{"id":2313,"date":"2023-04-10T11:34:42","date_gmt":"2023-04-10T02:34:42","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2313"},"modified":"2023-04-10T11:34:42","modified_gmt":"2023-04-10T02:34:42","slug":"%e9%ab%98%e9%bd%a2%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e7%9b%ae%e6%a8%99%e8%a1%80%e5%9c%a7%e3%81%ae%e3%83%a9%e3%83%b3%e3%83%80%e3%83%a0%e5%8c%96%e8%a9%a6%e9%a8%93","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2313","title":{"rendered":"\u9ad8\u9f62\u8005\u306b\u304a\u3051\u308b\u76ee\u6a19\u8840\u5727\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13"},"content":{"rendered":"<p>\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002<\/p>\n<p>-\u6587\u732e\u540d-<br \/>\nZhang W, Zhang S, Deng Y,et al. Trial of Intensive Blood-Pressure Control in Older Patients with Hypertension. N Engl J Med. 2021;385(14):1268-1279.<\/p>\n<p>-\u8981\u7d04-<br 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\/>\n\u3010\u65b9\u6cd5\u3011\u591a\u65bd\u8a2d\u5171\u540c\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13(STEP\u8a66\u9a13\uff1aStrategy of Blood Pressure Intervation in the Elderly Hyper-tensive Patients)\u306b\u304a\u3044\u3066\uff0c60\uff5e80\u6b73\u306e\u4e2d\u56fd\u4eba\u9ad8\u8840\u5727\u60a3\u8005\u3092\u3001\u53ce\u7e2e\u671f\u8840\u5727\u306e\u76ee\u6a19\u5024\u3092110\uff5e130mmHg\uff08\u96c6\u4e2d\u6cbb\u7642\uff09\u307e\u305f\u306f130\uff5e150mmHg\uff08\u6a19\u6e96\u6cbb\u7642\uff09\u306b\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u30924\u5e74\u3068\u8a08\u753b\u3057\u305f\u30021\u30012\u30013\u30ab\u6708\u5f8c\u306b\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u306e\u8a3a\u5bdf\u3092\u3046\u3051\u3001\u305d\u306e\u5f8c\u306f\u4e88\u5b9a\u306e48\u30ab\u6708\u307e\u3067\u306f3\u30ab\u6708\u6bce\u3067\u8a3a\u5bdf\u3092\u53d7\u3051\u308b\u3053\u3068\u3068\u3057\u305f\u3002\u85ac\u5264\u8abf\u6574\u306f\u8a3a\u5bdf\u5ba4\u8840\u5727\u306e\u6e2c\u5b9a\u306b\u57fa\u3065\u304d\u884c\u308f\u308c\u305f\u3002\u4e00\u65b9\u3067\u5bb6\u5ead\u8840\u5727\u6e2c\u5b9a\u3082\u5b9f\u65bd\u3057\u3001\u30b9\u30de\u30fc\u30c8\u30d5\u30a9\u30f3\u30a2\u30d7\u30ea\u306b\u3088\u308b\u8840\u5727\u7ba1\u7406\u52b9\u679c\u3082\u691c\u8a3c\u3057\u305f\u3002\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u3001\u8133\u5352\u4e2d\u3001\u6025\u6027\u51a0\u75c7\u5019\u7fa4\uff08\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u304a\u3088\u3073\u4e0d\u5b89\u5b9a\u72ed\u5fc3\u75c7\u306b\u3088\u308b\u5165\u9662\uff09\u3001\u6025\u6027\u865a\u8840\u6027\u5fc3\u4e0d\u5168\u3001\u51a0\u52d5\u8108\u518d\u704c\u6d41\u3001\u5fc3\u623f\u7d30\u52d5\u3001\u5fc3\u8840\u7ba1\u7cfb\u75be\u60a3\u304c\u539f\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u306e\u8907\u5408\u3068\u3057\u305f\u3002\u5fc3\u8840\u7ba1\u75be\u60a3\u306e10\u5e74\u30ea\u30b9\u30af\u306fFramingham\u3000Risk\u3000score\u3092\u7528\u3044\u3066\u63a8\u5b9a\u3057\u305f\u3002<\/p>\n<p>\u3010\u7d50\u679c\u3011 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0.67\uff0895\uff05 CI\uff0c0.47\uff5e0.97\uff09\u3001\u6025\u6027\u51a0\u75c7\u5019\u7fa4\u306f 0.67\uff0895\uff05 CI\uff0c0.47\uff5e0.97\uff09 \u3067\u3042\u3063\u305f\u3002\u6025\u6027\u5fc3\u4e0d\u5168 0.27\uff0895\uff05 CI, 0.08\uff5e0.98\uff09 \u3001\u51a0\u52d5\u8108\u518d\u704c\u6d41 0.69\uff0895\uff05 CI, 0.40\uff5e1.18\uff09 \u3001\u5fc3\u623f\u7d30\u52d5 0.96\uff0895\uff05 CI, 0.55\uff5e1.68\uff09 \u3001\u5fc3\u8840\u7ba1\u6b7b 0.72\uff0895\uff05 CI, 0.39\uff5e1.32 \uff09\u3067\u3042\u3063\u305f\u3002\u5b89\u5168\u6027\u304a\u3088\u3073\u814e\u6a5f\u80fd\u306b\u95a2\u3059\u308b\u8ee2\u5e30\u306f\uff0c\u4f4e\u8840\u5727\u306e\u767a\u751f\u7387\u304c\u96c6\u4e2d\u6cbb\u7642\u7fa4\u3067\u9ad8\u304b\u3063\u305f(3.4%vs2.6%\u3001P\uff1d0.03)\u3053\u3068\u3092\u9664\u304d\uff0c\u4e21\u7fa4\u9593\u306b\u6709\u610f\u5dee\u306f\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>\u3010\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3011\u9ad8\u8840\u5727\u306e\u96c6\u4e2d\u6cbb\u7642\u306f\u3001\u5fc3\u8840\u7ba1\u30d9\u30f3\u30c8\u306e\u767a\u751f\u3092\u6709\u610f\u306b\u6e1b\u5c11\u3055\u305b\u3001\u307b\u3068\u3093\u3069\u306e\u526f\u6b21\u7684\u8ee2\u5e30\u306b\u3064\u3044\u3066\u3082\u826f\u597d\u306a\u7d50\u679c\u304c\u5f97\u3089\u308c\u305f\u3002\u4e00\u65b9\u3067\u3042\u3089\u3086\u308b\u539f\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af\u306f\u6709\u610f\u5dee\u306f\u7121\u304b\u3063\u305f\u3002STEP\u8a66\u9a13\u3082SPRINT\u8a66\u9a13\u306f\u3068\u3082\u306b\u96c6\u4e2d\u7684\u306a\u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u5fc3\u8840\u7ba1\u7cfb\u75be\u60a3\u306e\u4e88\u9632\u306b\u6709\u52b9\u3067\u3042\u3063\u305f\u304c\u3001\u4e21\u8a66\u9a13\u306b\u5927\u304d\u306a\u76f8\u9055\u70b9\u304c\u3042\u308b\u3002SPRINT\u3067\u306f\u8a3a\u5bdf\u5ba4\u8840\u5727\u306f\u81ea\u52d5\u5316\u3055\u308c\u305f\u30b7\u30b9\u30c6\u30e0\u3067\u884c\u308f\u308c\u3059\u3079\u3066\u306e\u30d7\u30ed\u30bb\u30b9\u3067\u8a66\u9a13\u62c5\u5f53\u8005\u306f\u7acb\u3061\u4f1a\u308f\u306a\u304b\u3063\u305f\u304c\u3001STEP\u3067\u306f\u30aa\u30b7\u30ed\u30e1\u30c8\u30ea\u30c3\u30af\u96fb\u5b50\u8840\u5727\u8a08\u3092\u4f7f\u7528\u3057\u8a13\u7df4\u3092\u53d7\u3051\u305f\u30b9\u30bf\u30c3\u30d5\u304c\u8a3a\u5bdf\u5ba4\u3067\u8840\u5727\u6e2c\u5b9a\u3057\u305f\u3002\u307e\u305fSPRINT\u3067\u306f\u7cd6\u5c3f\u75c5\u60a3\u8005\u306f\u9664\u5916\u3055\u308c\u3066\u3044\u308b\uff08\u9ad9\u77f3\u6ce8\uff1a50\u6b73\u4ee5\u4e0a\u306e\u5fc3\u8840\u7ba1\uff98\uff7d\uff78\u56e0\u5b50\u3092\u6709\u3059\u308b\u975e\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u3001\u5f37\u5316\u7642\u6cd5\uff08\u76ee\u6a19SBP\uff1c120mmHg\uff09\u3068\u6a19\u6e96\u7642\u6cd5\uff08\u76ee\u6a19SBP\uff1c140mmHg\uff09\u3068\u3092\u6bd4\u8f03\uff09\u3002\u4e21\u8a66\u9a13\u306f\u8133\u5352\u4e2d\u65e2\u5f80\u8005\u3092\u9664\u5916\u3057\u3066\u3044\u308b\u3002STEP\u8a66\u9a13\u3068SPRINT\u8a66\u9a13\u306e\u3042\u3089\u3086\u308b\u539f\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u3084\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u30ea\u30b9\u30af\u306e\u5dee\u306f\u3001\u8a66\u9a13\u306e\u610f\u7fa9\u3068\u9069\u683c\u57fa\u6e96\u3001\u8840\u5727\u306e\u76ee\u6a19\u5024\u3001\u5730\u7406\u7684\u4f4d\u7f6e\u3001\u8a66\u9a13\u96c6\u56e3\u306e\u4eba\u7a2e\u7684\u30fb\u6c11\u65cf\u7684\u80cc\u666f\u306e\u9055\u3044\u306b\u3088\u3063\u3066\u90e8\u5206\u7684\u306b\u8aac\u660e\u3055\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002STEP\u8a66\u9a13\u306f\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u304c\u5927\u304d\u304f\u3001\u6162\u6027\u75be\u60a3\u3092\u4f75\u305b\u6301\u3064\u591a\u69d8\u306a\u60a3\u8005\u5c64\u3001\u9ad8\u3044\u8ffd\u8de1\u8abf\u67fb\u7387\u3001\u5bb6\u5ead\u8840\u5727\u306e\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306e\u4f7f\u7528\u306a\u3069\u304c\u9577\u6240\u3067\u3042\u308b\u3002\u8a66\u9a13\u306e\u9650\u754c\u306f\u4e2d\u56fd\u306e\u4eba\u53e3\u306e90%\u4ee5\u4e0a\u3092\u5360\u3081\u308b\u6f22\u6c11\u65cf\u306e\u307f\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3044\u308b\u3053\u3068\u3002\u4eca\u5f8c\u306f\u6c11\u65cf\u306b\u3088\u308b\u7121\u4f5c\u70ba\u5316\u306e\u5c64\u5225\u5316\u304c\u8ab2\u984c\u3060\u308d\u3046\u3002\u307e\u305fFramingham\u3000Risk\u3000score\u306f\u535a\u4ec1\u3092\u5bfe\u8c61\u306b\u4f5c\u6210\u3055\u308c\u3066\u304a\u308a\u3001\u4e2d\u56fd\u4eba\u6210\u4eba\u306e\u5fc3\u8840\u7ba1\u7cfb\u30ea\u30b9\u30af\u3092\u904e\u5927\u8a55\u4fa1\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br \/>\n\u3010\u7d50\u8ad6\u3011\u9ad8\u9f62\u306e\u9ad8\u8840\u5727\u60a3\u8005\u306b\u304a\u3044\u3066\uff0c\u53ce\u7e2e\u671f\u8840\u5727\u306e\u76ee\u6a19\u5024\u3092110\uff5e130mmHg\u672a\u3059\u308b\u96c6\u4e2d\u6cbb\u7642\u306f\uff0c130\uff5e150mmHg\u672a\u6e80\u3068\u3059\u308b\u6a19\u6e96\u6cbb\u7642\u3088\u308a\u3082\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u767a\u751f\u7387\u304c\u4f4e\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/4b710d4085d82af1828e0c539abed06a.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/4b710d4085d82af1828e0c539abed06a.jpg\" alt=\"\" width=\"1800\" height=\"1997\" class=\"aligncenter size-full wp-image-2314\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/4b710d4085d82af1828e0c539abed06a.jpg 1800w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/4b710d4085d82af1828e0c539abed06a-270x300.jpg 270w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/4b710d4085d82af1828e0c539abed06a-923x1024.jpg 923w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/4b710d4085d82af1828e0c539abed06a-768x852.jpg 768w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/4b710d4085d82af1828e0c539abed06a-1384x1536.jpg 1384w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><\/a><br \/>\nFigure 1. Screening, Randomization, and Follow-up.<br \/>\n\u4ecb\u5165\u3092\u4e2d\u6b62\u3057\u305f\u60a3\u8005\u306f\uff0c\u53ce\u7e2e\u671f\u8840\u5727\u306e\u76ee\u6a19\u5024\u3084\u964d\u5727\u5264\u306b\u95a2\u9023\u3059\u308b\u526f\u4f5c\u7528\u306e\u305f\u3081\u8a66\u9a13\u4ecb\u5165\u3092\u4e2d\u6b62\u3057\u305f\u304c\uff0c\u8ffd\u8de1\u8abf\u67fb\u306b\u306f\u53c2\u52a0\u3057\u305f\u3002\u8ffd\u8de1\u4e0d\u80fd\u3068\u306a\u3063\u305f\u60a3\u8005\u306f\u3001\u9023\u7d61\u304c\u9014\u7d76\u3048\u3001\u3042\u308b\u8ffd\u8de1\u8a2a\u554f\u304b\u3089\u8a66\u9a13\u7d42\u4e86\u307e\u3067\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u304c\u78ba\u8a8d\u3055\u308c\u306a\u304b\u3063\u305f\u3082\u306e\u3067\u3042\u308b\u3002\u30c7\u30fc\u30bf\u306e\u89e3\u6790\u306fITT\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u57fa\u3065\u3044\u3066\u884c\u308f\u308c\u305f\u3002\u8ffd\u8de1\u4e0d\u80fd\u3068\u306a\u3063\u305f\u60a3\u8005\u3082\u89e3\u6790\u306b\u542b\u3081\u3001\u30c7\u30fc\u30bf\u306f\u6700\u5f8c\u306e\u8ffd\u8de1\u8a2a\u554f\u306e\u6642\u70b9\u3067\u6253\u3061\u5207\u3063\u305f\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/510f347e2b709b5c86937d263ddb73f6.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/510f347e2b709b5c86937d263ddb73f6.jpg\" alt=\"\" width=\"1711\" height=\"1998\" class=\"aligncenter size-full wp-image-2315\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/510f347e2b709b5c86937d263ddb73f6.jpg 1711w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/510f347e2b709b5c86937d263ddb73f6-257x300.jpg 257w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/510f347e2b709b5c86937d263ddb73f6-877x1024.jpg 877w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/510f347e2b709b5c86937d263ddb73f6-768x897.jpg 768w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/510f347e2b709b5c86937d263ddb73f6-1315x1536.jpg 1315w\" sizes=\"auto, (max-width: 1711px) 100vw, 1711px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/3d354a2845a650aa35d7dcaa8dc0a810.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/3d354a2845a650aa35d7dcaa8dc0a810.jpg\" alt=\"\" width=\"1800\" height=\"1196\" class=\"aligncenter size-full wp-image-2316\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/3d354a2845a650aa35d7dcaa8dc0a810.jpg 1800w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/3d354a2845a650aa35d7dcaa8dc0a810-300x199.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/3d354a2845a650aa35d7dcaa8dc0a810-1024x680.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/3d354a2845a650aa35d7dcaa8dc0a810-768x510.jpg 768w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/3d354a2845a650aa35d7dcaa8dc0a810-1536x1021.jpg 1536w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><\/a><\/p>\n<p>Figure 2. OfficeSystolic Blood\u3000Pressure Measurements.<br \/>\n\u5e73\u5747\u6295\u85ac\u56de\u6570\u306f\u3001\u60a3\u80051\u4eba\u3042\u305f\u308a\u306e\u5404\u8a3a\u5bdf\u6642\u306b\u6295\u4e0e\u3055\u308c\u305f\u8840\u5727\u964d\u4e0b\u5264\u306e\u6570\u306b\u57fa\u3065\u3044\u3066\u3044\u308b\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f7acabd584ce21608f71204f620baad8.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f7acabd584ce21608f71204f620baad8.jpg\" alt=\"\" width=\"1800\" height=\"1139\" class=\"aligncenter size-full wp-image-2317\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f7acabd584ce21608f71204f620baad8.jpg 1800w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f7acabd584ce21608f71204f620baad8-300x190.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f7acabd584ce21608f71204f620baad8-1024x648.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f7acabd584ce21608f71204f620baad8-768x486.jpg 768w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f7acabd584ce21608f71204f620baad8-1536x972.jpg 1536w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><\/a><\/p>\n<p>Figure 3. Cumulative Incidence for the Primary Outcome.<br \/>\n\u4e3b\u8981\u8ee2\u5e30\u306f\uff0c\u8133\u5352\u4e2d\uff0c\u6025\u6027\u51a0\u75c7\u5019\u7fa4\uff0c\u6025\u6027\u5fc3\u4e0d\u5168\uff0c\u51a0\u52d5\u8108\u518d\u704c\u6d41\uff0c\u5fc3\u623f\u7d30\u52d5\uff0c\u5fc3\u8840\u7ba1\u7cfb\u539f\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u306e\u8907\u5408\u3068\u3057\u305f\u3002Fine-Gray \u5206\u5e03\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u3092\u7528\u3044\u3066\u8a08\u7b97\u3057\uff0c\u81e8\u5e8a\u65bd\u8a2d\u3092\u8abf\u6574\u3002\u633f\u5165\u56f3\u306f\u3001\u540c\u3058\u30c7\u30fc\u30bf\u3092\u62e1\u5927\u3057\u305fY\u8ef8\u3067\u3042\u308b\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/0b06e8576d2aa9d1a5ee2bcc2d8fffdc.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/0b06e8576d2aa9d1a5ee2bcc2d8fffdc.jpg\" alt=\"\" width=\"1800\" height=\"1076\" class=\"aligncenter size-full wp-image-2318\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/0b06e8576d2aa9d1a5ee2bcc2d8fffdc.jpg 1800w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/0b06e8576d2aa9d1a5ee2bcc2d8fffdc-300x179.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/0b06e8576d2aa9d1a5ee2bcc2d8fffdc-1024x612.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/0b06e8576d2aa9d1a5ee2bcc2d8fffdc-768x459.jpg 768w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/0b06e8576d2aa9d1a5ee2bcc2d8fffdc-1536x918.jpg 1536w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/e252d78b6c94cf4202b89e2071e724a0.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/e252d78b6c94cf4202b89e2071e724a0.jpg\" alt=\"\" width=\"1800\" height=\"1415\" class=\"aligncenter size-full wp-image-2319\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/e252d78b6c94cf4202b89e2071e724a0.jpg 1800w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/e252d78b6c94cf4202b89e2071e724a0-300x236.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/e252d78b6c94cf4202b89e2071e724a0-1024x805.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/e252d78b6c94cf4202b89e2071e724a0-768x604.jpg 768w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/e252d78b6c94cf4202b89e2071e724a0-1536x1207.jpg 1536w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112022\u5e743\u67082\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 -\u6587\u732e\u540d- Zhang W, Zhang S, Deng Y,et al. Tri &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2313\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u9ad8\u9f62\u8005\u306b\u304a\u3051\u308b\u76ee\u6a19\u8840\u5727\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13<\/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":[33,17,11],"tags":[],"class_list":["post-2313","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-17","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2313","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=2313"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2313\/revisions"}],"predecessor-version":[{"id":2320,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2313\/revisions\/2320"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}