{"id":2354,"date":"2023-05-02T11:40:21","date_gmt":"2023-05-02T02:40:21","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2354"},"modified":"2023-05-02T11:40:21","modified_gmt":"2023-05-02T02:40:21","slug":"covid-19%e7%bd%b9%e6%82%a3%e5%be%8c%e3%81%ae%e7%b2%be%e7%a5%9e%e9%9a%9c%e5%ae%b3%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2354","title":{"rendered":"COVID-19\u7f79\u60a3\u5f8c\u306e\u7cbe\u795e\u969c\u5bb3\u306b\u3064\u3044\u3066"},"content":{"rendered":"

\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
\n\uff0d\u6587\u732e\u540d\uff0d
\nXie Y, Xu E, Al-Aly Z. Risks of mental health outcomes in people with covid-19: cohort study. BMJ. 2022;376:e068993. Epub 2022 Feb 16.<\/p>\n

\uff0d\u8981\u7d04\uff0d\u3000
\n\u3010Introduction\u3011
\n\u30fb\u77ed\u671f\u9593\u306e\u8ffd\u8de1\u8abf\u67fb\uff086\u30ab\u6708\u672a\u6e80\uff09\u306b\u9650\u5b9a\u3057\u3001\u7cbe\u795e\u7684\u306a\u5065\u5eb7\u72b6\u614b\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u72ed\u304f\u9078\u629e\u3057\u305f\u7814\u7a76\u3067\u306f\u3001covid-19\u60a3\u8005\u306f\u4e0d\u5b89\u3084\u3046\u3064\u75c5\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002
\n\u30fb1\u5e74\u5f8c\u306ecovid-19\u60a3\u8005\u306b\u304a\u3051\u308b\u7cbe\u795e\u7684\u306a\u5065\u5eb7\u72b6\u614b\u306e\u5305\u62ec\u7684\u306a\u8a55\u4fa1\u306f\u3053\u308c\u307e\u3067\u306b\u306a\u3055\u308c\u3066\u3044\u306a\u3044\u3002
\n\u3010\u76ee\u7684\u3011Covid-19\u6025\u6027\u671f\u306e\u751f\u5b58\u8005\u306b\u304a\u3051\u308b\u7cbe\u795e\u75be\u60a3\u767a\u75c7\u30ea\u30b9\u30af\u3092\u63a8\u5b9a\u3059\u308b\u3053\u3068\u3002 <\/p>\n

\u3010\u30c7\u30b6\u30a4\u30f3\u3011\u30b3\u30db\u30fc\u30c8\u7814\u7a76
\n\u3010\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3011\u7c73\u56fd\u9000\u5f79\u8ecd\u4eba\u7701
\n\u3010\u5bfe\u8c61\u8005\u30112020\u5e743\u67081\u65e5\u304b\u30892021\u5e741\u670815\u65e5\u306e\u9593\u306bSARS-CoV-2\u306ePCR\u691c\u67fb\u7d50\u679c\u304c1\u56de\u4ee5\u4e0a\u967d\u6027\u3060\u3063\u305f\u60a3\u8005\u3067\u3001\u611f\u67d3\u5f8c30\u65e5\u9593\u751f\u5b58\u3057\u305f153,848\u4eba\u3068\u30012\u3064\u306e\u5bfe\u7167\u7fa4\uff1aSARS-CoV-2\u306e\u8a3c\u62e0\u304c\u306a\u3044\u73fe\u4ee3\u7fa4\uff08n=5,637,840\uff09\u3068covid-19\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u4ee5\u524d\u306e\u6b74\u53f2\u7684\u5bfe\u7167\u7fa4\uff08n=5,859,251\uff09\u304b\u3089\u306a\u308b\u30b3\u30db\u30fc\u30c8\u7fa4\u3002 \u8ffd\u8de1\u958b\u59cb\u65e5\u306fcovid-19\u7fa4\u3067\u691c\u67fb\u7d50\u679c\u304c\u967d\u6027\u3068\u306a\u3063\u305f\u65e5\u3068\u3057\u3001\u8ffd\u8de1\u7d42\u4e86\u65e5\u306f2021\u5e7411\u670830\u65e5\u3068\u3057\u305f\u3002\u4e3b\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u8a55\u4fa1\u9805\u76ee\u306f\u30011\u5e74\u5f8c\u306e1000\u4eba\u5f53\u305f\u308a\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u304a\u3088\u3073\u7d76\u5bfe\u30ea\u30b9\u30af\u5dee\u3068\u3057\u3066\u7b97\u51fa\u3055\u308c\u305f\u3001\u4e8b\u524d\u306b\u898f\u5b9a\u3055\u308c\u305f\u7cbe\u795e\u885b\u751f\u4e0a\u306e\u8ee2\u5e30\u306e\u30ea\u30b9\u30af\u3001\u304a\u3088\u3073\u305d\u308c\u306b\u5bfe\u5fdc\u3059\u308b95\uff05\u4fe1\u983c\u533a\u9593\u3002\u4e8b\u524d\u306b\u5b9a\u7fa9\u3055\u308c\u305f\u5171\u5909\u91cf\u3068\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3067\u9078\u629e\u3055\u308c\u305f\u9ad8\u6b21\u5143\u306e\u5171\u5909\u91cf\u306f\u3001\u9006\u91cd\u307f\u4ed8\u3051\u306b\u3088\u3063\u3066covid-19\u7fa4\u3068\u5bfe\u7167\u7fa4\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u53d6\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u305f\u3002 <\/p>\n

\u3010\u7d50\u679c\u3011
\n\u307e\u3068\u3081\uff1a
\n\u30fbCovid-19\u611f\u67d3\u8005\u306f\u3001\u7cbe\u795e\u5065\u5eb7\u969c\u5bb3\uff08\u4f8b\uff1a\u4e0d\u5b89\u969c\u5bb3\u3001\u3046\u3064\u75c5\u6027\u969c\u5bb3\u3001\u30b9\u30c8\u30ec\u30b9\u304a\u3088\u3073\u9069\u5fdc\u969c\u5bb3\u3001\u30aa\u30d4\u30aa\u30a4\u30c9\u4f7f\u7528\u969c\u5bb3\u3001\u305d\u306e\u4ed6\u306e\u7269\u8cea\u4f7f\u7528\u969c\u5bb3\u3001\u795e\u7d4c\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\uff09\u306e\u767a\u75c7\u30ea\u30b9\u30af\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002
\n\u30fb\u7cbe\u795e\u5065\u5eb7\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u306f\u3001\u5165\u9662\u3057\u3066\u3044\u306a\u3044\u4eba\u3067\u3082\u660e\u3089\u304b\u3067\u3042\u308a\u3001\u75c5\u6c17\u306e\u6025\u6027\u671f\u306bcovid-19\u306e\u305f\u3081\u306b\u5165\u9662\u3057\u305f\u4eba\u3067\u6700\u3082\u9ad8\u304b\u3063\u305f\u3002
\n\u30fbcovid-19\u60a3\u8005\u306f\u3001\u5b63\u7bc0\u6027\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u60a3\u8005\u3088\u308a\u3082\u9ad8\u3044\u7cbe\u795e\u5065\u5eb7\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u3092\u793a\u3057\u305f\u3002
\n\u30fbcovid-19\u3067\u5165\u9662\u3057\u305f\u60a3\u8005\u306f\u3001\u4ed6\u306e\u539f\u56e0\u3067\u5165\u9662\u3057\u305f\u60a3\u8005\u3068\u6bd4\u8f03\u3057\u3066\u3001\u7cbe\u795e\u5065\u5eb7\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002<\/p>\n

\u8a73\u7d30\uff1a
\n\u30fbcovid-19\u7fa4\u306f\u73fe\u4ee3\u5bfe\u7167\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u3001\u4ee5\u4e0b\u306e\u767a\u751f\u30ea\u30b9\u30af\u4e0a\u6607\u3092\u793a\u3057\u305f\u3002\uff08Fig 2\uff09
\n\u4e0d\u5b89\u969c\u5bb3\uff08\u30cf\u30b6\u30fc\u30c9\u6bd41.35\uff0895\uff05\u4fe1\u983c\u533a\u95931.30\uff5e1.39\uff09\uff0c1\u5e74\u5f8c\u306e1000\u4eba\u5f53\u305f\u308a\u306e\u30ea\u30b9\u30af\u5dee11.06\uff0895\uff05\u4fe1\u983c\u533a\u95939.64\uff5e12.53\uff09\uff09\uff0c
\n\u9b31\u75c5\uff08\u540c 1.39\uff081.34\uff5e1.43\uff09\uff0c15.12\uff0813.38\uff5e16.91\uff09 \uff09,
\n\u30b9\u30c8\u30ec\u30b9\u30fb\u9069\u5fdc\u969c\u5bb3\uff081.38\uff081.34\uff5e1.43\uff09\u30011.29\uff0811.71\uff5e14.92\uff09\uff09,
\n\u6297\u3046\u3064\u85ac\u306e\u4f7f\u7528\uff081.55\uff081.50\uff5e1.60\uff09\u30011.59\uff0819.63\uff5e23.60\uff09\uff09,
\n\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u306e\u4f7f\u7528\uff081.65\uff081.58\uff5e1.72\uff09, 10.46\uff089.37\uff5e11.61\uff09)
\n\u30aa\u30d4\u30aa\u30a4\u30c9\u51e6\u65b9\uff081.76\uff081.71\uff5e1.81\uff09\u300135.90\uff0833.61\uff5e38.25\uff09\uff09\u3001
\n\u30aa\u30d4\u30aa\u30a4\u30c9\u4f7f\u7528\u969c\u5bb3\uff081.34\uff081.21\uff5e1.48\uff09\u30010.96 (0.59\uff5e1.37)\uff09\u3001
\n\u305d\u306e\u4ed6\u306e\uff08\u30aa\u30d4\u30aa\u30a4\u30c9\u4ee5\u5916\u306e\uff09\u7269\u8cea\u4f7f\u7528\u969c\u5bb3\uff081.20\uff081.15\uff5e1.26\uff09\u30014.34\uff083.22\uff5e5.51\uff09\uff09
\n\u795e\u7d4c\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\uff081.80\uff081.72\uff5e1.89\uff09\u300110.75\uff089.65\uff5e11.91\uff09\uff09
\n\u7761\u7720\u969c\u5bb3\uff081.41\uff081.38\uff5e1.45\uff09\u300123.80\uff0821.65\uff5e26.00\uff09\uff09
\n\u30e1\u30f3\u30bf\u30eb\u30d8\u30eb\u30b9\u306b\u304a\u3051\u308b\u4f55\u3089\u304b\u306e\u8a3a\u65ad\u3084\u51e6\u65b9\u306e\u30ea\u30b9\u30af\u3082\u5897\u52a0\u3057\u305f\uff081.60\uff081.55\uff5e1.66\uff09\uff1b1\u5e74\u5f8c1000\u4eba\u5f53\u305f\u308a64.38\uff0858.90\uff5e70.01\uff09\uff09\u3002\uff08Fig 3\uff09
\n\u30fb\u5404\u30ea\u30b9\u30af\u306f\uff0c\u5165\u9662\u3057\u3066\u3044\u306a\u3044\u4eba\u3067\u3082\u5897\u52a0\u3057\uff0ccovid-19\u306e\u6025\u6027\u671f\u306b\u5165\u9662\u3057\u305f\u4eba\u3067\u6700\u3082\u9ad8\u304b\u3063\u305f\u3002
\n\u30fb\u4e0a\u8a18\u306e\u7d50\u679c\u306f\u3001\u6b74\u53f2\u7684\u5bfe\u7167\u7fa4\u306b\u304a\u3051\u308b\u7d50\u679c\u3068\u3082\u4e00\u81f4\u3057\u305f\u3002
\n\u30fb\u7cbe\u795e\u75be\u60a3\u306e\u767a\u75c7\u30ea\u30b9\u30af\u306f\u3001covid-19\u3067\u5165\u9662\u3057\u306a\u304b\u3063\u305f\u4eba\u3068\u5b63\u7bc0\u6027\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3067\u5165\u9662\u3057\u306a\u304b\u3063\u305f\u4eba\u3001covid-19\u3067\u5165\u9662\u3057\u305f\u4eba\u3068\u5b63\u7bc0\u6027\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3067\u5165\u9662\u3057\u305f\u4eba\u3001covid-19\u3067\u5165\u9662\u3057\u305f\u4eba\u3068\u305d\u306e\u4ed6\u306e\u539f\u56e0\u3067\u5165\u9662\u3057\u305f\u4eba\u3092\u6bd4\u8f03\u3059\u308b\u3068\u3001\u3044\u305a\u308c\u3082covid-19\u7fa4\u3067\u4e00\u8cab\u3057\u3066\u9ad8\u304b\u3063\u305f\u3002 \uff08Fig 8\uff09<\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\u3010\u8003\u5bdf\u3011
\n\u5f37\u307f\uff1a
\n\u30fbcovid-19\u60a3\u8005\u306e\u5927\u898f\u6a21\u306a\u5168\u56fd\u30b3\u30db\u30fc\u30c8\u3092\u9078\u629e\u3057\u30012\u3064\u306e\u5bfe\u7167\u7fa4\uff08SARSCoV2\u611f\u67d3\u306e\u8a3c\u62e0\u304c\u306a\u3044\u73fe\u4ee3\u306e\u30b0\u30eb\u30fc\u30d7\u304a\u3088\u3073\u30d1\u30f3\u30c7\u30df\u30c3\u30af\u4ee5\u524d\u306e\u6b74\u53f2\u7684\u30b0\u30eb\u30fc\u30d7\uff09\u3068\u6bd4\u8f03\u3057\u3066\u3001\u4e8b\u524d\u306b\u6307\u5b9a\u3057\u305f\u7cbe\u795e\u4fdd\u5065\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u5305\u62ec\u7684\u30bb\u30c3\u30c8\u306e\u30ea\u30b9\u30af\u3092\u63a8\u5b9a\u3057\u305f\u3002
\n\u30fbCovid-19\u7fa4\u3067\u306f\u3001\u5165\u9662\u3057\u305f\u4eba\u3068\u5165\u9662\u3057\u306a\u304b\u3063\u305f\u4eba\u306e\u30ea\u30b9\u30af\u63a8\u5b9a\u5024\u3092\u63d0\u4f9b\u3057\u3001\u3053\u308c\u3089\u306e\u96c6\u56e3\u306b\u304a\u3051\u308b\u30ea\u30b9\u30af\u306e\u5927\u304d\u3055\u3092\u3088\u308a\u7406\u89e3\u3057\u3084\u3059\u304f\u3057\u3066\u3044\u308b\u3002
\n\u30fbcovid-19 \u3068\u5b63\u7bc0\u6027\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3092\u6bd4\u8f03\u3057\uff0ccovid-19 \u3067\u5165\u9662\u3057\u305f\u4eba\u3068\u305d\u308c\u4ee5\u5916\u306e\u7406\u7531\u3067\u5165\u9662\u3057\u305f\u4eba\u3092\u5206\u3051\u3066\uff0c\u7cbe\u795e\u7684\u306a\u8ee2\u5e30\u306e\u30ea\u30b9\u30af\u3092\u6bd4\u8f03\u3057\u305f\uff0e
\n\u30fb\u9ad8\u5ea6\u306a\u7d71\u8a08\u624b\u6cd5\u3092\u7528\u3044\uff0c\u8a3a\u65ad\u30b3\u30fc\u30c9\uff0c\u51e6\u65b9\u8a18\u9332\uff0c\u81e8\u5e8a\u691c\u67fb\u7d50\u679c\u306a\u3069\u306e\u9ad8\u6b21\u5143\u306e\u30c7\u30fc\u30bf\u9818\u57df\u304b\u3089\uff0c\u3053\u308c\u307e\u3067\u306e\u77e5\u898b\u306b\u57fa\u3065\u3044\u3066\u9078\u629e\u3057\u305f\u5b9a\u7fa9\u6e08\u307f\u306e\u5171\u5909\u91cf\u3068\uff0c\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3067\u9078\u629e\u3057\u305f100\u500b\u306e\u5171\u5909\u91cf\u3092\u9006\u78ba\u7387\u91cd\u307f\u4ed8\u3051\u306b\u3088\u3063\u3066\u8abf\u6574\u3057\u305f\uff0e
\n\u30fb\u8907\u6570\u306e\u611f\u5ea6\u5206\u6790\u3067\u7d50\u679c\u3092\u7cbe\u67fb\u3057\u3001\u30dd\u30b8\u30c6\u30a3\u30d6\u304a\u3088\u3073\u30cd\u30ac\u30c6\u30a3\u30d6\u30a2\u30a6\u30c8\u30ab\u30e0\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u9069\u7528\u3057\u3066\u3001\u6211\u3005\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u30c6\u30b9\u30c8\u524d\u306e\u4e88\u60f3\u3068\u4e00\u81f4\u3059\u308b\u7d50\u679c\u3092\u751f\u307f\u51fa\u3059\u304b\u3069\u3046\u304b\u3092\u8a55\u4fa1\u3057\u305f\u3002<\/p>\n

\u5f31\u307f\uff1a
\n\u30fb\u30b3\u30db\u30fc\u30c8\u306e\u4eba\u53e3\u7d71\u8a08\u5b66\u7684\u69cb\u6210\uff08\u307b\u3068\u3093\u3069\u304c\u9ad8\u9f62\u306e\u767d\u4eba\u7537\u6027\uff09\u306f\u3001\u7814\u7a76\u7d50\u679c\u306e\u4e00\u822c\u5316\u53ef\u80fd\u6027\u3092\u5236\u9650\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002
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