{"id":858,"date":"2015-09-10T16:23:05","date_gmt":"2015-09-10T07:23:05","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=858"},"modified":"2015-09-10T16:24:30","modified_gmt":"2015-09-10T07:24:30","slug":"%e3%80%90ebm%e3%81%ae%e5%ad%a6%e3%81%b3%e3%80%91","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=858","title":{"rendered":"\u3010EBM\u306e\u5b66\u3073\u3011IBS\u306b\u5bfe\u3059\u308bSSRI"},"content":{"rendered":"<p><strong>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO<\/strong><br \/>\n\u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011<br \/>\n\u30002015 \/ 9 \/ 8<br \/>\n\u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011<br \/>\n\u300070\u4ee3\u5973\u6027\u3001\u8840\u4fbf\u3092\u4e3b\u8a34\u3068\u3057\u3066\u6765\u9662\u3002Vital\u5909\u5316\u3084\u8179\u75db\u306a\u3069\u306f\u8a8d\u3081\u305a\u3001CT\u4e0a\u3067\u3082\u865a\u8840\u6027\u8178\u708e\u306e\u53ef\u80fd\u6027\u306f\u4f4e\u3044\u5370\u8c61\u3067\u3042\u3063\u305f\u3002\u672c\u4eba\u3068\u3082\u76f8\u8ac7\u306e\u4e0a\u3001TCS\u65bd\u884c\u76f8\u5f53\u3068\u8003\u3048\u5f8c\u65b9\u75c5\u9662\u3078\u7d39\u4ecb\u3002TCS\u4e0a\u3067\u306f\u660e\u3089\u304b\u306a\u5668\u8cea\u7684\u7570\u5e38\u306f\u6307\u6458\u3055\u308c\u305a\u3001\u8840\u4fbf\u306e\u539f\u56e0\u306f\u75d4\u6838\u306b\u3088\u308b\u3082\u306e\u3068\u63a8\u6e2c\u3055\u308c\u305f\u3002<br \/>\n\u3000\u60a3\u8005\u306f\u9061\u308b\u3053\u30682\u30f6\u6708\u524d\u3088\u308a\u4fbf\u6027\u5909\u5316(\u4fbf\u67f1\u304c\u7d30\u304f\u306a\u3063\u305f\u308a\u8edf\u4fbf\u3092\u7e70\u308a\u8fd4\u3059)\u3084\u8179\u90e8\u81a8\u6e80\u611f\u3001\u30b9\u30c8\u30ec\u30b9\u4e0b\u3067\u306e\u653e\u5c41\u306a\u3069\u3067\u60a9\u3093\u3067\u304a\u308a\u3001(\u6df7\u5408\u578b)\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4(IBS)\u306e\u7591\u3044\u304c\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u305f\u3002\u5927\u5efa\u4e2d\u6e6f\u3001\u30dd\u30ea\u30d5\u30eb\u00ae(\u30dd\u30ea\u30ab\u30eb\u30dc\u30d5\u30a3\u30eb)\u3084\u6574\u8178\u5264\u306e\u6295\u4e0e\u306a\u3069\u3092\u884c\u3046\u3082\u3044\u305a\u308c\u3082\u6539\u5584\u306b\u4e4f\u3057\u304f\u3001\u7d50\u679c\u3068\u3057\u3066\u73fe\u5728\u306f\u305d\u306e\u4e2d\u3067\u3082\u6700\u3082\u52b9\u679c\u304c\u3042\u3063\u305f\u3068\u601d\u308f\u308c\u308b\u5927\u5efa\u4e2d\u6e6f\u3092\u4f7f\u7528\u3057\u3066\u7d4c\u904e\u3092\u898b\u3066\u3044\u308b\u3002<br \/>\n\u3000\u672c\u90a6\u306b\u304a\u3051\u308bIBS\u306b\u7279\u5316\u3057\u305f\u5185\u670d\u6cbb\u7642\u306f\u3001\u30dd\u30ea\u30d5\u30eb\u00ae\u306b\u4ee3\u8868\u3055\u308c\u308b\u5408\u6210\u9ad8\u5206\u5b50\u5316\u5408\u7269\u3001\u30a4\u30ea\u30dc\u30fc\u00ae\u306b\u4ee3\u8868\u3055\u308c\u308b5-HT3\u53d7\u5bb9\u4f53\u963b\u5bb3\u85ac\u3001\u30c8\u30e9\u30f3\u30b3\u30ed\u30f3\u00ae\u306b\u4ee3\u8868\u3055\u308c\u308b\u6297\u30b3\u30ea\u30f3\u85ac\u304c\u6319\u3052\u3089\u308c\u308b\u304c\u3001\u5287\u7684\u306a\u52b9\u679c\u306f\u671f\u5f85\u3067\u304d\u306a\u3044\u3053\u3068\u3082\u591a\u3044\u3002\u8af8\u5916\u56fd\u3067\u306f\u3001\u3053\u308c\u3089\u306e\u4ed6\u306b\u4e09\u74b0\u7cfb\u6297\u3046\u3064\u85ac\u3084SSRI\u306a\u3069\u304c\u6cbb\u7642\u306b\u7528\u3044\u3089\u308c\u308b\u30b1\u30fc\u30b9\u3082\u3042\u308a\u3001SSRI\u306e\u52b9\u679c\u306b\u3064\u3044\u3066\u691c\u8a0e\u3055\u308c\u305f\u8ad6\u6587\u3092\u691c\u7d22\u3057\u305f\u3002<br \/>\n\u3000P\uff1b(\u6df7\u5408\u578b)IBS\u304c\u7591\u308f\u308c\u308b70\u6b73\u4ee3\u5973\u6027\u306b\u5bfe\u3057\u3066<br \/>\n\u3000I(E)\uff1bSSRI\u3092\u6295\u4e0e\u3057\u305f\u5834\u5408<br \/>\n\u3000C\uff1b\u507d\u85ac\u3092\u6295\u4e0e\u3057\u305f\u306e\u3068\u6bd4\u8f03\u3057\u3066<br \/>\n\u3000O\uff1b\u6d88\u5316\u5668\u75c7\u72b6\u306e\u6539\u5584\u304c\u5f97\u3089\u308c\u308b\u304b<br \/>\n&nbsp;<br \/>\n<strong>STEP2\u3000\u691c\u7d22\u3057\u3066\u898b\u3064\u3051\u305f\u6587\u732e\u306e\u540d\u524d<\/strong><br \/>\n\u3010\u898b\u3064\u3051\u305f\u8ad6\u6587\u3011<br \/>\nVahedi H, Merat S, Rashidioon A, Ghoddoosi A, Malekzadeh R.<br \/>\nThe effect of fluoxetine in patients with pain and constipation-predominant irritable bowel syndrome: a double-blind randomized-controlled study.\u00a0Aliment Pharmacol Ther. 2005 Sep 1;22(5):381-5.<\/p>\n<p><strong>STEP3\u3000\u8ad6\u6587\u306e\u8a55\u4fa1<\/strong><br \/>\n<strong>STEP3-1\u3000\u8ad6\u6587\u306ePECO\u306f\u60a3\u8005\u306ePECO\u3068\u5408\u81f4\u3059\u308b\u304b\uff1f<\/strong><br \/>\n\u3000P\uff1bRome\u2161\u57fa\u6e96(\u203b2005\u5e74\u767a\u884c\u306e\u8ad6\u6587\u306e\u305f\u3081)\u306b\u8a72\u5f53\u3057\u305f\u4fbf\u79d8\u578bIBS\u60a3\u8005(\u5e74\u9f62\uff1d34.9\u00b110.0\u6b73\u300150\u6b73\u4ee5\u4e0a\u3067\u521d\u767a\u306ePt.\u306f\u9664\u5916\u3055\u308c\u3066\u3044\u308b)<br \/>\n\u3000I(E)\uff1b20mg\/day\u306efluoxetine\u309212\u9031\u9593\u6295\u4e0e\u3057\u305f\u5834\u5408<br \/>\n\u3000C\uff1b\u507d\u85ac\u3092\u6295\u4e0e\u3057\u305f\u5834\u5408\u3068\u8f03\u3079\u3066<br \/>\n\u3000O\uff1bIBS\u75c7\u72b6\u306e\u6570\u304c\u3069\u308c\u304f\u3089\u3044\u6e1b\u5c11\u3057\u305f\u304b<br \/>\n\u2192\u60a3\u8005\u306ePECO\u3068\u3000(\u5408\u81f4\u3059\u308b\u3000\u30fb\u3000<strong>\u591a\u5c11\u7570\u306a\u308b\u304cOK<\/strong>\u3000\u30fb\u3000\u5927\u304d\u304f\u7570\u306a\u308b\u305f\u3081\u4e0d\u9069\u5207)<\/p>\n<p><strong>STEP3-2\u3000\u8ad6\u6587\u306e\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306e\u8a55\u4fa1\uff1b\u5185\u7684\u59a5\u5f53\u6027\u306e\u8a55\u4fa1<\/strong><br \/>\n\u2460 \u7814\u7a76\u65b9\u6cd5\u304cRCT\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f\u96a0\u853d\u5316\u3068\u76f2\u691c\u5316\u306f\u3055\u308c\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u3000\u2192\u30e9\u30f3\u30c0\u30e0\u5272\u308a\u4ed8\u3051\u304c\u3000\uff08<strong>\u3000\u3055\u308c\u3066\u3044\u308b<\/strong>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\uff09<br \/>\n\u3000\u3000\u2192\u96a0\u853d\u5316\u304c\u3000\u3000\u3000\u3000\u3000\u3000\uff08\u3000<strong>\u3055\u308c\u3066\u3044\u308b\u3000<\/strong>\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\uff09<br \/>\n\u3000\u3000\u2192\u76f2\u691c\u5316\u304c\u3000\u3000\u3000\u3000\u3000\u3000\uff08<strong>\u3000\u3055\u308c\u3066\u3044\u308b<\/strong>\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\u3000\uff09<br \/>\n\u3000\u5b9f\u969b\u306eTable\u3067\u4ecb\u5165\u7fa4\u3068\u5bfe\u7167\u7fa4\u306f\u540c\u3058\u3088\u3046\u306a\u96c6\u56e3\u306b\u306a\u3063\u3066\u3044\u308b\u304b\uff1f<br \/>\n\u3000\u3000\u2192\uff08\u3000\u306a\u3063\u3066\u3044\u308b\u3000\u30fb<strong>\u3000\u306a\u3063\u3066\u3044\u306a\u3044<\/strong>\uff1b\uff09<br \/>\n\u3000\u3000\u3000\u3069\u3046\u7570\u306a\u308b\u304b\uff1f\u3000\u4ecb\u5165\u7fa4\u306e\u65b9\u304c\u3001\u5973\u6027\u306e\u5272\u5408\u304c\u9ad8\u3044<br \/>\n\u2461 \u89e3\u6790\u65b9\u6cd5\u306fITT(intention to treat)\u304b\uff1f<br \/>\n\u3000\u3000\u2192ITT\u304c\u3000\uff08<strong>\u3055\u308c\u3066\u3044\u308b<\/strong>\u3000\u3000\u30fb\u3000\u3000\u3055\u308c\u3066\u3044\u306a\u3044\uff09<\/p>\n<p><strong>STEP3-3\u8ad6\u6587\u3067\u898b\u3044\u3060\u3055\u308c\u305f\u7d50\u679c\u306e\u8a55\u4fa1<\/strong><br \/>\nOutcome\u306b\u3064\u3044\u3066\u3001\u4ee5\u4e0b\u306e\u5024\u3092\u78ba\u8a8d\u3059\u308b<br \/>\n\u3010\u2460 \u6cbb\u7642\u52b9\u679c\u306e\u6709\u7121\uff1b P\u5024\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000\u4ecb\u51654\u9031\u9593\u76ee\u306e\u8a55\u4fa1\u3067\u30015\u3064\u306e\u4e3b\u8981\u75c7\u72b6\u306b\u3064\u3044\u3066\u3001\u5168\u3066P\uff1c0.05<br \/>\n\u3000\u4e3b\u8981\u75c7\u72b6\u6570\u306e\u5909\u5316\u306b\u3064\u3044\u3066\u3001\u4ecb\u51652\u9031\u9593\u76ee\u306e\u8a55\u4fa1\u3067\u3001P\uff1c0.005\u3001<br \/>\n\u3000\u4ecb\u516516\u9031\u9593\u76ee\u306e\u8a55\u4fa1\u3067\u3001P\uff1c0.001<br \/>\n\u3010\u2461 \u6cbb\u7642\u52b9\u679c\u306e\u5927\u304d\u3055\uff1b\u6bd4\u306e\u6307\u6a19\u3068\u5dee\u306e\u6307\u6a19\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000\u30fbRR(\u3042\u308b\u3044\u306fHR\u30fbOR)\u3092\u78ba\u8a8d\u3059\u308b<br \/>\n\u3000\u30fbARR\u3068NNT\u3092\u8a08\u7b97\u3059\u308b<br \/>\n\u3000\uff1c\u4ecb\u516516\u9031\u76ee\u306e\u8a55\u4fa1\uff1e<br \/>\n\u3000(1) \u8179\u90e8\u4e0d\u5feb\u611f\uff1aRR\uff1d0.44\u3001RRR\uff1d0.55\u3001ARR\uff1d0.50\u3001NNT\uff1d2<br \/>\n\u3000(2) \u8179\u90e8\u81a8\u6e80\u611f\uff1aRR\uff1d0.59\u3001RRR\uff1d0.41\u3001ARR\uff1d0.35\u3001NNT\uff1d3<br \/>\n\u3000(3) \u786c\u4fbf\u3000\u3000\u3000\uff1aRR\uff1d0.30\u3001RRR\uff1d0.70\u3001ARR\uff1d0.35\u3001NNT\uff1d3<br \/>\n\u3000(4) \u6392\u4fbf\u56de\u6570\u6e1b\u5c11\uff1aRR\uff1d0.18\u3001RRR\uff1d0.82\u3001ARR\uff1d0.45\u3001NNT\uff1d2<br \/>\n\u3000(5) \u4fbf\u6027\u5909\u5316\u3000\uff1aRR\uff1d1\u3001RRR\uff1d0\u3001ARR\uff1d0\u3001NNT\uff1d\u221e<br \/>\n\u3010\u2462\u6cbb\u7642\u52b9\u679c\u306e\u3086\u3089\u304e\uff1b\u4fe1\u983c\u533a\u9593\u3092\u78ba\u8a8d\u3059\u308b\u3011<br \/>\n\u3000\u4fe1\u983c\u533a\u9593\u306e\u8a18\u8f09\u306a\u3057<\/p>\n<p><strong>STEP4\u3000\u60a3\u8005\u3078\u306e\u9069\u5fdc<\/strong><br \/>\n\u3010\u2460 \u8ad6\u6587\u306e\u60a3\u8005\u3068\u3001\u76ee\u306e\u524d\u306e\u60a3\u8005\u304c\u3001\u7d50\u679c\u304c\u9069\u5fdc\u3067\u304d\u306a\u3044\u307b\u3069\u7570\u306a\u3063\u3066\u3044\u306a\u3044\u304b\uff1f\u3011<br \/>\n\u30fb\u672c\u60a3\u8005\u306f\u6df7\u5408\u578bIBS\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u3001\u4fbf\u79d8\u578b\u306eIBS\u60a3\u8005\u3092\u6271\u3063\u305f\u672c\u8ad6\u6587\u306e\u60a3\u8005\u7fa4\u3068\u5b8c\u5168\u306b\u306f\u5408\u81f4\u3057\u3066\u3044\u306a\u3044\u3002<br \/>\n\u30fb\u672c\u8ad6\u6587\u3067\u306f50\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u306b\u3064\u3044\u3066\u306f\u9664\u5916\u5bfe\u8c61\u3068\u3057\u3066\u304a\u308a(\u7406\u7531\u306f\u4e0d\u660e\u3067\u3042\u308b\u304c)\u300170\u6b73\u4ee3\u306e\u672c\u60a3\u8005\u306b\u9069\u5fdc\u3067\u304d\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br \/>\n\u3010\u2461\u6cbb\u7642\u305d\u306e\u3082\u306e\u306f\u5fe0\u5b9f\u306b\u5b9f\u884c\u53ef\u80fd\u304b\uff1f\u3011<br \/>\n\u30fb\u5148\u8ff0\u306e\u901a\u308a\u3001\u672c\u90a6\u306b\u304a\u3044\u3066IBS\u60a3\u8005\u3078\u306e\u6297\u3046\u3064\u85ac\u306e\u9069\u5fdc\u304c\u8a8d\u53ef\u3055\u308c\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u5b9f\u969b\u306b\u306f\u4fdd\u967a\u75c5\u540d\u3092\u5225\u306b\u3064\u3051\u308b\u3053\u3068\u3067\u51e6\u65b9\u305b\u3056\u308b\u3092\u5f97\u305a\u3001\u73fe\u5b9f\u7684\u306a\u9069\u5fdc\u306b\u306f\u56f0\u96e3\u306a\u70b9\u3082\u3042\u308b\u3002<br \/>\n\u30fb\u307e\u305ffluoxetine\u304c\u672c\u90a6\u3067\u305d\u3082\u305d\u3082\u8a8d\u53ef\u3055\u308c\u3066\u3044\u306a\u3044\u85ac\u3067\u3042\u308b\u3002\u8ad6\u6587\u4e2d\u306b\u306f\u30d1\u30ad\u30b7\u30eb\u00ae(\u30d1\u30ed\u30ad\u30bb\u30c1\u30f3)\u306a\u3069\u3001\u4ed6\u306eSSRI\u3067\u3082\u6709\u52b9\u3067\u3042\u3063\u305f\u3068\u306e\u8a18\u8f09\u304c\u3042\u308b(p.384\u5de6\u5074)\u3002<br \/>\n\u3010\u2462\u91cd\u8981\u306a\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u30b3\u30b9\u30c8\u3084\u5bb3\u3092\u542b\u3081\u3066\u5168\u3066\u8a55\u4fa1\u3055\u308c\u305f\u304b\uff1f\u3011<br \/>\n\u30fb\u98df\u601d\u4e0d\u632f\u3084\u4e0b\u75e2\u3001\u98df\u9053\u708e\u306a\u3069\u306e\u6d88\u5316\u5668\u75c7\u72b6\u306e\u526f\u4f5c\u7528\u304c\u507d\u85ac\u3088\u308a\u3082fluoxetine\u3067\u3088\u308a\u591a\u304f\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\u3010\u2463\u60a3\u8005\u306e\u8003\u3048\u30fb\u55dc\u597d\u306f\u3069\u3046\u306a\u306e\u304b\uff1f\u3011<br \/>\nillness\/context\u306e\u89b3\u70b9\u304b\u3089\u306f\u6cbb\u7642\u306f\u884c\u3046\u3079\u304d\u304b\uff1f\u3042\u308b\u3044\u306fillness\/context\u3092\u66f4\u306b\u78ba\u8a8d\u3059\u308b\u3079\u304d\u304b\uff1f<br \/>\n\u30fb\u60a3\u8005\u306f\u4e0a\u8a18\u75c7\u72b6\u3067\u65e5\u5e38\u751f\u6d3b\u306b\u652f\u969c\u3092\u304d\u305f\u3057\u3066\u304a\u308a\u3001\u4f55\u3089\u304b\u306e\u6cbb\u7642plan\u3092\u63d0\u793a\u3059\u308b\u3079\u304d\u3068\u601d\u308f\u308c\u308b\u3002SSRI\u306e\u5c0e\u5165\u306b\u3042\u3063\u3066\u306f\u3001\u85ac\u306e\u7279\u6027\u3084\u52b9\u679c\u306b\u9650\u5b9a\u7684\u306a\u90e8\u5206\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3053\u3068\u3092\u8aac\u660e\u3057\u305f\u4e0a\u3067\u306e\u6295\u4e0e\u3068\u306a\u308b\u3060\u308d\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2015\u5e749\u67089\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>STEP1\u3000\u81e8\u5e8a\u60a3\u8005\u306b\u5373\u3057\u305fPI(E)CO \u3010\u8a55\u4fa1\u3092\u884c\u3063\u305f\u65e5\u4ed8\u3011 \u30002015 \/ 9 \/ 8 \u3010\u81e8\u5e8a\u72b6\u6cc1\u306e\u30b5\u30de\u30ea\u30fc\u3011 \u300070\u4ee3\u5973\u6027\u3001\u8840\u4fbf\u3092\u4e3b\u8a34\u3068\u3057\u3066\u6765\u9662\u3002Vital\u5909\u5316\u3084\u8179\u75db\u306a\u3069\u306f\u8a8d\u3081\u305a\u3001CT\u4e0a\u3067\u3082\u865a\u8840\u6027\u8178\u708e\u306e\u53ef\u80fd\u6027\u306f\u4f4e &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=858\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u3010EBM\u306e\u5b66\u3073\u3011IBS\u306b\u5bfe\u3059\u308bSSRI<\/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-858","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\/858","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=858"}],"version-history":[{"count":7,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/858\/revisions"}],"predecessor-version":[{"id":865,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/858\/revisions\/865"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=858"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=858"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=858"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}