{"id":189,"date":"2026-09-07T05:00:00","date_gmt":"2026-09-06T20:00:00","guid":{"rendered":"https:\/\/phc-ogikubo.com\/blog\/?p=189"},"modified":"2026-08-31T18:28:17","modified_gmt":"2026-08-31T09:28:17","slug":"post-189","status":"publish","type":"post","link":"https:\/\/phc-ogikubo.com\/blog\/post-189\/","title":{"rendered":"\u3010\u5fc3\u8eab\u76f8\u95a2\u3068\u3044\u3046\u8003\u3048\u65b9\u3011\u300c\u75c5\u306f\u6c17\u304b\u3089\u300d\u306e\u79d1\u5b66\u3068\u3001\u75db\u307f\u30fb\u3064\u3089\u3055\u3092\u89e3\u304d\u660e\u304b\u3059\u5168\u4eba\u7684\u30a2\u30d7\u30ed\u30fc\u30c1"},"content":{"rendered":"\n

\u3000\u300c\u30b9\u30c8\u30ec\u30b9\u304c\u6e9c\u307e\u308b\u3068\u304a\u8179\u3084\u982d\u304c\u75db\u304f\u306a\u308b\u300d \u300c\u691c\u67fb\u3067\u306f\u7570\u5e38\u304c\u306a\u3044\u306e\u306b\u3001\u4f53\u306e\u4e0d\u8abf\u3084\u75db\u307f\u304c\u4e00\u5411\u306b\u5f15\u304b\u306a\u3044\u300d

\u3000\u3053\u3046\u3057\u305f\u4f53\u306e\u5909\u5316\u3084\u9055\u548c\u611f\u3092\u7d4c\u9a13\u3057\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f

\u3000\u6614\u304b\u3089\u65e5\u672c\u3067\u306f\u300c\u75c5\u306f\u6c17\u304b\u3089\u300d\u3068\u8a00\u308f\u308c\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u73fe\u4ee3\u533b\u5b66\u306b\u304a\u3044\u3066\u3053\u308c\u306f\u5358\u306a\u308b\u7cbe\u795e\u8ad6\u3067\u306f\u306a\u304f\u3001\u79d1\u5b66\u7684\u306b\u89e3\u660e\u3055\u308c\u305f\u4e8b\u5b9f\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u300c\u5fc3\u3068\u8eab\u4f53\u306e\u3064\u306a\u304c\u308a\uff08\u5fc3\u8eab\u76f8\u95a2\uff09\u300d\u3092\u7406\u89e3\u3059\u308b\u3053\u3068\u306f\u3001\u65e5\u3005\u751f\u3058\u308b\u304b\u3089\u3060\u306e\u4e0d\u8abf\u304b\u3089\u3001\u7de9\u548c\u30b1\u30a2\u306b\u304a\u3051\u308b\u96e3\u6cbb\u6027\u306e\u75db\u307f\u307e\u3067\u3001\u3042\u3089\u3086\u308b\u75db\u307f\u3092\u89e3\u304d\u660e\u304b\u3059\u91cd\u8981\u306a\u9375\u3068\u306a\u308a\u307e\u3059\u3002

\u3000\u4eca\u56de\u306f\u3001\u5fc3\u8eab\u76f8\u95a2\u306e\u79d1\u5b66\u7684\u306a\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u3001\u533b\u7642\u306e\u73fe\u5834\u3067\u7528\u3044\u3089\u308c\u308b\u300c\u5168\u4eba\u7684\u82e6\u75db\uff08Total Pain\uff09\u300d\u306e\u30a2\u30bb\u30b9\u30e1\u30f3\u30c8\u8996\u70b9\u306b\u3064\u3044\u3066\u5206\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

1. \u533b\u7642\u306b\u304a\u3051\u308b\u300c\u5fc3\u3068\u8eab\u4f53\u300d\u306e\u4f4d\u7f6e\u3065\u3051\uff1a\u4e8c\u5143\u8ad6\u304b\u3089\u4e00\u5143\u8ad6\u3078<\/strong><\/p>\n\n\n\n

\u3000\u73fe\u4ee3\u306e\u533b\u7642\u3092\u632f\u308a\u8fd4\u308b\u3068\u3001\u300c\u5fc3\u300d\u3068\u300c\u8eab\u4f53\u300d\u3092\u3069\u306e\u3088\u3046\u306b\u6349\u3048\u308b\u304b\u3068\u3044\u3046\u8996\u70b9\u306f\u5927\u304d\u304f\u9032\u5316\u3057\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u3000\u3053\u308c\u307e\u3067\u8fd1\u4ee3\u897f\u6d0b\u533b\u5b66\u306e\u4e3b\u6d41\u3067\u3042\u3063\u305f\u306e\u306f\u3001\u5fc3\u3068\u8eab\u4f53\u3092\u5207\u308a\u96e2\u3057\u3066\u8003\u3048\u308b\u300c\u5fc3\u8eab\u4e8c\u5143\u8ad6\u300d\u3068\u3044\u3046\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3059\u3002 \u8eab\u4f53\u306e\u4e0d\u8abf\u306f\u5185\u79d1\u3084\u5916\u79d1\u306a\u3069\u306e\u300c\u8eab\u4f53\u5404\u79d1\u300d\u304c\u62c5\u5f53\u3057\u3001\u5fc3\u306e\u554f\u984c\u306f\u300c\u7cbe\u795e\u79d1\u300d\u304c\u62c5\u5f53\u3059\u308b\u3068\u3044\u3046\u3088\u3046\u306b\u3001\u305d\u308c\u305e\u308c\u306e\u5c02\u9580\u5206\u91ce\u306b\u5206\u3051\u3089\u308c\u3066\u8a3a\u65ad\u30fb\u6cbb\u7642\u304c\u884c\u308f\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u3053\u306e\u4ed5\u7d44\u307f\u306f\u5668\u5b98\u3054\u3068\u306e\u7570\u5e38\u3092\u7cbe\u5bc6\u306b\u7a81\u304d\u6b62\u3081\u308b\u5927\u304d\u306a\u6210\u679c\u3092\u4e0a\u3052\u305f\u4e00\u65b9\u3067\u3001\u300c\u691c\u67fb\u30c7\u30fc\u30bf\u306b\u306f\u7570\u5e38\u304c\u306a\u3044\u306e\u306b\u3001\u6fc0\u3057\u3044\u75db\u307f\u3084\u3060\u308b\u3055\u304c\u7d9a\u304f\u300d\u3068\u3044\u3063\u305f\u75c7\u72b6\u3092\u898b\u904e\u3054\u3057\u3084\u3059\u3044\u4e00\u9762\u3082\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u3000\u3053\u308c\u306b\u5bfe\u3057\u3001\u8fd1\u5e74\u6539\u3081\u3066\u91cd\u8981\u8996\u3055\u308c\u3066\u3044\u308b\u306e\u304c\u3001\u5fc3\u3068\u8eab\u4f53\u3092\u4e00\u3064\u306e\u4e0d\u53ef\u5206\u306a\u55b6\u307f\u3068\u3057\u3066\u6349\u3048\u308b\u300c\u5fc3\u8eab\u4e00\u5143\u8ad6\uff08\u5fc3\u8eab\u4e00\u4f53\uff09<\/strong>\u300d\u3068\u3044\u3046\u8996\u70b9\u3067\u3059\u3002\u3000<\/p>\n\n\n\n

\u3000\u3053\u306e\u8003\u3048\u65b9\u306e\u4e2d\u5fc3\u306b\u3042\u308b\u306e\u304c\u3001\u5fc3\u7642\u5185\u79d1\u3084\u7de9\u548c\u533b\u7642<\/strong>\u3001\u305d\u3057\u3066\u4eba\u9593\u5168\u4f53\u3092\u8abf\u548c\u3055\u305b\u3066\u8a3a\u308b\u7d71\u5408\u533b\u7642\uff08\u30db\u30ea\u30b9\u30c6\u30a3\u30c3\u30af\u533b\u5b66\uff09\u3067\u3059\u3002\u4eba\u306f\u5358\u306a\u308b\u300c\u7b4b\u8089\u3084\u5185\u81d3\u306e\u96c6\u5408\u4f53\u300d\u3067\u306f\u306a\u304f\u3001\u5fc3\u306e\u72b6\u614b\u3084\u751f\u6d3b\u74b0\u5883\u3001\u4eba\u751f\u306e\u80cc\u666f\u307e\u3067\u542b\u3081\u305f\u300c\u4e38\u3054\u3068\u306e\u5b58\u5728\u300d\u3068\u3057\u3066\u6349\u3048\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u5fc3\u304c\u50b7\u3064\u3051\u3070\u4f53\u3082\u60b2\u9cf4\u3092\u4e0a\u3052\u3001\u4f53\u304c\u75c5\u3081\u3070\u5fc3\u3082\u9670\u308b\u2014\u2014\u3053\u306e\u5207\u3063\u3066\u3082\u5207\u308c\u306a\u3044\u76f8\u4e92\u4f5c\u7528\u3053\u305d\u304c\u300c\u5fc3\u8eab\u76f8\u95a2\u300d\u306e\u771f\u306e\u59ff\u3067\u3059\u3002

\uff12. \u300c\u75c5\u306f\u6c17\u304b\u3089\u300d\u306f\u79d1\u5b66\u3060\u3063\u305f\uff1f\u5fc3\u3068\u8eab\u4f53\u3092\u3064\u306a\u30503\u3064\u306e\u30eb\u30fc\u30c8<\/strong>

\u3000\u5fc3\u304c\u611f\u3058\u305f\u30b9\u30c8\u30ec\u30b9\u3084\u4e0d\u5b89\u306f\u3001\u4e00\u4f53\u3069\u306e\u3088\u3046\u306a\u30eb\u30fc\u30c8\u3092\u901a\u3063\u3066\u8eab\u4f53\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u306e\u3067\u3057\u3087\u3046\u304b\u3002\u305d\u306e\u9375\u3092\u63e1\u308b\u306e\u304c\u300c\u81ea\u5f8b\u795e\u7d4c\u300d\u300c\u5185\u5206\u6ccc\uff08\u30db\u30eb\u30e2\u30f3\uff09\u300d\u300c\u514d\u75ab\u300d\u306e3\u3064\u306e\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u3067\u3059\u3002

\u3010 \u8133\uff08\u5fc3\u306e\u72b6\u614b\u30fb\u30b9\u30c8\u30ec\u30b9\u30fb\u4e0d\u5b89\uff09 \u3011<\/strong>
\u2502
\u251c\u2500\u2500\u2460 \u81ea\u5f8b\u795e\u7d4c\u7cfb\uff08\u4ea4\u611f\u795e\u7d4c \/ \u526f\u4ea4\u611f\u795e\u7d4c\uff09<\/strong>\u3000 \u2500\u2500\u2192 \u80c3\u8178\u306e\u4e71\u308c\u30fb\u52d5\u60b8\u30fb\u8840\u5727\u306e\u4e0a\u6607
\u2502
\u251c\u2500\u2500\u2461 \u5185\u5206\u6ccc\u7cfb\uff08\u30b9\u30c8\u30ec\u30b9\u30db\u30eb\u30e2\u30f3\uff09\u3000 \u3000\u3000\u3000 <\/strong>\u2500\u2500\u2192 \u9ad8\u8840\u7cd6\u30fb\u6162\u6027\u75b2\u52b4\u30fb\u81ea\u5f8b\u795e\u7d4c\u306e\u4e71\u308c
\u2502
\u2514\u2500\u2500\u2462 \u514d\u75ab\u7cfb\uff08\u767d\u8840\u7403\u30fb\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\uff09<\/strong> \u2500\u2500\u2192 \u5fae\u5c0f\u306a\u708e\u75c7\u30fb\u98a8\u90aa\u306e\u5f15\u304d\u3084\u3059\u3055\u30fb\u5026\u6020\u611f
\u3000\u3000\u3000\u3000

\u2460 \u81ea\u5f8b\u795e\u7d4c\u7cfb\uff1a\u8eab\u4f53\u306e\u300c\u30a2\u30af\u30bb\u30eb\u3068\u30d6\u30ec\u30fc\u30ad\u300d<\/strong>

\u3000\u610f\u5fd7\u3068\u306f\u95a2\u4fc2\u306a\u304f\u5185\u81d3\u3084\u8840\u7ba1\u306e\u50cd\u304d\u3092\u8abf\u6574\u3059\u308b\u795e\u7d4c\u3067\u3059\u3002

\u3000\u2022 \u4ea4\u611f\u795e\u7d4c\uff08\u30a2\u30af\u30bb\u30eb\uff09<\/strong>\uff1a \u7dca\u5f35\u3084\u30b9\u30c8\u30ec\u30b9\u4e0b\u3067\u512a\u4f4d\u306b\u306a\u308a\u3001\u5fc3\u62cd\u6570\u3092\u4e0a\u3052\u3066\u80c3\u8178\u306e\u52d5\u304d\u3092\u6291\u3048\u307e\u3059\u3002
\u3000\u2022 \u526f\u4ea4\u611f\u795e\u7d4c\uff08\u30d6\u30ec\u30fc\u30ad\uff09<\/strong>\uff1a \u30ea\u30e9\u30c3\u30af\u30b9\u6642\u306b\u512a\u4f4d\u306b\u306a\u308a\u3001\u8108\u3092\u843d\u3061\u7740\u304b\u305b\u6d88\u5316\u6d3b\u52d5\u3092\u4fc3\u3057\u307e\u3059\u3002
\u5f37\u3044\u30b9\u30c8\u30ec\u30b9\u3067\u30a2\u30af\u30bb\u30eb\u3092\u8e0f\u307f\u7d9a\u3051\u305f\u72b6\u614b\u304c\u7d9a\u304f\u3068\u3001\u80c3\u75db\u3084\u52d5\u60b8\u3001\u4e0d\u7720\u3001\u8840\u6d41\u4e0d\u5168\u306b\u3088\u308b\u75db\u307f\u306e\u5897\u5e45\u306a\u3069\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u307e\u3059\u3002

\u2461 \u5185\u5206\u6ccc\u7cfb\uff08\u30db\u30eb\u30e2\u30f3\uff09\uff1a\u5168\u8eab\u3092\u5de1\u308b\u300c\u5316\u5b66\u7269\u8cea\u300d<\/strong>

\u3000\u4e0d\u5b89\u3084\u6050\u6016\u3092\u611f\u3058\u308b\u3068\u3001\u8133\u304b\u3089\u306e\u6307\u4ee4\u3067\u526f\u814e\u304b\u3089\u30b3\u30eb\u30c1\u30be\u30fc\u30eb\uff08\u30b9\u30c8\u30ec\u30b9\u30db\u30eb\u30e2\u30f3\uff09\u304c\u5206\u6ccc\u3055\u308c\u307e\u3059\u3002\u4e00\u6642\u7684\u306a\u30b9\u30c8\u30ec\u30b9\u5bfe\u51e6\u306b\u306f\u4e0d\u53ef\u6b20\u3067\u3059\u304c\u3001\u904e\u5270\u306a\u5206\u6ccc\u304c\u7d9a\u304f\u3068\u9ad8\u8840\u7cd6\u3084\u81ea\u5f8b\u795e\u7d4c\u306e\u4e71\u308c\u3001\u75db\u307f\u306e\u95be\u5024\uff08\u75db\u307f\u3092\u611f\u3058\u308b\u30dc\u30fc\u30c0\u30fc\u30e9\u30a4\u30f3\uff09\u306e\u4f4e\u4e0b\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002

\u2462 \u514d\u75ab\u7cfb\uff1a\u4f53\u3092\u5b88\u308b\u300c\u9632\u885b\u30c1\u30fc\u30e0\u300d<\/strong>

\u3000\u304b\u3064\u3066\u300c\u514d\u75ab\u7cfb\u306f\u8133\u3068\u306f\u72ec\u7acb\u3057\u3066\u3044\u308b\u300d\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u795e\u7d4c\u3084\u30db\u30eb\u30e2\u30f3\u3092\u901a\u3058\u3066\u8133\u3068\u5bc6\u63a5\u306b\u5bfe\u8a71\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5224\u660e\u3057\u3066\u3044\u307e\u3059\u3002\u9577\u671f\u9593\u306e\u30b9\u30c8\u30ec\u30b9\u306f\u514d\u75ab\u30d0\u30e9\u30f3\u30b9\u3092\u5d29\u3057\u3001\u4f53\u5185\u3067\u5fae\u5c0f\u306a\u300c\u708e\u75c7\u300d\u3092\u5f15\u304d\u8d77\u3053\u3057\u3066\u9811\u56fa\u306a\u3060\u308b\u3055\u3084\u5168\u8eab\u306e\u9055\u548c\u611f\u3092\u751f\u3058\u3055\u305b\u307e\u3059\u3002

\uff13. \u5168\u4eba\u7684\u82e6\u75db\uff08Total Pain\uff09\u3068\u5fc3\u8eab\u76f8\u95a2\uff1a\u75db\u307f\u306e\u80cc\u666f\u306b\u3042\u308b\u300c\u5fc3\u300d\u3092\u8aad\u3080<\/strong>

\u3000\u5fc3\u8eab\u76f8\u95a2\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u81e8\u5e8a\u3084\u65e5\u5e38\u751f\u6d3b\u306e\u30b1\u30a2\u306b\u6d3b\u304b\u3059\u3046\u3048\u3067\u6b20\u304b\u305b\u306a\u3044\u6982\u5ff5\u304c\u3001\u7de9\u548c\u30b1\u30a2\u306e\u57fa\u672c\u3067\u3042\u308b\u300c\u5168\u4eba\u7684\u82e6\u75db\uff08Total Pain\uff09\u300d<\/strong>\u3067\u3059\u3002

\u3000\u4eba\u306f\u300c\u8eab\u4f53\u306e\u75db\u307f\u300d\u3060\u3051\u3067\u82e6\u3057\u3093\u3067\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u30b7\u30b7\u30ea\u30fc\u30fb\u30bd\u30f3\u30c0\u30fc\u30b9\u535a\u58eb\u304c\u63d0\u5531\u3057\u305f\u3088\u3046\u306b\u3001\u4eba\u306e\u82e6\u75db\u306f\u4e3b\u306b4\u3064\u306e\u5074\u9762\u304c\u8907\u96d1\u306b\u7d61\u307f\u5408\u3063\u3066\u5f62\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002
<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n


\u3000\u2022 \u8eab\u4f53\u7684\u82e6\u75db<\/strong>\uff1a \u75c5\u6c17\u305d\u306e\u3082\u306e\u306b\u3088\u308b\u75db\u307f\u3001\u9ebb\u75fa\u3001\u5168\u8eab\u5026\u6020\u611f\u306a\u3069
\u3000\u2022 \u7cbe\u795e\u7684\u82e6\u75db<\/strong>\uff1a \u75c5\u6c17\u3078\u306e\u4e0d\u5b89\u3001\u6050\u6016\u3001\u6291\u3046\u3064\u3001\u5b64\u7acb\u611f\u306a\u3069
\u3000\u2022 \u793e\u4f1a\u7684\u82e6\u75db<\/strong>\uff1a \u7d4c\u6e08\u7684\u306a\u5fc3\u914d\u3001\u4ed5\u4e8b\u306e\u4e2d\u65ad\u3001\u5bb6\u65cf\u3078\u306e\u7533\u3057\u8a33\u306a\u3055\u306a\u3069
\u3000\u2022 \u30b9\u30d4\u30ea\u30c1\u30e5\u30a2\u30eb\u30da\u30a4\u30f3<\/strong>\uff1a \u300c\u306a\u305c\u81ea\u5206\u304c\u300d\u300c\u751f\u304d\u3066\u3044\u308b\u610f\u5473\u3068\u306f\u4f55\u304b\u300d\u3068\u3044\u3046\u5b58\u5728\u8ad6\u7684\u306a\u554f\u3044\u30fb\u82e6\u3057\u307f

\u25c6\u75db\u307f\u306e\u67b6\u3051\u6a4b\u3068\u3057\u3066\u306e\u300c\u5fc3\u8eab\u76f8\u95a2\u300d\u301c\u85ac\u3067\u6d88\u3048\u306a\u3044\u75db\u307f\u306e\u80cc\u666f\u306b\u3042\u308b\u3082\u306e\u301c<\/strong>

\u3000\u30c8\u30fc\u30bf\u30eb\u30da\u30a4\u30f3\uff08\u5168\u4eba\u7684\u82e6\u75db\uff09\u3068\u306f\u3001\u8eab\u4f53\u306e\u3064\u3089\u3055\u3060\u3051\u3067\u306a\u304f\u3001\u5fc3\u306e\u554f\u984c\u3084\u793e\u4f1a\u7684\u306a\u74b0\u5883\u3001\u30b9\u30d4\u30ea\u30c1\u30e5\u30a2\u30eb\u306a\u60a9\u307f\u304c\u8907\u96d1\u306b\u7d61\u307f\u5408\u3044\u3001\u8eab\u4f53\u306e\u75db\u307f\u3068\u3057\u3066\u8868\u308c\u3066\u3044\u308b\u72b6\u614b\u306e\u3053\u3068\u3067\u3059\u3002

\u3000\u3060\u304b\u3089\u3053\u305d\u3001\u8eab\u4f53\u306e\u75c7\u72b6\u3060\u3051\u3092\u8a3a\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u304a\u4e00\u4eba\u304a\u3072\u3068\u308a\u3092\u5305\u3080\u5168\u4f53\u306e\u95a2\u4fc2\u6027\u3092\u898b\u3064\u3081\u3001\u591a\u89d2\u7684\u306b\u30b1\u30a2\u3057\u3066\u3044\u304f\u3053\u3068\u304c\u75c7\u72b6\u7de9\u548c\u306e\u5927\u304d\u306a\u529b\u3068\u306a\u308a\u307e\u3059\u3002

\u3000\u300c\u30c8\u30fc\u30bf\u30eb\u30da\u30a4\u30f3\u300d\u3068\u3044\u3046\u8996\u70b9\u304b\u3089\u5fc3\u8eab\u76f8\u95a2\u3092\u6df1\u304f\u6349\u3048\u76f4\u3059\u3053\u3068\u3067\u3001\u3053\u308c\u307e\u3067\u898b\u3048\u3066\u3053\u306a\u304b\u3063\u305f\u300c\u75db\u307f\u306e\u672c\u5f53\u306e\u59ff\u300d\u3084\u300c\u30b1\u30a2\u306e\u624b\u304c\u304b\u308a\u300d\u304c\u81ea\u305a\u3068\u6d6e\u304b\u3073\u4e0a\u304c\u3063\u3066\u304d\u307e\u3059\u3002

\u3000\u300c\u5168\u4eba\u7684\u82e6\u75db\uff08\u30c8\u30fc\u30bf\u30eb\u30da\u30a4\u30f3\uff09\u300d\u306e\u8996\u70b9\u304b\u3089\u300c\u5fc3\u8eab\u76f8\u95a2\u300d\u3092\u6349\u3048\u76f4\u3059\u3068\u3001\u75db\u307f\u306e\u672c\u5f53\u306e\u59ff\u304c\u898b\u3048\u3066\u304d\u307e\u3059\u3002
\u4f8b\u3048\u3070\u3001\u93ae\u75db\u85ac\u3092\u5897\u3084\u3057\u3066\u3082\u4e00\u5411\u306b\u826f\u304f\u306a\u3089\u306a\u3044\u300c\u8eab\u4f53\u306e\u75db\u307f\u300d\u304c\u3042\u3063\u305f\u3068\u3057\u307e\u3059\u3002 \u305d\u306e\u80cc\u666f\u3092\u3066\u3044\u306d\u3044\u306b\u63a2\u3063\u3066\u3044\u304f\u3068\u3001\u5b9f\u306f\u3053\u3093\u306a\u601d\u3044\u304c\u96a0\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002

\u3000\u2022 \u300c\u5bb6\u65cf\u306b\u8ff7\u60d1\u3092\u304b\u3051\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u300d\u3068\u3044\u3046\u845b\u85e4\uff08\u793e\u4f1a\u7684\u82e6\u75db\uff09
\u3000\u2022 \u300c\u3053\u306e\u5148\u3069\u3046\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3060\u308d\u3046\u300d\u3068\u3044\u3046\u5f37\u3044\u4e0d\u5b89\uff08\u7cbe\u795e\u7684\u82e6\u75db\uff09
\u3053\u3046\u3057\u305f\u76ee\u306b\u898b\u3048\u306a\u3044\u82e6\u75db\u304c\u5f15\u304d\u91d1\u3068\u306a\u308a\u3001\u4ea4\u611f\u795e\u7d4c\u306e\u7dca\u5f35\u3084\u30b3\u30eb\u30c1\u30be\u30fc\u30eb\u306e\u904e\u5270\u5206\u6ccc\u3092\u5f15\u304d\u8d77\u3053\u3057\u3066\u3001\u8133\u304c\u611f\u3058\u308b\u300c\u75db\u307f\u306e\u5897\u5e45\u5668\u300d\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u306e\u3067\u3059\u3002

\u75db\u307f\u306e\u80cc\u666f\u3092\u898b\u6975\u3081\u308b\u3068\u3044\u3046\u3053\u3068<\/strong>

\u3000\u75db\u307f\u306b\u5bfe\u3057\u3066\u30ec\u30b9\u30ad\u30e5\u30fc\u85ac\uff08\u9813\u670d\uff09\u306e\u4f7f\u7528\u983b\u5ea6\u304c\u5897\u3048\u3066\u3044\u308b\u3068\u304d\u3001\u79c1\u305f\u3061\u306f\u614e\u91cd\u306b\u898b\u6975\u3081\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002

\u3000\u2022 \u672c\u5f53\u306b\u300c\u4f53\u306e\u75db\u307f\u300d\u81ea\u4f53\u304c\u5f37\u304f\u306a\u3063\u3066\u3044\u308b\u306e\u304b\uff1f
\u3000\u2022 \u305d\u308c\u3068\u3082\u3001\u5fc3\u3084\u751f\u6d3b\u306e\u80cc\u666f\u306b\u62b1\u3048\u305f\u554f\u984c\u304c\u5f71\u97ff\u3057\u3066\u3044\u308b\u306e\u304b\uff1f

\u3000\u5fc3\u8eab\u306e\u80cc\u666f\u306b\u554f\u984c\u3092\u62b1\u3048\u3066\u3044\u308b\u5834\u5408\u3001\u5358\u7d14\u306b\u85ac\u3092\u5897\u3084\u3057\u3066\u3082\u300c\u52b9\u304b\u306a\u3044\u300d\u3001\u3042\u308b\u3044\u306f\u300c\u52b9\u304d\u3059\u304e\u3066\u904e\u93ae\u9759\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u300d\u3068\u3044\u3046\u3053\u3068\u304c\u8d77\u3053\u308a\u5f97\u307e\u3059\u3002

\u3000\u4e00\u65b9\u3067\u3001\u305d\u306e\u80cc\u666f\u306b\u3042\u308b\u4e0d\u5b89\u3084\u60a9\u307f\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3057\u3001\u5c11\u3057\u305a\u3064\u30b1\u30a2\u3092\u91cd\u306d\u3066\u3044\u304f\u3068\u3069\u3046\u3067\u3057\u3087\u3046\u304b\u3002 \u4e0d\u601d\u8b70\u306a\u3053\u3068\u306b\u3001\u81ea\u305a\u3068\u75db\u307f\u304c\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u3001\u3042\u3093\u306a\u306b\u983b\u7e41\u3060\u3063\u305f\u30ec\u30b9\u30ad\u30e5\u30fc\u85ac\u306e\u4f7f\u7528\u91cf\u304c\u6e1b\u3063\u3066\u3044\u304f\u30b1\u30fc\u30b9\u304c\u591a\u3005\u3042\u308a\u307e\u3059\u3002

\u5fc3\u3068\u4f53\u3001\u305d\u3057\u3066\u9b42\u306e\u97ff\u304d\u5408\u3044<\/strong>

\u3000\u5fc3\u8eab\u76f8\u95a2\u3068\u306f\u3001\u5358\u306b\u300c\u5fc3\u304c\u4f53\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u300d\u3068\u3044\u3046\u4e00\u65b9\u901a\u884c\u306e\u8a71\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002

\u3000\u8eab\u4f53\u30fb\u7cbe\u795e\u30fb\u793e\u4f1a\u30fb\u30b9\u30d4\u30ea\u30c1\u30e5\u30a2\u30eb\u306a\u82e6\u75db\u304c\u8907\u96d1\u306b\u97ff\u304d\u5408\u3044\u3001\u3072\u3068\u3064\u306e\u300c\u75db\u307f\u300d\u3068\u3057\u3066\u73fe\u308c\u308b\u73fe\u8c61\u305d\u306e\u3082\u306e\u3092\u6307\u3057\u3066\u3044\u307e\u3059\u3002

\u3000\u75db\u307f\u306b\u5411\u304d\u5408\u3046\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u305d\u306e\u4eba\u81ea\u8eab\u306e\u300c\u4eba\u751f\u3084\u30b1\u30a2\u306e\u5168\u4f53\u50cf\u300d\u306b\u5411\u304d\u5408\u3046\u3053\u3068\u306a\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002

\uff14. \u65e5\u5e38\u306e\u30bb\u30eb\u30d5\u30b1\u30a2\u3068\u533b\u7642\u30a2\u30bb\u30b9\u30e1\u30f3\u30c8\u306b\u6d3b\u304b\u3059\u8996\u70b9<\/strong>

\u3000\u5fc3\u8eab\u76f8\u95a2\u3068\u5168\u4eba\u7684\u82e6\u75db\u306e\u3064\u306a\u304c\u308a\u3092\u7406\u89e3\u3059\u308b\u3053\u3068\u3067\u3001\u81ea\u5206\u81ea\u8eab\u3084\u60a3\u8005\u3055\u3093\u306e\u4e0d\u8abf\u306b\u5bfe\u3059\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5927\u304d\u304f\u5909\u308f\u308a\u307e\u3059\u3002

\u30001. \u300c\u8eab\u4f53\u306e\u75c7\u72b6\u300d\u304b\u3089\u300c\u5fc3\u306e\u30b5\u30a4\u30f3\u300d\u3092\u8aad\u307f\u89e3\u304f \u85ac\u3067\u548c\u3089\u304c\u306a\u3044\u75db\u307f\u3084\u4e0d\u8abf\u306b\u76f4\u9762\u3057\u305f\u3068\u304d\u3001\u300c\u4f55\u304c\u3053\u306e\u75db\u307f\u3092\u5f37\u3081\u3066\u3044\u308b\u306e\u3060\u308d\u3046\uff1f\u300d\u3068\u7cbe\u795e\u9762\u3084\u793e\u4f1a\u7684\u80cc\u666f\u306b\u76ee\u3092\u5411\u3051\u308b\u304d\u3063\u304b\u3051\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n


\u30002. \u591a\u89d2\u7684\u306a\u300c\u554f\u3044\u304b\u3051\u300d\u3092\u884c\u3046 \u300c\u3069\u3053\u304c\u75db\u307f\u307e\u3059\u304b\uff1f\u300d\u3068\u3044\u3046\u8eab\u4f53\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3060\u3051\u3067\u306a\u304f\u3001\u300c\u4eca\u4e00\u756a\u5fc3\u914d\u306a\u3053\u3068\u306f\u4f55\u3067\u3059\u304b\uff1f\u300d\u300c\u4f55\u304b\u6c17\u304c\u304b\u308a\u306a\u4f5c\u696d\u3084\u5f79\u5272\u306f\u3042\u308a\u307e\u3059\u304b\uff1f\u300d\u3068\u554f\u3044\u304b\u3051\u308b\u3053\u3068\u3067\u3001\u75db\u307f\u306e\u80cc\u666f\u306b\u3042\u308b\u771f\u306e\u539f\u56e0\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n


\u30003. \u5fc3\u304b\u3089\u306e\u30b1\u30a2\u3067\u8eab\u4f53\u3092\u7de9\u3081\u308b \u8a71\u3092\u8074\u3044\u3066\u4e0d\u5b89\u3092\u548c\u3089\u3052\u308b\uff08\u7cbe\u795e\u7684\u30b1\u30a2\uff09\u3001\u624b\u3084\u80cc\u4e2d\u306b\u89e6\u308c\u3066\u5b89\u5fc3\u611f\u3092\u4f1d\u3048\u308b\uff08\u30bf\u30c3\u30c1\u30b1\u30a2\uff09\u3068\u3044\u3063\u305f\u95a2\u308f\u308a\u306f\u3001\u526f\u4ea4\u611f\u795e\u7d4c\u3092\u512a\u4f4d\u306b\u3057\u3001\u79d1\u5b66\u7684\u306b\u3082\u75db\u307f\u306e\u7de9\u548c\u306b\u76f4\u63a5\u5bc4\u4e0e\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n



\u304a\u308f\u308a\u306b<\/strong>

\u3000\u300c\u75c5\u306f\u6c17\u304b\u3089\u300d\u3068\u3044\u3046\u8a00\u8449\u306f\u3001\u6c7a\u3057\u3066\u300c\u6c17\u6301\u3061\u6b21\u7b2c\u3067\u75c5\u6c17\u3092\u6c17\u5408\u3044\u3067\u6cbb\u305b\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002
\u3000\u300c\u4eba\u306e\u4f53\u3068\u5fc3\u3001\u305d\u3057\u3066\u53d6\u308a\u5dfb\u304f\u74b0\u5883\u306f\u3072\u3068\u3064\u306b\u7e4b\u304c\u3063\u3066\u304a\u308a\u3001\u304a\u4e92\u3044\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u5408\u3063\u3066\u3044\u308b\u300d<\/strong>\u3068\u3044\u3046\u3001\u751f\u547d\u306e\u8aa0\u5b9f\u306a\u4ed5\u7d44\u307f\u3092\u8868\u3057\u305f\u8a00\u8449\u3067\u3059\u3002
\u3000\u8eab\u4f53\u306e\u4e0d\u8abf\u3084\u75db\u307f\u306b\u60a9\u3093\u3060\u3068\u304d\u306f\u3001\u90e8\u4f4d\u305d\u306e\u3082\u306e\u3060\u3051\u3092\u898b\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u3054\u81ea\u8eab\u306e\u5fc3\u3084\u751f\u6d3b\u5168\u4f53\u306b\u512a\u3057\u304f\u76ee\u3092\u5411\u3051\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002\u305d\u3053\u306b\u3001\u82e6\u3057\u3055\u3092\u7d10\u89e3\u304f\u65b0\u3057\u3044\u7cf8\u53e3\u304c\u96a0\u308c\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002

\u3010\u53c2\u8003\u30fb\u5f15\u7528\u6587\u732e\u3011<\/strong>
1. Saunders C. The Management of Terminal Illness. London: Hospital Medicine Publications; 1967.
2. Ader, R., & Cohen, N. (1975). Behaviorally conditioned immunosuppression. Psychosomatic Medicine, 37(4), 333\u2013340.
3. McEwen BS. Protective and damaging effects of stress mediators. N Engl J Med. 1998;338(3):171-179.
4. Mayer, E. A. (2011). Gut feelings: the emerging biology of gut-brain communication. Nature Reviews Neuroscience, 12(8), 453\u2013466.
5. Tracey I, Mantyh PW. The cerebral signature for pain perception and its modulation. Neuron. 2007;55(3):377-391.
6. \u65e5\u672c\u7de9\u548c\u533b\u7642\u5b66\u4f1a\uff08\u7de8\uff09. \u5c02\u9580\u5bb6\u3092\u76ee\u6307\u3059\u4eba\u306e\u305f\u3081\u306e\u7de9\u548c\u533b\u7642\u5b66. \u5357\u6c5f\u5802; 2019.

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