{"id":393,"date":"2012-08-13T09:47:20","date_gmt":"2012-08-13T00:47:20","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=393"},"modified":"2015-08-06T14:51:44","modified_gmt":"2015-08-06T05:51:44","slug":"%e8%80%b3%e9%b3%b4%e3%82%8a%e3%81%ae%e3%83%9e%e3%83%8d%e3%82%b8%e3%83%a1%e3%83%b3%e3%83%88%e3%81%ae%e3%83%a1%e3%82%bf%e3%82%a2%e3%83%8a%e3%83%aa%e3%82%b7%e3%82%b9","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=393","title":{"rendered":"\u8033\u9cf4\u308a\u306e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9"},"content":{"rendered":"

\u3010\u6587\u732e\u540d\u3011
\n\u8457\u8005\u540d\uff1aDerek J. Hoare, PhD et al. \u00a0
\n\u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1aSystematic Review and Meta-Analyses of Randomized Controlled Trials Examining Tinnitus Management.
\n\u96d1\u8a8c\u540d\u30fb\u66f8\u7c4d\u540d\uff1aLaryngoscope
\n\u767a\u884c\u5e74\uff1a121:1555?1564, 2011<\/p>\n

\u3010\u8981\u7d04\u3011
\n\uff1c\u306f\u3058\u3081\u306b\uff1e
\n\u30fb\u8033\u9cf4\u308a\u306f\u82f1\u56fd\u306e10\uff5e15\uff05\u306e\u4eba\u304c\u7d4c\u9a13\u3059\u308b
\n\u30fb\u9a12\u97f3\u3084\u52a0\u9f62\u3068\u95a2\u9023\u3057\u3001\u4e0d\u7720\u30fb\u96e3\u8074\u30fb\u5f15\u304d\u3053\u3082\u308a\u30fb\u4e0d\u5b89\u3084\u6291\u3046\u3064\u306a\u3069\u306e\u9670\u6027\u611f\u60c5\u306e\u3044\u304f\u3064\u304b\u306e\u7d44\u307f\u5408\u308f\u305b\u3067\u8d77\u3053\u308a\u3046\u308b
\n\u30fb\u82f1\u56fd\u306e\u5065\u5eb7\u7701\u306f\u8033\u9cf4\u308a\u306e\u8a55\u4fa1\u3068\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306e\u305f\u3081\u306eGood Practice Guide\u3092\u4f5c\u6210
\n\u30fb\u3053\u306e\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u305d\u306e\u8a55\u4fa1\u3068\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306b\u3064\u3044\u3066\u3001\u3069\u308c\u304f\u3089\u3044\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u96c6\u7a4d\u3055\u308c\u3066\u3044\u308b\u306e\u304b\u306e\u8a55\u4fa1\u3092\u884c\u3063\u305f<\/p>\n

\uff1c\u8cc7\u6599\u3068\u65b9\u6cd5\uff1e
\n\u30fbPRISMA\u58f0\u660e(RCT\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306e\u5831\u544a\u8cea\u5411\u4e0a\u306e\u305f\u3081\u306eQUOROM\u58f0\u660e\u306e\u6539\u8a02\u7248)\u306b\u6cbf\u3063\u305f\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3092\u9032\u3081\u305d\u306e\u30ac\u30a4\u30c9\u306b\u6cbf\u3063\u3066\u5831\u544a\u3092\u3059\u308b<\/p>\n

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\n\u4ee5\u4e0b\u306ePICOS\u30af\u30e9\u30a4\u30c6\u30ea\u30a2\u3067\u72ec\u7acb\u3057\u305f\u4e8c\u540d\u306e\u8a55\u4fa1\u8005\u306b\u3088\u3063\u3066\u7814\u7a76\u3092\u691c\u7d22\u3057\u305f\u3002
\nP\uff1a\u8033\u9cf4\u308a\u306e\u3042\u308b\u306e\u6210\u4eba\u3000
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\nS\uff1aRCT\u306e\u307f<\/p>\n

\u691c\u7d22\u306b\u7528\u3044\u305f\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u306f\u3001PubMed\u3001Cambridge Science Abstract ( Medline\u7b49\u542b\u3080 )\u3001EMBASE
\n\u66f4\u306b\u8ffd\u52a0\u3067\u624b\u691c\u7d22\u3067\u3001\u9375\u3068\u306a\u308b\u30b8\u30e3\u30fc\u30ca\u30eb\u3084\u30b3\u30af\u30e9\u30f3\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3001\u53c2\u8003\u6587\u732e\u30ea\u30b9\u30c8\u306e\u5168\u3066\u306e\u7814\u7a76\u3092\u691c\u7d22\u3057\u305f\u3002<\/p>\n

\"120813_4\"<\/a><\/p>\n

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\n\u72ec\u7acb\u3057\u305f\u4e8c\u540d\u306e\u8a55\u4fa1\u8005\u306b\u3088\u3063\u3066\u3001\u5bfe\u8c61\u8005\u6570\u3001\u8033\u9cf4\u308a\u306e\u91cd\u75c7\u5ea6\u3001\u5e74\u9f62\u5c64\u3001\u4ecb\u5165\u3068\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306a\u3069\u3067\u7814\u7a76\u3092\u62bd\u51fa\u3057\u305f\u3002<\/p>\n

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\n\u6709\u308b\u4e00\u3064\u306e\u5148\u884c\u6587\u732e\u306b\u6cbf\u3063\u3066\u3001\u72ec\u7acb\u3057\u305f\u4e8c\u540d\u306e\u8a55\u4fa1\u8005\u304c\u305d\u308c\u305e\u308c\u8cea\u306e\u8a55\u4fa1\u3092\u884c\u3063\u305f<\/p>\n

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\nR\u306eRmeta\u3092\u7528\u3044\u3066\u96c6\u3081\u3089\u308c\u305f\u7814\u7a76\u306e\u540c\u8cea\u6027\u30fb\u7570\u8cea\u6027\u3092\u8a55\u4fa1\u3057\u305f\u3002<\/p>\n

\uff1c\u5404\u7814\u7a76\u306e\u52b9\u679c\u91cf\u8a08\u7b97\uff1e
\nCohen’s d*\u3092\u7528\u3044\u3066\u52b9\u679c\u91cf\u3092\u8a08\u7b97\u3057\u305f\u3002
\n*negligible effect\uff1a-0.15 =\"120813_5\"<\/a><\/p>\n

\"120813_6\"<\/a><\/p>\n

\uff1c\u60c5\u5831\u63d0\u4f9b\uff0f\u60a3\u8005\u6559\u80b2\uff1e
\n\u30003\u3064\u306eRCT\u304c\u3042\u308a\u518a\u5b50\u3084\u6559\u80b2\u30bb\u30c3\u30b7\u30e7\u30f3\u306b\u3088\u3063\u3066\u5b9f\u65bd\u3055\u308c\u81ea\u52a9\u306b\u306f\u5341\u5206\u306a\u52b9\u679c\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u81ea\u52a9\u306e\u305f\u3081\u306e\u518a\u5b50\u3068\u81e8\u5e8a\u5bb6\u306e\u9762\u8ac7\u306f\u3001\u81ea\u52a9\u306e\u518a\u5b50\u5358\u72ec\u3088\u308a\u3082\u3088\u308a\u5927\u304d\u306a\u52b9\u679c\u304c\u3042\u3063\u305f\u3002<\/p>\n

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\n\u3000RCT\u306a\u3057<\/p>\n

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\n\u3000RCT\u306a\u3057\u3000*\u60c5\u5831\u63d0\u4f9b\/\u60a3\u8005\u6559\u80b2\u3001\u30ea\u30e9\u30af\u30bc\u30fc\u30b7\u30e7\u30f3\u3001CBT\u3001TRT\u3068\u3057\u3066\u63d0\u4f9b\u3055\u308c\u3066\u3044\u308b<\/p>\n

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\n\u30003\u3064\u306eRCT\u304c\u3042\u308a\u3001\u8033\u9cf4\u308a\u306e\u5270\u97f3\u6027\u306e\u6539\u5584\u306b\u52b9\u679c\u304c\u3042\u3063\u305f\u3002\u6291\u3046\u3064\u3078\u306e\u52b9\u679c\u306f\u5b58\u5728\u3057\u305f\u3082\u306e\u306e\u3001\u4e0d\u5b89\u306e\u6539\u5584\u306b\u3064\u3044\u3066\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u8a8d\u3081\u305a\u3001\u5206\u6790\u304b\u3089\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3068\u3057\u3066\u306f\u691c\u8a0e\u3067\u304d\u306a\u304b\u3063\u305f<\/p>\n

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\n*\u8033\u9cf4\u308a\u305d\u306e\u3082\u306e\u306f\u6709\u5bb3\u3067\u306a\u304f\u3001\u305d\u308c\u3092\u60a3\u8005\u304c\u3069\u3046\u8a8d\u77e5\u30fb\u8a55\u4fa1\u3059\u308b\u304b\u3067\u60f9\u8d77\u3055\u308c\u308b\u611f\u60c5\u30fb\u6c17\u5206\u304c\u6c7a\u307e\u308b\u3068\u3057\u3001\u8033\u9cf4\u308a\u306e\u8a8d\u77e5\u30fb\u8a55\u4fa1\u3092\u4fee\u6b63\u3059\u308b\u3053\u3068\u3067\u6c17\u5206\u3092\u6539\u5584\u3059\u308b\u30a2\u30d7\u30ed\u30fc\u30c1
\n11\u306eRCT\u304c\u3042\u308a\u3001\u305d\u306e\u591a\u304f\u306b\u4e2d\u7b49\u5ea6\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u8a8d\u3081\u305f\u3002
\n10\u306eRCT\u306e\u3046\u3061\u306e9\u3064\u306b\u8457\u3057\u3044\u5270\u97f3\u6027\u306e\u6539\u5584\u3092\u8a8d\u3081\u305f\u3002\u51857\u3064\u306e\u7814\u7a76\u3067\u306f\u6291\u3046\u3064\u306b\u3064\u3044\u3066\u6e2c\u5b9a\u3055\u308c\u30012\u3064\u306b\u306e\u307f\u6539\u5584\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\u51853\u3064\u3067\u306f\u4e0d\u5b89\u304c\u6e2c\u5b9a\u3055\u308c\u30011\u3064\u3067\u306e\u307f\u6539\u5584\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u305f\u3002
\nCBT\u306f\u81ea\u8a18\u5f0f\u306e\u8033\u9cf4\u308a\u91cd\u75c7\u5ea6\u306e\u8efd\u6e1b\u3068\u95a2\u9023\u3057\u3001\u95a2\u9023\u3059\u308b\u6291\u3046\u3064\u3068\u4e0d\u5b89\u306e\u8efd\u6e1b\u306b\u3064\u3044\u3066\u306f\u5c0f\u3055\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u307f\u3067\u3042\u3063\u305f\u3002\u307e\u305f\u5bfe\u4eba\u3067\u306eCBT\u306f\u30cd\u30c3\u30c8\u3092\u4ecb\u3057\u305fCBT\u3088\u308a\u3082\u52b9\u679c\u91cf\u304c\u5927\u304d\u304b\u3063\u305f\u3002
\n\u5206\u6790\u3067\u306f\u7814\u7a76\u306e\u91cf\u3068\u5747\u8cea\u6027\u304b\u3089\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u304c\u53ef\u80fd\u3067\u3042\u308a\u3001\u3044\u305a\u308c\u3082\u4e2d\u7b49\u5ea6\u306e\u52b9\u679c\u91cf\u3067\u3042\u3063\u305f\u3002<\/p>\n

\"120813_7\"<\/a><\/p>\n

\"120813_8\"<\/a><\/p>\n

\uff1c\u7761\u7720\u8abf\u6574\uff1e
\nRCT\u306a\u3057<\/p>\n

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\nTRT\u306e\u52b9\u679c\u306f\u3001\u56fa\u5b9a\u3055\u308c\u305f\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u306b\u3088\u308b\u3082\u306e\u3088\u308a\u3082\u3001\u305d\u306e\u4ecb\u5165(6\u6642\u9593\u4ee5\u4e0a\u306e\u8033\u9cf4\u308a\u304c\u6d88\u3048\u306a\u3044\u5927\u304d\u3055\u306e\u30ef\u30a4\u30c9\u30d0\u30f3\u30c9\u30ce\u30a4\u30ba\u3078\u306e\u66b4\u9732)\u3078\u306e\u9069\u5fdc\u6027\u3067\u6c7a\u307e\u308b
\n\u307e\u305f\u52a0\u308f\u3063\u305f2\u3064\u306eRCT\u306f\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3068\u3057\u3066\u306f\u691c\u8a0e\u3067\u304d\u306a\u304b\u3063\u305f<\/p>\n

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\n\u30fb\u6291\u3046\u3064\u3084\u4e0d\u5b89\u304c\u5341\u5206\u8a55\u4fa1\u3055\u308c\u3066\u3044\u306a\u304b\u3063\u305f<\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n2012\u5e747\u670811\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"

\u3010\u6587\u732e\u540d\u3011 \u8457\u8005\u540d\uff1aDerek J. Hoare, PhD et al. \u00a0 \u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1aSystematic Review and Meta-Analyses of Randomized Controlled Tri … \u7d9a\u304d\u3092\u8aad\u3080 \u8033\u9cf4\u308a\u306e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9<\/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":[17],"tags":[],"class_list":["post-393","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/393","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=393"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/393\/revisions"}],"predecessor-version":[{"id":400,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/393\/revisions\/400"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}