{"id":722,"date":"2010-10-07T09:57:46","date_gmt":"2010-10-07T00:57:46","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=722"},"modified":"2015-08-07T10:58:14","modified_gmt":"2015-08-07T01:58:14","slug":"%ef%bd%9e%e7%b7%a9%e5%92%8c%e3%82%b1%e3%82%a2%ef%bc%9a%e3%80%80%e5%91%bc%e5%90%b8%e5%9b%b0%e9%9b%a3%e6%84%9f%e3%81%ab%e9%85%b8%e7%b4%a0%e6%8a%95%e4%b8%8e%e3%81%af%e5%bf%85%e8%a6%81%ef%bc%9f%ef%bd%9e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=722","title":{"rendered":"\uff5e\u7de9\u548c\u30b1\u30a2\uff1a\u3000\u547c\u5438\u56f0\u96e3\u611f\u306b\u9178\u7d20\u6295\u4e0e\u306f\u5fc5\u8981\uff1f\uff5e"},"content":{"rendered":"<p>\u3010\u6587\u732e\u3011<br \/>\nBarbara J. Stephenson et al.: Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnea: a double-blind, randomized controlled trial, Lancet, vol.376 September 4, 2010<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\u300a\u80cc\u666f\u300b<br \/>\n\u7de9\u548c\u7684\u306a\u9178\u7d20\u7642\u6cd5\u306f\u6b7b\u671f\u306e\u305b\u307e\u3063\u3066\u3044\u308b\u75be\u60a3\u3067\u4e0d\u5fdc\u6027\u306e\u547c\u5438\u82e6\u306e\u60a3\u8005\u306b\u826f\u304f\u6295\u4e0e\u3055\u308c\u3066\u3044\u308b\u3002\u3057\u304b\u3057\u3001\u7de9\u548c\u7684\u9178\u7d20\u5438\u5165\u304c\u5ba4\u5185\u7a7a\u6c17\u5438\u5165\u306b\u6bd4\u3079\u3066\u52b9\u679c\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u306b\u3064\u3044\u3066\u8abf\u3079\u305f\u3002<br \/>\n\u300a\u8ad6\u6587\u306ePICO\u300b<br \/>\nP\uff1a\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3001\u7c73\u56fd\u3001\u82f1\u56fd\u306e\uff19\u3064\u306e\u547c\u5438\u5668\u3001\u7de9\u548c\u30b1\u30a2\u3001\u30aa\u30f3\u30b3\u30ed\u30b8\u30fc\u304a\u3088\u3073\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u30af\u30ea\u30cb\u30c3\u30af\u30677.3kPa(54.7mmHg)\u4ee5\u4e0a\u306e\u52d5\u8108\u9178\u7d20\u5206\u5727\u3067\u4e88\u5f8c\u4e0d\u826f\u3001\u4e0d\u5fdc\u6027\u306e\u547c\u5438\u56f0\u96e3\u3092\u5448\u3059\u308b\u60a3\u8005<br \/>\nI\uff1a\u7d4c\u9f3b\u30ab\u30cb\u30e5\u30fc\u30ec\u306b\u3088\u308a1\u65e515\u6642\u9593\u4ee5\u4e0a\u30017\u65e5\u9593\u3001\uff12L\/\u5206\u306e\u9178\u7d20\u6295\u4e0e\u3092\u884c\u3046\u3002<br \/>\nC\uff1a\u7d4c\u9f3b\u30ab\u30cb\u30e5\u30fc\u30ec\u306b\u3066\u540c\u69d8\u306e\u6761\u4ef6\u3067\u5ba4\u5185\u7a7a\u6c17\u6295\u4e0e\u3092\u884c\u3046<br \/>\nO\uff1a\u8d77\u5e8a\u5f8c30\u5206\u4ee5\u5185\u3068\u5c31\u5bdd\u6642\u306e2\u56de\u3001\u305d\u306e\u6642\u70b9\u3067\u306e\u547c\u5438\u56f0\u96e3\u306e\u72b6\u614b\u3092NRS(\u6570\u5024\u7684\u8a55\u4fa1\u30b9\u30b1\u30fc\u30eb)\u306b\u3066\uff10(\u5168\u304f\u606f\u5207\u308c\u3092\u611f\u3058\u306a\u3044)~\uff11\uff10(\u60f3\u50cf\u3055\u308c\u308b\u6700\u9ad8\u306b\u82e6\u3057\u3044\u72b6\u614b)\u306e\u5909\u5316\u3067\u8a55\u4fa1<br \/>\n\u300a\u7d50\u679c\u300b<br \/>\n\u3010\u80cc\u666f\u3011<br \/>\n\u7de9\u548c\u7684\u306a\u9178\u7d20\u7642\u6cd5\u306f\u6b7b\u671f\u306e\u305b\u307e\u3063\u3066\u3044\u308b\u75be\u60a3\u3067\u4e0d\u5fdc\u6027\u306e\u547c\u5438\u82e6\u306e\u60a3\u8005\u306b\u826f\u304f\u6295\u4e0e\u3055\u308c\u3066\u3044\u308b\u3002\u3057\u304b\u3057\u3001\u7de9\u548c\u7684\u9178\u7d20\u5438\u5165\u304c\u5ba4\u5185\u7a7a\u6c17\u5438\u5165\u306b\u6bd4\u3079\u3066\u52b9\u679c\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u306b\u3064\u3044\u3066\u8abf\u3079\u305f\u3002<br \/>\n\u3010\u8ad6\u6587\u306ePE\uff08I\uff09CO\u3011<br \/>\nP\uff1a\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3001\u7c73\u56fd\u3001\u82f1\u56fd\u306e\uff19\u3064\u306e\u547c\u5438\u5668\u3001\u7de9\u548c\u30b1\u30a2\u3001\u30aa\u30f3\u30b3\u30ed\u30b8\u30fc\u304a\u3088\u3073\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u5916\u6765\u30af\u30ea\u30cb\u30c3\u30af\u30677.3kPa(54.7mmHg)\u4ee5\u4e0a\u306e\u52d5\u8108\u9178\u7d20\u5206\u5727\u3067\u4e88\u5f8c\u4e0d\u826f\u3001\u4e0d\u5fdc\u6027\u306e\u547c\u5438\u56f0\u96e3\u3092\u5448\u3059\u308b\u60a3\u8005<br \/>\nI\uff1a\u7d4c\u9f3b\u30ab\u30cb\u30e5\u30fc\u30ec\u306b\u3088\u308a1\u65e515\u6642\u9593\u4ee5\u4e0a\u30017\u65e5\u9593\u3001\uff12L\/\u5206\u306e\u9178\u7d20\u6295\u4e0e\u3092\u884c\u3046\u3002<br \/>\nC\uff1a\u7d4c\u9f3b\u30ab\u30cb\u30e5\u30fc\u30ec\u306b\u3066\u540c\u69d8\u306e\u6761\u4ef6\u3067\u5ba4\u5185\u7a7a\u6c17\u6295\u4e0e\u3092\u884c\u3046<br \/>\nO\uff1a\u8d77\u5e8a\u5f8c30\u5206\u4ee5\u5185\u3068\u5c31\u5bdd\u6642\u306e2\u56de\u3001\u305d\u306e\u6642\u70b9\u3067\u306e\u547c\u5438\u56f0\u96e3\u306e\u72b6\u614b\u3092NRS(\u6570\u5024\u7684\u8a55\u4fa1\u30b9\u30b1\u30fc\u30eb)\u306b\u3066\uff10(\u5168\u304f\u606f\u5207\u308c\u3092\u611f\u3058\u306a\u3044)~\uff11\uff10(\u60f3\u50cf\u3055\u308c\u308b\u6700\u9ad8\u306b\u82e6\u3057\u3044\u72b6\u614b)\u306e\u5909\u5316\u3067\u8a55\u4fa1\u3057\u305f\u3002<br \/>\n\u3010\u7d50\u679c\u3011<br \/>\n239\u540d\u304c\u767b\u9332\u3001\u9178\u7d20\u7fa4120\u540d\u3001\u5ba4\u5185\u7a7a\u6c17119\u540d\u306b\u5272\u308a\u3064\u3051\u3089\u308c\u305f\u3002<br \/>\n\u5185\u8a33\u306f\u7537\u60277\u5272\u3001\u5e73\u5747\u5e74\u9f6273-4\u6b73\u3001\u5e73\u5747\u306e\u52d5\u8108\u9178\u7d20\u6fc3\u5ea610kPa(75mmHg )\u3067\u3042\u3063\u305f\u3002<br \/>\n\u9178\u7d20\u7fa4\u306e93%(112\u4eba)\u3001\u5ba4\u5185\u7a7a\u6c17\u7fa4\u306e83%(99\u4eba)\u304c\uff17\u65e5\u9593\u306e\u8a55\u4fa1\u3092\u4fee\u4e86\u3057\u305f\u3002<br \/>\n\u4ecb\u5165\u5f8c\uff08\uff16\u65e5\u5f8c\uff09\u306eNRS\u306e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304b\u3089\u306e\u5909\u5316\u306f<br \/>\n\u671d<br \/>\n\u9178\u7d20\u6295\u4e0e\u7fa4\u3000\u3000\u3000-0.9(95%CI-1.3 to-0.5)\u3000\uff08\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306eNRS\u30004.5\uff09<br \/>\n\u5ba4\u5185\u6c17\u6295\u4e0e\u7fa4\u3000\u3000-0.7(95%CI-1.2 to-0.2)\u3000\uff08\u540c\u30004.5\uff09<br \/>\nP\uff1d0.504<br \/>\n\u5915<br \/>\n\u9178\u7d20\u6295\u4e0e\u7fa4\u3000\u3000\u3000-0.3(95%CI-0.7 to 0.1)\u3000\uff08\u540c\u30004.7\uff09<br \/>\n\u5ba4\u5185\u6a5f\u6295\u4e0e\u7fa4\u3000\u3000-0.5(-0.9to-0.1)\u3000\uff08\u540c\u30004.7\uff09<br \/>\nP=0.554<br \/>\n\u526f\u4f5c\u7528\u306f\u4e21\u8005\u3067\u5dee\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u3002<br \/>\n\u300a\u7d50\u8ad6\u300b<br \/>\n\u7d4c\u9f3b\u30ab\u30cb\u30e5\u30fc\u30ec\u6295\u4e0e\u4e0b\u3067\u306f\u3001\u9178\u7d20\u6295\u4e0e\u3067\u3042\u308d\u3046\u3068\u5ba4\u5185\u7a7a\u6c17\u6295\u4e0e\u3067\u3042\u308d\u3046\u3068NRS\u3067\u306e\u547c\u5438\u56f0\u96e3\u611f\u306e\u6539\u5584\u306b\u6709\u610f\u306a\u5dee\u306f\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\uff12\uff10\uff11\uff10\u5e74\uff11\uff10\u6708\uff16\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u3011 Barbara J. Stephenson et al.: Effect of palliative oxygen versus room air in relief of breathlessness in  &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=722\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\uff5e\u7de9\u548c\u30b1\u30a2\uff1a\u3000\u547c\u5438\u56f0\u96e3\u611f\u306b\u9178\u7d20\u6295\u4e0e\u306f\u5fc5\u8981\uff1f\uff5e<\/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":[12],"tags":[],"class_list":["post-722","post","type-post","status-publish","format-standard","hentry","category-12"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/722","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=722"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/722\/revisions"}],"predecessor-version":[{"id":723,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/722\/revisions\/723"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=722"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=722"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}