{"id":822,"date":"2026-02-01T09:55:23","date_gmt":"2026-02-01T00:55:23","guid":{"rendered":"https:\/\/ito-pain.com\/blog\/?p=822"},"modified":"2026-02-13T09:44:05","modified_gmt":"2026-02-13T00:44:05","slug":"post-822","status":"publish","type":"post","link":"https:\/\/ito-pain.com\/blog\/post-822\/","title":{"rendered":"\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u6297\u4f53\u691c\u67fb\u3001\u7d50\u679c\u304c\u9670\u6027\u3060\u3063\u305f\u3089\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3067\u306f\u306a\u3044\u3068\u8a00\u3048\u308b\uff1f"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6B\u578b\u306f\u3001\u4f8b\u5e74A\u578b\u306e\u6d41\u884c\u5f8c\u306b\u6d41\u884c\u306e\u30d4\u30fc\u30af\u3092\u8fce\u3048\u308b\u3053\u3068\u304c\u591a\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u4eca\u5e74\u306f\u4f8b\u5e74\u3088\u308a\u65e9\u304f\u3001\u5897\u52a0\u306e\u5146\u3057\u3092\u898b\u305b\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u3044\u3068\u3046\u30da\u30a4\u30f3\u30af\u30ea\u30cb\u30c3\u30af\u9662\u9577\u306e\u4f0a\u85e4\u3067\u3059\u3002\u4eca\u56de\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u691c\u67fb\u7d50\u679c\u306e\u5224\u65ad\u306b\u3064\u3044\u3066\u306e\u304a\u8a71\u3092\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u307e\u305a\u3001\u65e5\u672c\u3067\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u8a3a\u65ad\u306b\uff0c\u8fc5\u901f\u6297\u539f\u691c\u67fb\u304c\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u69d8\u306e\u75c7\u72b6\uff0837\u2103\u4ee5\u4e0a\u306e\u4f53\u6e29\u4e0a\u6607\uff0c\u5bd2\u6c17\u30fb\u4f53\u71b1\u611f\uff0c\u54b3\uff0c\u5580\u75f0\uff0c\u5026\u6020\u611f\uff0c\u54bd\u982d\u75db\uff0c\u7b4b\u8089\u75db\u30fb\u95a2\u7bc0\u75db\uff0c\u982d\u75db\uff0c\u9f3b\u6c41\u30fb\u9f3b\u9589\u306a\u3069\uff09\u3067\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u8fc5\u901f\u6297\u539f\u691c\u67fb\u3092\u5b9f\u65bd\u3057\u3001\u9670\u6027\u3067\u3042\u308c\u3070\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u611f\u67d3\u306f\u3001\u5426\u5b9a\u3067\u304d\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n\n\n\n

\u7b54\u3048\u306f\u305d\u3046\u3068\u306f\u8a00\u3044\u5207\u308c\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3092\u3001\u65e5\u672c\u3067\u884c\u308f\u308c\u305f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u8fc5\u901f\u6297\u539f\u691c\u67fb\u306e\u5b9f\u65bd\u6642\u671f\u3068\u691c\u67fb\u306e\u7cbe\u5ea6\uff08\u611f\u5ea6\uff09\u306e\u7d4c\u6642\u7684\u306a\u5909\u5316\u3092\u3082\u3068\u306b\u8a71\u3057\u3066\u3044\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

2017 \u5e7412\u6708\uff5e2018\u5e742\u6708\u304a\u3088\u30732018\u5e7412\u6708\uff5e2019\u5e743\u6708\u3001\u7b51\u6ce2\u30e1\u30c7\u30a3\u30ab\u30eb\u30bb\u30f3\u30bf\u30fc\u75c5\u9662\u306b\u304a\u3044\u3066\u3001\u81e8\u5e8a\u7684\u306b\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u7591\u3044\uff08\u4e0a\u8ff0\u75c7\u72b6\uff09\u304c\u3042\u308a\u3001\u62c5\u5f53\u533b\u304c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u8fc5\u901f\u6297\u539f\u691c\u67fb\u3092\u5fc5\u8981\u3068\u5224\u65ad\u3057\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3001\u75c7\u72b6\u306e\u767a\u751f\u304b\u3089\u691c\u67fb\u306e\u5b9f\u65bd\u307e\u3067\u306e\u6642\u9593\u3068\u8fc5\u901f\u6297\u539f\u691c\u67fb\u306e\u611f\u5ea6\u30fb\u7279\u7570\u5ea6\u306e\u95a2\u4fc2\u306b\u3064\u3044\u3066\u8abf\u67fb\u3055\u308c\u307e\u3057\u305f\u3002\uff11\uff09<\/p>\n\n\n\n

\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u771f\u306e\u9670\u6027\u30fb\u967d\u6027\u306e\u6700\u7d42\u5224\u65ad\u306f\u3001\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0PCR \u6cd5\uff08\u691c\u4f53\u3092\u63a1\u96c6\u3057\u3001DNA\u3092\u5897\u5e45\u3055\u305b\u306a\u304c\u3089\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30a6\u30a4\u30eb\u30b9\u306e\u5897\u5e45\u91cf\u3092\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u3067\u6e2c\u5b9a\u3059\u308b\u6280\u8853\uff1a\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u30a6\u30a4\u30eb\u30b9\u907a\u4f1d\u5b50\u304c\u691c\u51fa\u3055\u308c\u308c\u3070\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u967d\u6027\u3068\u78ba\u5b9a\u5224\u5b9a\uff09\u3092\u7528\u3044\u3066\u8a55\u4fa1\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

313\u540d\u3092\u6700\u7d42\u5bfe\u8c61\u8005\u3068\u3057 \u3001\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0PCR\u6cd5\u306b\u3066129\u540d\uff0841.2%\uff09\u3067\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30a6\u30a4\u30eb\u30b9\u304c\u691c\u51fa\u3055\u308c\u307e\u3057\u305f\u3002\uff08A\u578b\uff1a88\u540d\uff0c28.1%\uff1b B\u578b\uff1a41\u540d\uff0c13.1%\uff09<\/p>\n\n\n\n

\u3053\u308c\u306b\u3088\u308b\u3068\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u8fc5\u901f\u6297\u539f\u691c\u67fb\u306e\u611f\u5ea6\u306f\uff0c\u5168\u4f53\u306754.3%\uff0895%CI\uff08CI:\u4fe1\u983c\u533a\u9593\uff09\uff1a45.3\uff5e63.1\uff09\uff0c \u7279\u7570\u5ea6\u306f100%\uff0895%CI\uff1a98.0\uff5e100\uff09\u3060\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n

\u75c7\u72b6\u304c\u51fa\u3066\u304b\u3089\u306e
\u691c\u67fb\u306e\u30bf\u30a4\u30df\u30f3\u30b0<\/td>		 \u611f\u5ea6<\/td>\u7279\u7570\u5ea6<\/td><\/tr>
12\u6642\u9593\u672a\u6e80<\/td>38.9%
\uff0895% CI\uff1a17.3\uff5e64.3\uff09<\/td>		100
(91.4-100)<\/td><\/tr>
12\uff5e24 \u6642\u9593<\/td>40.5%
\uff0895% CI\uff1a25.6\uff5e56.7\uff09<\/td>		100
(92.9-100)<\/td><\/tr>
24\uff5e48\u6642\u9593<\/td>65.2%
\uff0895% CI\uff1a49.8\uff5e78.6\uff09<\/td>		100
(93.2-100)<\/td><\/tr>
48\u6642\u9593\u4ee5\u964d<\/td>69.6%
\uff0895% CI\uff1a47.1\uff5e86.8\uff09<\/td>		100
(91.4-100)<\/td><\/tr><\/tbody><\/table>
\u203b\u30b9\u30de\u30fc\u30c8\u30d5\u30a9\u30f3\u3067\u3054\u89a7\u306e\u65b9\u306f\u3001
\u8868\u3092\u6a2a\u306b\u30b9\u30e9\u30a4\u30c9\uff08\u30b9\u30af\u30ed\u30fc\u30eb\uff09\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/figcaption><\/figure>\n\n\n\n

\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u8fc5\u901f\u6297\u539f\u691c\u67fb\u306e\u611f\u5ea6<\/strong>\u306f\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u69d8\u75c7\u72b6\u306e\u767a\u75c7\u304b\u3089\u6642\u9593\u304c\u7d4c\u904e\u3059\u308b\u306b\u9023\u308c\u3066\u4e0a\u6607\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u7279\u7570\u5ea6\u306b\u306f\u5927\u304d\u306a\u5909\u5316\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n

\n

\u53c2\u8003\u6587\u732e
\uff11\uff09\u611f\u67d3\u75c7\u5b66\u96d1\u8a8c \u7b2c95\u5dfb\u7b2c1 \u53f79\u201416 Influence of Illness Duration on the Sensitivity and Specificity of Influenza Antigen Testing\uff1a A Prospective Observational Study Using Real-time PCR Yusaku AKASHI\u3000et al.<\/p>\n<\/blockquote>\n\n\n\n

\u7d50\u679c\u306e\u898b\u65b9\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n

\u691c\u67fb\u306e\u7279\u7570\u5ea6\u304c\u3001\uff11\uff10\uff10\uff05\u306a\u3089\u3070\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u8fc5\u901f\u6297\u539f\u691c\u67fb\u7d50\u679c\u304c\u967d\u6027\u3067\u3042\u308c\u3070\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u967d\u6027\u3067\u78ba\u5b9a\u3067\u3059\u3002<\/p>\n\n\n\n

\u4e00\u65b9\u3001\u611f\u5ea6\uff17\uff10\uff05\u306e\u5834\u5408\u306f\u3001100\u4eba\u306e\u967d\u6027\u60a3\u8005\u304c\u3044\u308b\u3068\u3059\u308b\u3068\u3001\u305d\u306e\u3046\u306130\uff05\u306f\u9670\u6027\u3068\u51fa\u305f\u304c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306b\u611f\u67d3\u3057\u3066\u3044\u308b\uff08\u507d\u9670\u6027\uff09\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u3061\u3087\u3063\u3068\u5fae\u5999\u306a\u7d50\u679c\u3058\u3083\u3042\u306a\u3044\u3067\u3059\u304b\u3002<\/p>\n\n\n\n

\u9670\u6027\u3067\u3042\u3063\u305f\u5834\u5408\u306f\uff1f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3067\u306f\u306a\u3044\u306e\uff1f\u3000\u9670\u6027\u7684\u4e2d\u7387\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n

\u9670\u6027\u3060\u3063\u305f\u5834\u5408\u306f\u3001\u9670\u6027\u7684\u4e2d\u7387\u3067\u3082\u5224\u65ad\u3057\u307e\u3059\u3002\u9670\u6027\u7684\u4e2d\u7387\u3068\u306f\u3001\u691c\u67fb\u304c\u9670\u6027\u3067\u3042\u3063\u305f\u5834\u5408\u306b\u3001\u5b9f\u969b\u306b\u75c5\u6c17\u304c\u306a\u3044\u3068\u5224\u65ad\u3067\u304d\u308b\u78ba\u7387\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u691c\u67fb\u3092\u3055\u308c\u308b\u4eba\u306e\u6709\u75c5\u7387\uff08\u8853\u524d\u8a3a\u65ad\uff09\u306f\u300141.2\uff05\u3067\u3057\u305f\u306e\u3067\u3001\u3053\u308c\u3067<\/p>\n\n\n\n

\u9670\u6027\u7684\u4e2d\u7387\u306b\u3064\u3044\u3066\u3001\u8a08\u7b97\u3057\u305f\u7d50\u679c\u3092\u4ee5\u4e0b\u306b\u793a\u3057\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3001\u967d\u6027\u7684\u4e2d\u7387\uff08\u691c\u67fb\u7d50\u679c\u304c\u967d\u6027\u3068\u8a3a\u65ad\u3055\u308c\u305f\u4eba\u304c\u672c\u5f53\u306b\u75c5\u6c17\u3067\u3042\u308b\u78ba\u7387\uff09\u306f\u3001\u7279\u7570\u5ea6100\uff05\u306e\u5834\u5408\u3001\u967d\u6027\u7684\u4e2d\u7387\u3082100\uff05\u3068\u306a\u308a\u3001\u691c\u67fb\u967d\u6027\u306a\u3089\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3068\u8a3a\u65ad\u304c\u3064\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u9670\u6027\u7684\u4e2d\u7387\u306f\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u69d8\u306e\u75c7\u72b6\u304c\u51fa\u73fe\u3057\u3066\u304b\u3089\u691c\u67fb\u3057\u305f\u6642\u9593\u306b\u3088\u3063\u3066\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5909\u308f\u3063\u3066\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u75c7\u72b6\u304c\u51fa\u3066\u304b\u3089\u306e
\u691c\u67fb\u306e\u30bf\u30a4\u30df\u30f3\u30b0<\/td>		\u611f\u5ea6<\/td>\u9670\u6027\u7684\u4e2d\u7387<\/td><\/tr>
12\u6642\u9593\u672a\u6e80<\/td>38.9%
\uff0895% CI\uff1a17.3\uff5e64.3\uff09<\/td>		70.0<\/td><\/tr>
12\uff5e24 \u6642\u9593<\/td>40.5%
\uff0895% CI\uff1a25.6\uff5e56.7\uff09<\/td>		70.6<\/td><\/tr>
24\uff5e48\u6642\u9593<\/td>65.2%
\uff0895% CI\uff1a49.8\uff5e78.6\uff09<\/td>		80.4<\/td><\/tr>
48\u6642\u9593\u4ee5\u964d<\/td>69.6%
\uff0895% CI\uff1a47.1\uff5e86.8\uff09<\/td>		82.4<\/td><\/tr><\/tbody><\/table>
\u203b\u30b9\u30de\u30fc\u30c8\u30d5\u30a9\u30f3\u3067\u3054\u89a7\u306e\u65b9\u306f\u3001
\u8868\u3092\u6a2a\u306b\u30b9\u30e9\u30a4\u30c9\uff08\u30b9\u30af\u30ed\u30fc\u30eb\uff09\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/figcaption><\/figure>\n\n\n\n

\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u69d8\u306e\u75c7\u72b6\u767a\u75c7\u5f8c\u300124\u6642\u9593\u4ee5\u524d\u306b\u691c\u67fb\u3057\u305f\u7d50\u679c\u304c\u9670\u6027\u306e\u5834\u5408\u306f\u300170\uff05\u300124\u6642\u9593\u4ee5\u964d\u3067\u691c\u67fb\u3057\u305f\u5834\u5408\u3001\u9670\u6027\u3067\u3042\u308c\u307080\uff05\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306b\u5b9f\u969b\u306b\u304b\u304b\u3063\u3066\u3044\u306a\u3044\u3067\u3057\u3087\u3046\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n\n\n\n

\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306f\u75c7\u72b6\u306e\u307f\u3067\u3082\u8a3a\u65ad\u53ef\u80fd\u3000\u307f\u306a\u3057\u967d\u6027<\/h2>\n\n\n\n

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\u88dc\u8db3\uff1a\u611f\u5ea6\u30fb\u7279\u7570\u5ea6\u3001\u967d\u6027\u30fb\u9670\u6027\u7684\u4e2d\u5ea6\u306b\u3064\u3044\u3066<\/p>\n\n\n\n

\u611f\u5ea6\u3068\u7279\u7570\u5ea6<\/h3>\n\n\n\n

\u611f\u5ea6\u3068\u7279\u7570\u5ea6\u306f\u3001\u691c\u67fb\u81ea\u4f53\u306e\u7cbe\u5ea6\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002\u611f\u5ea6\uff08Sensitivity\uff09\u306f\u3001\u75c5\u6c17\u300c\u3042\u308a\u300d\u306e\u4eba\u306e\u3046\u3061\u3001\u691c\u67fb\u3067\u967d\u6027\u3068\u6b63\u3057\u304f\u5224\u5b9a\u3067\u304d\u305f\u5272\u5408\u3092\u8868\u3057\u3001\u7279\u7570\u5ea6\uff08Specificity\uff09\u306f\u3001\u75c5\u6c17\u300c\u306a\u3057\u300d\u306e\u4eba\u306e\u3046\u3061\u3001\u691c\u67fb\u3067\u9670\u6027\u3068\u6b63\u3057\u304f\u5224\u5b9a\u3067\u304d\u305f\u5272\u5408\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

Spin Snout\uff1a\uff08Specificity Positive\uff08\u7279\u7570\u5ea6\uff09 rule in Sensitivity Negative\uff08\u611f\u5ea6\uff09 rule out\uff09\u3068\u3088\u304f\u8868\u73fe\u3055\u308c\u307e\u3059\u304c\u3001\u7279\u7570\u5ea6\u304c\u9ad8\u3044\u691c\u67fb\u304c\u967d\u6027\u306a\u3089\u967d\u6027\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u3001\u611f\u5ea6\u304c\u9ad8\u3044\u691c\u67fb\u304c\u9670\u6027\u306a\u3089\u3001\u9670\u6027\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u3044<\/strong>\u3053\u3068\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u967d\u6027\u7684\u4e2d\u5ea6\u30fb\u9670\u6027\u7684\u4e2d\u5ea6<\/h3>\n\n\n\n

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\u3057\u304b\u3057\u3001\u5b9f\u969b\u306b\u306f\u3001\u7279\u7570\u5ea6100\uff05\u306f\u7406\u60f3\u5024<\/strong>\u3067\u3042\u3063\u3066\u3001\u691c\u67fb\u306e\u5b9f\u6e2c\u5024\u3092\u5897\u3084\u3059\u3068\u7279\u7570\u5ea6\u306f\u5c11\u3057\u4f4e\u4e0b\u3059\u308b\u3068\u601d\u308f\u308c\u307e\u3059\uff08\u7279\u7570\u5ea697.4\uff05\u3068\u3044\u3046\u5831\u544a\uff12\uff09\u3082\u3042\u308a\u307e\u3059\uff09\u3002\u5c11\u3057\u3067\u3082\u7279\u7570\u5ea6\u304c\u4f4e\u304f\u306a\u3063\u305f\u5834\u5408\u3001\u4f8b\u3048\u307099\uff05\u3067\u3042\u308b\u5834\u5408\u3001\u6709\u75c5\u7387\u306e\u9055\u3044\u306b\u3088\u308a\u967d\u6027\u7684\u4e2d\u7387\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5909\u5316\u3057\u3066\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

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\n

\u6587\u732e
\uff12\uff09Vos LM, Bruning AHL, Reitsma JB, Schuurman R, Riezebos-Brilman A, Hoepelman AIM, et al.\uff1a Rapid Molecular Tests for Influenza, Respira tory Syncytial Virus, and Other Respiratory Vi ruses : A Systematic Review of Diagnostic Ac curacy and Clinical Impact Studies. Clin Infect Dis. 2019\uff1b69\uff1a1243\u201553.<\/p>\n<\/blockquote>\n\n\n\n

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

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