{"id":1909,"date":"2015-06-25T08:43:45","date_gmt":"2015-06-24T23:43:45","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=1909"},"modified":"2015-10-27T18:12:36","modified_gmt":"2015-10-27T09:12:36","slug":"%e6%95%b4%e5%90%88%e6%80%a7%e3%81%ab%e6%ac%a0%e3%81%91%e3%82%8b%e6%8e%a8%e5%a5%a8-3%ef%bc%9a%e5%9b%bd%e5%86%85%e3%81%ae%e8%a8%ba%e7%99%82%e3%82%ac%e3%82%a4%e3%83%89%e3%83%a9%e3%82%a4%e3%83%b3","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=1909","title":{"rendered":"\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968-(3)\uff1a\u56fd\u5185\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f8b"},"content":{"rendered":"

\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968<\/strong><\/span>\u306e\u56fd\u5185\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f8b\u3092\u4ee5\u4e0b\u306b\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n

<\/p>\n

\n\u25cf\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff1a\u6a5f\u80fd\u6027\u6d88\u5316\u7ba1\u75be\u60a3\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32014\u30fc\u6a5f\u80fd\u6027\u30c7\u30a3\u30b9\u30da\u30d7\u30b7\u30a2\uff08FD\uff09<\/strong>:\u65e5\u672c\u6d88\u5316\u5668\u75c5\u5b66\u4f1a<\/p>\n

\u81e8\u5e8a\u7591\u554f\uff08CQ3-5)\uff1aFD\u306e\u8a3a\u7642\u306b\u5fc3\u7406\u793e\u4f1a\u7684\u56e0\u5b50\u306e\u8a55\u4fa1\u306f\u5fc5\u8981\u304b\uff1f
\n<\/strong><\/p>\n

<\/p>\n\n\n\n\n\n\n
\u30b9\u30c6\u30fc\u30c8\u30e1\u30f3\u30c8<\/b><\/td>\n\u63a8\u5968\u306e\u5f37\u3055
\uff08\u540c\u610f\u7387\uff09<\/b><\/td>\n		\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb<\/b><\/td>\n<\/tr>\n
\n

FD\u306e\u8a3a\u7642\u306b\u5fc3\u7406\u793e\u4f1a\u7684\u56e0\u5b50\u306e\u8a55\u4fa1\u306f\u5fc5\u8981\u3067\u3042\u308a\u3001\u884c\u3046\u3053\u3068\u3092\u63a8\u5968\u3059\u308b<\/strong><\/p>\n<\/td>\n

\n

1
\n(100%)<\/strong><\/p>\n<\/td>\n

\n

C<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

\u89e3\u8aac:
\n\u4e00\u822c\u306b\u5fc3\u7406\u793e\u4f1a\u7684\u56e0\u5b50\u306fFD\u767a\u75c7\u306e\u30ea\u30b9\u30af\u8981\u56e0\u3001\u75c5\u614b\u306e\u3072\u3068\u3064\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u306e\u5fc3\u7406\u793e\u4f1a\u7684\u56e0\u5b50\u304cFD\u306e\u75c5\u614b\u306b\u95a2\u4e0e\u3059\u308b\u7a0b\u5ea6\u306f\u60a3\u8005\u306b\u3088\u3063\u3066\u7570\u306a\u308a\u3001\u307e\u305f\u540c\u3058\u60a3\u8005\u3067\u3082\u6642\u671f\u306b\u3088\u308a\u305d\u306e\u90fd\u5ea6\u5909\u5316\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u6ce8\u610f\u6df1\u3044\u89b3\u5bdf\u304c\u5fc5\u8981\u3068\u306e\u6307\u6458\u304c\u3042\u308b1<\/sup>\u3002
\nFD\u306e\u8a3a\u7642\u306b\u3042\u305f\u3063\u3066\u306f\u3001\u305d\u306e\u8a3a\u65ad\u6642\u306b\u306f\u5fc3\u7406\u793e\u4f1a\u7684\u306a\u554f\u984c\u70b9\u3092\u3082\u6574\u7406\u3057\u3001\u8a3a\u65ad\u6cbb\u7642\u30d7\u30ed\u30bb\u30b9\u3067\u306f\u5fc3\u7642\u5185\u79d1\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c12<\/sup>\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u304c\u671b\u307e\u308c\u308b\u3002<\/p>\n<\/td>\n<\/tr>\n

\n

\u6587\u732e\uff1a
\n(1) Wilhelmsen I, Hang TT, Ursin H, et al:Discriminant analysis of factors distinguishing patients with functional dyspepsia from patients with duodenal ulcer. Significance of somatization. Dig Dis Sci 1995; 40: 1105-1111<\/a>\uff08\u30b1\u30fc\u30b9\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff09<\/p>\n

(2)\u4e2d\u4e95\u5409\u79c0\u3001\u77f3\u91ce\u632f\u4e00\u90ce\u3001\u798f\u6c38\u5e79\u5f66.\u5fc3\u8eab\u75c7\u3068\u3057\u3066\u306eNUD\/FD\u8a3a\u7642\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3.\u3000\u539a\u751f\u52b4\u50cd\u7701\u7cbe\u795e\u30fb\u795e\u7d4c\u75be\u60a3\u7814\u7a76\u59d4\u8a17\u8cbb\u7dcf\u62ec\u7814\u7a76\u5831\u544a\u66f8\u30fc\u5fc3\u8eab\u75c7\u306e\u8a3a\u65ad\u30fb\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u4f5c\u6210\u3068\u305d\u306e\u5b9f\u8a3c. 2002:p27-28\uff08\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff09<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/p>\n

 <\/p>\n

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\u30d1\u30cd\u30eb\u306e\u8003\u3048\u65b9\u6b21\u7b2c\u3067\u3042\u308b\u3068\u3044\u3046\u53cd\u8ad6\u3082\u3042\u308d\u3046\u304b\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u5c11\u306a\u304f\u3068\u3082GRADE\u30ef\u30fc\u30ad\u30f3\u30b0\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u3053\u306e\u3088\u3046\u306a\u63a8\u5968\u3092\u4f5c\u6210\u3059\u308b\u3053\u3068\u3092\u52e7\u3081\u3066\u306f\u3044\u307e\u305b\u3093\u3002\u5f8c\u8ff0\u306e\u6587\u732e3\u3068\u5408\u308f\u305b\u3066\u4ee5\u4e0b\u3092\u53c2\u8003\u306b\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u3002<\/p>\n

[\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968<\/span>\u306e\u541f\u5473]<\/strong><\/p>\n

\n\u25cfGRADE\u304c\u63d0\u5531\u3059\u308b\u201d\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u201d\u306b\u95a2\u3059\u308b\uff15\u3064\u306e\u6700\u9069\u5206\u985e<\/a>\u306e\u3044\u305a\u308c\u304b\u306b\u5408\u81f4\u3057\u3066\u3044\u308b\u304b\uff1f<\/strong>\u30fb\u30fb\u30fb\u30fbNo<\/strong><\/span><\/p>\n

\n\u25cfGRADE\u306e\u6307\u91dd\u306b\u53cd\u3059\u308b\u3068\u5224\u65ad\u3055\u308c\u308b\u201d\u6574\u5408\u6027\u306b\u6b20\u3051\u308b\u63a8\u5968\u201d\u306e\uff13\u5206\u985e<\/a>\u306e\u3044\u305a\u308c\u304b\u306b\u5408\u81f4\u3057\u3066\u3044\u308b\u304b\uff1f<\/strong>\u30fb\u30fb\u30fb\u30fbYes<\/strong><\/span><\/p>\n\n\n\n
\n

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<\/p>\n

(3)\u3053\u306e\u63a8\u5968\u306e\u6839\u62e0\u3068\u3057\u3066\u306e\u7814\u7a76\u306f\u3001\uff08\u6284\u9332\u306e\u307f\u306b\u3088\u308b\u5224\u65ad\u3067\u3059\u304c\uff09FD\u3068\u5341\u4e8c\u6307\u8178\u6f70\u760d\u3092\u6bd4\u8f03\u3057\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u3001\u3053\u306e\u63a8\u5968\u306b\u95a2\u3059\u308b\u89e3\u8aac\u5185\u5bb9\u304b\u3089\u306f\u6bd4\u8f03\u5bfe\u7167\u304c\u308f\u304b\u3089\u305a\u3001\u3053\u308c\u306f\u3001WHO\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u540c\u69d8\u306e\u554f\u984c\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n

<\/p>\n

(4)\u3061\u306a\u307f\u306b\u3001\u672c\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u304a\u3044\u3066\u3001GRADE\u304c\u9069\u5207\u306b\u5229\u7528\u3055\u308c\u305f\u304b\u3069\u3046\u304b\u3092\u8a55\u4fa1\u3059\u308b\u3068\u3001\u201d\u4e0d\u9069\u5207\u201d\u3068\u3044\u3046\u7d50\u679c\u3067\u3059\u3002→ \u6a5f\u80fd\u6027\u30c7\u30a3\u30b9\u30da\u30d7\u30b7\u30a2\uff08FD\uff09\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/strong><\/a><\/p>\n

<\/p>\n

\u6587\u732e3\uff1aGuyatt GH et al. Guideline panels should not GRADE good practice statements.
\nJ Clin Epidemiol<\/a>. 2015 May;68(5):597-600. doi: 10.1016\/j.jclinepi.2014.12.011<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/p>\n

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