{"id":1654,"date":"2019-03-13T15:25:56","date_gmt":"2019-03-13T06:25:56","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1654"},"modified":"2019-03-13T15:25:56","modified_gmt":"2019-03-13T06:25:56","slug":"%e9%9b%bb%e5%ad%90%e3%82%bf%e3%83%90%e3%82%b3%e3%81%ae%e6%96%b9%e3%81%8c%e3%83%8b%e3%82%b3%e3%83%81%e3%83%b3%e4%bb%a3%e6%9b%bf%e7%99%82%e6%b3%95%e3%82%88%e3%82%8a%e3%82%82%e7%a6%81%e7%85%99%e7%8e%87","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1654","title":{"rendered":"\u96fb\u5b50\u30bf\u30d0\u30b3\u306e\u65b9\u304c\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\u3088\u308a\u3082\u7981\u7159\u7387\u304c\u9ad8\u3044"},"content":{"rendered":"<p>-\u6587\u732e\u540d-<br \/>\nPeter Hajek, Ph.D, et al. A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy. The New England Journal of Medicine. 2019;7(380):629-637.<\/p>\n<p>-\u8981\u7d04-<br \/>\nBackground:<br \/>\n\u96fb\u5b50\u30bf\u30d0\u30b3\u306f\u7981\u7159\u306e\u8a66\u307f\u3068\u3057\u3066\u3088\u304f\u5229\u7528\u3055\u308c\u308b\u304c\u3001\u7981\u7159\u6cbb\u7642\u3068\u3057\u3066\u8a8d\u5b9a\u3055\u308c\u3066\u3044\u308b\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\u3068\u6bd4\u3079\u3066\u3001\u305d\u306e\u52b9\u679c\u306b\u3064\u3044\u3066\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u9650\u3089\u308c\u3066\u3044\u308b\u3002<br \/>\n\u30bf\u30d0\u30b3\u304b\u3089\u96fb\u5b50\u30bf\u30d0\u30b3\u3078\u306e\u5909\u66f4\u3059\u308b\u3053\u3068\u3067\u3001\u5065\u5eb7\u4e0a\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u308b<br \/>\n\u30cb\u30b3\u30c1\u30f3\u542b\u6709\u306e\u96fb\u5b50\u30bf\u30d0\u30b3\u306f\u30cb\u30b3\u30c1\u30f3\u306e\u5165\u3063\u3066\u3044\u306a\u3044\u96fb\u5b50\u30bf\u30d0\u30b3\u3068\u304f\u3089\u3079\u3066\u7981\u7159\u306b\u52b9\u679c\u304c\u3042\u308b\u3068\u30b3\u30af\u30e9\u30f3\u30fb\u30ec\u30d3\u30e5\u30fc\u306f\u793a\u3057\u3066\u3044\u308b<br \/>\n\u3057\u304b\u3057\u3001\u5bfe\u9762\u306e\u8a3a\u7642\u3092\u4f34\u308f\u306a\u3044\u3001\u30cb\u30b3\u30c1\u30f3\u30d1\u30c3\u30c1\u3068\u4f4e\u7528\u91cf\u306e\u30cb\u30b3\u30c1\u30f3\u3092\u542b\u6709\u3057\u3066\u3044\u308b\u96fb\u5b50\u30bf\u30d0\u30b3\u306b\u3088\u308b\u6cbb\u7642\u3092\u6bd4\u8f03\u3057\u305f\u7814\u7a76\u3067\u306f\u3001\u3044\u305a\u308c\u306e\u6cbb\u7642\u6cd5\u3082\u3042\u307e\u308a\u52b9\u679c\u306f\u9ad8\u304f\u306a\u304b\u3063\u305f<br \/>\nMethod\uff1a<br \/>\n\u30a4\u30ae\u30ea\u30b9\u306eNHS\u306b\u3088\u308b\u7981\u7159\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u53c2\u52a0\u3057\u305f\u6210\u4eba\u3092\u3001\u6700\u59273\u30f6\u6708\u9593\u306e\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\uff08\u5404\u3005\u304c\u9078\u629e\u3057\u305f\u88fd\u54c1\u3092\u5229\u7528\u3001\u8907\u6570\u4f75\u7528\u53ef\u80fd\uff09\u304b\u3001\u96fb\u5b50\u30bf\u30d0\u30b3\u30b9\u30bf\u30fc\u30bf\u30fc\u30d1\u30c3\u30af\uff08\u7b2c2\u4e16\u4ee3\u3001\u8a70\u66ff\u53ef\u80fd\u3001\uff11\u672c\u3042\u305f\u308a18mg\/ml\u306e\u30cb\u30b3\u30c1\u30f3\u542b\u6709\uff09\u306b\u30e9\u30f3\u30c0\u30e0\u306b\u5272\u308a\u4ed8\u3051\u305f\u3002\u8a70\u66ff\u7528\u306e\u6db2\u4f53\u306f\u3001\u5404\u3005\u304c\u597d\u307f\u306e\u9999\u308a\u3084\u5f37\u3055\u306e\u3082\u306e\u3092\u8cfc\u5165\u3057\u3066\u826f\u3044\u3068\u52e7\u3081\u3066\u3044\u308b\u3002\u6cbb\u7642\u306b\u306f\u3001\u5c11\u306a\u304f\u3068\u3082\uff14\u9031\u9593\u3001\u90311\u56de\u306e\u884c\u52d5\u7642\u6cd5\u304c\u884c\u308f\u308c\u308b\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u3001\u6700\u7d42\u53d7\u8a3a\u3067\u751f\u5316\u5b66\u7684\u306b\u8a55\u4fa1\u3055\u308c\u308b1\u5e74\u9593\u306e\u7d99\u7d9a\u7684\u306a\u7981\u7159\u3068\u3057\u305f\u3002\u30d5\u30a9\u30ed\u30fc\u304b\u3089\u8131\u843d\u3057\u305f\u3001\u3042\u308b\u3044\u306f\u6700\u7d42\u7684\u306a\u751f\u5316\u5b66\u7684\u306a\u8a55\u4fa1\u3092\u53d7\u3051\u306a\u304b\u3063\u305f\u53c2\u52a0\u8005\u306f\u7981\u7159\u5931\u6557\u3068\u5224\u65ad\u3057\u305f\u3002\u30bb\u30ab\u30f3\u30c0\u30ea\u30fc\u30fb\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u3001\u53c2\u52a0\u8005\u306e\u81ea\u5df1\u7533\u544a\u306b\u3088\u308b\u6cbb\u7642\u306e\u5229\u7528\u72b6\u6cc1\u3068\u547c\u5438\u5668\u75c7\u72b6\u3068\u3057\u305f\u3002<br \/>\nTwo-group, pragmatic, multicenter, individually randomized, controlled trial<br \/>\n\u671f\u9593\uff1aMay 2015-Feb 2018<br \/>\nNHS\u306e\u7981\u7159\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u82f1\u56fd\u5185\u3067\u306f\u7121\u6599\u3067\u63d0\u4f9b\u3055\u308c\u3066\u3044\u308b<br \/>\n\u30bd\u30fc\u30b7\u30e3\u30eb\u30fb\u30e1\u30c7\u30a3\u30a2\u3084\u5e83\u544a\u3067\u53c2\u52a0\u8005\u3092\u52df\u308b<br \/>\n\u4e8b\u524d\u306b\u5019\u88dc\u8005\u3092\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3057\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u306b\u547c\u3076<br \/>\n\u66f8\u9762\u3067\u540c\u610f\u3092\u5f97\u3066\u3001\u7981\u7159\u65e5\u3092\u6c7a\u3081\u308b<br \/>\n\u7981\u7159\u65e5\u3092\u6c7a\u3081\u3066\u304b\u3089\u3001\u3044\u305a\u308c\u304b\u306e\u6cbb\u7642\u6cd5\u306b\u30e9\u30f3\u30c0\u30e0\u306b\u5272\u308a\u4ed8\u3051\u308b<br \/>\n\u30e9\u30f3\u30c0\u30e0\u5316\u306e\u5f8c\u306f\u3001\u3059\u3050\u306b\u88fd\u54c1\u306e\u5229\u7528\u3092\u958b\u59cb\u3059\u308b<br \/>\n\u5168\u3066\u306e\u53c2\u52a0\u8005\u306f\u884c\u52d5\u7642\u6cd5\u7684\u306a\u30b5\u30dd\u30fc\u30c8\u3092\u53d7\u3051\u308b<br \/>\n\u533b\u5e2b\u306b\u3088\u308b\uff11\u5bfe\uff11\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u3067\u3001CO\u6fc3\u5ea6\u6e2c\u5b9a\u3082\u884c\u308f\u308c\u308b<br \/>\n\u53c2\u52a0\u8005\u306f26\u9031\u306852\u9031\u306b\u3001\u96fb\u8a71\u306b\u3066\u88fd\u54c1\u306e\u4f7f\u7528\u72b6\u6cc1\u3068\u7981\u7159\u72b6\u6cc1\u306b\u3064\u3044\u3066\u5831\u544a\u3059\u308b<br \/>\n52\u9031\u306e\u6642\u70b9\u3067\u7981\u7159\u3042\u308b\u3044\u306f50%\u4ee5\u4e0a\u306e\u6e1b\u7159\u304c\u3067\u304d\u3066\u3044\u308b\u304b\u53c2\u52a0\u8005\u306fCO\u6fc3\u5ea6\u6e2c\u5b9a\u3059\u308b\u3088\u3046\u52e7\u3081\u3089\u308c\u308b\uff0826$US\u652f\u7d66\u3042\u308a\uff09<br \/>\n\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\uff1a\u30d1\u30c3\u30c1\u3001\u30ac\u30e0\u3001\u98f4\u3001\u9f3b\u30b9\u30d7\u30ec\u30fc\u3001\u53e3\u30b9\u30d7\u30ec\u30fc\u3001mouth strip\u3001\u5438\u5165\u3001microtabs\uff09\u3001\u4f75\u7528\u7642\u6cd5\u304c\u63a8\u5968\u3055\u308c\u3066\u304a\u308a\u3001\u7279\u306b\u30d1\u30c3\u30c1\u3068\u901f\u653b\u578b\u7cfb\u6297\u751f\u5264\u306e\u7d44\u307f\u5408\u308f\u305b\u304c\u591a\u3044\u3002\u5909\u66f4\u3082\u53ef\u80fd\u3002\u63d0\u4f9b\u306e\u4ed5\u65b9\u306f\u30b5\u30a4\u30c8\u306b\u3088\u3063\u3066\u7570\u306a\u308b\u3002\u901a\u5e38\u306e\u6cbb\u7642\u306e\u540c\u69d8\u3001\u6700\u59273\u30f6\u6708\u307e\u3067\u5229\u7528\u53ef\u80fd\u3002<br \/>\n\u96fb\u5b50\u30bf\u30d0\u30b3\uff1aOne Kit\u3068\u3044\u3046\u30b9\u30fc\u30bf\u30fc\u30ad\u30c3\u30c8\u3092\u63d0\u4f9b\u3055\u308c\u308b\u3002\u96fb\u5b50\u30bf\u30d0\u30b3\u306e\u8a70\u66ff\u65b9\u6cd5\u306e\u6307\u5c0e\u3042\u308a\u3002\u96fb\u5b50\u30bf\u30d0\u30b3\u306e\u6db2\u4f53\u304c\u306a\u304f\u306a\u3063\u305f\u3089\u3001\u30cd\u30c3\u30c8\u3084\u5e97\u3067\u8a70\u66ff\u7528\u3092\u8cfc\u5165\u3057\u3066\u3082\u3089\u3046\u3002\u3042\u308b\u88fd\u54c1\u304c\u5408\u308f\u306a\u3051\u308c\u3070\u5225\u306a\u88fd\u54c1\u3078\u5909\u66f4\u3057\u3066\u3082\u826f\u3044\u3002\u8a70\u66ff\u7528\u306e\u6db2\u4f53\u306f\u3001\u7570\u306a\u308b\u9999\u308a\u3084\u5f37\u3055\u3092\u81ea\u7531\u306b\u8a66\u3057\u3066\u307f\u3066\u3088\u3044\u3002One Kit 26-40$\u3002<br \/>\n\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\u3082\u96fb\u5b50\u30bf\u30d0\u30b3\u3082\u3001\u7981\u7159\u5f8c\uff14\u9031\u9593\u306f\u3082\u3046\u4e00\u65b9\u3078\u5909\u66f4\u3057\u3066\u306f\u30c0\u30e1\u3002<br \/>\nResults\uff1a<br \/>\nFigure 1, Table 1\u301c5\u53c2\u7167<br \/>\nConclusion\uff1a<br \/>\n\u884c\u52d5\u7684\u306a\u30b5\u30dd\u30fc\u30c8\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u3001\u96fb\u5b50\u30bf\u30d0\u30b3\u306f\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\u3088\u308a\u3082\u7981\u7159\u306b\u5bfe\u3059\u308b\u52b9\u679c\u304c\u3042\u308b\u3002<br \/>\nDiscussion\uff1a<br \/>\n\u4ed6\u306e\u540c\u3058\u3088\u3046\u306a\u7814\u7a76\u3068\u6bd4\u3079\u3066\u7981\u7159\u7387\u304c\u3068\u3066\u3082\u9ad8\u3044\u3002\u305d\u306e\u539f\u56e0\u3068\u3057\u3066\u4ee5\u524d\u306b\u3082\u7981\u7159\u306b\u30c8\u30e9\u30a4\u3057\u305f\u3053\u3068\u306e\u3042\u308b\u53c2\u52a0\u8005\u304c\u591a\u3044\u306e\u3067\u3001\u53c2\u52a0\u8005\u306e\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3\u304c\u9ad8\u304b\u3063\u305f\u304b\u3002\u3042\u308b\u3044\u306f\u5bfe\u9762\u306e\u30b5\u30dd\u30fc\u30c8\u304c\u3042\u3063\u305f\u304b\u3089\u304b\u3002\u8a70\u66ff\u53ef\u80fd\u306a\u96fb\u5b50\u30bf\u30d0\u30b3\u304c\u3088\u304b\u3063\u305f\u306e\u304b\u3001\u81ea\u7531\u306b\u8a70\u66ff\u7528\u6db2\u4f53\u3092\u9078\u629e\u3067\u304d\u305f\u304b\u3089\u304b\u3002<br \/>\n\u3053\u308c\u307e\u3067\u306e\u7814\u7a76\u3067\u306f\u3001\u96fb\u5b50\u30bf\u30d0\u30b3\u306f\u30bf\u30d0\u30b3\u306e\u96e2\u8131\u75c7\u72b6\u304c\u8efd\u304f\u3001\u7981\u7159\u7387\u304c\u9ad8\u304f\u3001\u305d\u308c\u305e\u308c\u306e\u30cb\u30fc\u30ba\u306b\u5408\u308f\u305b\u3066\u30cb\u30b3\u30c1\u30f3\u91cf\u3092\u9078\u3079\u308b\u3053\u3068\u304c\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\u3088\u308a\u3082\u826f\u3044\u7406\u7531\u3068\u3057\u3066\u3044\u308b\u3002<br \/>\n\u96fb\u5b50\u30bf\u30d0\u30b3\u306e\u7d99\u7d9a\u7387\u306f\u304b\u306a\u308a\u9ad8\u3044\u3002\u307e\u3060\u77e5\u3089\u308c\u3066\u3044\u306a\u3044\u5065\u5eb7\u4e0a\u306e\u30ea\u30b9\u30af\u304c\u9577\u671f\u4f7f\u7528\u3067\u51fa\u3066\u304f\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u3057\u304b\u3057\u3001\u4fbf\u79d8\u3084\u53e3\u5185\u708e\u3001\u4f53\u91cd\u5897\u52a0\u3068\u3044\u3063\u305f\u7981\u7159\u306e\u96e2\u8131\u75c7\u72b6\u3092\u548c\u3089\u3052\u308b\u52b9\u679c\u304c\u3042\u308b\u3002\u30d8\u30d3\u30fc\u30b9\u30e2\u30fc\u30ab\u30fc\u306e\u518d\u767a\u4e88\u9632\u306e\u305f\u3081\u306b\u306f\u5f79\u7acb\u3064\u304b\u3082\u3057\u308c\u306a\u3044\u3002<br \/>\nLimitation\uff1a\u88fd\u54c1\u306f\u76f2\u691c\u5316\u51fa\u6765\u306a\u304b\u3063\u305f\u3002CO\u6fc3\u5ea6\u306f24\u6642\u9593\u4ee5\u5185\u306e\u55ab\u7159\u3092\u691c\u51fa\u3059\u308b\u305f\u3081\u507d\u9670\u6027\u306e\u53ef\u80fd\u6027\u3042\u308a\u3002\u8131\u843d\u7387\u304c21%\u3068\u9ad8\u304f\u3001\u901a\u5e38\u7814\u7a76\u306e\u59a5\u5f53\u6027\u306b\u5f71\u97ff\u3059\u308b\u3068\u3055\u308c\u308b\u304c\u3001\u4ed6\u306e\u7981\u7159\u306e\u7814\u7a76\u3067\u3082\u540c\u7b49\u3002<br \/>\nBy Dynamed\uff1a<br \/>\n\u7981\u7159\u7387\u306f\u4eba\u7a2e\u306b\u3088\u3063\u3066\u7570\u306a\u308b\u3002\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u4eba\u7a2e\u6bce\u306e\u30c7\u30fc\u30bf\u304c\u306a\u304f\u3001\u4eba\u7a2e\u306b\u3088\u3063\u3066\u8abf\u6574\u3055\u308c\u305f\u5206\u6790\u304c\u3055\u308c\u3066\u3044\u306a\u3044\u3002<br \/>\n\u767d\u4eba\u3084\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u3067\u306f\u7981\u7159\u7387\u306f\u9ad8\u3044\u304c\u3001\u30a2\u30d5\u30ea\u30ab\u30f3\u30fb\u30a2\u30e1\u30ea\u30ab\u30f3\u3067\u306f\u7981\u7159\u7387\u306f\u4f4e\u3044\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112019\u5e743\u67086\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>-\u6587\u732e\u540d- Peter Hajek, Ph.D, et al. A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy. The Ne &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1654\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u96fb\u5b50\u30bf\u30d0\u30b3\u306e\u65b9\u304c\u30cb\u30b3\u30c1\u30f3\u4ee3\u66ff\u7642\u6cd5\u3088\u308a\u3082\u7981\u7159\u7387\u304c\u9ad8\u3044<\/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":[5,17],"tags":[],"class_list":["post-1654","post","type-post","status-publish","format-standard","hentry","category-5","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1654","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=1654"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1654\/revisions"}],"predecessor-version":[{"id":1655,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1654\/revisions\/1655"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}