{"id":500,"date":"2013-01-25T08:27:47","date_gmt":"2013-01-24T23:27:47","guid":{"rendered":"http:\/\/sakuda-clinic.com\/doctor\/?p=500"},"modified":"2013-01-25T13:43:13","modified_gmt":"2013-01-25T04:43:13","slug":"%e3%82%bf%e3%83%90%e3%82%b3%e3%81%af10%e5%b9%b4%e3%81%ae%e5%af%bf%e5%91%bd%e3%82%92%e5%a5%aa%e3%81%84%e3%80%81%e6%ad%bb%e4%ba%a1%e3%83%aa%e3%82%b9%e3%82%af%e3%82%923%e5%80%8d%e9%ab%98%e3%82%81","status":"publish","type":"post","link":"https:\/\/sakuda-clinic.com\/doctor\/?p=500","title":{"rendered":"\u30bf\u30d0\u30b3\u306f10\u5e74\u306e\u5bff\u547d\u3092\u596a\u3044\u3001\u6b7b\u4ea1\u30ea\u30b9\u30af\u30923\u500d\u9ad8\u3081\u308b"},"content":{"rendered":"

\uff11\u670824\u65e5\u4ed8\u3051\u306e\u4eca\u9031\u306e\u300eThe New England Journal of Medicine\u300f\u3068\u3044\u3046\u30a2\u30e1\u30ea\u30ab\u306e\u533b\u5b66\u5c02\u9580\u8a8c\u306b<\/span><\/p>\n

\u30bf\u30d0\u30b3\u3092\u5438\u3046\u3053\u3068\u3078\u306e\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\u306e\u6587\u732e\u304c2\u3064\u51fa\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\n

\u5b9f\u306f\u3001\u3055\u304f\u3060\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af\u3082\u3001\u3053\u306e2\u6708\u304b\u3089\u672c\u683c\u7684\u306b\u7981\u7159\u5916\u6765\u304c\u958b\u59cb\u3055\u308c\u308b\u4e88\u5b9a\u3067\u3059\u3002<\/span><\/p>\n

\u305d\u306e\u610f\u5473\u3082\u3042\u3063\u3066\u3001\u3053\u306e2\u3064\u306e\u6587\u732e\u3092\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\n

\u30a2\u30e1\u30ea\u30ab\u306e\u75ab\u5b66\u8abf\u67fb\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u3069\u306e\u56fd\u306b\u3082\u3001\u3082\u3061\u308d\u3093\u65e5\u672c\u306b\u3082\u3042\u3066\u306f\u3081\u3066\u8003\u3048\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u8abf\u67fb\u5831\u544a\u3060\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u307e\u305a\u3072\u3068\u3064\u3081\u3067\u3059\u3002<\/span><\/p>\n

\n

 <\/p>\n

21\u4e16\u7d00\u306e\u30a2\u30e1\u30ea\u30ab\u306b\u304a\u3051\u308b\u3000\u30bf\u30d0\u30b3\u306e\u30ea\u30b9\u30af\u3068\u7981\u7159\u3059\u308b\u3053\u3068\u306e\u6709\u52b9\u6027\u3000\u306b\u3064\u3044\u3066<\/span><\/strong><\/p>\n

21st-Century Hazards of Smoking and Benefits of Cessation in the United States<\/span><\/a>
\nN Engl J Med 2013; 368:341-350January 24, 2013DOI: 10.1056\/NEJMsa1211128<\/span><\/a><\/p>\n

\u3053\u306e\u7814\u7a76\u306e\u80cc\u666f
\n<\/span><\/p>\n

1980\u5e74\u4ee3\u306e\u7814\u7a76\u3067\u3001\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u3001\u5973\u6027\u3082\u7537\u6027\u3082\u300135\u6b73\uff5e69\u6b73\u306e\u6b7b\u4ea1\u306e25\uff05\u306f\u30bf\u30d0\u30b3\u3092\u5438\u3046\u3053\u3068\u306b\u3088\u308b\u3082\u306e\u3060\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\n

\u4eca\u56de\u306e\u7814\u7a76\u306f\u3001\u3055\u307e\u3056\u307e\u306a\u5e74\u9f62\u306b\u304a\u3051\u308b\u30bf\u30d0\u30b3\u306e\u30ea\u30b9\u30af\u3001\u305d\u308c\u3068\u7981\u7159\u306e\u30e1\u30ea\u30c3\u30c8\u3092\u660e\u3089\u304b\u306b\u3057\u3088\u3046\u3068\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/span><\/p>\n

\"1\"<\/a><\/p>\n

\u7814\u7a76\u65b9\u6cd5<\/span><\/p>\n

1997\u5e74\u304b\u30892004\u5e74\u306e\u9593\u306b\u300125\u6b73\u4ee5\u4e0a\u306e11\u4e073\u5343752\u4eba\u306e\u5973\u6027\u30688\u4e078\u5343496\u4eba\u306e\u7537\u6027\u304b\u3089\u3001\u30bf\u30d0\u30b3\u306b\u95a2\u3059\u308b\u805e\u304d\u53d6\u308a\u8abf\u67fb\u3092\u884c\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\n

2006\u5e7412\u670831\u65e5\u307e\u3067\u306b\u6b7b\u4ea1\u3057\u305f8\u5343236\u4eba\u306e\u5973\u6027\u30687\u5343479\u4eba\u306e\u7537\u6027\u306e\u6b7b\u56e0\u306b\u3064\u3044\u3066\u691c\u8a0e\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u5168\u304f\u30bf\u30d0\u30b3\u3092\u5438\u308f\u306a\u3044\u4eba\u3068\u73fe\u5728\u30bf\u30d0\u30b3\u3092\u5438\u3063\u3066\u3044\u308b\u4eba\u3068\u3092\u7d14\u7c8b\u306b\u6bd4\u8f03\u3059\u308b\u305f\u3081\u306b\u3001\u5e74\u9f62\u3001\u6559\u80b2\u30ec\u30d9\u30eb\u3001\u80a5\u6e80\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u6d88\u8cbb\u3067\u5dee\u304c\u3064\u3044\u3066\u3057\u307e\u308f\u306a\u3044\u3088\u3046\u306b\u8abf\u6574\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u7d50\u679c<\/span><\/p>\n

25\u6b73\u304b\u308979\u6b73\u307e\u3067\u3067\u3001<\/span>\u73fe\u5728\u30bf\u30d0\u30b3\u3092\u5438\u3063\u3066\u3044\u308b\u4eba\u306e\u6b7b\u4ea1\u7387\u306f\u3001\u5438\u308f\u306a\u3044\u4eba\u306e<\/span>\u7d043\u500d<\/span>\u3067\u3057\u305f\u3002<\/span><\/p>\n

\u30bf\u30d0\u30b3\u3092\u5438\u3046\u4eba\u306e\u6b7b\u4ea1\u306e\u591a\u304f\u304c\u3001\u60aa\u6027\u816b\u760d\u3001\u8840\u7ba1\u7cfb\u3001\u547c\u5438\u5668\u7cfb\u3001\u305d\u306e\u4ed6\u30bf\u30d0\u30b3\u304c\u539f\u56e0\u3068\u306a\u308a\u5f97\u308b\u75c5\u6c17\u3067\u3057\u305f\u3002<\/span><\/p>\n

\u5225\u306e\u5074\u9762\u304b\u3089\u3044\u3046\u3068\u300125\u6b73\u304b\u308979\u6b73\u307e\u3067\u306e\u30bf\u30d0\u30b3\u3092\u5438\u3063\u305f\u3053\u3068\u306e\u306a\u3044\u4eba\u306e\u751f\u5b58\u78ba\u7387\u306f\u3001\u73fe\u5728\u30bf\u30d0\u30b3\u3092\u5438\u3063\u3066\u3044\u308b\u4eba\u306e\u7d042\u500d\u3067\u3057\u305f\u3002<\/span><\/p>\n

\uff08\u5973\u6027\u306f70\uff05\u306b\u5bfe\u3057\u306638\uff05\u3001\u7537\u6027\u3067\u306f61\uff05\u306b\u5bfe\u3057\u306626\uff05\uff09<\/span><\/p>\n

\u30bf\u30d0\u30b3\u3092\u5438\u3063\u305f\u3053\u3068\u306e\u306a\u3044\u4eba\u306b\u6bd4\u3079\u3066\u3001\u73fe\u5728\u30bf\u30d0\u30b3\u3092\u5438\u3063\u3066\u3044\u308b\u4eba\u306e\u5bff\u547d\u306f\u3001\u7d0410\u5e74\u4ee5\u4e0a\u3082\u77ed\u304f\u306a\u308a\u307e\u3059<\/span>\u3002<\/span><\/p>\n

\"2\"<\/a><\/p>\n

\u305d\u306e\u4ee3\u308f\u308a\u3001\u7981\u7159\u306b\u6210\u529f\u3057\u305f\u4eba\u306f<\/span><\/p>\n

25\u6b73\u304b\u308934\u6b73\u306e\u9593\u306b\u7981\u7159\u306b\u6210\u529f\u3057\u305f\u4eba\u3000\u7d0410\u5e74\u9593<\/span>
\n35\u6b73\u304b\u308944\u6b73\u306e\u9593\u306b\u6210\u529f\u3057\u305f\u4eba\u3000\u7d049\u5e74\u9593<\/span>
\n45\u6b73\u304b\u308954\u6b73\u306e\u9593\u306b\u6210\u529f\u3057\u305f\u4eba\u3000\u7d046\u5e74\u9593<\/span><\/p>\n

\u305d\u306e\u307e\u307e\u7981\u7159\u305b\u305a\u306b\u30bf\u30d0\u30b3\u3092\u5438\u3044\u7d9a\u3051\u305f\u4eba\u306b\u6bd4\u3079\u3066\u3001\u305d\u308c\u305e\u308c\u5bff\u547d\u304c\u306e\u3073\u308b<\/span>\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3057\u305f\u3002<\/span><\/p>\n

\u7d50\u8ad6<\/span><\/p>\n\n\n\n
\u30bf\u30d0\u30b3\u3092\u5438\u3046\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u5438\u308f\u306a\u3044\u4eba\u306b\u6bd4\u3079\u3066\u5c11\u306a\u304f\u3068\u308210\u5e74\u306e\u5bff\u547d\u3092\u7e2e\u3081\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\n 40\u6b73\u306b\u306a\u308b\u307e\u3067\u306b\u7981\u7159\u3059\u308c\u3070\u3001\u305d\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af\u309290\uff05\u307e\u3067\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\n

 <\/p>\n

\u3055\u3066\u3001\u3082\u3046\u3072\u3068\u3064\u306e\u6587\u732e\u3067\u3059\u3002<\/span><\/p>\n

\n

 <\/p>\n

\u30a2\u30e1\u30ea\u30ab\u306b\u304a\u3051\u308b\u30bf\u30d0\u30b3\u95a2\u9023\u6b7b\u4ea1\u306e50\u5e74\u9593\u306e\u52d5\u5411<\/span><\/strong><\/p>\n

50-Year Trends in Smoking-Related Mortality in the United States<\/span><\/a>
\nN Engl J Med 2013; 368:351-364January 24, 2013DOI: 10.1056\/NEJMsa1211127<\/span><\/a><\/p>\n

\u3053\u306e\u7814\u7a76\u306e\u80cc\u666f<\/span><\/p>\n

\u30bf\u30d0\u30b3\u3092\u5438\u3046\u3053\u3068\u306b\u3088\u308b\u75c5\u6c17\u306e\u30ea\u30b9\u30af\u306f\u300120\u4e16\u7d00\u306b\u308f\u305f\u3063\u3066\u5e83\u307e\u308a\u307e\u3057\u305f\u3002<\/span>
\n\u6700\u521d\u306f\u7537\u6027\u304b\u3089\u3067\u3057\u305f\u3002\u9045\u308c\u3066\u5973\u6027\u306e\u9593\u306b\u5e83\u307e\u308a\u307e\u3057\u305f\u3002<\/span>
\n\u904e\u53bb20\u5e74\u9593\u306b\u308f\u305f\u3063\u3066\u3001\u3069\u306e\u7a0b\u5ea6\u306e\u30ea\u30b9\u30af\u3060\u3063\u305f\u306e\u3067\u3057\u3087\u3046\u304b\u3002<\/span><\/p>\n

\u7d50\u679c<\/span><\/p>\n

\u30bf\u30d0\u30b3\u3092\u5438\u3063\u305f\u3053\u3068\u306e\u306a\u3044\u4eba\u306b\u6bd4\u3079\u3066\u3001\u73fe\u5728\u30bf\u30d0\u30b3\u3092\u5438\u3063\u3066\u3044\u308b\u4eba\u306e\u3001\u80ba\u304c\u3093\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af\u306f<\/span><\/p>\n

\u5973\u6027\u304c\u30001960\u5e74\u4ee3\uff1a2.73\u30001980\u5e74\u4ee3\uff1a12.65\u3000\u73fe\u4ee3\uff1a25.66<\/span><\/p>\n

\u7537\u6027\u306f\u30001960\u5e74\u4ee3\uff1a12.22\u30001980\u5e74\u4ee3\uff1a23.81\u3000\u73fe\u4ee3\uff1a24.97<\/span><\/p>\n

 <\/p>\n

\u73fe\u4ee3\u306e\u8abf\u67fb\u7814\u7a76\u3067\u306f\u3001\u7537\u6027\u3082\u5973\u6027\u3082\u30bf\u30d0\u30b3\u3092\u5438\u3046\u4eba\u306f<\/span><\/p>\n

\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff08COPD\uff09\u306b\u3088\u308b\u6b7b\u4ea1\u3000\u7537\u602725.61\u3000\u5973\u602722.35<\/span><\/p>\n

\u865a\u8840\u6027\u5fc3\u75be\u60a3\u306b\u3088\u308b\u6b7b\u4ea1\u3000\u7537\u60272.50\u3000\u5973\u60272.86<\/span><\/p>\n

\u8133\u5352\u4e2d\u306b\u3088\u308b\u6b7b\u4ea1\u3000\u7537\u60271.92\u3000\u5973\u60272.10<\/span><\/p>\n

\u5168\u3066\u306e\u6b7b\u56e0\u306e\u7d44\u307f\u5408\u308f\u305b\u3067\u3000\u7537\u60272.80\u3000\u5973\u60272.76<\/span><\/p>\n

 <\/p>\n

\u7537\u6027\u3067\u30bf\u30d0\u30b3\u3092\u5438\u3046\u4eba\u3067\u306f\u3001\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff08COPD\uff09\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af\u306f\u3042\u3089\u3086\u308b\u5e74\u9f62\u5c64\u3067\u5897\u3048\u7d9a\u3051\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u30bf\u30d0\u30b3\u3092\u5438\u3063\u3066\u3044\u308b\u671f\u9593\u3001\u672c\u6570\u306e\u591a\u3055\u306b\u4f34\u3046\u3053\u3068\u306b\u3088\u308b\u3082\u306e\u3067\u3059\u3002
\n<\/span><\/p>\n

\"3\"<\/a><\/p>\n

55\u6b73\u304b\u308974\u6b73\u306e\u7537\u6027\u300160\u6b73\u304b\u308974\u6b73\u306e\u5973\u6027\u306b\u304a\u3044\u3066\u3001\u5168\u3066\u306e\u539f\u56e0\u3092\u542b\u3080\u6b7b\u4ea1\u7387\u306f<\/span><\/p>\n

\u30bf\u30d0\u30b3\u3092\u5438\u3063\u3066\u3044\u308b\u4eba\u306f3\u500d\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af<\/span>\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/span>
\n\u30bf\u30d0\u30b3\u3092\u3084\u3081\u308b\u306e\u306f\u3069\u306e\u5e74\u9f62\u306b\u304a\u3044\u3066\u3082\u5287\u7684\u306b\u6b7b\u4ea1\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\n

\"4\"<\/a><\/p>\n

\u7d50\u8ad6<\/span><\/p>\n

\u30bf\u30d0\u30b3\u306b\u3088\u308b\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u306f\u3001\u5973\u6027\u306e\u9593\u3067\u5897\u52a0\u3057\u7d9a\u3051\u3001\u5438\u3063\u305f\u3053\u3068\u304c\u306a\u3044\u4eba\u3068\u6bd4\u3079\u3066\u3001\u4eca\u3067\u306f\u30ea\u30b9\u30af\u306e\u9ad8\u3055\u306f\u7537\u6027\u3082\u5973\u6027\u3082\u307b\u307c\u540c\u3058\u3067\u3059\u3002<\/span><\/p>\n

\u7537\u6027\u3067\u306f\u3001COPD\u306b\u3088\u308b\u6b7b\u4ea1\u7387\u306f\u305a\u3063\u3068\u5897\u52a0\u3057\u7d9a\u3051\u3066\u3044\u3066\u4f8b\u5916\u7684\u3067\u3059\u304c\u3001\u30bf\u30d0\u30b3\u306b\u4f34\u3046\u30ea\u30b9\u30af\u306f1980\u5e74\u4ee3\u304b\u3089\u9ad8\u3044\u30ec\u30d9\u30eb\u306e\u307e\u307e\u3067\u3059\u3002<\/span><\/p>\n

\n

 <\/p>\n

\u3044\u304b\u304c\u3067\u3059\u304b\uff1f<\/span><\/p>\n\n\n\n
\u30bf\u30d0\u30b3\u3092\u5438\u3046\u4eba\u306f10\u5e74\u9593\u306e\u5bff\u547d\u3092\u77ed\u304f\u3057\u3001\u7d043\u500d\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af\u3092\u8ca0\u3046\u3002<\/span>\u305d\u3057\u3066\u3001\u30bf\u30d0\u30b3\u3092\u3084\u3081\u308c\u3070\u3069\u306e\u5e74\u9f62\u3067\u3082\u5287\u7684\u306b\u5bff\u547d\u3092\u53d6\u308a\u623b\u3059\u3002<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u3053\u306e\u75ab\u5b66\u8abf\u67fb\u3092\u771f\u5263\u306b\u53d7\u3051\u6b62\u3081\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u3067\u3059\u306d\u3002<\/span><\/p>\n

\u00a0<\/span><\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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