{"id":353,"date":"2023-11-22T01:30:24","date_gmt":"2023-11-21T16:30:24","guid":{"rendered":"https:\/\/hara-heart.com\/blog\/?p=353"},"modified":"2023-11-22T01:30:26","modified_gmt":"2023-11-21T16:30:26","slug":"%e9%ab%98%e8%a1%80%e5%9c%a7%e3%81%ae%e6%b2%bb%e7%99%82%e7%9b%ae%e6%a8%99-%e6%9c%80%e6%96%b0%e3%81%ae%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9%e3%81%ab%e5%9f%ba%e3%81%a5%e3%81%84%e3%81%a6","status":"publish","type":"post","link":"https:\/\/hara-heart.com\/blog\/archives\/353\/","title":{"rendered":"\u9ad8\u8840\u5727\u306e\u6cbb\u7642\u76ee\u6a19 &#8211; \u6700\u65b0\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u3066"},"content":{"rendered":"\n<pre class=\"wp-block-preformatted\">\u9ad8\u8840\u5727\u3092\u653e\u3063\u3066\u304a\u304b\u305a\u306b\u6cbb\u7642\u3057\u307e\u3057\u3087\u3046\u3001\u3068\u3044\u3046\u3053\u3068\u3092\u8033\u306b\u3059\u308b\u304b\u3068\u601d\u3044\u307e\u3059\u3002\n\u4eca\u56de\u306f\u3001\u3069\u306e\u7a0b\u5ea6\u307e\u3067\u8840\u5727\u3092\u4e0b\u3052\u308c\u3070\u3088\u3044\u306e\u304b\u3001\u305d\u3057\u3066\u305d\u306e\u6839\u62e0\u306f\u4f55\u306a\u306e\u304b\u3001\u6df1\u6398\u308a\u3067\u304d\u308c\u3070\u3068\u601d\u3044\u307e\u3059\u3002\n\n\n\u73fe\u5728\u306e\u9ad8\u8840\u5727\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u75c5\u614b\u306b\u3088\u308a\u57fa\u6e96\u304c\u5909\u308f\u308b\u3082\u306e\u306e\u3001\u4e3b\u306b\n\n75\u6b73\u672a\u6e80\n\u8a3a\u5bdf\u5ba4\u8840\u5727 130\/80mmHg\u672a\u6e80\n\u5bb6\u5ead\u8840\u5727 125\/75mmHg\u672a\u6e80\n\n\n75\u6b73\u4ee5\u4e0a\n\u8a3a\u5bdf\u5ba4\u8840\u5727 140\/90mmHg\u672a\u6e80\n\u5bb6\u5ead\u8840\u5727 135\/85mmHg\u672a\u6e80\n\n\u3092\u76ee\u6a19\u3068\u3057\u3066\u304a\u308a\u307e\u3059\u3002\n<\/pre>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"787\" src=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a7ec49aacb06589103ac7edb34422f67-1-1024x787.jpg\" alt=\"\" class=\"wp-image-365\" style=\"width:309px;height:auto\" srcset=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a7ec49aacb06589103ac7edb34422f67-1-1024x787.jpg 1024w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a7ec49aacb06589103ac7edb34422f67-1-300x231.jpg 300w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a7ec49aacb06589103ac7edb34422f67-1-768x590.jpg 768w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a7ec49aacb06589103ac7edb34422f67-1-1536x1180.jpg 1536w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a7ec49aacb06589103ac7edb34422f67-1.jpg 2016w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<pre class=\"wp-block-preformatted\">\n\n\u5b9f\u969b\u306e\u9ad8\u8840\u5727\u6cbb\u7642\u3067\u306f\u3001\u306a\u304b\u306a\u304b\u53b3\u3057\u3044\u57fa\u6e96\u3060\u3068\u611f\u3058\u308b\u3053\u3068\u3082\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\n\u305d\u306e\u53b3\u3057\u3055\u3092\u8868\u3059\u304b\u306e\u3088\u3046\u306b\u300112\u30ab\u56fd\u306e526,336\u540d\u306e\u9ad8\u8840\u5727\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u8840\u5727140\/90mmHg\u672a\u6e80\u304c\u9054\u6210\u3055\u308c\u3066\u3044\u308b\u5272\u5408\u3092\u691c\u8a3c\u3057\u305f\u7814\u7a76\u3067\u306f\u3001\u65e5\u672c\u306f\u5148\u9032\u56fd\u306e\u4e2d\u3067\u6700\u4f4e\u6c34\u6e96\u30013\u5272\u672a\u6e80\u3057\u304b\u5341\u5206\u306a\u6cbb\u7642\u304c\u3067\u304d\u3066\u3044\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u304a\u308a\u307e\u3059\u3002(1)<\/pre>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"518\" src=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/39d0bfb3e432a4e4c77533fb2c99e0b1-1024x518.jpg\" alt=\"\" class=\"wp-image-356\" style=\"width:308px;height:auto\" srcset=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/39d0bfb3e432a4e4c77533fb2c99e0b1-1024x518.jpg 1024w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/39d0bfb3e432a4e4c77533fb2c99e0b1-300x152.jpg 300w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/39d0bfb3e432a4e4c77533fb2c99e0b1-768x388.jpg 768w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/39d0bfb3e432a4e4c77533fb2c99e0b1-1536x777.jpg 1536w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/39d0bfb3e432a4e4c77533fb2c99e0b1.jpg 1936w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<pre class=\"wp-block-preformatted\">\u3053\u306e\u3088\u3046\u306a\u300c\u9ad8\u8840\u5727\u3067\u3042\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u6cbb\u7642\u3092\u958b\u59cb\u3057\u306a\u3044\u300d\u3001\u300c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u793a\u3055\u308c\u3066\u3044\u308b\u964d\u5727\u76ee\u6a19\u3088\u308a\u3082\u9ad8\u3044\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u6cbb\u7642\u3092\u5f37\u5316\u305b\u305a\u3001\u305d\u306e\u307e\u307e\u69d8\u5b50\u3092\u898b\u308b\u300d\u3068\u3044\u3063\u305f\u4e0d\u5341\u5206\u306a\u6cbb\u7642\u306f\u3001clinical inertia\uff08\u81e8\u5e8a\u30a4\u30ca\u30fc\u30b7\u30e3\u3001\u60f0\u6027\uff09\u3068\u8a00\u308f\u308c\u3066\u304a\u308a\u3001\u5553\u767a\u3001\u6559\u80b2\u3092\u884c\u3063\u3066\u53d6\u308a\u7d44\u3080\u3079\u304d\u8ab2\u984c\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\n\n\n\n\u305d\u3053\u3067\u3001\u5341\u5206\u306b\u8840\u5727\u3092\u4e0b\u3052\u308b\u3053\u3068\u306e\u610f\u7fa9\u3092\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u3068\u3082\u306b\u78ba\u8a8d\u3057\u3066\u3044\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002\n\n\u307e\u305a\u30012023\u5e74\u306b\u767a\u8868\u3055\u308c\u305f\u30c7\u30fc\u30bf\u3068\u3057\u3066\u306f\u300134\u30f5\u56fd\u306e\u7d04150\u4e07\u4eba\u3092\u5bfe\u8c61\u306b10\u5e74\u5f8c\u306e\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3001\u6b7b\u4ea1\u7387\u3092\u8a55\u4fa1\u3057\u305f\u7814\u7a76\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u4e2d\u3067\u3001\n\n\u30fbBMI(\u80a5\u6e80\u5ea6\u6570)\n\u30fb\u53ce\u7e2e\u671f\u8840\u5727\n\u30fbnon-HDL\u30b3\u30c6\u30b9\u30c6\u30ed\u30fc\u30eb\uff08LDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3084\u4e2d\u6027\u8102\u80aa\uff09\n\u30fb\u55ab\u7159\n\u30fb\u7cd6\u5c3f\u75c5\n\n\u304c\u5371\u967a\u56e0\u5b50\u3068\u3057\u3066\u793a\u3055\u308c\u3066\u304a\u308a\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u8840\u5727\u306b\u95a2\u3057\u3066\u306f\u53ce\u7e2e\u671f\u8840\u5727\u304c120\u4ee5\u4e0a\u3067\u306f\u3001\u8840\u5727\u304c\u305f\u304b\u3051\u308c\u3070\u9ad8\u3044\u307b\u3069\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3001\u6b7b\u4ea1\u7387\u304c\u5897\u52a0\u3059\u308b\u3053\u3068\u3082\u793a\u3055\u308c\u3066\u304a\u308a\u307e\u3059\u3002(2)\n\n\n\n<\/pre>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"714\" height=\"1024\" src=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/6552dba5997514686ff81d90d9af481f-714x1024.jpg\" alt=\"\" class=\"wp-image-362\" style=\"width:302px;height:auto\" srcset=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/6552dba5997514686ff81d90d9af481f-714x1024.jpg 714w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/6552dba5997514686ff81d90d9af481f-209x300.jpg 209w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/6552dba5997514686ff81d90d9af481f-768x1101.jpg 768w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/6552dba5997514686ff81d90d9af481f-1072x1536.jpg 1072w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/6552dba5997514686ff81d90d9af481f.jpg 1422w\" sizes=\"auto, (max-width: 714px) 100vw, 714px\" \/><\/figure>\n\n\n\n<pre class=\"wp-block-preformatted\">\u7d04220\u4e07\u4eba\u3092\u5bfe\u8c61\u306b\u3057\u305f\u65e5\u672c\u4eba\u306e\u30c7\u30fc\u30bf\u3067\u3082\u3001\u8840\u5727\u304c\u9ad8\u3044\u307b\u3069\u300110\u5e74\u5f8c\u306e\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08\u5fc3\u7b4b\u6897\u585e\u3001\u72ed\u5fc3\u75c7\u3001\u8133\u5352\u4e2d\u3001\u5fc3\u4e0d\u5168\u3001\u5fc3\u623f\u7d30\u52d5\uff09\u304c\u591a\u3044\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u304a\u308a\u307e\u3059\u3002(3)<\/pre>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"804\" height=\"1024\" src=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/2377205071766d1164cd1ca85eff26f7-1-804x1024.jpg\" alt=\"\" class=\"wp-image-366\" style=\"width:308px;height:auto\" srcset=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/2377205071766d1164cd1ca85eff26f7-1-804x1024.jpg 804w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/2377205071766d1164cd1ca85eff26f7-1-236x300.jpg 236w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/2377205071766d1164cd1ca85eff26f7-1-768x978.jpg 768w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/2377205071766d1164cd1ca85eff26f7-1-1207x1536.jpg 1207w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/2377205071766d1164cd1ca85eff26f7-1-1609x2048.jpg 1609w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/2377205071766d1164cd1ca85eff26f7-1.jpg 1765w\" sizes=\"auto, (max-width: 804px) 100vw, 804px\" \/><\/figure>\n\n\n\n<pre class=\"wp-block-preformatted\">\u3053\u308c\u3089\u306e\u7814\u7a76\u304b\u3089\u3001\u53ce\u7e2e\u671f\u8840\u5727125mmHg\u672a\u6e80\u3092\u63d0\u793a\u3057\u3066\u3044\u308b\u65e5\u672c\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u53b3\u3057\u3044\u306a\u304c\u3089\u59a5\u5f53\u306a\u306e\u3060\u3068\u7406\u89e3\u3067\u304d\u308b\u3068\u601d\u3044\u307e\u3059\u3002\n\n\u4e00\u65b9\u3067\u3001\u3053\u308c\u3089\u306f\u591a\u304f\u306e\u60a3\u8005\u3055\u3093\u306e\u30c7\u30fc\u30bf\u306e\u84c4\u7a4d\u304b\u3089\u5f97\u3089\u308c\u305f\u77e5\u898b\u3067\u3042\u308a\u3001\u8840\u5727\u3092\u3057\u3063\u304b\u308a\u3068\u4e0b\u3052\u308b\u3088\u3046\u306b\u4ecb\u5165\u3057\u305f\u307b\u3046\u304c\u826f\u3044\u306e\u304b\u3001\u305d\u306e\u554f\u3044\u306b\u5bfe\u3059\u308b\u76f4\u63a5\u306e\u7b54\u3048\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u306e\u7b54\u3048\u3092\u6c42\u3081\u3066\u884c\u308f\u308c\u305f\u8a66\u9a13\u304c\u3001\u3044\u305a\u308c\u30822021\u5e74\u306b\u767a\u8868\u3055\u308c\u305f\n\nSPRINT: Systolic Blood Pressure Intervention Trial\nSTEP\uff1aStrategy of Blood Pressure Intervention in the Elderly Hypertensive Patients\n\n\u3067\u3059\u3002\n\nSPRINT\u8a66\u9a13\u3067\u306f\u300150\u6b73\u4ee5\u4e0a\u306e9361\u4eba (\u7cd6\u5c3f\u75c5\u30fb\u8133\u5352\u4e2d\u306e\u65e2\u5f80\u306a\u3057)\u3092\u5bfe\u8c61\u306b\u3066\u6a19\u6e96\u7642\u6cd5\u7fa4\u3068\u5f37\u5316\u7642\u6cd5\u7fa4\u306b\u7121\u4f5c\u70ba\u306b\u632f\u308a\u5206\u3051\u3001\u5f37\u5316\u7642\u6cd5\uff08\u76ee\u6a19\u8840\u5727 120mmHg\u4ee5\u4e0b\uff09\u306e\u307b\u3046\u304c\u3001\u8133\u5352\u4e2d\u3001\u6025\u6027\u51a0\u75c7\u5019\u7fa4\u3001\u5fc3\u4e0d\u5168\u3001\u5fc3\u8840\u7ba1\u6b7b\u304c\u5c11\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u304a\u308a\u307e\u3059\u3002(4)\n \n\u307e\u305f\u3001STEP\u8a66\u9a13\u3067\u306f\u300160-80\u6b73\u306e8511\u4eba\u3092\u5bfe\u8c61\u306b\u3066\u6a19\u6e96\u7642\u6cd5\u7fa4\u3068\u5f37\u5316\u7642\u6cd5\u7fa4\u306b\u7121\u4f5c\u70ba\u306b\u632f\u308a\u5206\u3051\u3001\u5f37\u5316\u7642\u6cd5\uff08\u76ee\u6a19\u8840\u5727 110-130mmHg\uff09\u306e\u307b\u3046\u304c\u3001\u8133\u5352\u4e2d\u3001\u6025\u6027\u51a0\u75c7\u5019\u7fa4\u3001\u51a0\u8840\u884c\u518d\u5efa\u8853\u3001\u5fc3\u623f\u7d30\u52d5\u3001\u5fc3\u4e0d\u5168\u3001\u5fc3\u8840\u7ba1\u6b7b\u304c\u5c11\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u304a\u308a\u307e\u3059\u3002(5)\n\n\n<\/pre>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"843\" src=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a5ed54bcacb80edc83106afb718a1d05-1024x843.jpg\" alt=\"\" class=\"wp-image-357\" style=\"width:310px;height:auto\" srcset=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a5ed54bcacb80edc83106afb718a1d05-1024x843.jpg 1024w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a5ed54bcacb80edc83106afb718a1d05-300x247.jpg 300w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a5ed54bcacb80edc83106afb718a1d05-768x632.jpg 768w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a5ed54bcacb80edc83106afb718a1d05-1536x1265.jpg 1536w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/a5ed54bcacb80edc83106afb718a1d05-2048x1686.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"925\" src=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/99a5126e49aded77189ccc2fc802e9ba-1024x925.jpg\" alt=\"\" class=\"wp-image-358\" style=\"width:307px;height:auto\" srcset=\"https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/99a5126e49aded77189ccc2fc802e9ba-1024x925.jpg 1024w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/99a5126e49aded77189ccc2fc802e9ba-300x271.jpg 300w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/99a5126e49aded77189ccc2fc802e9ba-768x693.jpg 768w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/99a5126e49aded77189ccc2fc802e9ba-1536x1387.jpg 1536w, https:\/\/hara-heart.com\/blog\/wp-content\/uploads\/2023\/11\/99a5126e49aded77189ccc2fc802e9ba-2048x1849.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<pre class=\"wp-block-preformatted\">\u3059\u306a\u308f\u3061\u3001\u3057\u3063\u304b\u308a\u3068\u8840\u5727\u3092\u4e0b\u3052\u308b\u3088\u3046\u306b\u3057\u305f\u307b\u3046\u304c\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u3001\u3068\u3044\u3046\u308f\u3051\u3067\u3059\u3002\n\n\u3053\u308c\u3089\u306e\u660e\u78ba\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u3082\u3068\u306b\u8840\u5727\u306f\u3057\u3063\u304b\u308a\u3068\u4e0b\u3052\u307e\u3057\u3087\u3046\u3068\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u3002\n\n1.\tCollaboration NCDRF. Long-term and recent trends in hypertension awareness, treatment, and control in 12 high-income countries: an analysis of 123 nationally representative surveys. Lancet 2019;394:639-651.\n2.\tGlobal Cardiovascular Risk C, Magnussen C, Ojeda FM et al. Global Effect of Modifiable Risk Factors on Cardiovascular Disease and Mortality. N Engl J Med 2023;389:1273-1285.\n3.\tKaneko H, Yano Y, Itoh H et al. Association of Blood Pressure Classification Using the 2017 American College of Cardiology\/American Heart Association Blood Pressure Guideline With Risk of Heart Failure and Atrial Fibrillation. Circulation 2021;143:2244-2253.\n4.\tGroup SR, Lewis CE, Fine LJ et al. Final Report of a Trial of Intensive versus Standard Blood-Pressure Control. N Engl J Med 2021;384:1921-1930.\n5.\tZhang W, Zhang S, Deng Y et al. Trial of Intensive Blood-Pressure Control in Older Patients with Hypertension. N Engl J Med 2021;385:1268-1279.<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>\u9ad8\u8840\u5727\u3092\u653e\u3063\u3066\u304a\u304b\u305a\u306b\u6cbb\u7642\u3057\u307e\u3057\u3087\u3046\u3001\u3068\u3044\u3046\u3053\u3068\u3092\u8033\u306b\u3059\u308b\u304b\u3068\u601d\u3044\u307e\u3059\u3002 \u4eca\u56de\u306f\u3001\u3069\u306e\u7a0b\u5ea6\u307e\u3067\u8840\u5727\u3092\u4e0b\u3052\u308c\u3070\u3088\u3044\u306e\u304b\u3001\u305d\u3057\u3066\u305d\u306e\u6839\u62e0\u306f\u4f55\u306a\u306e\u304b\u3001\u6df1\u6398\u308a\u3067\u304d\u308c\u3070\u3068\u601d\u3044\u307e\u3059\u3002 \u73fe\u5728\u306e\u9ad8\u8840\u5727\u6cbb\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u75c5\u614b\u306b\u3088\u308a\u57fa\u6e96 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