{"id":99,"date":"2018-05-17T11:08:50","date_gmt":"2018-05-17T02:08:50","guid":{"rendered":"http:\/\/spell.umin.jp\/thespellblog\/?p=99"},"modified":"2018-05-18T00:24:09","modified_gmt":"2018-05-17T15:24:09","slug":"%e3%81%84%e3%81%be%e5%86%8d%e3%81%b3%e6%ad%a3%e3%81%97%e3%81%8febm%e3%82%92","status":"publish","type":"post","link":"https:\/\/spell.umin.jp\/thespellblog\/?p=99","title":{"rendered":"\u3044\u307e\u518d\u3073\u6b63\u3057\u304fEBM\u3092"},"content":{"rendered":"<div class=\"veu_autoEyeCatchBox\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"264\" src=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop-1-e1525863684219.png?fit=500%2C264&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop-1-e1525863684219.png?w=500&amp;ssl=1 500w, https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop-1-e1525863684219.png?resize=300%2C158&amp;ssl=1 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/div>\n<p>\u3000\u533b\u7642\u8005\u306f\u8ab0\u3057\u3082\uff0c\u904e\u53bb\u306e\u7d4c\u9a13\u3092\u6b21\u306e\u8a3a\u7642\u306b\u6d3b\u304b\u305d\u3046\u3068\u3059\u308b\uff0e\u6cbb\u7642\u304c\u3046\u307e\u304f\u3044\u3051\u3070\u81ea\u4fe1\u3092\u6df1\u3081\uff0c\u75db\u3044\u601d\u3044\u3092\u3059\u308c\u3070\u6b21\u304b\u3089\u6c17\u3092\u3064\u3051\u308b\uff0e\u3067\u3082\uff0c\u305b\u3063\u304b\u304f\u904e\u53bb\u306e\u7d4c\u9a13\u3092\u6d3b\u304b\u3059\u306e\u306a\u3089\u3070\uff0c\u305d\u306e\u7d4c\u9a13\u3092\u4e16\u754c\u4e2d\u306e\u4eba\u305f\u3061\u3068\u5171\u6709\u3057\u305f\u65b9\u304c\uff0c\u3088\u308a\u8cea\u306e\u9ad8\u3044\u533b\u7642\u306b\u3064\u306a\u304c\u308b\u306f\u305a\u3067\u3042\u308b\uff0e\u305d\u3046\u3057\u305f\u8003\u3048\u306e\u4e0b\uff0c1991\u5e74\u306b\u63d0\u5531\u3055\u308c\u305f\u306e\u304cEBM\u3067\u3042\u308b\uff0eEBM\u306fEvidence based medicine\uff08\u6839\u62e0\u306b\u57fa\u3065\u3044\u305f\u533b\u7642\uff09\u306e\u7565\u3067\uff0c\u73fe\u6642\u70b9\u3067\u5229\u7528\u53ef\u80fd\u306a\u6700\u3082\u4fe1\u983c\u3067\u304d\u308b\u60c5\u5831\u3092\u3082\u3068\u306b\uff0c\u76ee\u306e\u524d\u306e\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u6700\u5584\u306e\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u3067\u3042\u308b\uff0e<\/p>\n<p>\u3000\u3057\u304b\u3057\u3053\u308c\u307e\u3067\uff0cEBM\u306f\u3055\u307e\u3056\u307e\u306a\u8aa4\u89e3\u3092\u53d7\u3051\u3066\u304d\u305f\u3002\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u306a\u3089\u5fc5\u305a\u5f93\u308f\u306d\u3070\u306a\u3089\u306a\u3044\uff0c\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u306a\u3044\u304b\u3089EBM\u306f\u3067\u304d\u306a\u3044\uff0cEBM\u306f\u81e8\u5e8a\u7d4c\u9a13\u3092\u5426\u5b9a\u3059\u308b\uff0c\u60a3\u8005\u3084\u533b\u7642\u8005\u306e\u4fa1\u5024\u89b3\u3082\u306a\u3044\u304c\u3057\u308d\u306b\u3059\u308b\uff0cEBM\u306f\u753b\u4e00\u7684\u306a\u6599\u7406\u672c\u533b\u7642\u3067\u3042\u308b\u3068\u3044\u3063\u305f\u5177\u5408\u3060\uff0e\u7279\u306b\u591a\u3044\u306e\u306f\uff0c\u300cEBM\u306b\u57fa\u3065\u3044\u305f\u25ef\u25ef\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u300d\u3068\u3044\u3046\u8868\u73fe\u306b\u8c61\u5fb4\u3055\u308c\u308b\uff0cEBM\u3068\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u6df7\u540c\u3067\u3042\u308b\uff0e\u3053\u306e\u3088\u3046\u306a\u8aa4\u89e3\u3092\u62db\u304f\u4e00\u56e0\u306f\uff0cEvidence-based\u3068\u3044\u3046\u30cd\u30fc\u30df\u30f3\u30b0\u306b\u3042\u308b\u306e\u3060\u308d\u3046\uff0e\u300c\u306a\u3093\u3068\u304bbased\u300d\u3068\u805e\u3051\u3070\uff0c\u7279\u5225\u306b\u305d\u308c\u3060\u3051\u3092\u91cd\u8996\u3057\u305f\u8003\u3048\u306e\u3088\u3046\u306b\u601d\u308f\u308c\u304c\u3061\u3060\uff0e\u5358\u7d14\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u504f\u91cd\u3068\u6349\u3048\u3089\u308c\u3066\u3057\u307e\u3063\u305f\u306e\u306fEBM\u306e\u4e0d\u5e78\u3068\u3044\u3048\u308b\uff0e\u540d\u524d\u304c\u60aa\u3044\u306e\u3067\u3042\u308b\uff0e\u305d\u3057\u3066\uff0c\u305d\u3053\u304b\u3089\uff0c\u3055\u307e\u3056\u307e\u306a\u300c\u306a\u3093\u3068\u304bbased\u300d\u304c\u6d3e\u751f\u3057\u305f\uff0e\u3057\u304b\u3082\uff0c\u305d\u306e\u307b\u3068\u3093\u3069\u304c\u672c\u6765\u306eEBM\u3092\u6b6a\u3081\u3066\uff0c\u63f6\u63c4\u3059\u308b\u3088\u3046\u306a\u5f62\u3067\uff0e<\/p>\n<p>\u3000\u672c\u6765\u306eEBM\u306f\uff0c\u76ee\u306e\u524d\u306e\u60a3\u8005\u306b\u304a\u3051\u308b\u554f\u984c\u89e3\u6c7a\u306e\u624b\u6cd5\u3067\u3042\u308b\uff0e\u60a3\u8005\u304c\u62b1\u3048\u308b\u554f\u984c\u3092\u5b9a\u5f0f\u5316\u3057\uff08step 1\uff09\uff0c\u554f\u984c\u306e\u89e3\u6c7a\u306b\u3064\u306a\u304c\u308b\u60c5\u5831\u3092\u53ce\u96c6\u3057\uff08step 2\uff09\uff0c\u5f97\u3089\u308c\u305f\u60c5\u5831\u3092\u6279\u5224\u7684\u541f\u5473\u3057\uff08step 3\uff09\uff0c\u541f\u5473\u3057\u305f\u60c5\u5831\u3092\u76ee\u306e\u524d\u306e\u60a3\u8005\u306b\u9069\u7528\u3067\u304d\u308b\u304b\u5224\u65ad\u3057\uff08step 4\uff09\uff0cstep 4\u307e\u3067\u304c\u9069\u5207\u306b\u884c\u308f\u308c\u305f\u304b\uff0cstep 4\u306e\u5224\u65ad\u3067\u60a3\u8005\u304c\u5e78\u305b\u306b\u306a\u3063\u305f\u304b\u3092\u632f\u308a\u8fd4\u308b\uff08step 5\uff09\uff0c\u3068\u3044\u30465\u3064\u306e\u624b\u9806\u3067\u8003\u3048\u308b\uff0e\u5fd9\u3057\u304f\u30eb\u30fc\u30c1\u30f3\u5316\u3055\u308c\u305f\u65e5\u5e38\u8a3a\u7642\u3067\u306f\uff0c\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u3092\u77e5\u3089\u305a\u306b\u904e\u3054\u3057\u304c\u3061\u3060\u304c\uff0c\u3075\u3068\u3057\u305f\u7591\u554f\u3092\u554f\u984c\u3068\u3057\u3066\u6349\u3048\uff0cEBM\u306e\u624b\u9806\u3067\u898b\u76f4\u3057\u3066\u307f\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\uff0e\u4eca\u3067\u306f\uff0c\u512a\u308c\u305f\u8ad6\u6587\u306e\u60c5\u5831\u3092\u4f7f\u3044\u3084\u3059\u304f\u52a0\u5de5\u3057\u305f\u4e8c\u6b21\u8cc7\u6599\u3082\u6570\u591a\u304f\uff0c\u5fd9\u3057\u3044\u65e5\u5e38\u8a3a\u7642\u306e\u5408\u9593\u306b\u539f\u8457\u8ad6\u6587\u307e\u3067\u8aad\u3080\u5fc5\u8981\u306f\u307b\u3068\u3093\u3069\u306a\u3044\uff08\u65e5\u5e38\u7684\u306b\u539f\u8457\u8ad6\u6587\u304c\u8aad\u3081\u308b\u306b\u8d8a\u3057\u305f\u3053\u3068\u306f\u306a\u3044\u3057\uff0c\u8aad\u307f\u65b9\u306f\u77e5\u3063\u3066\u304a\u304f\u3079\u304d\u3060\u304c\uff0c\u73fe\u5b9f\u7684\u306b\u306f\u305d\u308c\u304c\u3067\u304d\u308b\u4eba\u306f\u3054\u304f\u4e00\u90e8\u306b\u9650\u3089\u308c\u308b\uff09\uff0e<\/p>\n<p>\u3000EBM\u3067\u6700\u3082\u91cd\u8981\u306a\u306e\u306f\uff0cstep 4\u306e\u60c5\u5831\u306e\u60a3\u8005\u3078\u306e\u9069\u7528\u3067\u3042\u308b\uff0e\u3042\u308b\u6cbb\u7642\u6cd5\u3084\u691c\u67fb\u6cd5\u304c\u6709\u52b9\u3067\u3042\u308b\u3068\u3044\u3046\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u3063\u305f\u304b\u3089\u3068\u3044\u3063\u3066\uff0c\u305d\u308c\u3089\u3092\u5168\u3066\u306e\u60a3\u8005\u306b\u7528\u3044\u306d\u3070\u306a\u3089\u306a\u3044\u308f\u3051\u3067\u306f\u306a\u3044\uff0e\u6709\u52b9\u306a\u6cbb\u7642\u6cd5\u3067\u3082\u3042\u3048\u3066\u4f7f\u308f\u306a\u3044\u9078\u629e\u80a2\u3082\u8a8d\u3081\u308b\u3079\u304d\u3067\u3042\u308b\u3057\uff0c\u5b9f\u969b\u306b\u305d\u3046\u3057\u3066\u3044\u308b\u5834\u9762\u3082\u591a\u3044\uff0e<\/p>\n<p>\u3000\u3064\u307e\u308a\uff0c\u8a3a\u7642\u884c\u52d5\u3092\u6c7a\u3081\u308b\u969b\u306b\u306f\uff0c\u2460\u30a8\u30d3\u30c7\u30f3\u30b9\uff0c\u2461\u60a3\u8005\u306e\u75c5\u72b6\u3068\u5468\u56f2\u3092\u53d6\u308a\u5dfb\u304f\u74b0\u5883\uff0c\u2462\u60a3\u8005\u306e\u610f\u5411\u3068\u884c\u52d5\uff0c\u2463\u533b\u7642\u8005\u306e\u81e8\u5e8a\u7d4c\u9a13\uff0c\u3092\u30d0\u30e9\u30f3\u30b9\u826f\u304f\u8003\u3048\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3042\u308b\uff0eEBM\u306f\u500b\u5225\u5316\u533b\u7642\u306e\u305f\u3081\u306e\u30c4\u30fc\u30eb\u3067\u3042\u308a\uff0c\u60a3\u8005\u3068\u76f8\u8ac7\u3057\u306a\u304c\u3089\u8a3a\u7642\u884c\u52d5\u3092\u6c7a\u5b9a\u3057\u3066\u3044\u304f\uff0cShared decision making\uff08\u5171\u6709\u610f\u601d\u6c7a\u5b9a\uff09\u306e\u8003\u3048\u65b9\u304c\u91cd\u8981\u306a\u306e\u3067\u3042\u308b\uff0e\u3057\u305f\u304c\u3063\u3066\uff0c\u6559\u79d1\u66f8\u306b\u66f8\u3044\u3066\u3042\u308b\u3068\u304a\u308a\u306b\u884c\u3046\u3053\u3068\u3084\uff0c\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u63a8\u5968\u3069\u304a\u308a\u306b\u6cbb\u7642\u3059\u308b\u3053\u3068\u304cEBM\u306a\u306e\u3067\u306f\u306a\u3044\uff0e<\/p>\n<p>\u3000\u73fe\u5728\uff0c\u6570\u591a\u304f\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u4e16\u306b\u51fa\u56de\u3063\u3066\u3044\u308b\uff0e\u56fd\u5185\u3067\u306f\u5f53\u521d\uff0c\u65e7\u539a\u751f\u7701\u304c\u4f5c\u6210\u3092\u4e3b\u5c0e\u3057\u305f\u304c\uff0c\u73fe\u5728\u3067\u306f\u4e3b\u306b\u5404\u5b66\u4f1a\u304c\u4f5c\u6210\u3092\u884c\u3063\u3066\u3044\u308b\uff0e\u3057\u304b\u3057\uff0c\u59cb\u3081\u306b\u63a8\u5968\u6587\u3042\u308a\u304d\u3067\uff0c\u5f8c\u304b\u3089\u305d\u308c\u306b\u5408\u3046\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u4ed8\u3051\u305f\u3068\u601d\u308f\u308c\u308b\u3082\u306e\u3082\u5c11\u306a\u304f\u306a\u3044\uff0e\u3053\u308c\u306f\uff0c\u73fe\u6642\u70b9\u3067\u306f\u65e5\u672c\u533b\u7642\u6a5f\u80fd\u8a55\u4fa1\u6a5f\u69cbMinds\u304c\u7b56\u5b9a\u3057\u305f\u300c\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u624b\u5f15\u304d2007\u300d\u3092\u4f7f\u7528\u3057\u3066\u4f5c\u6210\u3057\u305f\u3082\u306e\u304c\u591a\u3044\u304b\u3089\u3067\u3042\u308b\uff08Minds\u300c\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u624b\u5f15\u304d\u300d\u306f\uff0c\u73fe\u57282014\u5e74\u7248\u304c\u51fa\u3066\u3044\u308b\uff09\uff0e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u306f\u672c\u6765\uff0c\u540c\u3058\u30c6\u30fc\u30de\u3067\u904e\u53bb\u306b\u884c\u308f\u308c\u305f\u7814\u7a76\u3092\u7db2\u7f85\u7684\u306b\u96c6\u3081\uff0c\u305d\u308c\u3089\u306e\u8cea\u3068\u7d50\u679c\u3092\u8a55\u4fa1\u3057\u305f\uff08\uff1d\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3092\u884c\u3044\uff09\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u96c6\u5927\u6210\u3092\u3082\u3068\u306b\uff0c\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u3084\u30b3\u30b9\u30c8\u30fb\u30ea\u30bd\u30fc\u30b9\u306a\u3069\u3068\u3044\u3063\u305f\u4ed6\u306e\u8981\u56e0\u3082\u8e0f\u307e\u3048\u3066\u63a8\u5968\u3092\u4f5c\u308b\u3079\u304d\u3067\u3042\u308b\uff0e\u305d\u306e\u4f53\u7cfb\u7684\u306a\u4f5c\u6210\u65b9\u6cd5\u304cGRADE approach \u3068\u547c\u3070\u308c\u308b\u30b7\u30b9\u30c6\u30e0\u3067\u3001\u8af8\u5916\u56fd\u3067\u56fd\u969b\u6a19\u6e96\u30c4\u30fc\u30eb\u3068\u3057\u3066\u7528\u3044\u3089\u308c\u3066\u3044\u308b\uff0e\u6b8b\u5ff5\u306a\u304c\u3089\u308f\u304c\u56fd\u3067\u306f\u307e\u3060\uff0cGRADE\u306b\u6e96\u3058\u3066\u4f5c\u3089\u308c\u305f\u3082\u306e\u306f\uff0c\u300cARDS\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32016\u300d\u3084\u300cJRC\u8607\u751f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32015\u300d\u306a\u3069\u6570\u5c11\u306a\u3044\uff0e\u79c1\u9054\u306f\uff0cGRADE\u306b\u95a2\u3059\u308b\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u3092\u983b\u7e41\u306b\u958b\u50ac\u3059\u308b\u306a\u3069\uff0c\u8cea\u306e\u9ad8\u3044\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u4f5c\u6210\u3059\u308b\u305f\u3081\u306e\u74b0\u5883\u6574\u5099\u306b\u52d9\u3081\u3066\u3044\u308b\u3068\u3053\u308d\u3067\u3042\u308b\uff0e<\/p>\n<p>\u3000EBM\u306f\u73fe\u5834\u306e\u533b\u7642\u3092\u8c4a\u304b\u306b\u3059\u308b\u3082\u306e\u3067\u3042\u308b\uff0e\u8aa4\u89e3\u306a\u304f\u5e83\u304f\u6d3b\u7528\u3055\u308c\u308c\u3070\uff0c\u8a3a\u7642\u306e\u8cea\u306f\u78ba\u5b9f\u306b\u4e0a\u304c\u308b\u3060\u308d\u3046\uff0e\u3044\u307e\u518d\u3073\uff0cEBM\u304c\u6b63\u3057\u304f\u6d3b\u7528\u3055\u308c\u308b\u6642\u4ee3\u306b\u306a\u3063\u3066\u6b32\u3057\u3044\u3068\u9858\u3063\u3066\u3044\u308b\uff0e<\/p>\n<p>\u6ce81\uff09\u672c\u30a8\u30f3\u30c8\u30ea\u30fc\u306f\uff0c\u30e1\u30c7\u30a3\u30ab\u30eb\u30fb\u30d7\u30ea\u30f3\u30b7\u30d7\u30eb\u793e\u30c9\u30af\u30bf\u30fc\u30ba\u30de\u30ac\u30b8\u30f32016\u5e7411\u6708\u53f7\uff08Vol.205\uff09\u306e\u300cDoctor&#8217;s Opinion\u300d\u306b\u5bc4\u7a3f\u3057\u305f\u540c\u540d\u30bf\u30a4\u30c8\u30eb\u306e\u30b3\u30e9\u30e0\u3092\u52a0\u7b46\u4fee\u6b63\u3057\u305f\u3082\u306e\u3067\u3042\u308b\uff0e\u540c\u793e\u306e\u8a31\u8afe\u3092\u5f97\u3066\u63b2\u8f09\u3057\u3066\u3044\u308b\uff0e<\/p>\n<p>\u6ce82\uff09\u300c<a href=\"http:\/\/spell.umin.jp\/EBM.htm#EBM5steps\">EBM<\/a><a href=\"http:\/\/spell.umin.jp\/EBM.htm#EBM5steps\">\u306e<\/a><a href=\"http:\/\/spell.umin.jp\/EBM.htm#EBM5steps\">5<\/a><a href=\"http:\/\/spell.umin.jp\/EBM.htm#EBM5steps\">\u3064\u306e<\/a><a href=\"http:\/\/spell.umin.jp\/EBM.htm#EBM5steps\">step<\/a>\u300d\u3068\u300c<a href=\"http:\/\/spell.umin.jp\/EBM.htm#EBMmisunderstanding\">EBM<\/a><a href=\"http:\/\/spell.umin.jp\/EBM.htm#EBMmisunderstanding\">\u306b\u5bfe\u3059\u308b\u8aa4\u89e3<\/a>\u300d\u306b\u3064\u3044\u3066\u306f\uff0cThe SPELL\u306e<a style=\"background-color: #ffffff\" href=\"http:\/\/spell.umin.jp\/EBM.htm#EBMmisunderstanding\">\u300c<\/a>EBM\u306b\u3064\u3044\u3066\uff5e\u533b\u7642\u5f93\u4e8b\u8005\u306e\u305f\u3081\u306b\uff5e\u300d\u306b\u5177\u4f53\u4f8b\u3092\u6319\u3052\u3066\u89e3\u8aac\u3057\u3066\u3044\u308b\uff0e<\/p>\n<p>\u6ce83\uff09\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u306e\u56fd\u969b\u6a19\u6e96\u30c4\u30fc\u30eb\u300cGRADE system\u300d\u306b\u3064\u3044\u3066\u306f\uff0c\u5f18\u524d\u306e\u5185\u79d1\u958b\u696d\u533b\u3067\u3042\u308b<a href=\"http:\/\/www.grade-jpn.com\/\">\u76f8\u539f\u5b88\u592b\u5148\u751f\u306e\u30b5\u30a4\u30c8<\/a>\u304c\u5145\u5b9f\u3057\u3066\u3044\u308b\u306e\u3067\uff0c\u305d\u3061\u3089\u3092\u53c2\u7167\u306e\u3053\u3068\uff0e<\/p>\n<p><!--\u3044\u3044\u306d\u30dc\u30bf\u30f3--><br \/>\n<!--?php if(function_exists('the_ratings')) { the_ratings(); } ?--><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" 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\/>\n\uff08\u7fbd\u7530\uff0d\u5ca1\u5c71\u7dda\u306e\u98db\u884c\u6a5f\u3067\u771f\u4e0a\u304b\u3089\u306e\u5bcc\u58eb\u5c71\uff0c2013\/2\/10\u64ae\u5f71\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3000\u533b\u7642\u8005\u306f\u8ab0\u3057\u3082\uff0c\u904e\u53bb\u306e\u7d4c\u9a13\u3092\u6b21\u306e\u8a3a\u7642\u306b\u6d3b\u304b\u305d\u3046\u3068\u3059\u308b\uff0e\u6cbb\u7642\u304c\u3046\u307e\u304f\u3044\u3051\u3070\u81ea\u4fe1\u3092\u6df1\u3081\uff0c\u75db\u3044\u601d\u3044\u3092\u3059\u308c\u3070\u6b21\u304b\u3089\u6c17\u3092\u3064\u3051\u308b\uff0e\u3067\u3082\uff0c\u305b\u3063\u304b\u304f\u904e\u53bb\u306e\u7d4c\u9a13\u3092\u6d3b\u304b\u3059\u306e\u306a\u3089\u3070\uff0c\u305d\u306e\u7d4c\u9a13\u3092\u4e16\u754c\u4e2d\u306e\u4eba\u305f\u3061\u3068\u5171\u6709\u3057\u305f\u65b9\u304c\uff0c\u3088\u308a\u8cea\u306e\u9ad8\u3044\u533b\u7642\u306b 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