「鍼灸のエビデンス」カテゴリーアーカイブ

??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?????????

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

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???

  • 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???

  • 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???

??ǥ???Ť????ڤʤ??ȣ?????ǥ蝹??Υ??ӥǥ?ˤĤ??

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

9??23?????ڡ??ˡˤϡ????????Τ߿??Ť??ޤ????ޤ????????????????ޤ??ΤǤ??Ҥ????Ѥ?????????

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

??????????ݥ?????dz??Ť???????39????????蝹??ز????̻????ؽѽ????ιֵ??????Ǥ???

??????ǥ蝹??Υ??ӥǥ?ˤĤ???

?ʤ??餯ͭ?????Ǥ??ä?PubMed?????????ΰ??ظ???????ʸ????Ͽ???Ƥ??ꡢ??ǯ??????̵???Ǹ????Ǥ????褦?ˤʤ??ޤ?????

???ܤϥ????ꥫ?θ???ϫƯ?ʤˤ?????NIH?????Ѥ??Ƥ??ꡢ?????Ǥ??褯?Ȥ??ޤ????֥饦??????????ǽ?Х???Ǥ??͡?

?ޤ?PubMed?Ǹ??????ޤ?????????ɤϡ?infertility????ǥ?ɡˡ??? acupuncture??瑱ˡ?

?????ξ????ϡ?
????Clinical Trial???׾????
???˥᥿???ʥꥷ??
????RCT(???????ಽ???ӻ??
???˥??ӥ塼
???˥????ƥ??ޥƥ??å??????ӥ塼

?ʾ???Ĵ?٤ޤ?????
???ʤ?????¿???δ??Ԥ?ä??׾??????ʸ??¿??????ʸ?????Ӹ?Ƥ??????ʸ?ο???213?Ԥ????ޤ?????

???̤ϡ?????û??URL)??https://is.gd/qEJnJ1

???̤??餤????????Ū????ǥ?ɤˡ?ͭ???٤Ǥ??ꡢ???ӥǥ???????ȸ????ޤ???

蝹??դ????????ˤϡ???ǥ蝹??ˤϡإ??ӥǥ???????٤ȼ????????äƤ????????????Ǥ???

??ɽŪ?ʥ????ƥ??ޥƥ??å??????ӥ塼????Ƥߤޤ???

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

https://pubmed.ncbi.nlm.nih.gov/35222669/
?ɽ?????ǥ?ɤμ???ˡ?Ȥ??Ƥ?謁??š????????ಽ???ӻ?η???Ū???ӥ塼?ȥ᥿???ʥꥷ????
Kewei Quan?,?Chuyi Yu,?Xiaohui Wen,?Qiuping Lin,?Naiping Wang?,?Hongxia Ma
PMID: 35222669 PMCID: PMC8865966
DOI: 10.1155/2022/3595033??2022ǯ

???졧??7,676 ?ͤλ??üԤˤ??? 27 ???θ??椬?ޤޤ??Ƥ??ޤ????????η??̡???蝹??˲??????Ͻ???Ψ??RR = 1.34; 95% CI (1.07, 1.67); P?<?0.05?ˡ??׾?ǥ??Ψ??RR = 1.43; 95% CI (1.21, 1.69)?ˤʤɤ?ž???ˤ????Ƥ???¿????Ϳ???Ƥ??뤳?Ȥ??????줿???;?P?< 0.05)??

??????Ūǥ??Ψ (RR = 1.42; 95% CI (1.05, 1.91);?P?< 0.05)??

??³ǥ??Ψ (RR = 1.25; 95% CI (0.88, 1.79);?P?< 0.05)??

ͭ?????? (RR = 1.65; 95% CI (1.15, 2.36);?P?< 0.05)??

?????Ӱܿ?Ψ (MD = 1.19; 95% CI (1.07, 1.33);?P< 0.05)???оȥ??롼?פ????Ӥ??????硢???κ???????Ū??ͭ?դǤ?????

?ۤ?

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

https://pubmed.ncbi.nlm.nih.gov/18843737/
??謁??Ť?ǥ????????
Ying C Cheong?,?Ernest Hung Yu Ng,?William L Ledger
PMID: 18843737 DOI: 10.1002/14651858.CD006920.pub2
2008ǯ

???졧????ܿ? (ET) ??????謁??Ť??Ԥä????硢????Ψ (OR 1.89??95% CI 1.29 ?? 2.77) ?????????????Ȥ????ڵ?????ޤ?????ET ?? 2 ?? 3 ??????謁??Ť??Ԥä??????ˤϤ????ǤϤ????ޤ??? ( OR 1.79??95% CI 0.93 ?? 3.44)??

??????????謁??Ť??Ԥä????硢ǥ?????̤????פ??????Ȥ????ڵ??Ϥ????ޤ?????

?ۤ?

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

?????????????š?ART?ˤ??????Ƥ??ʤ???ǥ?????ؤ?謁??š?????Ū???ӥ塼?ȥ᥿ʬ?ϡ?
Liu Yun?,?Wu Liqun?,?Yao Shuqi,?Wu Chunxiao,?Lu Liming ,?Yi Wei?
PMID: 31335705 PMCID: PMC6709164 DOI: 10.1097/MD.0000000000016463
2019ǯ

???졧ǥ??Ψ?ϡ??оȷ??????Ӥ??ơ????Ťˤ???ͭ?դ˲????????ޤ?????RR = 1.84??95% CI 1.62 ?? 2.10??P < 0.00001?ˡ?

???֥??롼??ʬ?Ϥη??̡??????????ΰ??ؤˤ????????????Ӥ????ȡ???ñ?ȡ?謁??Ť????ΰ??ء?謁??Ť????????ء??ޤ???謁??Ť????????ؤ????ΰ??ؤΤ??????β????Ǥ??äƤ⡢???????Υ??֥??롼?פ??٤Ƥ?ͭ?դʲ??????????줿???Ȥ????????ޤ?????

??ǥ?ɤμ????˱????????֥??롼?פǤϡ?¿ǹ˦???????ɸ?????????????ǥ?ɡ??????㳲?ʤɤθ????ˤ?????ǥ?ɤ??????˲??????줿???Ȥ????????ޤ?????

?????ˡ?????Ψ?Ȼҵ??????θ??????????????ä??ޤ?????LH???٥??????餫???㲼???Ƥ??ޤ?????

?????ˡ?謁??Ť??Ԥ????Ȥǡ????ƶ??????ʤ??ʤ??ޤ?????

?ե??ͥ??ץ??åȤˤ??ꡢ???ǥХ???????¸?ߤ?????ǽ???????뤳?Ȥ????餫?ˤʤ??ޤ??????ޤޤ??Ƥ??뤹?٤Ƥλ?ˤϡ????????Ƥα??á????üԤȿ??????ո?????????ɾ?????ո?????????Ū????????Ӥ???¾?ΥХ???????¦?̤ˤ??????????Τʥꥹ?????????ޤ??????????????????????ˤ??????ꥹ?????????ƤǤ?????ɾ?????줿?????? 1 ???ΤߤǤ?????

?Դ????ʷ??̥ǡ????Ǥϡ?1 ?????????Ƥ??٤Ƥθ??椬???ꥹ???Ǥ?????

?ۤ???36?ԡʹ???39?ԡˤΥ????ƥ??ޥƥ??å??????ӥ塼???????ޤ??????ۤȤ??ɤ???ʸ??蝹䤬ͭ???Ƚ???Ƥ??ޤ???

??????????¿???θ??????ŤͤƸ??ڤ??Ƥ???ɬ?פ????롢?Ƚ???Ƥ??????Τ?¿?????ݤ??????ޤ?????

?ޤ?¿ǹ˦?????㡢?ҵ??????ɴ?Ϣ?Ǥ???ǥ?˴ؤ??Ƥ?蝹???ͭ?????Ȥ??????Τ??????ޤ??????????Ҳ?ޤ???

?ʤ?????????????ǥ蝹??˴ؤ??Ƥ??????϶?ǯ?ˤʤäƤ???¿???ʤä????ݤ??????ޤ???

??ǥ???Ť????ڤʤ??ȡ?11??????????蝹??ز????̻????ؽѽ????ǹֱ餷?ޤ?

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

9??23?????ڡ??ˡˤϡ????????Τ߿??Ť??ޤ????ޤ????????????????ޤ??ΤǤ??Ҥ????Ѥ?????????

——————————————————————

?褿??11??12???????ˡ????????ݥ?????dz??Ť???????39????????蝹??ز????̻????ؽѽ????ǡ??ֱ餵???Ƥ??????????Ȥˤʤ??ޤ?????

???????ؽ??ؼԤΤ???????ǥ?ɤؤ?蝹䥢?ץ?????Ǥ???

???????֤?1???֤????????ޤ????Τǡ??????Ž?ä????ʥ?????Υ??ߥʡ???3????Ķ?ˤ?ʤ갵?̤??ʤ??Ȥʤ??ޤ?????

?????ä????Ƥϡ?

??????ǥ?ɤΥ??ӥǥ?ˤĤ???

?????????ϡ????????Ӥθ?????蝹??ϴ?Ϳ???뤫

???˻ҵܷϡ??徲???Ӥθ?????蝹??ϴ?Ϳ???뤫

??????????ǥ?β????????ս긫?β?????蝹??ϴ?Ϳ???뤫

???˵????դ??ͤФʤ??ʤ????㡢???Ԥ????ˤĤ???

?????դ??Ǥ??ä????褦?Ȼפ??ޤ???
?ʣ??????γ????ϡ??ɤä??ɵ????Ƥ????ޤ???

????¾?ͤθ??????̤ΰ??Ѥˤʤ??ޤ??????????Ҳ??PubMed?˷Ǻܤ??????????Ρ??????ʸ?????¿???ΤäƤ????ޤ???

????Ĺ??̳?᤿??ǥ蝹??ͥåȥ????????Ĺ?ȴƻ??ʴƺ????ˤ?̳?᤿JISAM??????????蝹?ɸ?ಽ???ء??????֤????θ????Ǥ??????䤬???????Υ??ӥǥ?˰??äƤ????Ϥ??Ǥ???

??ǯ???ŤǼ¹԰Ѱ?Ĺ????̿???Ƥ?????73???ʸ??ҡ???????蝹??ز??ؽ??????ܾ??????Ǥϡ??????ֱ??Ǥ????????˿??졢?????ݥ??????Ǥ?ʡ?縩Ω???????????????ť?????Υ????Ĺ?ʰ??աˡ???????顼??蝹??աˡ???????????±??????????蝹??롼??Ĺ??蝹??աˤˤ??륷???ݥ??????ǡ?¿????Ϣ?Ȥ????Ǥ?蝹??դ???????õ???ޤ???

???????Ӳ????ǤϤ????餯???????????????褦?ʥǡ????????äƤ??????Ԥ?蝹??դˤ?????????????ߥʡ??????褷?Ƥ??ޤ???

?µ????å??????Ǥϡ??????餯??????ǥ?Ǥ????ܰ??ε??Ԥ?蝹??դ?蝹??µ?????Ϫ???ޤ???

????????ʬ???ϡ??????餯???äȤ⸦?椬?ʤ???????ʬ?????Ȼפ??ޤ????????????ʹ֤ˤ?????ʪ?Ǥ????ʾ???????????Τ????????????ޤ???蝹??Ϥ??⤽???Τμ????Ϥ??Ȥä??͡????µ??????????б????ޤ???

?Ȥ??????Ȥϡ????????Ф??Ƽ??֤??θ??̤⤢?롣?Ȥ??????Ȥˤʤ??Ǥ??礦??????ü?ΰ??ص??Ѥˡ??Ž????Ǥ????????????ΰ??ؤ?????Ū?˻Ȥ??????????ؤ??????碌?Ƥ??????????Ȥǡ???ǥ??ò?????åץ뤬???ȤǤ⾯?ʤ??ʤ??褦?????????Ť??Ȥ?Ω?ƤƤ????????Ȼפ??ޤ???

 

 

??ǥ??蝹伣?Ť????ڤʤ???

????????蝹伣?

?????Ǥϡ???ǥ??ǥ?輣?Ť????ռ??Ť˷Ǥ??Ƥ????ޤ???

???ߤޤǡ???????¿????蝹??ղ????ز??ʤɤǡ??????μ??ŤˤĤ??ƹֱ餵???Ƥ????????ޤ??????????ز?ȯɽ???ֱ???

???Τۤ??????Ĥ????ɾ??????????ʹ??װ̡ˤ??????ɤ??象?????ޤ???

?????Ǥ?蝹伣?ŤǤΤ??????β???Ψ?ϡ?80%?ʾ??Ǥ???
????ǯ?ϡ?25?Ͱʾ塢Ϣ³?Dz??????????⤢???ޤ???

26???ܤ?27???ܤ???3?????象????????벦?ڳ???ʬ?ڤ??줿???????ơ??????˻?ǰ?ʻפ???ư??衢????Ψ???ɵڤ??????ޤ??????????˼??äƤ????????????줬?????Ǥ???

?ʤ??ˤ???????蝹??Ǽ????Τ???

?ʲ??βʳ?Ū????ͳ???????ޤ???

——————————–

?ե?????????????ǥ??ˡع??װ̶??????Ф??????θ??̡?
JAMA(?ƹ????ղ????1998;280(18):1580-4

???????λ걢??­?ˤ????ĥܡˤˡ?????ʬ???????????Ԥ???

?????̡???ư?????????á?ʿ??35.35????48.45???????á?
Ƭ?̲?ž???????á?62/130??98/130??

——————————–

?ⶶ?????ع??װ̶????ˤ????벹???ɷ??θ??̤ˤĤ??ơ?
???????Ұ?????1995.5(10)801-7
???¸??ȷ???
?걢???˲????塢??ư??ͭ?դ????ä????ܵ??壱??ʬ?Ǹ??????Ƥ?????Ķ???ȥɥåץ顼?ˤơ??ҵ?ư̮??UtA?ˡ?????ư̮??UmA?ˤη??????Ĵ?٤Ƥߤ??ȡ??ܵ??夬ͭ?դ??㲼???Ƥ??롣
???ͻ?
???ˤ????ҵܽ۴?????㲼?ϡ??ҵܶڤΥȡ??̥????㲼????????ҵܶڤ??дˤ???ư???ưפˤ???????

——————————–

?ʾ塢蝹????Ԥ??Ȼҵ?ư̮??????ư̮?η???????㲼???Ʒ??Ԥ????????뤳?Ȥˤ??ꡢ?ҵܶڤ??дˡʽ??餫???ʤ??ˤȤ????Τ?蝹??ˤ??뤵?????????Υ??ӥǥ?Ǥ???

?ʤ??????????ʹ??װ̡ˤ???????Ƭ?̤?ǥ?ؤ?????ʢ???ο??ǤǤϤޤ??狼???ޤ???????Ͻ??????????ʰ??Ǥ??μ¤ˤϤ狼???ʤ??Ȥ????ޤ???

???⤽?⡢???????ʹ??װ̡ˤ?ȯ???ϡ??????åȥ????ɤΰ??ա??????ꥢ?ࡦ?????꡼??1697-1763?????????ǽ?????ȯɽ???줿?????Ǥ?????Ʊ???????????ͻ????β???ή???ʽѡ?????٤?1765ǯ??ȯɽ?????Ƥ??ޤ????????ˤ??????ޤ?????????٤??????Ǻǽ??ˤ???????ȯ???????Ȥ⤤?????Ƥ??ޤ???

????ή???ʽѤζ??ʽ????????????βʳ???ʪ?ۡذ??Ͽν?Ÿ?٤ˤ?

?ĤޤꡢĶ???ȿ??Ǥ??о줹???Ϥ뤫???????ۻ???ʬ??ľ????Ƭ?????ˤʤä????ޤ??Ƥ??롢?ȹͤ????졢???????γ?ǰ???ʤ??ä??ȤΤ??ȤǤ???

?ò?ή???ʽѤΡ????ʤ??Ϸ???Ʊ???????Ͽν?Ÿ????

????ǥ?ؤ?????Ǥ??Ƥ????????ɤ???Ƚ?̤Ǥ??ޤ????Τǡ????Ťκݤˤϻ??ͤ?Ķ???Ȥ??ȤäƤ??ޤ????ۻ????̾???ˤ?????ž???ޤ????Τǡ?蝹??ܽѸ????ۻ??????椬???ˤʤ??褦??ǥ?ؤ????˻?Ƴ???Ƥ??ޤ???

?????⤵???????Ťι?????Ψ?˴?Ϳ???Ƥ????ΤǤ??礦??

?????Τ????????Ťϡ?Ķ???Ȥˤ????ѻ??????ޤ?1??4,300?ߤǤ??????????Ϥ???????5???????μ??ŤǼ????ޤ??????象???ν????䤵?????ˤʤäƤ??????????ˤ????ʤ??ʤ??????ˤ??????⤪?????ޤ???

5???ʾ??Ǽ????ʤ??ä????硢6???ܤ?????2,300?ߤ˻ܽ???????Ĵ?????ƴ??Ԥ???????ô???ڸ????Ƥ??ޤ???

 

??????????2014ǯ?ˤ˽???֥?ε??????פ??Ф??ʤ?????ޤ?????
http://sanpei89.rakusaba.jp/diary/diary.cgi?no=1015

蝹伣?Ť????ȥ쥹?˸??̤Τ??륨?ӥǥ?ˤĤ??

?????Ǥϡ???ǥ???Ť????ˤߤμ??š????Ĥ??ѥ˥å??㳲????Χ???м?Ĵ??æ?Ӥʤ??????????Ť??ԤäƤ??ޤ???

???????????????ä˥??ȥ쥹?αƶ????礭????Ĺ???ˤ錄?륹?ȥ쥹???֤Ϥ??ޤ??ޤ??????¤????????????ޤ???

?????????ȥ쥹???Ф??Ƥ?蝹??θ??̤Ϥ????ֲ????????Ƥ????㤨??蝹伣?Ťˤ??ꡢ?????ȥ˥????ɡ??ѥߥ???ʬ?礬???????Ȥ??ä???????¿???????ޤ???

?????Ϥ??θ????Ǥ???

???????Ѳ??Ϥʤ??ä??Ȥ???????????ޤ??????֤??ޡ?????ΤȤ?????ä????Ȥ??ä????̤Ǥ???

??ŵ???׾????гػ?????52??11???Ǥ????ʰ?ƣ?·???????????

?䤬???դˤ????Ƥ????????Ƥ??븦???Ԥ???????̾??Ϣ?ͤƤ??ޤ???

?????å????Ƴ??硡??

?????ȥ˥??Ͽʹ֤ξ?ư?˴?Ϳ???????ľ??֤????????餫?˸????????ɡ??ѥߥ??ʤɤϾ??ʤ??ʤ??ȹ?ư?˱ƶ????????ޤ???

???ΰ???Ū?ʼ??ŤǤϡ?????Ū?????ȥ˥??Ƽ????????˳??ޡ?SSRI)?ʤɤ??Ȥäơ?Ǿ???Υ????ȥ˥?ǻ?٤??夲???褦?ʼ??Ť???ή?Ǥ???

???????????????ߤκݤ?Υæ???Ѥ??????????ޤ??ޤ??????Ѥ??????ޤ???

蝹伣?Ť??????Ѥ??ʤ????¿?????Ĺ???ˤ錄?äƷ?³?Ǥ??ޤ??????????˥????ȥ˥?ǻ?٤??夲?뤳?Ȥ??Ǥ????ΤǤ???

?ޤ??ɡ??ѥߥ?ǻ?٤??夬?뤳?Ȥϡ??㤨?Хѡ???????¤?ͽ?ɤˤĤʤ????Ȼפ??ޤ???

?ߵ??????Ȥ⾯?ʤ???Ǿ???Υ????ȥ˥?ǻ?٤????????Ȥ??????Ƥ??ޤ???

????蝹伣?Ť?????ᤤ?????ޤ???

ʡ?????ز??ʰ??ظ??楷???ݥ??????ˤ˻??ä??ޤ?

10??15?????ڡˡ??䡦??Ĺ???????????ο??Ťǽ????餻?Ƥ????????????Ԥ??줿ʡ???Ԥdz??Ť?????ʡ?????ز??ΰ??ظ??楷???ݥ??????˻??ä??ޤ???

 

??ǯ??ʡ?縩Ω???????ز??Ű??ť??????°???????ζ????˽?Ǥ???줿?????ڲ?ͺ?????ζ?????Ǥ?˲??ѡ??ƥ????⡢???????˳??Ť????ޤ???

???ʼ??????ä˸Ƶ۴??˴ؤ???蝹??Υ??ӥǥ??ä????ٶ??????˲??ѡ??ƥ????Ǥ?ʡ?縩Ω???????ؤ????Ű??ť?????????????ȸ?ή????ʤ??顢???ڲ?ͺ?????ζ?????Ǥ???ˤ??????Ȼפ??ޤ???

 

???μ̿??ϡ???ǯ12???????ˡ???????Ǥ?Τ????????Ĥ?????????ˬ???줿???ڲ?ͺ??????ʡ?縩Ω???????ء????Ű??ť??????°?????궵???ˤǤ???

??Ʊ?ǵ?ǰ?̿???餻?Ƥ????????ޤ?????

??????ǥ??????ǥ???Ǥ?蝹??θ??

??ǥ?ˤϡ??????˸?????????????????5?䤢???ޤ???

??ǯ????????????Ϸ?????礭???????ȤʤäƼ????夲?????Ƥ??ꡢ?????????????Ϥ褯??ʹ???ޤ???

?????????ޤ????????ˤĤ??Ƥϲ????ˤ??????Ҥ??????????ս鸫?ΰ????ʤ??????ˤʤ뤳?Ȥ????ʤ??褦?˻פ??ޤ???

?ºݤˤϡ???????????Ʊ?͡?Ʊ???????Ǥ??äƤ?ǯ???ˤ??ä??礭?????????Ƥ????ޤ???

??????ǥ???ɤ????????????ϡ?WHO?????ս긫???ब?????ޤ???

?ǿ??Ǥ?2021ǯ?Ǥ??????ޤ????????Ǥ???????¿???Ȥ????Ƥ????Τ?2010ǯ?ǤǤ???

WHO????????ǥ?δ????????????ݤΡش????͡٤ϲ????????դΤ褦?ʸ??椫??Ƴ???Ф????Ƥ??ޤ???

??ŵ?????å????ե????????ؽ??Ƕ?
Human Reprodacution Vol16??P231??P245??2010

?뺧?ʤɤDz???1ǯ?????˼???ǥ?????줿??????5????Φ8??????1,953?ͤ??оݤˡ??ޤ????ӤȤ???????5????Φ5??????????965̾?????ӷ??Ȥ???Ĵ?????????ΤǤ???

???¡????¤??줾??2.5????åȤ???95?????????֤ǡ????դ??̤Ǥ?2.0ml??????ǻ?٤Ǥ?1500??ɤ/ml?????Ҥα?ưΨ?Ǥ?50%??줾?첼???ä????Ǥ?1ǯ?????˼???ǥ???Ԥ????ʤ??ä????Ȥ??????ΤǤ???

???ߤ?11ǯ?֤??˲??????줿2021ǯ?ǤȤʤꡢ???줾??1.4ml??1400??ɤ/ml??40??ȤʤäƤ??ޤ???

?????????ڤʤ??Ȥϡ??????ǡش????͡٤Ȥ??????Ƥ????Τϡ??????դΥԥ?????????줿???Ӥ??ն??Ǥ??ꡢ?ؤ????ʲ????ȼ???ǥ???Ǥ??ʤ??٤Ȥ????غ????????٤Ǥ???

?Ǥ????顢???ս긫??Ĵ?٤??ݡ??缣?夬?ش????????????Ƥ??ޤ??٤ߤ????ʤ??Ȥ????????Ƥ⡢?ޤ??Ͽ???????ǧ???Ƥߤޤ??礦??

???ͤˡ??????ǤϹ??ݰ???ʡ?????ؤδ??ܶ?????Ĵ????????ͭ̾?Ǥ???
??ŵ???֥??ƥ??å??塦???ǥ????롦?????ץ?
Teruaki Iwamoto, et al. BMJ Open. 2013.DOI: 10.1136/bmjopen-2012-002223
1999ǯ????2002ǯ?ˤ????ƻ??ڡ????塢??????ʡ??????ǥ???Ť??»ܤ??Ƥ??ʤ???ǥ?????????åץ??????ܿ???????20??45?С?792̾??ǯ????????31.4?Сˤ????դ?Ĵ?????????Ρ?

???̡??嵭????4?ԻԤ?????50?ѡ???????????????֤Ǥϡ???????3ml??????ǻ??8,400??ɤ/ml???ưΨ??66%?Ǥ?????

?ʤ????Ƕ???????ǥ????Ū??3?????ֽ???1??ä????̱????Ť??????????ս긫???Ѳ????ӥ??奢???Ǥ?????????????

ư???κ?¦?ϼ??ų??ϻ??Τ??Τǡ????Ͻ???1????3????Ÿ??Τ??ΤǤ???

ư???Ǥ???3?ܤβ???????ǧ?Ǥ????Ȼפ??ޤ???

???????ϼ??????????ս긫?Ǥ???????ǥ?Ȥϸ????ʤ????٥??Ǥ?????Ǯ???˼??Ť??̤??졢???Τ褦???礭?????????ޤ?????

?????????????դ??̡???????ưΨ?????????뤳?Ȥ?ǥ?????䤹???ʤä????Ȥ?????ޤ????????Ϥ??äȾ??Ǽ??????????դ??????Ǥ????Ǥ??礦??

?????ǤϵҴ?Ū??Ƚ?ǤǤ????褦?????????̱??????Ƥ??????Ǵ?˾???줿???ˤ?????¬????̵???ǹԤäƤ??ޤ???

 

 

蝹伣?ŤΥ??ӥǥ?ʸ??̤κ????ˡ?????4??Ǿ??ή?β????θ??̤ˤĤ??

?????Ǥϡ???????Ʊ?Τ????????Ȱ??α??ⴶ?????ɤ????????顢??ʬ?δ֡????پɾ??ʤΤɤ??ˤߡ??????????????ߡ?ȯǮ???????????մ??ʤɡˤΤ????????象?μ?????ꤤ???????ޤ???

3???ο??Ű??⡡??

 

蝹??Υ??ӥǥ????4???ϡ?Ǿ??ή?????????????̤ˤĤ??ơ??Ǥ???

Ǿ??ή?β????ϡ?Ǿ???ɾ㳲??Ǿ???ɡ?Ǿ?з??ʤɡˤθ????ɤؤμ??Ÿ??̤?????ޤ???

?ޤ???Ǿ???濴???η??Բ????ϻ뾲??Ǿ?????Τʤɤؤη??Բ????????ԤǤ??????ȥ쥹?β?????????ޤ???

???ȥ쥹?ˤĤ??Ƥ?蝹??θ??̤ϡ????????????̤ε????˽?Ƥ????????Ȼפ??ޤ???

??????Ǿ???Τؤη??Բ????κ????ʥ??ӥǥ?ˤǤ???

Ǿ??ή?β??????????ϡ???????

??Ǿ?ɽ???ή????????Ĵ???ȿ?????Ĵ?᤬????

?????????åȤˤ???????????­?ؤ?蝹??ɷ?????Ǿ?????ɽ???ή?????ä????뤳?Ȥ????????Ƥ????????ε????ˤ?Ƭ?????Υ???????ư?????ɳ?ĥ???Ф???Ϳ???롣

???????Ԥˤ???????­?ηз??ʥĥܡˤؤ?請ɷ㤬Ǿ??ή?????ä????뤳?Ȥ????????Ƥ?????

???˾ܤ????ϡ????????????ʸ??????????????????
?¤?¿???δ??ø??椬?????ޤ???

???äȾܤ?????蝹䤬Ǿ??ή?˵ڤܤ????ѡ???

 

Ǿ??ή?β????ϡ??ˤߤ??԰¤ʤɤ??ڸ??ޤ??ϲ??ä???Ϸ?????٤????????̤ˤĤʤ????ޤ???

?????ǤϹ??ˤ个???ꡢ??ǥ???Ťʤɤ??????뼣?Ť?Ǿ??ή?β??????ռ????????Ť??ԤäƤ??ޤ???

?ˤߤ??԰¡????Ӥ??ʤɤΤ??????????ˤʤɡ?Ǿ?Ǵ????Ƥ??ޤ???

蝹伣?Ťϡ????Ȥξ??֤????????Ƽ??¤???Ƥ????ޤ????顢?????????????μ??Ťˤϡ?Ǿ??ή?????β??????Ԥ?ɬ?פ??????ޤ???