{"id":48,"date":"2015-03-11T11:40:23","date_gmt":"2015-03-11T02:40:23","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=48"},"modified":"2015-08-06T11:40:43","modified_gmt":"2015-08-06T02:40:43","slug":"%e6%9c%80%e9%81%a9%e3%81%aa%e5%8f%8e%e7%b8%ae%e6%9c%9f%e8%a1%80%e5%9c%a7%e7%9b%ae%e6%a8%99","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=48","title":{"rendered":"\u6700\u9069\u306a\u53ce\u7e2e\u671f\u8840\u5727\u76ee\u6a19"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nXu W, Goldberg SI, Shubina M, Turchin A\uff0eOptimal systolic blood pressure target, time to intensification, and time to follow-up in treatment of hypertension:population based retrospective cohort study\uff0eBMJ. 2015 Feb 5;350<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u3010\u76ee\u7684\u3011<br \/>\n\u65b0\u3057\u3044\u964d\u5727\u85ac\u3092\u52a0\u3048\u308b\u304b\u3001\u65e2\u306b\u51e6\u65b9\u3055\u308c\u3066\u3044\u308b\u85ac\u306e\u91cf\u3092\u5897\u3084\u3059\u304b\u306b\u3064\u3044\u3066\u3001\u6700\u9069\u306a\u53ce\u7e2e\u671f\u8840\u5727\u76ee\u6a19\u3092\u8abf\u67fb\u3059\u308b\u3053\u3068\u3068\u3001\u6cbb\u7642\u5f37\u5316\u3084\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u306e\u9045\u308c\u3068\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3042\u308b\u3044\u306f\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u3068\u306e\u9593\u306e\u95a2\u4fc2\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3053\u3068\u3002<\/p>\n<p>\u3010\u30c7\u30b6\u30a4\u30f3\u3011<br \/>\n\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3002<\/p>\n<p>\u3010\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3011<br \/>\n\u82f1\u56fd\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u8a3a\u7642\u6240\u3067\u30011986\u5e74\u304b\u30892010\u5e74\u307e\u3067\u3002<\/p>\n<p>\u3010\u53c2\u52a0\u8005\u3011<br \/>\n\u5065\u5eb7\u6539\u5584\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u306e\u5168\u56fd\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u7814\u7a76\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u304b\u308988,756\u4eba\u306e\u9ad8\u8840\u5727\u306e\u6210\u4eba\u60a3\u8005\u3002<\/p>\n<p>\u3010\u4e3b\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u8a55\u4fa1\u3011<br \/>\n\u7570\u306a\u308b\u6cbb\u7642\u6226\u7565\u306e\u60a3\u8005\u306b\u304a\u3051\u308b\u6025\u6027\u51a0\u52d5\u8108\u75be\u60a3\u30a4\u30d9\u30f3\u30c8\u306e\u767a\u75c7\u7387\u3068\u3042\u3089\u3086\u308b\u539f\u56e0\u306e\u6b7b\u4ea1\u7387\u3002\u6cbb\u7642\u6226\u7565\u306f10\u5e74\u9593\u306e\u6cbb\u7642\u8a55\u4fa1\u671f\u9593\u306b\u304a\u3051\u308b\u53ce\u7e2e\u671f\u306e\u6cbb\u7642\u5f37\u5316\u95be\u5024\u3001\u5f37\u5316\u307e\u3067\u306b\u8981\u3057\u305f\u6642\u9593\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u307e\u3067\u306e\u6642\u9593\u3067\u5b9a\u7fa9\u3055\u308c\u305f\u3002\u5e74\u9f62\u3001\u6027\u5225\u3001\u55ab\u7159\u306e\u72b6\u6cc1\u3001\u793e\u4f1a\u7d4c\u6e08\u7684\u8ca7\u56f0\u3001\u7cd6\u5c3f\u75c5\u306e\u75c5\u6b74\u3001\u51a0\u52d5\u8108\u75be\u60a3\u3082\u3057\u304f\u306f\u6162\u6027\u814e\u81d3\u75c5\u3001\u30c1\u30e3\u30fc\u30eb\u30bd\u30f3\u306e\u4f75\u5b58\u75be\u60a3\u6307\u6570\u3001BMI\u3001\u85ac\u7269\u6240\u6301\u7387\u3001\u305d\u3057\u3066\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u8840\u5727\u3067\u8abf\u6574\u3057\u305f\u3002<\/p>\n<p>\u3010\u7d50\u679c\u3011<br \/>\n\u6cbb\u7642\u6226\u7565\u8a55\u4fa1\u671f\u9593\u306e\u5f8c\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u306e\u4e2d\u592e\u5024\u306f37.4\u304b\u6708\u3067\u3001\u305d\u306e\u9593\u306b9,985\u4eba\uff0811.3%\uff09\u304c\u6025\u6027\u51a0\u52d5\u8108\u30a4\u30d9\u30f3\u30c8\u3092\u8d77\u3053\u3057\u305f\u304b\u3001\u3042\u308b\u3044\u306f\u6b7b\u4ea1\u3057\u305f\u3002\u6cbb\u7642\u5f37\u5316\u306e\u95be\u5024\u304c130\uff0d150mmHg\u3067\u306f\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u30ea\u30b9\u30af\u306b\u9055\u3044\u306f\u306a\u304b\u3063\u305f\u3002150mmHg\u4ee5\u4e0a\u3067\u306f\u3001\u30ea\u30b9\u30af\u306e\u5897\u52a0\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd41.21\u300195%CI 1.13\uff0d1.3\u3001160mmHg\u4ee5\u4e0a\u3067\u306fp<0.001\uff09\u3002\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u30ea\u30b9\u30af\u306f\u6cbb\u7642\u5f37\u5316\u307e\u3067\u306e\u6642\u9593\u304c\u77ed\u3044\uff080\uff0d1.4\u304b\u6708\uff09\u3068\u9577\u3044\u3068\u304d\u3068\u6bd4\u3079\u30661\/5\u306b\u306a\u3063\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd41.12\u300195%CI 1.05\uff0d1.20\u30011.4\uff0d4.7\u304b\u6708\u3067\u306fp=0.09\uff09\u3002\u964d\u5727\u7642\u6cd5\u3092\u5f37\u5316\u3057\u3066\u4ee5\u964d\u3001\u6700\u521d\u306b\u60a3\u8005\u304c\u53d7\u8a3a\u3059\u308b\u307e\u3067\u306e\u671f\u9593\u304c2.7\u304b\u6708\u3092\u8d85\u3048\u308b\u3068\u3001\u30ea\u30b9\u30af\u304c\u4e0a\u6607\u3059\u308b\u3053\u3068\u3082\u308f\u304b\u3063\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd41.18\u3001 95%CI 1.11\uff0d1.25\u3001p<0.001\uff09\u3002\n\n\u3010\u7d50\u8ad6\u3011\n\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u30fb\u5168\u6b7b\u4ea1\u30ea\u30b9\u30af\u4e0a\u6607\u306b\u306f\u3001\u53ce\u7e2e\u671f\u8840\u5727\u304c150mmHg\u3092\u8d85\u3048\u3066\u3044\u308b\u3053\u3068\u3001\u964d\u5727\u7642\u6cd5\u306e\u5f37\u5316\u304c1.4\u304b\u6708\u4ee5\u4e0a\u9045\u308c\u308b\u3053\u3068\u3001\u6cbb\u7642\u5f37\u5316\u5f8c\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u304c2.7\u304b\u6708\u4ee5\u4e0a\u9045\u308c\u308b\u3053\u3068\u304c\u95a2\u9023\u3059\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u305f\u3002\u3053\u306e\u7d50\u679c\u306f\u9ad8\u8840\u5727\u306e\u6cbb\u7642\u3067\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u533b\u5b66\u7ba1\u7406\u3068\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u306e\u91cd\u8981\u6027\u3092\u652f\u6301\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002\n\n\n\n\u3010\u958b\u50ac\u65e5\u3011\n2015\u5e743\u670811\u65e5(\u6c34)\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Xu W, Goldberg SI, Shubina M, Turchin A\uff0eOptimal systolic blood pressure target, time to intensification, &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=48\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u6700\u9069\u306a\u53ce\u7e2e\u671f\u8840\u5727\u76ee\u6a19<\/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-48","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\/48","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=48"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/48\/revisions"}],"predecessor-version":[{"id":49,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/48\/revisions\/49"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}