{"id":794,"date":"2010-05-31T10:19:15","date_gmt":"2010-05-31T01:19:15","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=794"},"modified":"2015-08-07T11:19:45","modified_gmt":"2015-08-07T02:19:45","slug":"%ef%bd%9e%e3%81%93%e3%81%ae%e8%85%b0%e7%97%9b%ef%bc%8c%e9%95%b7%e5%bc%95%e3%81%84%e3%81%a6%e5%8c%bb%e5%b8%ab%e3%82%92%e6%89%8b%e3%81%93%e3%81%9a%e3%82%89%e3%81%9b%e3%82%8b%ef%bc%9f%ef%bd%9e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=794","title":{"rendered":"\uff5e\u3053\u306e\u8170\u75db\uff0c\u9577\u5f15\u3044\u3066\u533b\u5e2b\u3092\u624b\u3053\u305a\u3089\u305b\u308b\uff1f\uff5e"},"content":{"rendered":"<p>\u3010\u6587\u732e\u3011<br \/>\nRoger C, Paul S: Will This Patient Develop Persistent Disabling Low Back Pain? JAMA; 303(13) 129501302, 2010. (Rational Clinical Examination)<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\uff08\u3053\u306e\u6587\u732e\u306e\u76ee\u7684\uff09<br \/>\n\u3000\u8170\u75db\u304c\u9577\u5f15\u3044\u3066\u3053\u3058\u308c\u3084\u3059\u3044\u60a3\u8005\u3092\u4e88\u60f3\u3067\u304d\u308b\u3053\u3053\u306e\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u306e\u6709\u7528\u6027\u3068\u30ea\u30b9\u30af\u4e88\u60f3\u30c4\u30fc\u30eb\u3092\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u306b\u30ec\u30d3\u30e5\u30fc\u3059\u308b\u3053\u3068\u3002<\/p>\n<p>\uff08\u30c7\u30fc\u30bf\u30bd\u30fc\u30b9\uff09<br \/>\nMEDLINE\uff0c\uff25\uff2d\uff22\uff21\uff33\uff25\u3002<br \/>\n\uff08\u6587\u732e\u306eInclusion Criteria\uff09<br \/>\n\u767a\u75c7\u3057\u3066\uff18\u9031\u4ee5\u5185\u306e\u8170\u75db\u60a3\u8005\u3092Prospective\u306b\u7d4c\u904e\u3092\u8ffd\u3044\u3001\u9577\u5f15\u3044\u3066\u3053\u3058\u308c\u3066\u3057\u307e\u3046\u8170\u75db\u306e\u4e88\u6e2c\u56e0\u5b50\u3092likelihood 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\/>\n\u521d\u8a3a\u6642\u306b\u4ed5\u4e8b\u306b\u5bfe\u3059\u308b\u6e80\u8db3\u306e\u4f4e\u3044\u60a3\u8005\u3067\u306f\uff11\u5e74\u5f8c\u306eLR\u306f1.5\u3002<br \/>\n\u8eab\u4f53\u7684\u306b\u30cf\u30fc\u30c9\u306a\u4ed5\u4e8b\u306e\u60a3\u8005\u3067\u306f\uff11\u5e74\u5f8c\u306eLR\u306f1.4\u3002<br \/>\n\u2462\u5065\u5eb7\u72b6\u614b<br \/>\n\u5168\u4f53\u7684\u306a\u5065\u5eb7\u5ea6\u306e\u4f4e\u3044\u60a3\u8005\u3067\u306fLR 1.6\uff083\uff5e6\u304b\u6708\u5f8c\uff09\uff0c1.8\uff081\u5e74\u5f8c\uff09<br \/>\n\u7cbe\u795e\u75be\u60a3\u3092\u6301\u3064\u60a3\u8005\u3067\u306fLR 1.9\uff083\uff5e6\u304b\u6708\u5f8c\uff09\uff0c2.2\uff081\u5e74\u5f8c\uff09<br \/>\n\u904e\u53bb\u306e\u8170\u75db\u306e\u30a8\u30d4\u30bd\u30fc\u30c9\u3067\u306fLR\u306f1\u524d\u5f8c\u3067\u3042\u308a\u3001\u6709\u7528\u3067\u306f\u306a\u3044\u3002<br \/>\n\u2463\u8a3a\u5bdf\u6240\u898b<br \/>\n\u521d\u8a3a\u6642\u306e\u5f37\u3044\u75db\u307f\u3000LR1.7\uff083\uff5e6\u304b\u6708\u5f8c\uff09\uff0c1.3\uff081\u5e74\u5f8c\uff09<br \/>\n\u521d\u8a3a\u6642\u306e\u751f\u6d3b\u6a5f\u80fd\u4f4e\u4e0b\u3000LR1.4\uff083\uff5e6\u304b\u6708\u5f8c\uff09\uff0c2.1\uff081\u5e74\u5f8c\uff09<br \/>\n\u4e0d\u9069\u5207\u306a\u5bfe\u51e6\u884c\u52d5\uff08\u75db\u307f\u306b\u5bfe\u3059\u308b\u4e0d\u5b89\u3092\u907f\u3051\u308b\u3088\u3046\u306a\u884c\u52d5\u30d1\u30bf\u30fc\u30f3\uff09\u3000LR2.2\uff083\uff5e6\u304b\u6708\u5f8c\uff09\uff0c2.5\uff081\u5e74\u5f8c\uff09<br \/>\n\u521d\u8a3a\u6642\u795e\u7d4c\u6839\u306e\u75c7\u72b6\u30003\uff5e6\u304b\u6708\u5f8c\uff0c1\u5e74\u5f8c\u3068\u3082\u306bLR\u306f1.4<br \/>\nNonorganic sign\uff08\u8eab\u4f53\u7684\u306a\u75db\u307f\u3068\u306f\u601d\u3048\u306a\u3044\u8eab\u4f53\u6240\u898b\uff09\u304c\u8a8d\u3081\u3089\u308c\u308b\u60a3\u8005\u3000LR2.5\uff083\uff5e6\u304b\u6708\u5f8c\uff09\uff0c3.0\uff081\u5e74\u5f8c\uff09<br \/>\n\uff1c\u30ea\u30b9\u30af\u4e88\u60f3\u30c4\u30fc\u30eb\uff1e<br \/>\n\u3044\u304f\u3064\u304b\u306e\u6587\u732e\u306f\u72ec\u81ea\u306b\u30ea\u30b9\u30af\u4e88\u6e2c\u30c4\u30fc\u30eb\u3092\u63d0\u6848\u3057\u3066\u3044\u305f\u304c\u3001\u5229\u7528\u3092\u63a8\u5968\u3059\u308b\u307b\u3069\u306e\u5341\u5206\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u5f97\u3089\u308c\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>\uff08\u9650\u754c\uff09<br \/>\n\u305d\u308c\u305e\u308c\u306e\u6587\u732e\u304c\u305d\u308c\u305e\u308c\u306b\u30ea\u30b9\u30af\u56e0\u5b50\u3092\u5b9a\u7fa9\u3057\u3001\u300c\u3053\u3058\u308c\u305f\u8170\u75db\u300d\u3068\u3046\u3044\u3082\u306e\u3092\u5b9a\u7fa9\u3057\u3066\u3044\u308b\u3053\u3068\u3002<br \/>\nLR\u3092\u8a08\u7b97\u3067\u304d\u306a\u3044\u591a\u304f\u306e\u7814\u7a76\u304c\u89e3\u6790\u304b\u3089\u9664\u304b\u308c\u3066\u3044\u308b\u3053\u3068<br \/>\n\u8170\u75db\u306e\u771f\u306e\u539f\u56e0\u306b\u3064\u3044\u3066\u306f\u8a00\u53ca\u3057\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u305d\u306e\u3046\u3061\u306e\u3044\u305a\u308c\u304b\u304c\u300c\u9577\u5f15\u304f\u3001\u3053\u3058\u308c\u305f\u8170\u75db\u300d\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3002\uff08\u5b9f\u969b\u306b\u306f\u75db\u307f\u306e\u539f\u56e0\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u306f\u96e3\u3057\u3044\u305f\u3081\u975e\u73fe\u5b9f\u7684\u306a\u8a71\u3067\u306f\u3042\u308b\uff09<br \/>\n\u89e3\u6790\u6cd5\u304c\u305d\u308c\u305e\u308c\u306e\u6587\u732e\u3067\u305a\u308c\u304c\u3042\u308b\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\uff12\uff10\uff11\uff10\u5e74\uff15\u6708\uff12\uff16\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u3011 Roger C, Paul S: Will This Patient Develop Persistent Disabling Low Back Pain? JAMA; 303(13) 129501302, 2 &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=794\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\uff5e\u3053\u306e\u8170\u75db\uff0c\u9577\u5f15\u3044\u3066\u533b\u5e2b\u3092\u624b\u3053\u305a\u3089\u305b\u308b\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":[17],"tags":[],"class_list":["post-794","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\/794","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=794"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/794\/revisions"}],"predecessor-version":[{"id":795,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/794\/revisions\/795"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=794"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=794"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=794"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}