{"id":1928,"date":"2020-06-29T11:15:33","date_gmt":"2020-06-29T02:15:33","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1928"},"modified":"2020-06-29T11:15:33","modified_gmt":"2020-06-29T02:15:33","slug":"%e5%a4%89%e5%bd%a2%e6%80%a7%e8%86%9d%e9%96%a2%e7%af%80%e7%97%87%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e9%ab%98%e6%b5%b8%e9%80%8f%e5%9c%a7%e3%83%96%e3%83%89%e3%82%a6%e7%b3%96%e9%96%a2%e7%af%80%e5%86%85","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1928","title":{"rendered":"\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u306b\u5bfe\u3059\u308b\u9ad8\u6d78\u900f\u5727\u30d6\u30c9\u30a6\u7cd6\u95a2\u7bc0\u5185\u6ce8\u5c04\u306e\u52b9\u679c"},"content":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d<br \/>\nShan RW et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A Randomized Controlled Trial. Ann Fam Med 2020; 18:235-242.<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\n\u3010Introduction\u3011<br \/>\n\u9ad8\u6d78\u900f\u5727\u30d6\u30c9\u30a6\u7cd6\u306b\u3088\u308bprolotherapy\uff08DPT\uff09\u306f\u708e\u75c7\u306b\u3088\u308a\u8a98\u767a\u3055\u308c\u308b\u7d44\u7e54\u6d78\u6f64\u3092\u901a\u3058\u3066\u6cbb\u7652\u3068\u75bc\u75db\u306e\u7de9\u548c\u3092\u5f97\u308b\u305f\u3081\u306e\u4f1d\u7d71\u7684\u306a\u6cbb\u7642\u6cd5\uff0e\u6a19\u6e96\u7684\u306a\u65b9\u6cd5\u306f\u95a2\u7bc0\u5185\u5916\u306b\u6ce8\u5c04\u3092\u5b9f\u65bd\u3059\u308b\u3082\u306e\u3067\u3042\u308a\uff0c\u904e\u53bb\u306eRCT\u3084\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306b\u304a\u3044\u3066\u6709\u52b9\u6027\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u304c\uff0c\u95a2\u7bc0\u5185\u5916\u3069\u3061\u3089\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u6709\u52b9\u306a\u306e\u304b\u306f\u5206\u304b\u3063\u3066\u3044\u306a\u3044\uff0e\u624b\u6280\u306f\u60a3\u8005\u306b\u3068\u3063\u3066\u306f\u4fb5\u8972\u7684\u3067\u3042\u308a\uff0c\u95a2\u7bc0\u5916\u3078\u306e\u6ce8\u5c04\u306f\u5c02\u7528\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3092\u8981\u3059\u308b\u3082\u306e\u3067\u3042\u308a\u666e\u53ca\u3057\u3066\u3044\u306a\u3044\uff0e\u624b\u6280\u304c\u7c21\u4fbf\u3067\u81e8\u5e8a\u7684\u306b\u5e83\u304f\u5b89\u5168\u306b\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\u95a2\u7bc0\u5185\u6ce8\u5c04\u306e\u307f\u306e\u6709\u52b9\u6027\u306f\u3053\u308c\u307e\u3067\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u304c\u306a\u304b\u3063\u305f\uff0e<br \/>\n\u3010Purpose\u3011<br \/>\n\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u306b\u5bfe\u3059\u308b\u9ad8\u6d78\u900f\u5727\u30d6\u30c9\u30a6\u7cd6\u95a2\u7bc0\u5185\u6ce8\u5c04\uff08DPT\uff09\u304c\u751f\u7406\u98df\u5869\u6c34\uff08NS\uff09\u3068\u6bd4\u8f03\u3057\u3066\u6709\u52b9\u304b\u8abf\u3079\u308b\uff0e<br \/>\n\u3010Method\u3011<br \/>\n\uff08\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\uff09<br \/>\n\u9999\u6e2f\u306e\u5927\u5b66\u4ed8\u5c5e\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u30af\u30ea\u30cb\u30c3\u30af 1\u65bd\u8a2d<br \/>\n\uff08\u60a3\u8005\uff09<br \/>\n45\u221275\u6b73\u306e\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u60a3\u8005<br \/>\n\uff08\u30c7\u30b6\u30a4\u30f3\uff09<br \/>\n\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13<br \/>\n\uff08\u305d\u306e\u4ed6\u306e\u5185\u7684\u59a5\u5f53\u6027\u306b\u3064\u3044\u3066\uff09<br \/>\n\u30e9\u30f3\u30c0\u30e0\u5316\u5272\u308a\u4ed8\u3051\u306f\u96a0\u853d\u5316\u3055\u308c\u3066\u304a\u308a\uff0c\u7814\u7a76\u8005\uff0c\u60a3\u8005\uff0c\u6cbb\u7642\u8005\uff0c\u89e3\u6790\u8005\u3068\u3082\u306b\u76f2\u691c\u5316\u3055\u308c\u3066\u3044\u308b\uff0eITT\u89e3\u6790\u304c\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\uff0e\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u306e\u8a08\u7b97\u6cd5\u306b\u3064\u3044\u3066\u3082\u8a18\u8f09\u3042\u308a\u59a5\u5f53\u3068\u601d\u308f\u308c\u308b\uff0e<br \/>\n\uff08\u4ecb\u5165\u65b9\u6cd5\uff09<br \/>\nDPT\u7fa4\u306f2.5ML\u306e\uff15\uff10\uff05\u30b0\u30eb\u30b3\u30fc\u30b9\u30682.5ML\u306e\u7cbe\u88fd\u6c34\u3092\u6df7\u5408\u305725\uff05\u306e\u30b0\u30eb\u30b3\u30fc\u30b9\u6db25ML\u3092\u4f5c\u6210\u3057\uff0cNS\u7fa4\u306f\u751f\u7406\u98df\u5869\u6c34\uff0e25\uff27\u306e\u91dd\u3067\u819d\u95a2\u7bc0\u5185\u306b\u30a8\u30b3\u30fc\u4e0b\u306b\u6ce8\u5165\uff0e\u5404\u7fa4\u3068\u3082\u306b0\u9031\uff0c4\u9031\uff0c8\u9031\uff0c16\u9031\u3067\u6ce8\u5c04\u3092\u5b9f\u65bd\u3057\u305f\uff0e<br \/>\n\uff08\u30a2\u30a6\u30c8\u30ab\u30e0\uff09<br \/>\n\u4e00\u6b21\uff1a the Western Ontario McMaster University Osteoarthritis Index (WOMAC 0\u2212100\u70b9) pain score<br \/>\n\u4e8c\u6b21\uff1a WOMAC composite, WOMAC stiffness, WOMAC function, \u3044\u304f\u3064\u304b\u306e\u5ba2\u89b3\u7684\u306b\u6e2c\u5b9a\u3067\u304d\u308b\u8eab\u4f53\u6a5f\u80fd\uff0c\u75db\u307f\u306eVAS\uff0c EuroQol\u2212\uff15D score\uff0e<br \/>\n\u5168\u3066\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306816\u9031\u5f8c\uff0c26\u9031\u5f8c\uff0c52\u9031\u5f8c\u306b\u8a55\u4fa1\u3055\u308c\u305f\uff0e<br \/>\n\u3010Results\u3011<br \/>\n\u4e21\u7fa4\u306eBaseline characteristics\u306b\u9055\u3044\u306f\u306a\u304b\u3063\u305f\uff0e<br \/>\n52\u9031\u5f8c\u6642\u70b9\u3067\u306e\u5dee\u5206\u306e\u5dee\u5206\uff08difference in difference\uff09\u306f<br \/>\nWOMAC pain score\u306f \u221210.34\uff0895%CI \u221219.20 &#8211; -1.49, p=0.022\uff09<br \/>\nWOMAC composite score \u306f -9.65\uff0895%CI \u221217.77 &#8211; -1.53, p=0.020\uff09<br \/>\nWOMAC function score \u306f -9.55\uff0895%CI -17.72 &#8211; -1.39, p=0.022\uff09<br \/>\nVAS\u306f \u221210.98\uff0895%CI \u221221.36 &#8211; -0.61, p=0.038\uff09<br \/>\nEuroQol-5D \u306f 8.64\uff0895% CI 1.36 \u2013 5.92, p=0.020\uff09<br \/>\n\u6709\u5bb3\u4e8b\u8c61\u306e\u5831\u544a\u306f\u306a\u304b\u3063\u305f\uff0e<br \/>\n\u3010Conclusion\u3011<br \/>\n\u95a2\u7bc0\u5185\u30d6\u30c9\u30a6\u7cd6\u6ce8\u5c04\u306b\u3088\u308bprolotherapy\u306f\u751f\u7406\u98df\u5869\u6c34\u3068\u6bd4\u8f03\u3057\u3066\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u60a3\u8005\u306e\u75bc\u75db\u3092\u7de9\u548c\u3057\uff0c\u6a5f\u80fd\u3068QOL\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\uff0e\u624b\u6280\u306f\u7c21\u4fbf\u3067\u5b89\u5168\u3067\u3042\u308a\uff0c\u60a3\u8005\u306e\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\uff0c\u6e80\u8db3\u5ea6\u3082\u9ad8\u3044\u3082\u306e\u3067\u3042\u3063\u305f\uff0e<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112020\u5e746\u670810\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d Shan RW et al. Efficacy of Intra-Articular Hypertonic Dextrose (Prolotherapy) for Knee Osteoarthritis: A &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1928\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u306b\u5bfe\u3059\u308b\u9ad8\u6d78\u900f\u5727\u30d6\u30c9\u30a6\u7cd6\u95a2\u7bc0\u5185\u6ce8\u5c04\u306e\u52b9\u679c<\/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":[22,17],"tags":[],"class_list":["post-1928","post","type-post","status-publish","format-standard","hentry","category-22","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1928","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=1928"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1928\/revisions"}],"predecessor-version":[{"id":1929,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1928\/revisions\/1929"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}