u5264\u304b\u5f37\u5fc3\u85ac\u3092\u6700\u4f4e\uff14\u6642\u9593\u4ee5\u4e0a\u4f7f\u7528\u4e2d<br \/>\n\u30fb\u9664\u5916\u57fa\u6e96\uff1a\u30b0\u30eb\u30b3\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u306e\u5168\u8eab\u6295\u4e0e\u3092\u53d7\u3051\u3066\u3044\u305f\u4eba\u3001etomidate\uff08\u526f\u814e\u6291\u5236\u3092\u304d\u305f\u3059\u9ebb\u9154\u85ac\uff09\u6295\u4e0e\u3092\u53d7\u3051\u3066\u3044\u305f\u4eba\u3001\u57fa\u790e\u75be\u60a3\u3067\u4f59\u547d\u304c90\u65e5\u4ee5\u5185\u306e\u4eba\u3001\u9069\u5207\u306a\u6cbb\u7642\u304c\u53d7\u3051\u3089\u308c\u306a\u3044\u4eba\u300124\u6642\u9593\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\u304b\u3089\u5305\u542b\u57fa\u6e96\u3092\u6e80\u305f\u3057\u305f\u4eba<br \/>\n\u25a0randomization and trial regimen<br \/>\n\u30fb\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\uff08Pfizer\uff09200mg\/\u65e5or\u30d7\u30e9\u30bb\u30dc\uff08Radpharm Scientific\uff09<br \/>\n\u30fb7\u65e5\u9593\u3082\u3057\u304f\u306f\u3001\u6b7b\u4ea1\u9000\u9662\u3042\u308b\u3044\u306fICU\u304b\u3089\u9000\u5ba4\u3059\u308b\u307e\u3067\u300124\u6642\u9593\u6301\u7d9a\u9759\u6ce8<br \/>\n\u25a0outcomes<br \/>\n\u30fbPrimary outcome: \uff08\u6b7b\u56e0\u306b\u304b\u304b\u308f\u308a\u306a\u304f\uff0990\u65e5\u4ee5\u5185\u306e\u6b7b\u4ea1<br \/>\n\u30fbSecondary outcome: 28\u65e5\u4ee5\u5185\u306e\u6b7b\u4ea1\u3001\u30b7\u30e7\u30c3\u30af\u6539\u5584\u307e\u3067\u306e\u671f\u9593\u3001\u30b7\u30e7\u30c3\u30af\u306e\u518d\u767a\u3001ICU\u5165\u9662\u671f\u9593\u3001\u5165\u9662\u671f\u9593\u3001\u4eba\u5de5\u547c\u5438\u5668\u88c5\u7740\u306e\u671f\u9593\u3068\u56de\u6570\u3001\u814e\u4ee3\u66ff\u7642\u6cd5\u306e\u5229\u7528\u30012-14\u65e5\u9593\u5f8c\u306e\u83cc\u8840\u75c7\u3082\u3057\u304f\u306f\u771f\u83cc\u8840\u75c7\u306e\u767a\u75c7\u7387\u3001ICU\u3067\u306e\u8f38\u8840<br \/>\n\u25a0Results<br \/>\n\u25a0patients<br \/>\n\u30fb2013\u5e743\u6708\u304b\u30892017\u5e744\u6708\u307e\u30673,800\u4eba\u306e\u60a3\u8005\u304c\u8a66\u9a13\u306b\u53c2\u52a0\u3057\u3001\u3046\u30613,658\u4eba\uff08\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u7fa41,832\u4eba\u3001\u30d7\u30e9\u30bb\u30dc\u7fa41,826\u4eba\uff09\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30a2\u30a6\u30c8\u30ab\u30e0\u304c\u78ba\u8a8d\u3055\u308c\u305f<br \/>\n\u30fb\u60a3\u8005\u306e\u7279\u5fb4\u306f\u4e21\u7fa4\u3067\u5dee\u304c\u306a\u304b\u3063\u305f\uff08Table 1.\uff09<br \/>\n\u25a0primary outcome\uff08Table 2.\uff09<br \/>\n\u30fb\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u7fa4\u306e\u60a3\u8005511\u4eba\uff0827.9%\uff09\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u306e\u60a3\u8005526\u4eba\uff0828.8%\uff09\u304c\u6b7b\u4ea1\u3057\u305f\uff08\u30aa\u30c3\u30ba\u6bd4 0.95; 95%CI, 0.82-1.10; p=0.50\uff09\u3002\u6cbb\u7642\u306e\u52b9\u679c\u306f\u30016\u3064\u306e\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u3067\u540c\u7b49\u3060\u3063\u305f\u3002\uff08Figure 1.\uff09<br \/>\n\u25a0secondary outcome<br \/>\n\u30fb\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u7fa4\u306e\u60a3\u8005\u306f\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u6bd4\u3057\u3066\u30b7\u30e7\u30c3\u30af\u304b\u3089\u306e\u56de\u5fa9\u304c\u3088\u308a\u65e9\u304b\u3063\u305f\uff08\u5e73\u5747\u671f\u9593, 3\u65e5\u9593 [\u56db\u5206\u4f4d, 2-5] vs 4\u65e5\u9593 [\u56db\u5206\u4f4d, 2-9]; \u30cf\u30b6\u30fc\u30c9\u6bd4, 1.32; 95%CI, 1.23-1.41; p&lt;0.001\uff09\u3002<br \/>\n\u30fb\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u7fa4\u306e\u60a3\u8005\u306f\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u6bd4\u3079\u3066\u521d\u56de\u306e\u4eba\u5de5\u547c\u5438\u5668\u88c5\u7740\u671f\u9593\u304c\u77ed\u304b\u3063\u305f\uff08\u5e73\u5747\u671f\u9593, 6\u65e5\u9593 [\u56db\u5206\u4f4d, 3-18] vs 7\u65e5\u9593 [\u56db\u5206\u4f4d, 3-24]; \u30cf\u30b6\u30fc\u30c9\u6bd4, 1.13; 95%CI, 1.05-1.22; p&lt;0.001\uff09\u3002\u3057\u304b\u3057\u4eba\u5de5\u547c\u5438\u5668\u306e\u518d\u88c5\u7740\u3092\u8003\u616e\u306b\u5165\u308c\u308b\u3068\u3001\u4eba\u5de5\u547c\u5438\u5668\u96e2\u8131\u5f8c\u306e\u751f\u5b58\u671f\u9593\u306b\u3064\u3044\u3066\u306f\u6709\u610f\u5dee\u304c\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u3002<br \/>\n\u30fb\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u7fa4\u306f\u30d7\u30e9\u30bb\u30dc\u7fa4\u306b\u6bd4\u3079\u3066\u3001\u8f38\u8840\u3092\u53d7\u3051\u305f\u60a3\u8005\u304c\u5c11\u306a\u304b\u3063\u305f\uff0837% vs 41.7%; \u30aa\u30c3\u30ba\u6bd4, 0.82; 95%CI, 0.72-0.94; p=0.004\uff09\u3002<br \/>\n\u30fb28\u65e5\u9593\u306e\u6b7b\u4ea1\u7387\u3001\u30b7\u30e7\u30c3\u30af\u306e\u518d\u767a\u7387\u3001ICU\u304b\u3089\u9000\u5ba4\u5f8c\u306e\u751f\u5b58\u671f\u9593\u3001\u9000\u9662\u3057\u3066\u304b\u3089\u306e\u751f\u5b58\u671f\u9593\u3001\u4eba\u5de5\u547c\u5438\u5668\u518d\u88c5\u7740\u7387\u3001\u814e\u4ee3\u66ff\u7642\u6cd5\u306e\u5272\u5408\u3001\u83cc\u8840\u75c7\u3084\u771f\u83cc\u8840\u75c7\u306e\u65b0\u898f\u767a\u75c7\u7387\u306b\u3064\u3044\u3066\u306f\u3001\u4e21\u7fa4\u3067\u5dee\u304c\u306a\u304b\u3063\u305f\u3002<br \/>\n\u25a0adverse events<br \/>\n\u30fb\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u7fa4\u3067\u306f\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u306b\u6bd4\u3079\u3066\u3001\u526f\u4f5c\u7528\u306e\u5272\u5408\u304c\u9ad8\u304b\u3063\u305f\uff081.1% vs 0.3%, p=0.009\uff09\u3002\uff08Table 3.\uff09<br \/>\n\u25a0conclusion<br \/>\n\u30fb\u4eba\u5de5\u547c\u5438\u5668\u7ba1\u7406\u3092\u3055\u308c\u3066\u3044\u308b\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3066\u30d2\u30c9\u30ed\u30b3\u30eb\u30c1\u30be\u30f3\u6295\u4e0e\u3092\u884c\u3046\u3053\u3068\u306f\u3001\u30d7\u30e9\u30bb\u30dc\u3068\u6bd4\u8f03\u3057\u306690\u65e5\u9593\u6b7b\u4ea1\u7387\u3092\u4f4e\u4e0b\u3055\u305b\u306a\u304b\u3063\u305f\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-1559\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f-503x1024.jpg\" alt=\"1201809\u5800\u307f\" width=\"503\" height=\"1024\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f-503x1024.jpg 503w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f-147x300.jpg 147w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f.jpg 1245w\" sizes=\"auto, (max-width: 503px) 100vw, 503px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-1560\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f1-1024x651.jpg\" alt=\"1201809\u5800\u307f1\" width=\"640\" height=\"407\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f1-1024x651.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f1-300x191.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/09\/1201809\u5800\u307f1.jpg 1800w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112018\u5e749\u67085\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 B.Venkatesh, et al. Adjunctive glucocorticoid therapy in patients with septic shock. NEJM. 2018;378(9):  &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1558\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u306e\u60a3\u8005\u306b\u5bfe\u3059\u308b\u30b9\u30c6\u30ed\u30a4\u30c9\u6295\u4e0e<\/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],"tags":[],"class_list":["post-1558","post","type-post","status-publish","format-standard","hentry","category-16"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1558","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=1558"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1558\/revisions"}],"predecessor-version":[{"id":1562,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1558\/revisions\/1562"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}