院長 のすべての投稿

不妊症・子宝治療, 鍼灸のエビデンス

??ǥ???Ť????ڤʤ??ȣ??˻ҵܷϡ??徲???Ӥθ?????蝹??ϴ?Ϳ???뤫

10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ??? ????????18???ޤǤˤ?Ϣ?????????

10??1???????ˤϡ??????ޤǿ??Ť??????ޤ??? 10???????ˤȽ??????Ťϡ?1????8??????????15????29???Ǥ???
?????˿??Ťϡ???§?????ޤǤ?ͽ????ɬ?פǤ????޴??ξ????Ǥ?ī9???ޤǤˤ?Ϣ?????????

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11??????????蝹??ز????̻????ؽѽ????ǹֱ餹?????Ƥ????????꡼???Ǥ????????????Ȥ˥??饤?ɤ??Ȥ?Ω?ƤƤ????ޤ???

???ơ??ɤ??????ܿ????Ƥ??徲???ʤ?ǥ???Ǥ??ʤ???

?????褫?ҵܤ??褫?? ?γ??????Ǥ??ɤ????γ??????¤??DZʱ??Υơ??ޤ??Ȼפ??ޤ???

??ǯ??????˦?κ?˦????Ĥ??μ褷???????Τΰ۾?????????徲???????꡼?˥???徲?????Ǥ??Ԥ??????????Ƥ??ޤ?????

???٤????ܿ????Ƥ?ǥ???˻????ʤ??Τϡ???ǽ???Ȥ??Ƥϰ??????˵????Τ????????ݤ??Ȼפ??ޤ???

?????????????Ҥ???????????????͡??????¤????ꡢ??????ñ?˼????????ʤ??Τ??????Τθ????Ǥ???

???ơ????˲??????????ʤ???????Ƥ??äˤʤ??ޤ??? ???٤????ܿ??????徲???ʤ???ǥ???Ǥ??ʤ??Τϡ??ҵ?¦?˲??餫?????꤬?????ȹͤ????Τ????̤Τ??ȤǤ??礦??

?ҵ?¦?λ?????ȿ???徲?㳲??RIF??Repeated Implantation Failure)?Ȥ??????֤???????ˤϡ?

  • ALICE?ƥ??ȡ??ҵܤ??????ҵ?????????????Ƥ??ʤ??????θ??????????ҵ?????????????Ƥ????ȡ??ޤ?ǥ?????ʤ??徲???ʤ??ȸ??????Ƥ??ޤ???
  • ERA?ƥ??ȡ??ҵܤ?????˦???徲???????ΤϿ????????٤?û?????ܿ??Υ????ߥ???????Ƥ??ʤ???Ĵ?٤??ƥ??ȤǤ???
  • ?ۤ?EMMA?ƥ??ȡ??̾??λҵܶ??ˤ????ҵ??⸡???ʤɹԤ??褦?Ǥ???

???ơ?蝹??ˤ????徲?????˴ؤ??Ƥ???ʸ?ϡ?

?????ޤ?????????PuMed??

https://pubmed.ncbi.nlm.nih.gov/33613685/

The Effects of Acupuncture on Pregnancy Outcomes of Recurrent Implantation Failure: A Systematic Review and Meta-Analysis

Menglin Li?1,?Yunyun Liu?1,?Haoran Wang?1,?Shuzhen Zheng?2,?Yinhe Deng?1,?Yuemei Li?3

???ܸ????????ȥ??ֺ?ȯ???徲??????ǥ??ž?????Ф???謁??Ťαƶ?:????Ū???ӥ塼?ȥ᥿ʬ?ϡ?

2021ǯ?Ρ??Ƕ??θ????Ǥ???

??Ū????γ??????????ܿ???IVF-ET?ˤ?????????ȯ???徲??????RIF?˴??Ԥ??Ф???謁??Ť?ͭ?????Ȱ???????????Ū??ɾ???????׾????ȴ??Ԥ˿????Ǥ??륬???????????뤳?Ȥ??ܻؤ???

????ˡ??????⳰?ΰ??ػ??????????IVF-ET???????Ƥ???RIF???Ф???謁??ŤΥ??????ಽ???ӻ(RCT)??ʸ??????????????

?᥿ʬ?Ϥˤ? RevMan 5.3 ???եȥ??????????Ѥ??졢?ޤޤ줿???????ʼ???ɾ?????뤿???˥????????ΥХ??????ꥹ??ɾ???ġ??뤬???Ѥ????ޤ?????

????:??ǽ?Ū?˴??????????? 7 ?Ĥ?ʸ??ޤޤ??ޤ????? ???η??̡??׾?Ūǥ??Ψ??RR = 1.90??95% CI (1.51, 2.40)?? P?< 0.05?ˡ???????Ūǥ??Ψ??RR = 1.59??95% CI (1.27, 1.99)?ʤɤ?ž???ˤ????Ʋ???????蝹䷲?ˤ???????????Ϳ???Ƥ??뤳?Ȥ????????ޤ???????P?< 0.05?ˡ?

?????徲Ψ??RR = 1.89??95% CI (1.47??2.45)??P?< 0.05?ˡ??ҵ??????θ?????MD = 1.11??95% CI (0.59??1.63)??P?< 0.05?ˤξ????оȷ??????Ӥ????ȡ????κ???????Ū??ͭ?դǤ???

???ܿ??ο??Ȼҵ??????μ????˴ؤ??ơ?謁??ť??롼?פ??оȥ??롼?פδ֤κ???????Ū??ͭ?դǤϤ????ޤ????Ǥ?????

???????RIF???Ԥ??Ф???謁??Ťϡ????Ԥ?ǥ??ž??????????????ǽ???????롣 ????Ūͭ???ǰ????????⤯???׾????Ѥ?Ŭ????????ˡ?Ǥ???

?????????ޤޤ??Ƥ??븦???μ??Ͻ?ʬ?ǤϤʤ????ᡢ???Υ᥿ʬ?Ϥη????????դ??ư???ɬ?פ??????ޤ??? ?ڵ????٥??θ????Τ????ˤϡ????ʼ??????̤Υ????ץ??????????????ո?RCT?????ä????Ԥ????ޤ???

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?嵭??7ʸ??????Ƥ???????ӥ塼?ˤʤ??ޤ???

蝹????Ԥ??ȡ??γ??????Ǥ??徲Ψ??ǥ??Ψ???????????褦?Ǥ????????夵???˥????ץ?????¿?????????????Ԥ?ɬ?פ????롢?Ȥ??????ȤǤ???

???ư????????˽Ф????θ????Ǥ????????ԤΤʤ????????????Ž?????¼?????????θ????Ǥϡ????˾Ҳ??????˦????Ψ?ˤĤ???蝹??????????Ǥθ??????????Ҳ?ޤ????? https://sanpei89in.com/blog/?p=3658

??¼?????θ?????蝹????Ԥä??????徲Ψ?ˤĤ??Ƹ??椷?????Τ??????ޤ???

??¦???????Τʤ????Ȥ?PGS?????????ܿ????뤳?Ȥǥ??ꥢ???Ƥ??ꡢ?????˻ҵ?¦???鸫???徲?Τ߻????????줿?????ˤʤ??ޤ???

  • PGS???徲???????꡼?˥?ˤ??????Τ??????Τʤ????Ǥ????ȳ?ǧ???????硢?徲Ψ??60?ѡ????????档
  • 蝹伣?Ť???ʬ?Ԥä?PGS??ǧ?????????ܿ???????80?ѡ????????????徲Ψ?˸??夹?롣

?᤯??ʸ?????ޤ??礦???ʤ??Ǥ????????ײ??Ϥȳ????ؤ???ʸ???ƤΤ????????˲??Ű??ť???????Ҳ?ޤ??????äƸ??äƤ??ꡢ?ܿͤ⤽?ε??ˤʤäƤ??Ƥ????ΤǡʾСˡ????????????????˽Ф븦???ˤʤ??Ȼפ??ޤ???

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?徲?????ˡ?蝹???ͭ???Ǥ??롣????????ERA??EMMA??ALICE?ƥ??Ȥʤ??????ξ??硢???????????Ťˤ??뼣?Ť?ɬ?פʤΤϸ????ޤǤ⤢???ޤ?????

雑記

?ä????ʤ??ޤ???

10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ??? ????????18???ޤǤˤ?Ϣ?????????

10??1???????ˤϡ??????ޤǿ??Ť??????ޤ??? 10???????ˤȽ??????Ťϡ?1????8??????????15????29???Ǥ???
?????˿??Ťϡ???§?????ޤǤ?ͽ????ɬ?פǤ????޴??ξ????Ǥ?ī9???ޤǤˤ?Ϣ?????????

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?????Υ業???????δ??ӵ??Ϥ??Ľ??????ΤǤ??礦????

????????Ⱦ???鱫???䤿?????ߤ????Ǥ???

??????ī?λ????????ߤǤ???

鍼灸のエビデンス

?ѡ???????¤ʤɿ??????¤?蝹伣?š?

10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ??? ????????18???ޤǤˤ?Ϣ?????????

10??1???????ˤϡ??????ޤǿ??Ť??????ޤ???
10???????˿??Ťϡ?1????8????15????29???Ǥ???
?????˿??Ťϡ???§?????ޤǤ?ͽ????ɬ?פǤ????޴??ξ????Ǥ?ī9???ޤǤˤ?Ϣ?????????

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????????9?????顢?ͥåȤǹֽ????????֤??ޤ?????

?????ϥѡ???????¤ʤɤο??????¤??Ф???蝹伣?ŤǤ?????

?ֻդϿ???????ʡ?????ض????Ρ??????????????Ǥ???

????????ʡ?????ؤˤϡ?蝹???زʥ????ץ??κݤ????????˾??Ԥ??졢???????̾?ɸ?⤵???Ƥ????????Ƥ??ޤ???

?ѡ???????¤Ȥϲ????θ???????Ǿ?????ɡ??ѥߥ???????Ƶ????????????¤Ǥ????????ӡ????Τȸ?????????Ū?????Ѥ???????Ǿ?????????Ѥ????Ƥ????Ȥ??????ȤǤ?????

?ޤ????ӡ????Τ???Ǿ?????????Ѥ??????ȡ????ӡ????η?ǧ?ξɤˤʤ??Ȥ??????ȤǤ?????

?ѡ???????¤?蝹??ˤĤ???

?ѡ???????¤?蝹????象???봵?Ԥ????????????ʤ??????ä??꼣?äƤ??ޤ??????ǤϤ????ޤ????5??10???ȼ??Ť????Ѥ??Ƥ??????????ڹ??̤????ԤΤ??????ʤ???????????????¿???Ǥ???

?ޤ????Ť??ܻؤ??Ȥ????ϡ?蝹伣?Ť???³???ơ??????????ʤ??褦???Ǥ????и????Ǥ??뤳?Ȥ??ܻؤ????Ȥ??ȡ???????ϸ????ޤ???

?????????ѤǤϡ????롢?ޤ??ķ????ʤɤ??褯???뤽???ǡ????ĤϤ??ξɾ??Ϥ??Ȥ??ȥѡ????????ͭ?ξɾ??Ǥ???

 

?ѡ???????¤ǤϤʤ????????????¤Ǥ?蝹??Υ??ӥǥ?ˤĤ???

???ӡ????η?ǧ?ξɤ??ä??ǽ??˽Фޤ??????????ܿ??гز???Ǥ?????ǧ?ξɿ??ť????ɥ饤??2017?٤ǡ??¤?蝹䤬?侩?????Ƥ??ޤ???

https://www.neurology-jp.org/guidelinem/degl/degl_2017_03.pdf
??PDF????瑱٤Ǹ??????ƤߤƤ?????????

??ʸ???ϡ??????ĥϥ??ޡ???ǧ?ξɤǤ?蝹??θ??̤Ǥ???????ʪ???Ť?ͭ?պ??ʤ?=Ʊ?????Ȥ??????ȤǤ???

蝹?????ʪ?Ȱ㤤??Ĺǯ³???Ƥ??Ƽ??Ť????٤??夲?ʤ????и??̤??Фʤ??ʤ롢?Ȥ????????????ȤϤ????ޤ????????Ϥ????????????ʤ??ʤ??Τǡ????Τ??????̤??뤳?Ȥ??ɤ??????ޤ???

?ä??????äơ??ѡ???????¤??Ф???蝹??ΰյ??ˡ??????ʤ??Ȥ??ɾ????ڤ??????????????뤳?Ȥ??ɻߤ????????Ѥ??Фˤ????????Ȥ??ä???Ū???????ޤ???

???????¤ˤ??͡??ʼ??????????ޤ?????蝹????????Ѥ??ʤ??¿?????Ĺ????³???뤳?Ȥ??Ǥ??ޤ????????????Ƽ??Ťβ??????????뤳?Ȥ????Ϸи????Ƥ??ޤ?????

???Τ褦?ʼ????????????ϡ????Ҥ??¿?????蝹????????Ƥ?????????

趣味, 雑記

???礤?ȥ??????פˡ???

10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ??? ????????18???ޤǤˤ?Ϣ?????????

10??1???????ˤϡ??????ޤǿ??Ť??????ޤ???
10???????˿??Ťϡ?1????8????15????29???Ǥ???
?????˿??Ťϡ???§?????ޤǤ?ͽ????ɬ?פǤ????޴??ξ????Ǥ?ī9???ޤǤˤ?Ϣ?????????

????????????????????????????????????????

???¤????äƻŻ????Ƥޤ?(^??^;)

α???桢ʬΥ?԰µ?̣?μƸ??Υ業?????????Ƥ?????Υ???ޤ?????

?????Ǥϱ??ФǤ??ޤ????͡?

???ơ????????פǿ??٤??ݤ????Τ???Ҳ?ޤ???

?̿????㤢?ޤ?ʬ?????ޤ?????????¥ۥ??????Ǥ???

ʲ???ФǾƤ??????ǹ??Ǥ?????

??ī???٤???ͧã?????äƤ??줿?ۥåȥ????ɡ?

?????ޤ??ݤ??ä??Ǥ???

?Х?????????ʪ?ˤʤ뤫?顢????ι?????????ä?̵??????(^??^;)

 

不妊症・子宝治療, 鍼灸のエビデンス

??ǥ???Ť????ڤʤ??ȡ??????????ϡ????????Ӥθ?????蝹??ϴ?Ϳ???뤫

10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ????????????18???ޤǤˤ?Ϣ?????????

10??1???????ˤϡ??????ޤǿ??Ť??????ޤ???
?????˿??Ťϡ???§?????ޤǤ?ͽ????ɬ?פǤ????޴??ξ????Ǥ?ī9???ޤǤˤ?Ϣ?????????

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11??????????蝹??ز????̻????ؽѽ????ǹֵ????????Ƥ?2???ܡ?

???μ??????????롣?????????Ӥ????夵???뤳?Ȥ?蝹??ϸ??̤????뤫??

¿ʬ???????β????????????Ӥβ????Ȥϡ??γ????????????Ƥ??????????٤??????Ƥ??????Ϻ????Υơ??ޤǤϤʤ????Ȼפ??ޤ???

??ʪ?ؤǤϡ?????????????????????Ƥ????????ҡ٤ȸƤ֤褦?ˤʤ??ޤ???

???????????Ρ????٤?1?Ĥκ?˦?Ǥ??????????Τ????̤κ?˦??Ⱦʬ??22+1?Ĥ??????Τ????äƤ??ޤ???

?????ء?22+1?Ĥ??????Τ????ä????Ҥ????????ơ?????22+1??????22+1???????Τ????蘆?ꡢ44+2=46???????Τ????ä?1?Ĥκ?˦?μ?????????夬???ޤ???

???????????ȸ???????ʬ??????֤??Ƥ䤬?ƻҵܤ????????徲???ޤ??????θ?????˦?????䤷?Ƥ䤬???ۻ????Ǥ??Ƥ????ޤ???

???μ??Ȥϲ??Ǥ??礦????

????????֤??ˤϡ??????ʥ??ͥ륮????ɬ?פ??ȸ??????ޤ???1?Ĥ?ʬ??????֤??????α??ܤǤ???

?????ϸ??ڤ??뤳?ȤϤǤ??ޤ????蝹???????ٹԤ???????˦?γ???Ψ?????夷???ꡢ???????????????ꤹ?뤳?Ȥ????ꡢ???줬?????ǤϤʤ???Ψ?Ǥ??ä??ꤷ?ޤ???????????蝹??θ??̤??????Ǥ??ޤ???

PubMed?Ǥϡ????????????ޤ?????

https://pubmed.ncbi.nlm.nih.gov/25854012/
?յ?????ǥ?ɴ??Ԥˤ?????蝹伣?Ťˤ??????Ҥμ??β???

Fang Lian,?Chen Chen,?Shan Xiang
  • PMID:?25854012
  • 2015ǯ??PubMed????

??ˡ: ???????ʿյ??ˤȤ??ƶ??̤??졢?γ??????????ܿ???IVF-ET?ˤ???????ǯ??35?Ф???42?Ф?66?㤬???????????˴ѻ??????оȷ??ʳ?33???ˤ˳????դ????줿??

???ʥɥȥ??ԥ????Хۥ???????ư?????Ѥ???Ĺ???ץ??ȥ???????IVF-ET??ˡ??2?ĤΥ??롼?פ˺??Ѥ??줿???ѻ????롼?פˤơ?

?γ??????????????η??? 5 ???ܤˡ??????? (SP 6) ?? EA ??Ŭ?Ѥ??ޤ?????Zigong (EX CA 1)??Zhongji (CV 3)??Guanyuan (CV 4)??

?оȷ??Ǥϡ?Ʊ???з??˵?謁??Ť?Ŭ?Ѥ??ޤ?????

???֤Ϻ??????ޤǣ????ˣ???Ϳ?????졢?ˤ??????ʬ???ݻ????줿??

???????ɸ????Υ????????ɼ?????Ψ???Ѳ???2 ?ĤΥ??롼?פǹ??ʼ?????ȯ??Ψ???׾?Ūǥ??Ψ???ѻ??????ޤ?????

??????????˦?????Υ??????????Ĺ????-i??IGF-1?ˤ?IGF-2???????ӷ????¥????ɥ??ե?????-EP?ˤΥ??٥??ȡ???????˦???ʼ??Ȥ????شط???2?ĤΥ??롼?״֤????Ӥ??ޤ???

??????

1) ?ѻ????Ǥϡ????????????Ӥ??Ƽ??Ÿ??ο??????ɸ????????ΰ???Ū?ʿ??????ǤϤʤ????յ??Τ??ȡ˥??????????餫?˸??????ޤ???(P<0.05)??

?ѻ????μ??Ÿ??Υ????????оȷ??????Ӥ??????餫???????˸??????ޤ????? (P<0.05)??

2) ?ѻ??????ɼ?????Ψ???ɼ???Ψ?Ϥ????????оȷ??????⤫?ä?[81.3% (161/198) vs 57.6% (98/170)??59.8% (58/198) 97) vs 37.7% (26/69)??ξ???Ȥ? P<0.05]??

3) ?оȷ??Ȥ????ӡ???????????˦?դ????ӷ?????-EP????IGF-1??????IGF-2?Υ??٥??Ϥ??٤ƴѻ????????餫?????ä???(???٤?P<0.05)??

????:?EA????˦?դ????ӷ?????-EP????IGF??ȯ????????Ū?˲??????????ʼ?????Ψ?ȹ??ʼ???Ψ?????ä????????????ʱ????Τ????????????ΰ??ؤΡؿյ??٤??Ȼפ????????ξɾ????ڸ????ޤ???

 

?⤦???Ĥϡ??????????Τμ????ȸ??????Ƥ??ޤ????ޤ????Ҥˤ???????????ǯ???ˤ???????DNA?η?»????Ŧ?????Ƥ??ޤ???

?????ΤǤ?蝹??ν??֤Ϥʤ??Ȼפ??줬???Ǥ??????????????Τΰ۾??ϡؼ????κݤζ????ΰ۾??٤Ȥ??ƽФ䤹?????????ˤ?蝹??ϸ??̤????ꤽ???Ǥ???

??ǥ蝹??ͥåȥ????JISRAM???????????ߤ??????֤ˡ????Ԥ???¼???????????ʤ????????????Ž??ˤ????ޤ???

?????????θ????ˡ?Ʊ???????ɷ?ˡ???ԤäƤ???Ʊ???δ??Ԥ????ǡ?蝹??????????Ǻ??????Ӥ?????˦????????ã??Ψ??Ĵ?٤?????Ū?ˤ??????????椬?????ޤ???

55?ͤδ??Ԥ?????
蝹䳫??????223?????????ʲ????ˡ???????838??
蝹伣?Ÿ塡180?????????ʲ????ˡ???????807??

40??̤???ϡ?????˦?γ???Ψ????3?ܤ????????ʸ??椬???ꡢ??ʸ????????????ȯ?Ф??Ƥ????????????Ȼפ??ޤ???

 

?ۤ??????Τ褦?ʸ????⤢???ޤ???

https://pubmed.ncbi.nlm.nih.gov/19873910/
????ȿ?????ɴ??Ԥ??γ??????????ܿ???IVF-ET?ˤ??Ф????ŵ?謁??Ťθ???

Jun Chen?1,?Li-li Liu,?Wei Cui,?Wei Sun
  • PMID:?19873910
  • 2009ǯ

??ˡ:?IVF-ET?????????줿60????̵???٤˴ѻ??????оȷ???ʬ?????Ʒ?30???Ȥ?????

2?ĤΥ??롼?פ?ξ???Ȥ?????Ͷȯ?Τ????Υ?????˥??ȥ????????Ǽ??Ť??졢?ѻ????롼?פˤ??ŵ?謁??Ų??????ɲä??졢Guanyuan??CV 4?ˡ?Taixi??KI 3?ˡ?Sanyinjiao??SP 6?ˤʤɤ???????ޤ????????Ÿ??? 2 ?ĤΥ??롼?פμ??Ÿ??̤????Ӥ??ޤ?????

???̡?????????ˤ? 2 ?ĤΥ??롼?״֤?ͭ?պ??Ϥ????ޤ????Ǥ?????

?ѻ?????謁??ť??롼?סˤο??????ʿյ??ˤξɾ??ϼ??Ÿ????????˲??????졢?????????ȥ饸????????E2???͡?????Ψ??????????Ψ???ɼ???Ψ???徲Ψ?ϴѻ?????????????????ͥ???Ƥ??ޤ?????

?ҥ??????????ʥɥȥ??ԥ???hCG???????????оȷ??ʤ??٤? P<0.05?ˡ?

?ѻ???????˦?դ????ӷ??????δ???˦???ҡ?SCF?ˤΥ??٥??ϡ??оȷ???????ͭ?դ˹⤫?ä???ξ???Ȥ?P<0.05?ˡ?

?ѻ?????ǥ??Ψ???оȷ????????⤯???ѻ?????????Ψ???оȷ????????㤫?ä???

????:??ŵ?????ˡ?ϡ?????ͽ???Ϥ?˳?????γ????????Ԥ??Ф????ɹ????׾????̤????ꡢ???Ҥμ???ǥ?????̤????????뤳?Ȥ??Ǥ??ޤ???

 

?????η??????????β????????????Ӥθ????ˡ?蝹??ϸ??̤??????ޤ???

雑記

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趣味, 雑記

???礤?ȥ??????פ

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趣味

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10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ??? ????????18???ޤǤˤ?Ϣ?????????

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?????ָŤ??ƻȤ????????Х????Υʥӡ?

Garmin??zumo550?ȸ???????????Ť?ʪ?Ǥ??????ޤ??ޤ??Ȥ??롣

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