{"id":992,"date":"2016-02-05T17:02:34","date_gmt":"2016-02-05T08:02:34","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=992"},"modified":"2016-02-05T17:02:34","modified_gmt":"2016-02-05T08:02:34","slug":"%e5%b0%8f%e5%85%90%e3%81%ae%e6%bb%b2%e5%87%ba%e6%80%a7%e4%b8%ad%e8%80%b3%e7%82%8e%e3%81%b8%e7%a7%81%e3%81%9f%e3%81%a1%e3%81%8c%e3%81%aa%e3%81%ab%e3%82%92%e8%a1%8c%e3%81%88%e3%82%8b%e3%81%8b%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=992","title":{"rendered":"\u5c0f\u5150\u306e\u6ef2\u51fa\u6027\u4e2d\u8033\u708e\u3078\u79c1\u305f\u3061\u304c\u306a\u306b\u3092\u884c\u3048\u308b\u304b\uff1f"},"content":{"rendered":"<p>\u2015\u6587\u732e\u2015<br \/>\nEffect of nasal balloon autoinflation in children with otitis media with effusion in primary care: an open randomized controlled trial. CMAJ. 2015 Jul 27<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u3010\u80cc\u666f\u3011<br \/>\n\u3000\u6ef2\u51fa\u6027\u4e2d\u8033\u708e\u306f4-5\u6b73\u306746\uff05\u306e\u6709\u75c5\u7387\u3092\u6709\u3059\u308b\u3042\u308a\u3075\u308c\u305f\u75be\u60a3\u3067\u3042\u308b\u304c\u3001\u6297\u751f\u7269\u8cea\u3084\u6297\u30d2\u30b9\u30bf\u30df\u30f3\u85ac\u3092\u59cb\u3081\u3068\u3059\u308b\u975e\u624b\u8853\u7642\u6cd5\u3067\u306f\u6839\u62e0\u306b\u57fa\u3065\u304f\u6cbb\u7642\u6cd5\u306f\u306a\u3044\u3068\u8a00\u308f\u308c\u3066\u3044\u308b\u3002\u305d\u3093\u306a\u306a\u304b\u9f3b\u3067\u30d0\u30eb\u30fc\u30f3\u3092\u81a8\u3089\u307e\u305b\u308b\u81ea\u5df1\u8033\u7ba1\u901a\u6c17\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u3067\u5e45\u5e83\u304f\u4f7f\u308f\u308c\u308b\u53ef\u80fd\u6027\u3092\u79d8\u3081\u3066\u3044\u308b\u304c\u3001\u305d\u306e\u6709\u52b9\u6027\u3092\u793a\u3059\u6839\u62e0\u306f\u3044\u304f\u3064\u304b\u306e\u75c5\u9662\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306e\u5c0f\u3055\u306a\u8a66\u9a13\u306b\u9650\u3089\u308c\u3066\u304d\u305f\u3002\u305d\u3053\u3067\u79c1\u305f\u3061\u306f\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u306e\u5834\u9762\u3067\u307f\u3064\u304b\u3063\u305f\u5c0f\u5150\u306e\u6ef2\u51fa\u6027\u4e2d\u8033\u708e\u306b\u5bfe\u3059\u308b\u81ea\u5df1\u8033\u7ba1\u901a\u6c17\u306e\u81e8\u5e8a\u7684\u6709\u52b9\u6027\u306b\u3064\u3044\u3066\u306e\u5b9f\u7528\u7684\u8a66\u9a13\u3067\u306e\u77e5\u898b\u3092\u5831\u544a\u3059\u308b\u3002<\/p>\n<p>\u3010\u65b9\u6cd5\u3011<br 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1)\u3002\u76f4\u8fd1\u306e\u4e2d\u8033\u708e\u3084\u624b\u8853\u306e\u65e2\u5f80\u3084\u4e88\u5b9a\u3001\u30e9\u30c6\u30c3\u30af\u30b9\u30a2\u30ec\u30eb\u30ae\u30fc\u3084\u76f4\u8fd1\u306e\u9f3b\u51fa\u8840\u3092\u8a8d\u3081\u308b\u5834\u5408\u9664\u5916\u3057\u305f\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff13.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff13.png\" alt=\"\u4e0a\u91ce\u5148\u751f\u56f3\uff13\" width=\"828\" height=\"405\" class=\"alignright size-full wp-image-993\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff13.png 828w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff13-300x147.png 300w\" sizes=\"auto, (max-width: 828px) 100vw, 828px\" \/><\/a><br \/>\n\u3000\u4ecb\u5165\u306e\u6027\u8cea\u4e0a\u3001\u30d7\u30e9\u30bb\u30dc\u3092\u7528\u3044\u308b\u3053\u3068\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308a\u81ea\u5df1\u8033\u7ba1\u901a\u6c17\u30921\u65e53\u56de\u306b\u901a\u5e38\u30b1\u30a2\u3092\u52a0\u3048\u305f\u7fa4\u3068\u901a\u5e38\u30b1\u30a2\u7fa4\u306b\u5272\u308a\u4ed8\u3051\u3001\uff11\u30f5\u6708\u5f8c\u30fb\uff13\u30f5\u6708\u5f8c\u306b\u30c6\u30a3\u30f3\u30d1\u30ce\u30b0\u30e9\u30e0\u3068\u8033\u95a2\u9023\u306eQOL\u5c3a\u5ea6\u3067\u3042\u308bOMQ-14\u3092\u7528\u3044\u3066\u8a55\u4fa1\u3092\u884c\u3063\u305f\u3002<\/p>\n<p>\u3010\u7d50\u679c\u3011<br \/>\n\u30001235\u4eba\u306e\u5b50\u4f9b\u304c\u9069\u683c\u57fa\u6e96\u306b\u5f53\u3066\u306f\u307e\u308a\u3001320\u4eba\u304c\u7121\u4f5c\u70ba\u5272\u308a\u4ed8\u3051\u3055\u308c\u305f\u3002\u8131\u843d\u306f\uff11\u30f5\u6708\u5f8c\u30678.4\uff05\u30013\u30f5\u6708\u5f8c\u306712.2%\u3068\u826f\u597d\u306b\u8ffd\u8de1\u3055\u308c\u3066\u3044\u305f\u3002\u901a\u5e38\u30b1\u30a2\u7fa4\u3068\u6bd4\u3079\u3066\u3001\u81ea\u5df1\u8033\u7ba1\u901a\u6c17\u3092\u53d7\u3051\u305f\u5b50\u4f9b\u3067\u306f\u9f13\u819c\u8074\u529b\u691c\u67fb\u4e0a\u306e\u6539\u5584\u304c\u591a\u304f\u307f\u3089\u308c\u30011\u30f5\u6708\u5f8c\u306b\u306f\u88dc\u6b63\u76f8\u5bfe\u30ea\u30b9\u30af\u6bd4\u30671.36\uff0895\uff05CI\uff1a0.99-1.88\uff09\u30013\u30f5\u6708\u5f8c\u30671.37\uff0895%CI\uff1a1.03-1.83\uff09\u3068\u306a\u308a\u3001NNT=9\u3060\u3063\u305f\u3002\u4e00\u3064\u4e00\u3064\u306e\u8033\u3054\u3068\u306b\u6539\u5584\u3092\u898b\u305f\u5834\u5408\u306f1\u30f5\u6708\u5f8c\u3067\u3082\u6709\u610f\u306a\u7d50\u679c\u3068\u306a\u3063\u305f\u30023\u30f5\u6708\u5f8c\u306eOMQ-14\u306e\u7814\u7a76\u958b\u59cb\u6642\u304b\u3089\u306e\u5909\u5316\u306e\u5e73\u5747\u3082\u81ea\u5df1\u8033\u7ba1\u901a\u6c17\u7fa4\u3067\u3088\u308a\u5411\u4e0a\u304c\u898b\u3089\u308c\u305f\u3002\u901a\u5e38\u30b1\u30a2\u3068\u306e\u88dc\u6b63\u5909\u5316\u91cf\u306f-0.42\u30dd\u30a4\u30f3\u30c8\uff0895%CI\uff1a\uff0d0.63 &#8211; \uff0d0.22\uff09\u3068\u306a\u3063\u305f\u3002<br \/>\n\u3000\u958b\u59cb1\u304b\u6708\u306789%\u306e\u89aa\u304c\u300c\u307b\u3068\u3093\u3069\u4f7f\u7528\u3067\u304d\u305f\u300d\u3001\u3082\u3057\u304f\u306f\u300c\u6bce\u56de\u4f7f\u7528\u3067\u304d\u305f\u300d\u3068\u56de\u7b54\u3057\u305f\u3002\u526f\u4f5c\u7528\u306b\u306f\u9f3b\u51fa\u8840\u306e\u983b\u5ea6\u304c\u308f\u305a\u304b\u306a\u9055\u3044\u3057\u304b\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u304c\u3001\u4e0a\u6c17\u9053\u611f\u67d3\u306f\u6cbb\u7642\u7fa4\u3067\u3088\u308a\u591a\u304f\u307f\u3089\u308c\u305f\uff0815% v 10%\uff09\u305f\u3060\u591a\u304f\u306f\u8efd\u5ea6\u306e\u71b1\u306e\u3067\u306a\u3044\u9f3b\u98a8\u90aa\u7a0b\u5ea6\u3060\u3063\u305f\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f34.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f34.png\" alt=\"\u4e0a\u91ce\u5148\u751f\u56f34\" width=\"609\" height=\"624\" class=\"alignright size-full wp-image-994\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f34.png 609w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f34-293x300.png 293w\" sizes=\"auto, (max-width: 609px) 100vw, 609px\" \/><\/a><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff15.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff15.png\" alt=\"\u4e0a\u91ce\u5148\u751f\u56f3\uff15\" width=\"638\" height=\"477\" class=\"alignright size-full wp-image-995\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff15.png 638w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2016\/02\/\u4e0a\u91ce\u5148\u751f\u56f3\uff15-300x224.png 300w\" sizes=\"auto, (max-width: 638px) 100vw, 638px\" \/><\/a><\/p>\n<p>\u3010\u7d50\u8ad6\u3011<br \/>\n\u3000\u3053\u306e\u7814\u7a76\u3067\u82e5\u3044\u5b66\u7ae5\u671f\u306e\u5b50\u4f9b\u306e\u6ef2\u51fa\u6027\u4e2d\u8033\u708e\u3078\u306e\u81ea\u5df1\u8033\u7ba1\u901a\u6c17\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u3067\u5b9f\u7528\u7684\u3067\u3001\u4e2d\u8033\u306e\u6d78\u51fa\u6db2\u3092\u6392\u9664\u3057\u3001\u8033\u306b\u95a2\u9023\u3057\u305f\u75c7\u72b6\u3068\u5b50\u4f9b\u3068\u89aa\u306eQOL\u3092\u6539\u5584\u3055\u305b\u308b\u6709\u52b9\u6027\u304c\u793a\u3055\u308c\u305f\u3002NNT9\u3068\u3044\u3046\u6570\u5024\u306f\u6ef2\u51fa\u6027\u4e2d\u8033\u708e\u6cbb\u7642\u306e\u73fe\u72b6\u306b\u5229\u76ca\u3092\u3082\u305f\u3089\u3059\u975e\u4fb5\u8972\u7684\u6cbb\u7642\u306e\u9078\u629e\u80a2\u3068\u8003\u3048\u3089\u308c\u3001OMQ-14\u306e\u4e2d\u7b49\u5ea6\u306e\u6539\u5584\u306f\u91cd\u8981\u3067\u52c7\u6c17\u3065\u3051\u3089\u308c\u308b\u7d50\u679c\u3068\u306a\u3063\u305f\u3002\u3072\u308d\u304f\u81ea\u5df1\u8033\u7ba1\u901a\u6c17\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u3067\u3001\u73fe\u72b6\u306e\u6c7a\u3081\u624b\u306b\u6b20\u3051\u308b\u6ef2\u51fa\u6027\u4e2d\u8033\u708e\u306b\u7acb\u3061\u5411\u304b\u3048\u308b\u65e5\u304c\u6765\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n<p>\u2015\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u2015<br 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