{"id":550,"date":"2026-06-25T13:32:12","date_gmt":"2026-06-25T04:32:12","guid":{"rendered":"https:\/\/rmnw.jp\/teams\/?p=550"},"modified":"2026-06-25T15:46:39","modified_gmt":"2026-06-25T06:46:39","slug":"%e8%82%b2%e6%88%90%e3%83%bb%e3%83%88%e3%83%ac%e3%83%bc%e3%83%8b%e3%83%b3%e3%82%b0%e7%89%a7%e5%a0%b4%e3%81%ae%e3%81%9f%e3%82%81%e3%81%aeprp%ef%bc%88%e5%a4%9a%e8%a1%80%e5%b0%8f%e6%9d%bf%e8%a1%80","status":"publish","type":"post","link":"https:\/\/rmnw.jp\/teams\/?p=550","title":{"rendered":"U02.\u80b2\u6210\u30fb\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u7267\u5834\u306e\u305f\u3081\u306ePRP\uff08\u591a\u8840\u5c0f\u677f\u8840\u6f3f\uff09\u518d\u751f\u533b\u7642\u30d7\u30ed\u30b0\u30e9\u30e0\u5c0e\u5165 \u30d3\u30b8\u30cd\u30b9\u30ec\u30dd\u30fc\u30c8"},"content":{"rendered":"\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"U02. 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wppdf-emb-iframe-1\"\n\t\t\t\tsrc=\"https:\/\/rmnw.jp\/teams\/?pdfemb-data=eyJwZGZJRCI6NTUxLCJ1cmwiOiJodHRwczpcL1wvcm1udy5qcFwvdGVhbXNcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjZcLzA2XC9VMDIuLVx1ODBiMlx1NjIxMFx1MzBmYlx1MzBjOFx1MzBlY1x1MzBmY1x1MzBjYlx1MzBmM1x1MzBiMFx1NzI2N1x1NTgzNFx1MzA2ZVx1MzA1Zlx1MzA4MVx1MzA2ZS1QUlAucGRmIiwidGl0bGUiOiJVMDIuLVx1ODBiMlx1NjIxMFx1MzBmYlx1MzBjOFx1MzBlY1x1MzBmY1x1MzBjYlx1MzBmM1x1MzBiMFx1NzI2N1x1NTgzNFx1MzA2ZVx1MzA1Zlx1MzA4MVx1MzA2ZS1QUlAiLCJpbmRleCI6MX0\"\n\t\t\t\ttitle=\"U02.-\u80b2\u6210\u30fb\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u7267\u5834\u306e\u305f\u3081\u306e-PRP\"\t\t\t\tdata-pdf-id=\"551\"\n\t\t\t\tdata-pdf-index=\"1\"\n\t\t\t\tstyle=\"border:none;width:100%;max-width:100%;height:100vh;\"\n\t\t\t\tscrolling=\"yes\">\n\t\t\t<\/iframe>\n\t\t<\/div>\n\n\t\t\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">\u80b2\u6210\u30fb\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u7267\u5834\u306e\u305f\u3081\u306ePRP\uff08\u591a\u8840\u5c0f\u677f\u8840\u6f3f\uff09\u518d\u751f\u533b\u7642\u30d7\u30ed\u30b0\u30e9\u30e0\u5c0e\u5165 \u30d3\u30b8\u30cd\u30b9\u30ec\u30dd\u30fc\u30c8<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">TL;DR\uff08\u7d50\u8ad6\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>PRP\u7642\u6cd5\u306f\u300c\u6cbb\u7652\u3092\u901f\u3081\u308b\u9b54\u6cd5\u300d\u3067\u306f\u306a\u304f\u300c\u96e2\u8131\u30b3\u30b9\u30c8\u3092\u7ba1\u7406\u3057\u3001\u8efd\u301c\u4e2d\u7b49\u5ea6\u75c7\u4f8b\u306e\u65e9\u671f\u5fa9\u5e30\u3068\u82e5\u99ac\u306e\u30c7\u30d3\u30e5\u30fc\u9045\u5ef6\u3092\u5e95\u4e0a\u3052\u3059\u308b\u73fe\u5834\u30c4\u30fc\u30eb\u300d\u3068\u3057\u3066\u5c0e\u5165\u4fa1\u5024\u304c\u3042\u308b\u3002<\/strong> Geburek et al.(2016, BMC Vet Res)\u3067\u306f\u3001PRP\u6295\u4e0e\u7fa4\u304c\u7121\u51e6\u7f6e\u7fa4\u3088\u308a\u65e9\u304f\u8ddb\u884c\u304c\u6d88\u5931\u3057\u300112\u30f6\u6708\u6642\u70b9\u3067\u524d\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u5fa9\u5e30\u738780%\uff08\u5bfe\u7167\u7fa450%\uff09\u3092\u793a\u3057\u305f\u3002<\/li>\n\n\n\n<li><strong>\u9069\u5fdc\u306e\u898b\u6975\u3081\u304c\u6295\u8cc7\u5bfe\u52b9\u679c\u3092\u6c7a\u3081\u308b\u3002<\/strong> \u8efd\u5ea6\u301c\u4e2d\u7b49\u5ea6\u306e\u5c48\u8171\u708e\u30fb\u7e4b\u976d\u5e2f\u708e\u30fb\u82e5\u99ac\u306e\u7e4b\u976d\u5e2f\u679d\/\u7a2e\u5b50\u9aa8\u75c5\u5909\u304c\u597d\u9069\u5fdc\u3002\u91cd\u5ea6\u65ad\u88c2\u3084\u9032\u884c\u4f8b\uff08\u65ad\u9762\u7a4d50%\u4ee5\u4e0a\uff09\u306f\u9069\u5fdc\u5916\u3067\u3001\u5e79\u7d30\u80de\u7642\u6cd5\u3084\u4fdd\u5b58\u7642\u6cd5\u304c\u59a5\u5f53\u3002<\/li>\n\n\n\n<li><strong>1\u982d\u3042\u305f\u308a\u6cbb\u7642\u30b3\u30b9\u30c8\u306f\u5e79\u7d30\u80de\u7642\u6cd5\u306e\u7d041\/3\u301c1\/5\uff08PRP\u7d04$500\u301c$1,500\/\u56de \u5bfe \u5e79\u7d30\u80de$2,000\u301c$4,000\/\u56de\uff09\u3002<\/strong> \u81ea\u5df1\u8840\u7531\u6765\u3067\u62d2\u7d76\u53cd\u5fdc\u30ea\u30b9\u30af\u304c\u4f4e\u304f\u3001\u65e5\u672c\u3067\u306f\u52d5\u7269\u306b\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5\u304c\u9069\u7528\u3055\u308c\u306a\u3044\u305f\u3081\u7363\u533b\u5e2b\u306e\u88c1\u91cf\u3067\u5b9f\u65bd\u53ef\u80fd\u3002\u7af6\u8d70\u898f\u7a0b\u4e0a\u3082\u30ec\u30fc\u30b9\u5f53\u65e5\u306e\u85ac\u7269\u691c\u67fb\u306e\u5bfe\u8c61\u3068\u306a\u308b\u5916\u56e0\u6027\u85ac\u7269\u3067\u306f\u306a\u304f\u3001\u5c0e\u5165\u306e\u5236\u5ea6\u7684\u969c\u58c1\u306f\u4f4e\u3044\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Key Findings\uff08\u8981\u70b9\uff09<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u904b\u52d5\u5668\u75be\u60a3\u306f\u80b2\u6210\u30fb\u7af6\u8d70\u99ac\u306e\u6700\u5927\u306e\u96e2\u8131\u8981\u56e0\u3002<\/strong> JRA\u306e\u5b9a\u7fa9\u3067\u306f\u904b\u52d5\u5668\u75be\u60a3\u306f\u7af6\u8d70\u99ac\u306e\u75c5\u6c17\u5168\u4f53\u306e\u7d0455%\u3092\u5360\u3081\u3001\u4e3b\u56e0\u306f\u9aa8\u6298\u30fb\u5c48\u8171\u708e\u30fb\u7e4b\u976d\u5e2f\u708e\u30fb\u95a2\u7bc0\u708e\u3002\u80b2\u6210\u99ac\u3067\u3082\u8fd1\u5e74\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u30bb\u30fc\u30eb\u3084\u65e9\u671f\u5165\u53a9\u5fd7\u5411\u3067\u8abf\u6559\u5f37\u5ea6\u304c\u4e0a\u304c\u308a\u3001\u5c48\u8171\u708e\u767a\u75c7\u306f\u300c\u3072\u3068\u6614\u524d\u3068\u6bd4\u8f03\u3059\u308b\u3068\u78ba\u5b9f\u306b\u767a\u75c7\u982d\u6570\u306f\u5897\u52a0\u3057\u3066\u3044\u308b\u300d\uff08\u7b20\u5d8b\u5feb\u5468\u3001JRA\u7af6\u8d70\u99ac\u7dcf\u5408\u7814\u7a76\u6240\uff09\u3002<\/li>\n\n\n\n<li><strong>\u5c48\u8171\u708e\u306f\u300c\u4e0d\u6cbb\u306e\u75c5\u300d\u30ec\u30d9\u30eb\u306e\u96e2\u8131\u30a4\u30f3\u30d1\u30af\u30c8\u3092\u6301\u3064\u3002<\/strong> \u65e5\u672c\u306e\u30c7\u30fc\u30bf\uff08Kasashima et al. 2004, EVJ\uff09\u3067\u306f\u3001JRA\u30b5\u30e9\u30d6\u30ec\u30c3\u30c910,262\u982d\u306e\u524d\u80a2\u6d45\u6307\u5c48\u8171\u708e\u6709\u75c5\u738711.1%\u3001\u7e4b\u976d\u5e2f\u708e3.61%\u3002\u56de\u5fa9\u306b\u306f\u7d0416\u30f6\u6708\u3092\u8981\u3057\u3001\u518d\u767a\u7387\u306f43\u301c58%\u3002346\u982d\u4e2d\u308f\u305a\u304b49\u982d\uff0814.2%\uff09\u3057\u304b\u9806\u8abf\u306b\u7af6\u8d70\u5fa9\u5e30\u3057\u306a\u304b\u3063\u305f\u3068\u3044\u3046JRA\u30c7\u30fc\u30bf\u3082\u3042\u308b\u3002<\/li>\n\n\n\n<li><strong>PRP\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u300c\u8efd\u301c\u4e2d\u7b49\u5ea6\u306e\u8edf\u90e8\u7d44\u7e54\u75c5\u5909\u3067\u65e9\u671f\u5fa9\u5e30\u30fb\u7d44\u7e54\u8cea\u6539\u5584\u300d\u306b\u96c6\u4e2d\u3002<\/strong> \u4e00\u65b9\u3001\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff08M&#8217;Cloud et al. 2024, JAVMA\uff09\u3067\u306f\u3001PRP\u5358\u72ec\u3067\u300c\u7af6\u8d70\u5fa9\u5e30\u7387\u306e\u6709\u610f\u306a\u5411\u4e0a\u300d\u306f\u78ba\u8a8d\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u518d\u767a\u7387\u4f4e\u6e1b\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u4e3b\u306bMSC\uff08\u5e79\u7d30\u80de\uff09\u4f75\u7528\u3067\u793a\u3055\u308c\u305f\u3002\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\u306f\u5168\u822c\u306b\u4f4e\u301c\u4e2d\uff08Jadad\u30b9\u30b3\u30a2\u4f4e\u3001\u30d0\u30a4\u30a2\u30b9\u30ea\u30b9\u30af\u9ad8\uff09\u3002<\/li>\n\n\n\n<li><strong>\u82e5\u99ac\uff081\u301c2\u6b73\uff09\u7279\u6709\u306e\u9069\u5fdc\u304c\u3042\u308b\u3002<\/strong> Garrett et al.(2013, JAVMA)\u306e1\u6b73\u99ac39\u982d\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u3067\u306f\u3001\u7a2e\u5b50\u9aa8\u708e\uff0b\u7e4b\u976d\u5e2f\u679d\u708e\u306bPRP\u3092\u6295\u4e0e\u3057\u305f\u7fa4\u304c\u3001\u751f\u7406\u98df\u5869\u6c34\u7fa4\u3088\u308a\u300c2\u6b73\u6642\u306b\u51fa\u8d70\u3092\u958b\u59cb\u3059\u308b\u78ba\u7387\u304c\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f\u300d\u3002OCD\uff08\u96e2\u65ad\u6027\u9aa8\u8edf\u9aa8\u75c7\uff09\u306f\u98db\u7bc0\u30fb\u7403\u7bc0\u30fb\u819d\u306b\u597d\u767a\u30571\u6b73\u99ac\u306e\u7d0423%\u306b\u6240\u898b\u304c\u898b\u3089\u308c\u308b\u304c\u3001\u591a\u304f\u306f\u7121\u75c7\u72b6\u3067PRP\u3067\u306f\u306a\u304f\u95a2\u7bc0\u93e1\u624b\u8853\u304c\u6a19\u6e96\u3002<\/li>\n\n\n\n<li><strong>\u30b3\u30b9\u30c8\u3068\u5236\u5ea6\u306e\u969c\u58c1\u304c\u4f4e\u3044\u3002<\/strong> PRP\u306f\u81ea\u5df1\u8840\u3092\u9060\u5fc3\u5206\u96e2\u3059\u308b\u3060\u3051\u3067\u9662\u5185\u5b8c\u7d50\u53ef\u80fd\u30011\u56de$500\u301c$1,500\u3002\u65e5\u672c\u3067\u306f\u52d5\u7269\u306e\u518d\u751f\u533b\u7642\u306b\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5\u306e\u3088\u3046\u306a\u6cd5\u5f8b\u304c\u306a\u304f\u3001\u7363\u533b\u5e2b\u306e\u88c1\u91cf\u3067\u5b9f\u65bd\u3067\u304d\u308b\u3002<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Details\uff08\u8a73\u7d30\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1. \u7267\u5834\u306e\u8ab2\u984c\u69cb\u9020\uff1a\u904b\u52d5\u5668\u75be\u60a3\u306b\u3088\u308b\u96e2\u8131\u30fb\u80b2\u6210\u30ed\u30b9<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u7af6\u8d70\u99ac\u30fb\u80b2\u6210\u99ac\u306e\u7d4c\u55b6\u306b\u304a\u3051\u308b\u6700\u5927\u306e\u640d\u5931\u8981\u56e0\u306f\u904b\u52d5\u5668\u75be\u60a3\u3067\u3042\u308b\u3002JRA\u306e\u7af6\u99ac\u7528\u8a9e\u8f9e\u5178\u306f\u300c\u904b\u52d5\u5668\u75be\u60a3\u306f\u7af6\u8d70\u99ac\u306e\u75c5\u6c17\u5168\u4f53\u306e55\u30d1\u30fc\u30bb\u30f3\u30c8\u524d\u5f8c\u3092\u5360\u3081\u3001\u4e3b\u306a\u3082\u306e\u3068\u3057\u3066\u9aa8\u6298\u3001\u5c48\u8171\u708e\u3001\u7e4b\u976d\u5e2f\u708e\u3001\u95a2\u7bc0\u708e\u304c\u3042\u308b\u300d\u3068\u5b9a\u7fa9\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u65e5\u672c\u306e\u30c7\u30fc\u30bf\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kasashima et al.(2004, Equine Veterinary Journal 36:346-350)\uff1a1999\u5e74\u306eJRA\u767b\u9332\u30b5\u30e9\u30d6\u30ec\u30c3\u30c910,262\u982d\u306e\u8abf\u67fb\u3067\u3001\u524d\u80a2\u6d45\u6307\u5c48\u8171\u708e\uff08SDFT\uff09\u6709\u75c5\u738711.1%\uff081,130\u982d\uff09\u3001\u524d\u80a2\u7e4b\u976d\u5e2f\u708e\uff08SL desmitis\uff093.61%\uff08370\u982d\uff09\u3002\u5f8c\u80a2\u306fSDFT 0.06%\u3001SL 0.14%\u3068\u4f4e\u3044\u30023\u6b73\u4ee5\u4e0a\u306eSDFT\u767a\u75c7\u30ea\u30b9\u30af\u306f2\u6b73\u3088\u308a\u6709\u610f\u306b\u9ad8\u3044\u3002<\/li>\n\n\n\n<li>\u5c48\u8171\u708e\u306e\u518d\u767a\u7387\uff1aJRA\u7af6\u8d70\u99ac\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u30bb\u30f3\u30bf\u30fc\uff08\u5e38\u78d0\u652f\u6240\uff09\u306e\u8abf\u67fb\u3067\u306f\u3001\u8abf\u67fb\u5bfe\u8c61\u99ac\u5168\u4f53\u306e\u7af6\u8d70\u5fa9\u5e30\u738764.0%\u3001\u518d\u767a\u738743.0%\u3002\u91cd\u75c7\u5ea6\u5225\u3067\u306f\u640d\u50b7\u7387\u306e\u5c0f\u3055\u3044I\u7fa4\u30fbII\u7fa4\u306e\u518d\u767a\u7387\uff0855.6%\u300151.9%\uff09\u304c\u3080\u3057\u308d\u91cd\u75c7\u306eIII\u7fa4\u30fbIV\u7fa4\uff0827.8%\u300121.4%\uff09\u3088\u308a\u9ad8\u304b\u3063\u305f\uff08\u8efd\u75c7\u3086\u3048\u306b\u65e9\u671f\u306b\u5f37\u3044\u8abf\u6559\u3078\u623b\u3057\u518d\u767a\u3059\u308b\u50be\u5411\u3092\u793a\u5506\uff09\u3002<\/li>\n\n\n\n<li>\u7b20\u5d8b\u5feb\u5468\uff08JRA\u7af6\u8d70\u99ac\u7dcf\u5408\u7814\u7a76\u6240\u81e8\u5e8a\u533b\u5b66\u7814\u7a76\u5ba4\uff09\uff1a\u5c48\u8171\u708e\u306f\u300c\u7af6\u8d70\u99ac\u306e\u4e0d\u6cbb\u306e\u75c5\u300d\u3067\u3042\u308a\u3001\u30ad\u30f3\u30b0\u30ab\u30e1\u30cf\u30e1\u30cf\u306e\u5f15\u9000\u7406\u7531\u306b\u3082\u306a\u3063\u305f\u3002\u8171\u5185\u6e29\u5ea6\u304c\u9ad8\u901f\u30ae\u30e3\u30ed\u30c3\u30d7\u4e2d\u306b45\u2103\u8fd1\u304f\u307e\u3067\u4e0a\u6607\u3057\u3001\u30b3\u30e9\u30fc\u30b2\u30f3\u304c42\u2103\u3067\u5909\u6027\u3059\u308b\u3053\u3068\u304c\u75c5\u614b\u306e\u4e00\u56e0\u3002\u300c\u3042\u308b\u7a0b\u5ea6\u306e\u5f37\u3055\u3092\u6301\u3064\u904b\u52d5\u3092\u9577\u671f\u9593\u7d9a\u3051\u308b\u3053\u3068\u300d\u304c\u5909\u6027\u306e\u4e3b\u56e0\u3067\u3042\u308a\u3001\u80b2\u6210\u99ac\u3082\u65e5\u3005\u306e\u8abf\u6559\u3067\u78ba\u5b9f\u306b\u767a\u75c7\u304c\u5897\u52a0\u3057\u3066\u3044\u308b\u3002\u80b2\u6210\u6bb5\u968e\u3067\u306e\u904b\u52d5\u76f4\u5f8c\u306e\u51b7\u5374\uff08\u30a2\u30a4\u30b7\u30f3\u30b0\uff09\u304c\u4e88\u9632\u7b56\u3068\u3057\u3066\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u30022001\u5e74\u306eJRA\u4e8b\u6545\u7d71\u8a08\u3067\u306f\u5c48\u8171\u708e\u767a\u75c7950\u982d\u306b\u5bfe\u3057\u5c48\u8171\u5168\u65ad\u88c2\u306f14\u982d\u3067\u3001\u5c48\u8171\u708e\u306f\u300c\u8171\u304c\u5207\u308c\u308b\u75c5\u6c17\u300d\u3067\u306f\u306a\u304f\u4e00\u90e8\u306e\u8171\u7dda\u7dad\u306e\u5909\u6027\u30fb\u65ad\u88c2\u3067\u3042\u308b\u3053\u3068\u306b\u7559\u610f\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u6d77\u5916\u306e\u80b2\u6210\u30fb\u8abf\u6559\u30c7\u30fc\u30bf\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8c6a\u5dde\u30af\u30a4\u30fc\u30f3\u30ba\u30e9\u30f3\u30c9\u306e2\u6b73\u99ac\u30b3\u30db\u30fc\u30c8\uff08Crawford et al., Animals 2020\uff09\uff1a2\u6b73\u99ac\u306e\u904b\u52d5\u5668\u640d\u50b7\uff08MSI\uff09\u767a\u751f\u7387\u306f\u9ad8\u9f62\u99ac\u3088\u308a\u6709\u610f\u306b\u9ad8\u3044\uff08p&lt;0.001\uff09\u30022\u6b73\u99ac\u3067\u6700\u3082\u591a\u3044\u306e\u306f\u7ba1\u9aa8\u9aa8\u819c\u708e\uff08dorsal metacarpal disease\u3001\u3044\u308f\u3086\u308b&#8221;\u30d0\u30c3\u30af\u30bd\u30a2\/sore shins&#8221;\uff09\u30022\u6b73\u99ac\u306f\u7e4b\u976d\u5e2f\u708e\u30fbSDFT\u8171\u708e\u30fb\u7a2e\u5b50\u9aa8\u9aa8\u6298\u306f\u9ad8\u9f62\u99ac\u3088\u308a\u5c11\u306a\u3044\u3002<\/li>\n\n\n\n<li>Cogger et al.(2006, Prev Vet Med)\uff1a\u8c6a\u5dde2\u6b73\u99ac274\u982d\u306e\u7e26\u65ad\u7814\u7a76\u3067\u3001\u521d\u56de\u306e\u901f\u3044\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u671f\u9593\u4e2d\u306b40%\u304cMSI\u3092\u767a\u75c7\u3057\u305f\u3002<\/li>\n\n\n\n<li>\u7c73\u56fdEquine Injury Database\uff08MDPI Animals 2023\uff09\uff1a2\u6b73\u99ac\u306f\u901a\u5e38\u3001\u81f4\u6b7b\u7684\u9aa8\u6298\u30ea\u30b9\u30af\u306f\u6700\u3082\u4f4e\u3044\u5e74\u9f62\u5c64\u3060\u304c\u30012020\u5e74\uff08COVID\u3067\u8abf\u6559\u958b\u59cb\u304c\u9045\u5ef6\uff09\u306b\u306f2\u6b73\u99ac\u306e\u81f4\u6b7b\u7684MSI\u304c\u6709\u610f\u306b\u5897\u52a0\u3002\u300c\u8abf\u6559\u958b\u59cb\u5e74\u9f62\u304c\u9045\u3044\u307b\u3069\u640d\u50b7\u30cf\u30b6\u30fc\u30c9\u304c\u4e0a\u6607\u300d\uff08HR 1.13, 95%CI 1.06-1.19, p&lt;0.001\uff09\u3057\u3001\u9069\u5207\u306a\u6f38\u9032\u7684\u8abf\u6559\u306e\u91cd\u8981\u6027\u3092\u793a\u3059\u3002<\/li>\n\n\n\n<li>SDFT\u8171\u708e\u306e\u518d\u767a\u7387\uff1a\u82f1\u56fd\u30fb\u56fd\u969b\u30c7\u30fc\u30bf\u306742.8\u301c58%\u3002\u9999\u6e2f\u30b8\u30e7\u30c3\u30ad\u30fc\u30af\u30e9\u30d6\u3067\u306f\u5168\u5f15\u9000\u306e14%\u304cSDFT\u8171\u708e\u306b\u3088\u308b\uff08Hong Kong 469\u982d\u7814\u7a76\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2. PRP\u6cbb\u7642\u306e\u6982\u8981\uff08\u73fe\u5834\u5411\u3051\u7c21\u6613\u8aac\u660e\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>PRP\u3068\u306f\u4f55\u304b\uff1a<\/strong> \u99ac\u81ea\u8eab\u306e\u8840\u6db2\u3092\u63a1\u53d6\u3057\u3001\u9060\u5fc3\u5206\u96e2\u3057\u3066\u8840\u5c0f\u677f\u3092\u6fc3\u7e2e\u3057\u305f\u8840\u6f3f\uff08platelet-rich plasma\uff09\u3002\u8840\u5c0f\u677f\u306f\u901a\u5e38\u306e\u7d042\u301c8\u500d\uff08\u30b7\u30b9\u30c6\u30e0\u306b\u3088\u308a\u6700\u592718\u500d\uff09\u306b\u6fc3\u7e2e\u3055\u308c\u308b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u4f5c\u7528\u6a5f\u5e8f\uff1a<\/strong> \u8840\u5c0f\u677f\u306e\u03b1\u9846\u7c92\u306b\u542b\u307e\u308c\u308b\u6210\u9577\u56e0\u5b50\uff08PDGF, TGF-\u03b2, IGF-1, VEGF, EGF\u7b49\uff09\u304c\u640d\u50b7\u90e8\u3067\u653e\u51fa\u3055\u308c\u3001\u8171\u7d30\u80de\uff08tenocyte\uff09\u306e\u5897\u6b96\u3001\u30b3\u30e9\u30fc\u30b2\u30f3\u30fb\u57fa\u8cea\u5408\u6210\u3001\u8840\u7ba1\u65b0\u751f\u3092\u4fc3\u9032\u3059\u308b\u3002Bosch et al.(2010, J Orthop Res)\u306e\u5b9f\u9a13\u7684\u7814\u7a76\u3067\u306f\u3001PRP\u6295\u4e0e\u8171\u306f\u30b3\u30e9\u30fc\u30b2\u30f3\u30fb\u30b0\u30ea\u30b3\u30b5\u30df\u30ce\u30b0\u30ea\u30ab\u30f3\u30fb\u7d30\u80de\u5bc6\u5ea6\uff08DNA\u542b\u91cf\uff09\u304c\u5bfe\u7167\u3088\u308a\u6709\u610f\u306b\u9ad8\u304f\uff08\u305d\u308c\u305e\u308cp=0.039, 0.038, 0.034\uff09\u3001\u30b3\u30e9\u30fc\u30b2\u30f3\u7dda\u7dad\u3068\u7dda\u7dad\u82bd\u7d30\u80de\u306e\u914d\u5217\u304c\u3088\u308a\u6574\u7136\u3068\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8abf\u88fd\u30fb\u6295\u4e0e\u306e\u6d41\u308c\uff1a<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u9838\u9759\u8108\u304b\u3089\u63a1\u8840\uff08\u901a\u5e3830\u301c60mL\u7a0b\u5ea6\uff09<\/li>\n\n\n\n<li>\u5c02\u7528\u30ad\u30c3\u30c8\u307e\u305f\u306f\u9060\u5fc3\u6a5f\u306715\u301c45\u5206\u51e6\u7406\uff08\u30b7\u30b9\u30c6\u30e0\u306b\u3088\u308b\uff09<\/li>\n\n\n\n<li>\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u4e0b\u306b\u75c5\u5909\u90e8\u3078\u5c40\u6240\u6ce8\u5c04\uff08\u8171\u5185\/\u976d\u5e2f\u5185\uff09\u3001\u307e\u305f\u306f\u95a2\u7bc0\u5185\u6ce8\u5c04<\/li>\n\n\n\n<li>\u6d3b\u6027\u5316\uff08\u5869\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u7b49\uff09\u3092\u884c\u3046\u5834\u5408\u3068\u3001\u6ed1\u6db2\u3067\u81ea\u7136\u6d3b\u6027\u5316\u3059\u308b\u5834\u5408\u304c\u3042\u308b<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>LR-PRP vs LP-PRP\uff1a<\/strong> \u767d\u8840\u7403\u3092\u591a\u304f\u542b\u3080leukocyte-rich\uff08LR-PRP\uff09\u3068\u767d\u8840\u7403\u3092\u9664\u3044\u305fleukocyte-poor\uff08LP-PRP\uff09\u304c\u3042\u308b\u3002\u8171\u30fb\u976d\u5e2f\u640d\u50b7\u306b\u306fLR-PRP\u3001\u95a2\u7bc0\u5185\u306b\u306f\u708e\u75c7\u3092\u907f\u3051\u308b\u305f\u3081LP-PRP\u304c\u9069\u3059\u308b\u3068\u3044\u3046\u8b70\u8ad6\u304c\u3042\u308b\u304c\u3001\u6c7a\u7740\u3057\u3066\u3044\u306a\u3044\u3002\u767d\u8840\u7403\u306f\u708e\u75c7\u60f9\u8d77\u4f5c\u7528\u304c\u3042\u308a\u8171\u6cbb\u7652\u306b\u4e0d\u5229\u3068\u306e\u6307\u6458\u304b\u3089\u3001\u767d\u8840\u7403\u3092\u6e1b\u3089\u3057\u305f\u81ea\u5df1\u30b3\u30f3\u30c7\u30a3\u30b7\u30e7\u30cb\u30f3\u30b0\u8840\u6f3f\uff08ACS\uff09\u3082\u958b\u767a\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. \u30a8\u30d3\u30c7\u30f3\u30b9\u30fb\u81e8\u5e8a\u30c7\u30fc\u30bf\uff08\u75be\u60a3\u5225\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5c48\u8171\u708e\uff08SDFT\uff09\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bosch et al.(2010, J Orthop Res 28:211-217)\uff1a\u5916\u79d1\u7684\u306b\u4f5c\u6210\u3057\u305fSDFT\u4e2d\u5fc3\u75c5\u5909\u3067\u3001PRP\u7fa4\u306f\u751f\u5316\u5b66\u7684\u30fb\u7d44\u7e54\u5b66\u7684\u306b\u512a\u308c\u305f\u4fee\u5fa9\u3092\u793a\u3057\u305f\uff08\u5b9f\u9a13\u7814\u7a76\u3001\u99ac6\u982d\u3001\u4e21\u524d\u80a2\u3067PRP\u5bfe\u751f\u7406\u98df\u5869\u6c34\u300124\u9031\u8a55\u4fa1\uff09\u3002<\/li>\n\n\n\n<li>Geburek et al.(2016, BMC Vet Res 12:191)\uff1a\u81ea\u7136\u767a\u75c7SDFT\u8171\u75c720\u982d\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u30d7\u30e9\u30bb\u30dc\u5bfe\u7167\u8a66\u9a13\uff08PRP\u7fa410\u982d\u3001\u5bfe\u716710\u982d\u300124\u9031\u307e\u3067\u8ffd\u8de1\uff09\u3002PRP\u7fa4\u306f8\u9031\u3067\u8ddb\u884c\u304c\u6709\u610f\u306b\u6e1b\u5c11\uff08\u5bfe\u7167\u7fa4\u306f12\u9031\uff09\u3002<strong>12\u30f6\u6708\u6642\u70b9\u3067\u524d\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u4ee5\u4e0a\u306b\u5fa9\u5e30\u3057\u305f\u5272\u5408\u306fPRP\u7fa480%\u5bfe\u5bfe\u7167\u7fa450%\u300124\u30f6\u6708\u6642\u70b9\u3067\u306f60%\u5bfe50%\u3002<\/strong> \u8d85\u97f3\u6ce2\u7d44\u7e54\u6027\u72b6\u8a3a\u65ad\uff08UTC\uff09\u3067\u4fee\u5fa9\u7d44\u7e54\u306e\u7dda\u7dad\u914d\u5217\u304cPRP\u7fa4\u3067\u3088\u308a\u9032\u3093\u3060\u3002\u767a\u75c78\u9031\u4ee5\u5185\u306e\u65e9\u671f\u6cbb\u7642\u304c\u63a8\u5968\u3055\u308c\u308b\u3002\u3053\u308c\u306fPRP\u5358\u72ec\u3067\u518d\u767a\u7387\u3092\u5831\u544a\u3057\u305f\u6570\u5c11\u306a\u3044\u7814\u7a76\u306e\u4e00\u3064\u3067\u3001\u518d\u767a\u30aa\u30c3\u30ba\u6bd4\u306f1.00\uff08\u5bfe\u7167\u3068\u5dee\u306a\u3057\uff09\u3002<\/li>\n\n\n\n<li>Zuffova et al.(2013, Vet Med)\uff1a\u7af6\u8d70\u30b5\u30e9\u30d6\u30ec\u30c3\u30c9\u306eSDFT\u75c5\u5909\u306bPRP\u6295\u4e0e\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7e4b\u976d\u5e2f\u708e\uff08suspensory ligament desmitis\uff09\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Waselau et al.(2008, JAVMA 232:1515-1520)\uff1a\u4e2d\u90e8\u7e4b\u976d\u5e2f\u708e\uff08midbody SD\uff09\u306e\u6a19\u6e96\u7a2e\uff08Standardbred\uff099\u982d\u306bPRP\u5358\u56de\u6295\u4e0e\uff0b\u6f38\u9032\u7684\u904b\u52d5\u30013\u5e74\u9593\u8ffd\u8de1\u3002<strong>9\u982d\u5168\u982d\uff08100%\uff09\u304c28\u301c68\u9031\u3067\u7af6\u8d70\u5fa9\u5e30\u30021\u30fb2\u5e74\u76ee\u306f9\u982d\u304c\u51fa\u8d70\u30013\u5e74\u76ee\u306f5\u982d\u3002\u6709\u5bb3\u4e8b\u8c61\u306a\u3057\u3002<\/strong> 1\u5e74\u76ee\u306f\u30ec\u30fc\u30b9\u3042\u305f\u308a\u53ce\u76ca\u304c\u4f4e\u4e0b\u3057\u305f\u304c\u3001\u305d\u306e\u5f8c\u306f\u540c\u671f\u3068\u540c\u7b49\u306e\u7af6\u8d70\u6210\u7e3e\u3002<\/li>\n\n\n\n<li>\u30a4\u30bf\u30ea\u30a2\u306e\u7814\u7a76\uff08J Equine Vet Sci 2015\uff09\uff1a\u6025\u6027\u8fd1\u4f4d\u7e4b\u976d\u5e2f\u708e20\u982d\u306bPRP\u3002<strong>16\u982d\u304c12\u301c24\u9031\u3067\u5fa9\u5e30\u30014\u982d\u304c\u5225\u90e8\u4f4d\uff08\u4e2d\u90e8\u30fb\u5185\u5074\u679d\uff09\u3067\u518d\u767a\u3002<\/strong> PRP\u306e\u8840\u5c0f\u677f\u6fc3\u5ea6\u306f\u8840\u4e2d\u306e6\u301c20\u500d\uff08\u4e2d\u592e\u50241,045\u00d710\u00b3\/\u03bcL\uff09\u3002\u75c5\u5909\u306e\u4e2d\u592e\u65ad\u9762\u7a4d\u306f\u521d\u8a3a\u664230%\u3002<\/li>\n\n\n\n<li>Giunta et al.(2019, Res Vet Sci)\uff1a\u30a6\u30a7\u30b9\u30bf\u30f3\u7af6\u6280\u99ac\u306e\u8fd1\u4f4d\u7e4b\u976d\u5e2f\u75db\u3067\u3001PRP\u3068\u4f53\u5916\u885d\u6483\u6ce2\uff08ESWT\uff09\u3092\u6bd4\u8f03\u3002ESWT\u7fa4\u304cPRP\u7fa4\u3088\u308a\u5fa9\u5e30\u78ba\u7387\u304c3.8\u500d\u9ad8\u304b\u3063\u305f\uff08PRP\u306b\u4e0d\u5229\u306a\u7d50\u679c\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u82e5\u99ac\u306e\u7a2e\u5b50\u9aa8\u708e\u30fb\u7e4b\u976d\u5e2f\u679d\u708e\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Garrett et al.(2013, JAVMA 243:120-125)\uff1a1\u6b73\u30b5\u30e9\u30d6\u30ec\u30c3\u30c939\u982d\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u3002\u7a2e\u5b50\u9aa8\u708e\u75c7\uff0b\u7e4b\u976d\u5e2f\u679d\u708e\uff08SLB desmitis\uff09\u306bPRP\uff08\u767d\u8840\u7403\u30fb\u8840\u5c0f\u677f\u30ea\u30c3\u30c1\uff09\u307e\u305f\u306f\u751f\u7406\u98df\u5869\u6c34\u3092\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u4e0b\u306b\u6295\u4e0e\u3002<strong>PRP\u7fa4\u306f\u751f\u7406\u98df\u5869\u6c34\u7fa4\u3088\u308a2\u6b73\u6642\u306b\u51fa\u8d70\u3092\u958b\u59cb\u3059\u308b\u78ba\u7387\u304c\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f<\/strong>\u304c\u3001\u51fa\u8d70\u5f8c\u306e\u7af6\u8d70\u6210\u7e3e\u306f\u4e21\u7fa4\u540c\u7b49\u3002\u306a\u304a\u3001\u5225\u7814\u7a76\u3067\u306f\u7a2e\u5b50\u9aa8\u708e\u6240\u898b\u306f\u7e4b\u976d\u5e2f\u679d\u640d\u50b7\u306e\u767a\u75c7\u30ea\u30b9\u30af\u3092\u7d045\u500d\u306b\u9ad8\u3081\u308b\u3068\u3055\u308c\u3001\u82e5\u99ac\u306e\u65e9\u671f\u4ecb\u5165\u306e\u6839\u62e0\u3068\u306a\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u95a2\u7bc0\u75be\u60a3\uff08OA\/\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\uff09\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Peng et al.(2024, Equine Veterinary Journal)\uff1a\u99ac\u95a2\u7bc0\u75be\u60a3\u306b\u5bfe\u3059\u308bPRP\u88fd\u5264\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u30fb\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3002\u81e8\u5e8a\u6210\u7e3e\u3067\u7fa4\u9593\u306b\u6709\u610f\u306a\u6539\u5584\uff08OR 36.64; 95%CI 3.69-364.30; p&lt;0.05\uff09\u3002\u300cPRP\u88fd\u5264\u306e\u95a2\u7bc0\u5185\u6295\u4e0e\u306f\u99acOA\u6cbb\u7642\u306b\u6709\u52b9\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u300d\u304c\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u304c\u5c11\u306a\u304f\u88fd\u5264\u306e\u591a\u69d8\u6027\u304c\u7d50\u8ad6\u306b\u5f71\u97ff\u3059\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff08\u6700\u91cd\u8981\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M&#8217;Cloud et al.(2024, JAVMA 262:S50-S60)\uff1aPRISMA\u6e96\u62e0\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u30fb\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u300221\u7814\u7a76\u3092\u63a1\u7528\u300117\u7814\u7a76\u3092\u30e1\u30bf\u89e3\u6790\u3002<strong>\u7d50\u8ad6\uff1aPRP\u30fbMSC\u30fb\u4f75\u7528\u306e\u3044\u305a\u308c\u3082\u300c\u7af6\u8d70\u5fa9\u5e30\u7387\u300d\u3092\u6709\u610f\u306b\u9ad8\u3081\u306a\u304b\u3063\u305f\uff08\u03c7\u00b2=0.16, p=.92\uff09\u3002\u4e00\u65b9\u3001\u518d\u767a\u30ea\u30b9\u30af\u306fMSC\u5358\u72ec\u30fbMSC+PRP\u4f75\u7528\u3067\u6709\u610f\u306b\u4f4e\u4e0b\uff08\u30d7\u30fc\u30eb\u518d\u767aOR 0.29; 95%CI 0.18-0.46\uff09\u3002<\/strong> PRP\u5358\u72ec\u306e\u518d\u767a\u7387\u3092\u5831\u544a\u3057\u305f\u306e\u306f1\u7814\u7a76\u306e\u307f\uff08OR 1.00\uff09\u3002\u7814\u7a76\u306e\u8cea\u306f\u5168\u822c\u306b\u4f4e\u304f\uff08Jadad\u30b9\u30b3\u30a2\u306721\u7814\u7a76\u4e2d&#8221;\u826f\u8cea&#8221;\u306fGarrett\u3068Giunta\u306e2\u7814\u7a76\u306e\u307f\uff09\u3001\u76f2\u691c\u5316\u3055\u308c\u3066\u304a\u3089\u305a\u30d0\u30a4\u30a2\u30b9\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u70b9\u306b\u6ce8\u610f\u3002<\/li>\n\n\n\n<li>Tenodesmic\u75c5\u5909\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff08MDPI Animals 2021, 11:793\uff09\uff1a24\u7814\u7a76\u3092\u30ec\u30d3\u30e5\u30fc\u300115\u7814\u7a76\u3092\u30e1\u30bf\u89e3\u6790\u3002PRP\u7fa4\u3068\u5bfe\u7167\u7fa4\u3067\u6709\u610f\u5dee\u306a\u3057\u3002\u300cPRP\u304c\u8171\u30fb\u976d\u5e2f\u6cbb\u7652\u3092\u4fc3\u9032\u3059\u308b\u3068\u3044\u3046\u6c7a\u5b9a\u7684\u8a3c\u62e0\u306f\u306a\u3044\u300d\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5e79\u7d30\u80de\uff08MSC\uff09\u306e\u53c2\u7167\u6210\u7e3e\uff1a<\/strong> Beerts et al.(2017)\u306e\u8171\u30fb\u976d\u5e2f\u640d\u50b72\u5e74\u8ffd\u8de1\u3067\u306f\u300112\u30f6\u6708\u3067SL 83.8%\/SDFT 79.2%\u304c\u524d\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u5fa9\u5e30\u3001\u518d\u767a\u7387\u306f12\u30f6\u6708\u3067SL 11.8%\/SDFT 12.5%\u3002\u6587\u732e\u30e1\u30bf\u89e3\u6790\u3067\u7d30\u80de\u7642\u6cd5\u306e2\u5e74\u518d\u767a\u738718%\uff0895%CI 0.11-0.25\uff09\u306f\u5f93\u6765\u7642\u6cd544%\uff0895%CI 0.37-0.51\uff09\u3088\u308a\u6709\u610f\u306b\u4f4e\u3044\uff08p&lt;0.0001\uff09\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u7dcf\u62ec\uff1a<\/strong> PRP\u306f(1)\u7d44\u7e54\u5b66\u7684\u30fb\u8d85\u97f3\u6ce2\u7684\u306a\u4fee\u5fa9\u306e\u8cea\u3092\u6539\u5584\u3057\u3001(2)\u8ddb\u884c\u6d88\u5931\u3068\u5fa9\u5e30\u3092\u65e9\u3081\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u304c\u3001(3)\u6700\u7d42\u7684\u306a\u7af6\u8d70\u5fa9\u5e30\u7387\u3084\u518d\u767a\u7387\u306e\u6539\u5584\u306f\u5358\u72ec\u3067\u306f\u8a3c\u660e\u3055\u308c\u3066\u3044\u306a\u3044\u3002\u518d\u767a\u4e88\u9632\u3092\u6700\u512a\u5148\u3059\u308b\u306a\u3089\u5e79\u7d30\u80de\uff08MSC\uff09\u307e\u305f\u306fMSC+PRP\u4f75\u7528\u304c\u73fe\u6642\u70b9\u3067\u6700\u3082\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u5f37\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. \u9069\u5fdc\u75c7\u3068\u767a\u75c7\u30d1\u30bf\u30fc\u30f3\uff08\u80b2\u6210\u671f\u30fb\u8abf\u6559\u671f\u30fb\u73fe\u5f79\uff09<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u6642\u671f<\/th><th>\u597d\u767a\u75be\u60a3<\/th><th>PRP\u9069\u5fdc<\/th><\/tr><\/thead><tbody><tr><td>1\u6b73\u80b2\u6210<\/td><td>OCD\uff08\u98db\u7bc0\u30fb\u7403\u7bc0\u30fb\u819d\u3001\u7d0423%\uff09\u3001\u7a2e\u5b50\u9aa8\u708e\u3001\u7e4b\u976d\u5e2f\u679d\u708e\u3001\u9aa8\u819c\u708e<\/td><td>\u7a2e\u5b50\u9aa8\u708e\/\u7e4b\u976d\u5e2f\u679d\u708e\u306f\u9069\u5fdc\uff08Garrett\uff09\u3002OCD\u306f\u95a2\u7bc0\u93e1\u624b\u8853\u304c\u6a19\u6e96<\/td><\/tr><tr><td>\u8abf\u6559\u671f\uff081-2\u6b73\uff09<\/td><td>\u7ba1\u9aa8\u9aa8\u819c\u708e\uff08sore shins\uff09\u3001\u82e5\u9f62\u306e\u8171\u976d\u5e2f\u640d\u50b7\u3001\u5265\u96e2\u9aa8\u6298<\/td><td>\u8efd\u5ea6\u306e\u8171\u976d\u5e2f\u640d\u50b7\u306b\u9069\u5fdc<\/td><\/tr><tr><td>\u73fe\u5f79<\/td><td>\u5c48\u8171\u708e\uff08SDFT\uff09\u3001\u7e4b\u976d\u5e2f\u708e\u3001\u95a2\u7bc0\u708e\/OA<\/td><td>\u8efd\u301c\u4e2d\u7b49\u5ea6\u306b\u9069\u5fdc<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">OCD\uff08\u96e2\u65ad\u6027\u9aa8\u8edf\u9aa8\u75c7\uff09\u306f\u65e5\u9ad8\u80b2\u6210\u7267\u5834\u306e\u8cc7\u6599\u306b\u3088\u308c\u3070\u98db\u7bc0\u306b\u6700\u591a\u3067\u3001\u300c\u307b\u307c\u5168\u3066\u306e\u75c7\u4f8b\u3067\u8ddb\u884c\u304a\u3088\u3073\u75bc\u75db\u3092\u793a\u3055\u306a\u3044\u300d\u3053\u3068\u304c\u591a\u304f\u3001\u30ec\u30f3\u30c8\u30b2\u30f3\u6240\u898b\u306e\u307f\u3067\u81e8\u5e8a\u75c7\u72b6\u304c\u306a\u3051\u308c\u3070\u624b\u8853\u4e0d\u8981\u3068\u306e\u898b\u65b9\u304c\u4e00\u822c\u7684\uff08G\u2160\u52dd\u3061\u99ac\u306b\u3082OCD\u4fdd\u6709\u99ac\u306f\u591a\u3044\uff09\u3002\u8c6a\u5dde1\u6b73\u99ac1,962\u982d\u306e\u8abf\u67fb\uff08Russell et al. 2017, EVJ\uff09\u3067\u306fOCD\u5168\u4f53\u6709\u75c5\u738723%\uff08\u819d10%\u3001\u98db\u7bc06%\u3001\u7403\u7bc08%\uff09\u3002\u305f\u3060\u3057\u5e02\u5834\u3067\u306e\u9ad8\u984d\u58f2\u5374\u3092\u72d9\u3046\u5834\u5408\u306f\u7121\u75c7\u72b6\u3067\u3082\u9664\u53bb\u624b\u8853\u3092\u9078\u629e\u3059\u308b\u6226\u7565\u7684\u5224\u65ad\u3082\u3042\u308a\u3046\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. \u6cbb\u7642\u30d7\u30ed\u30c8\u30b3\u30eb\u3068\u904b\u7528\u30d5\u30ed\u30fc<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6a19\u6e96\u7684\u306a\u6d41\u308c\uff1a<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u8a3a\u65ad<\/strong>\uff1a\u8ddb\u884c\u691c\u67fb\uff08AAEP\u8ddb\u884c\u30b9\u30b3\u30a20-5\uff09\u3001\u8d85\u97f3\u6ce2\uff08B-mode\uff0bUTC\uff1dultrasound tissue characterization\uff09\u3001X\u7dda\uff08\u9aa8\u75c5\u5909\u30fbOCD\uff09\u3001\u5fc5\u8981\u306b\u5fdc\u3058MRI<\/li>\n\n\n\n<li><strong>PRP\u51e6\u7f6e<\/strong>\uff1a\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u4e0b\u306b\u75c5\u5909\u90e8\u6ce8\u5c04\u3002\u5c48\u8171\u708e\u3067\u306f\u767a\u75c78\u9031\u4ee5\u5185\u306e\u65e9\u671f\u6295\u4e0e\u304c\u63a8\u5968\uff08Geburek\uff09\u3002\u7e4b\u976d\u5e2f\u3067\u306f\u6700\u521d\u306e\u6ce8\u5c04\u90e8\u4f4d\u306e\u9060\u4f4d\u30fb\u8fd1\u4f4d1\u301c2cm\u306b\u3082\u8ffd\u52a0\u6ce8\u5c04\u3059\u308b\u624b\u6280\u304c\u3042\u308b<\/li>\n\n\n\n<li><strong>\u4f11\u990a\uff0b\u521d\u671f\u7ba1\u7406<\/strong>\uff1a\u6ce8\u5c04\u5f8c3\u65e5\u7a0b\u5ea6\u306e\u99ac\u623f\u5b89\u9759\uff08\u30a4\u30bf\u30ea\u30a2\u7e4b\u976d\u5e2f\u7814\u7a76\u3067\u306f3\u65e5\u9593\u306e\u5305\u5e2f\uff0b\u99ac\u623f\u5b89\u9759\uff09<\/li>\n\n\n\n<li><strong>\u6bb5\u968e\u7684\u904b\u52d5\u518d\u958b\uff08controlled exercise program\uff09<\/strong>\uff1a\u8171\u30fb\u976d\u5e2f\u640d\u50b7\u306e\u6a19\u6e96\u30ea\u30cf\u30d3\u30ea\u306f6\u301c12\u30f6\u6708\u306e\u6f38\u9032\u7684\u904b\u52d5\u518d\u958b\u3002\u5e38\u8db3\u2192\u901f\u6b69\u2192\u99c8\u6b69\u3068\u6bb5\u968e\u7684\u306b\u8ca0\u8377\u3092\u4e0a\u3052\u3001\u5404\u6bb5\u968e\u3067\u8d85\u97f3\u6ce2\u518d\u691c\uff08\u5178\u578b\u7684\u306b\u306f4\u301c6\u9031\u3054\u3068\u3001\u8fd1\u4f4d\u7e4b\u976d\u5e2f\u3067\u306f120\u65e5\u3067\u306eMRI\u518d\u691c\u3082\u63d0\u6848\u3055\u308c\u3066\u3044\u308b\uff09<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u7e4b\u976d\u5e2f\u708e\u306e\u5fa9\u5e30\u671f\u9593\uff1a\u6025\u6027\u524d\u80a2\u8fd1\u4f4d\u306f3\u301c6\u30f6\u6708\u3067\u7d0490%\u304c\u5fa9\u5e30\u3001\u5f8c\u80a2\u8fd1\u4f4d\u3084\u679d\u75c5\u5909\u306f6\u30f6\u6708\u4ee5\u4e0a\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">6. \u7267\u5834\u5185\u30aa\u30da\u30ec\u30fc\u30b7\u30e7\u30f3\u8a2d\u8a08<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u30e2\u30c7\u30ebA\uff1a\u9662\u5185\u5b8c\u7d50\u578b\uff08\u5916\u90e8\u7363\u533b\u5f80\u8a3a\uff0b\u30dd\u30a4\u30f3\u30c8\u30aa\u30d6\u30b1\u30a2\u30ad\u30c3\u30c8\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Arthrex ACP\u7b49\u306e\u5373\u6642\u8abf\u88fd\u30ad\u30c3\u30c8\u3092\u4f7f\u3044\u3001\u63a1\u8840\u304b\u308915\u301c45\u5206\u3067\u6ce8\u5c04\u307e\u3067\u5b8c\u7d50<\/li>\n\n\n\n<li>\u5fc5\u8981\uff1a\u9060\u5fc3\u6a5f\u3001\u7121\u83cc\u51e6\u7406\u30b9\u30da\u30fc\u30b9\u3001\u8d85\u97f3\u6ce2\u8a3a\u65ad\u88c5\u7f6e\u3001\u65bd\u8853\u7363\u533b<\/li>\n\n\n\n<li>\u30e1\u30ea\u30c3\u30c8\uff1a\u642c\u9001\u6642\u9593\u30bc\u30ed\u3001\u65b0\u9bae\u306aPRP\u3092\u5373\u6295\u4e0e\u3001\u30b3\u30b9\u30c8\u4f4e<\/li>\n\n\n\n<li>\u30c7\u30e1\u30ea\u30c3\u30c8\uff1a\u54c1\u8cea\uff08\u8840\u5c0f\u677f\u6fc3\u5ea6\uff09\u304c\u500b\u4f53\u30fb\u30ad\u30c3\u30c8\u3067\u5909\u52d5\u3001\u5c02\u9580\u8a2d\u5099\u6295\u8cc7<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u30e2\u30c7\u30ebB\uff1a\u5916\u90e8\u7363\u533b\u30fbCPC\uff08\u7d30\u80de\u52a0\u5de5\u65bd\u8a2d\uff09\u9023\u643a\u578b<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6db2\u3092CPC\u306b\u642c\u9001\u2192\u52a0\u5de5\u2192\u8fd4\u9001\u3001\u307e\u305f\u306f\u65e2\u88fd\u54c1\uff08VetStem PrecisePRP\u7b49\u306e\u51cd\u7d50\u4e7e\u71e5\u540c\u7a2ePRP\uff09\u3092\u53d6\u308a\u5bc4\u305b<\/li>\n\n\n\n<li>\u30e1\u30ea\u30c3\u30c8\uff1a\u54c1\u8cea\u306e\u6a19\u6e96\u5316\u3001\u8a2d\u5099\u6295\u8cc7\u4e0d\u8981\u3001\u51cd\u7d50\u4e7e\u71e5\u54c1\u306f\u51b7\u8535\u4e0d\u8981\u30fb\u5e38\u6e29\u4fdd\u5b582\u5e74<\/li>\n\n\n\n<li>\u30c7\u30e1\u30ea\u30c3\u30c8\uff1a\u642c\u9001\u30ea\u30fc\u30c9\u30bf\u30a4\u30e0\u3001\u88fd\u54c1\u30b3\u30b9\u30c8<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u51cd\u7d50\u4e7e\u71e5\u540c\u7a2ePRP\uff08VetStem PrecisePRP Equine\u3001\u7c73\u56fdFDA\u30ec\u30d3\u30e5\u30fc\u6e08\u307f\u306e\u4f4e\u30ea\u30b9\u30af\u52d5\u7269\u7d30\u80de\u7d44\u7e54\u88fd\u54c1ACTP\uff09\uff1a18\u982d\u306e\u30c9\u30ca\u30fc\u99ac\u304b\u3089\u30a2\u30d5\u30a7\u30ec\u30fc\u30b7\u30b9\u3067\u63a1\u53d6\u30fb\u30d7\u30fc\u30eb\u30011\u30d0\u30a4\u30a2\u30eb40\u5104\u8840\u5c0f\u677f\uff0850\u4e07\/\u03bcL\uff09\u3001\u767d\u8840\u74031,500\/\u03bcL\u672a\u6e80\u3002\u63a1\u8840\u30fb\u9060\u5fc3\u4e0d\u8981\u3067\u300c\u6c34\u3067\u518d\u69cb\u6210\u3057\u3066\u5373\u6ce8\u5c04\u300d\u3001\u518d\u69cb\u6210\u5f8c4\u6642\u9593\u4ee5\u5185\u4f7f\u7528\u3002\u305f\u3060\u3057<strong>\u95a2\u7bc0\u5185\u6295\u4e0e\u5c02\u7528<\/strong>\u3067\u30019\u30f6\u6708\u9f62\u672a\u6e80\u306e\u99ac\u3067\u306f\u672a\u8a66\u9a13\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">7. \u6210\u529f\u4e8b\u4f8b<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Geburek 2016\uff1aPRP\u7fa4\u306e80%\u304c12\u30f6\u6708\u3067\u524d\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u4ee5\u4e0a\u306b\u5fa9\u5e30\uff08\u5bfe\u716750%\uff09\u3002<\/li>\n\n\n\n<li>Waselau 2008\uff1a\u7e4b\u976d\u5e2f\u708e\u306e\u6a19\u6e96\u7a2e9\u982d\u5168\u982d\u304c28\u301c68\u9031\u3067\u7af6\u8d70\u5fa9\u5e30\u3001\u6709\u5bb3\u4e8b\u8c61\u306a\u3057\u3002<\/li>\n\n\n\n<li>Garrett 2013\uff1a1\u6b73\u99ac\u306e\u7a2e\u5b50\u9aa8\u708e\/\u7e4b\u976d\u5e2f\u679d\u708e\u3067PRP\u7fa4\u304c2\u6b73\u51fa\u8d70\u958b\u59cb\u7387\u3092\u6709\u610f\u306b\u5411\u4e0a\u3002<\/li>\n\n\n\n<li>\u30a4\u30bf\u30ea\u30a22015\uff1a\u6025\u6027\u7e4b\u976d\u5e2f\u708e20\u982d\u4e2d16\u982d\u304c12\u301c24\u9031\u3067\u5fa9\u5e30\u3002<\/li>\n\n\n\n<li>JRA\u7af6\u8d70\u99ac\u7dcf\u5408\u7814\u7a76\u6240\u81e8\u5e8a\u533b\u5b66\u7814\u7a76\u5ba4\uff08\u798f\u7530\u30012022\u5e74\u300c\u7814\u7a76\u6240\u3060\u3088\u308a\u300d\uff09\uff1a\u99ac\u306e\u5c48\u8171\u708e\u6cbb\u7642\u306bPRP\u3092\u6295\u4e0e\u3057\u305f\u81e8\u5e8a\u5831\u544a\u3002\u7dcf\u7814\u306f\u7b4b\u640d\u50b7\u4fee\u5fa9\u306b\u5bfe\u3059\u308bPRP\u306e\u52b9\u679c\u3082\u7814\u7a76\u4e2d\uff08\u7b2c61\u56de\u7af6\u8d70\u99ac\u306b\u95a2\u3059\u308b\u8abf\u67fb\u7814\u7a76\u767a\u8868\u4f1a\u3001\u4ee4\u548c\u5143\u5e74\u5ea6\uff0f2019\u7b49\u3002Equine Science Vol.55, 2018\u3067\u306f\u5065\u5eb7\u306a\u30b5\u30e9\u30d6\u30ec\u30c3\u30c97\u982d\u3067\u81ea\u5df1\u8840\u7531\u6765PRP\u3092\u4e2d\u6bbf\u7b4b\u306b\u6295\u4e0e\u3059\u308b\u5b9f\u9a13\u7814\u7a76\u3092\u5b9f\u65bd\uff09\u3002\u65e5\u672c\u306e\u81e8\u5e8a\u73fe\u5834\u3067PRP\u304c\u5c48\u8171\u708e\u306b\u5fdc\u7528\u3055\u308c\u3064\u3064\u3042\u308b\u3053\u3068\u3092\u793a\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">8. \u5931\u6557\u4f8b\u30fb\u6ce8\u610f\u70b9\uff08\u9069\u5fdc\u5916\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u91cd\u5ea6\u30fb\u9032\u884c\u4f8b\u306f\u9069\u5fdc\u5916<\/strong>\uff1aSDFT\u65ad\u9762\u7a4d\u304c50%\u4ee5\u4e0a\u306e\u4e2d\u5fc3\u75c5\u5909\u3067\u306f\u7af6\u8d70\u5fa9\u5e30\u7387\u304c11\u301c16%\u307e\u3067\u4f4e\u4e0b\uff08\u9999\u6e2f469\u982d\u7814\u7a76\u3001Hong Kong Jockey Club\uff09\u3002\u91cd\u5ea6\u65ad\u88c2\u306f\u4fdd\u5b58\u7642\u6cd5\/\u5e79\u7d30\u80de\u304c\u59a5\u5f53\u3002<\/li>\n\n\n\n<li><strong>\u5f8c\u80a2\u8fd1\u4f4d\u7e4b\u976d\u5e2f\u708e\u30fb\u6162\u6027\u4f8b<\/strong>\u306f\u4fdd\u5b58\u30fbPRP\u306e\u53cd\u5fdc\u304c\u60aa\u304f\u3001\u5916\u79d1\uff08fasciotomy\/neurectomy\uff09\u304c\u5fc5\u8981\u306a\u3053\u3068\u304c\u591a\u3044\u3002<\/li>\n\n\n\n<li><strong>PRP\u306f\u88fd\u5264\u304c\u6a19\u6e96\u5316\u3055\u308c\u3066\u3044\u306a\u3044<\/strong>\uff1a\u30ad\u30c3\u30c8\u30fb\u500b\u4f53\u3067\u8840\u5c0f\u677f\u6fc3\u5ea6\u30fb\u767d\u8840\u7403\u6570\u304c\u5927\u304d\u304f\u5909\u52d5\u3057\u3001in vitro\u307b\u3069\u81e8\u5e8a\u6210\u7e3e\u304c\u51fa\u306a\u3044\u4e00\u56e0\uff08Geburek\uff09\u3002<\/li>\n\n\n\n<li><strong>\u7af6\u8d70\u5fa9\u5e30\u7387\u306e\u5358\u72ec\u6539\u5584\u306f\u672a\u8a3c\u660e<\/strong>\uff1aM&#8217;Cloud\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u660e\u78ba\u3002\u518d\u767a\u4e88\u9632\u3082PRP\u5358\u72ec\u3067\u306f\u793a\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/li>\n\n\n\n<li><strong>\u6709\u5bb3\u4e8b\u8c61<\/strong>\uff1a\u8efd\u5ea6\u30fb\u4e00\u904e\u6027\u306e\u5c40\u6240\u71b1\u611f\u30fb\u816b\u8139\u3002\u6297\u51dd\u56fa\u5264\u304c\u539f\u56e0\u3068\u7591\u308f\u308c\u305f\u4f8b\u3082\uff08Giunta\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">9. \u4ed6\u6cbb\u7642\u3068\u306e\u6bd4\u8f03<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>\u6cbb\u7642<\/th><th>\u30b3\u30b9\u30c8\/\u56de<\/th><th>\u6709\u52b9\u6027\u30a8\u30d3\u30c7\u30f3\u30b9<\/th><th>\u7279\u5fb4<\/th><\/tr><\/thead><tbody><tr><td><strong>PRP<\/strong><\/td><td>$500\u301c$1,500<\/td><td>\u8ddb\u884c\u65e9\u671f\u6d88\u5931\u30fb\u7d44\u7e54\u8cea\u6539\u5584\u306f\u25cb\u3001\u5fa9\u5e30\u7387\u6539\u5584\u306f\u5358\u72ec\u3067\u672a\u8a3c\u660e<\/td><td>\u81ea\u5df1\u8840\u3001\u9662\u5185\u5b8c\u7d50\u53ef\u3001\u5373\u65e5<\/td><\/tr><tr><td><strong>\u5e79\u7d30\u80de\uff08MSC\uff09<\/strong><\/td><td>$2,000\u301c$4,000<\/td><td>\u518d\u767a\u7387\u4f4e\u6e1b\u3092\u6709\u610f\u306b\u793a\u3059\uff08\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9 OR 0.29\uff09<\/td><td>\u63a1\u53d6\u301c\u57f9\u990a\u306b\u6642\u9593\u3001\u9ad8\u30b3\u30b9\u30c8<\/td><\/tr><tr><td><strong>\u4fdd\u5b58\u7642\u6cd5\uff08\u4f11\u990a\u30fb\u88c5\u8e44\u30fb\u7269\u7406\u7642\u6cd5\uff09<\/strong><\/td><td>\u4f4e<\/td><td>\u6a19\u6e96\u30b1\u30a2\u30016-12\u30f6\u6708<\/td><td>\u518d\u767a\u7387\u304c\u9ad8\u3044\uff08\u5c48\u8171\u708e44-58%\uff09<\/td><\/tr><tr><td><strong>\u30b9\u30c6\u30ed\u30a4\u30c9\u95a2\u7bc0\u6ce8\u5c04<\/strong><\/td><td>\u4f4e\u301c\u4e2d<\/td><td>\u77ed\u671f\u6d88\u708e\u306b\u6709\u52b9<\/td><td>\u8edf\u9aa8\u3078\u306e\u9577\u671f\u5f71\u97ff\u61f8\u5ff5\u3001\u7af6\u8d70\u898f\u7a0b\u6ce8\u610f<\/td><\/tr><tr><td><strong>\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\uff08HA\uff09\u95a2\u7bc0\u6ce8\u5c04<\/strong><\/td><td>\u4e2d<\/td><td>OA\u3067\u5e83\u304f\u4f7f\u7528<\/td><td>\u52b9\u679c\u6301\u7d9a\u3067PRP\u512a\u4f4d\u306e\u5831\u544a\uff08Tang 2020\u30e1\u30bf\u89e3\u6790\uff09\u3068\u5dee\u306a\u3057\u306e\u5831\u544a\uff08Di Martino 2019, 5\u5e74RCT, n=192\uff09\u304c\u4f75\u5b58<\/td><\/tr><tr><td><strong>\u4f53\u5916\u885d\u6483\u6ce2\uff08ESWT\uff09<\/strong><\/td><td>\u4e2d<\/td><td>\u8fd1\u4f4d\u7e4b\u976d\u5e2f\u3067PRP\u3088\u308a\u5fa9\u5e30\u73873.8\u500d\uff08Giunta\uff09<\/td><td>\u93ae\u75db\u52b9\u679c\u3001\u898f\u7a0b\u3067\u4f7f\u7528\u5236\u9650\u3042\u308a<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d2\u30c8\u306e\u30c7\u30fc\u30bf\uff08\u53c2\u8003\uff09\uff1aMagruder et al.(2020, Orthopaedic Journal of Sports Medicine, \u7c73\u56fd\u6574\u5f62\u5916\u79d1\u30b9\u30dd\u30fc\u30c4\u533b\u5b661,345\u65bd\u8a2d\u8abf\u67fb\uff09\u3067PRP\u5e73\u5747$707\uff08SD $388\u3001\u4e2d\u592e\u5024$630\uff09\u5bfe\u5e79\u7d30\u80de\u6ce8\u5c04\u5e73\u5747$2,728\u3002PRP\u3068\u5e79\u7d30\u80de\u306e\u81e8\u5e8a\u6210\u7e3e\u306f\u540c\u7b49\u3068\u3059\u308b\u4e8c\u6b21\u7684\u5f15\u7528\uff08Mayo Clinic\u95a2\u9023\u306e1,100\u4f8b\u306760-70%\u594f\u52b9\uff09\u3082\u6d41\u5e03\u3059\u308b\u304c\u3001\u4e00\u6b21\u67fb\u8aad\u8ad6\u6587\u3067\u306e\u78ba\u8a8d\u306f\u53d6\u308c\u3066\u304a\u3089\u305a\u53c2\u8003\u6271\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">10. \u5c0e\u5165\u306b\u3088\u308b\u73fe\u5834\u6539\u5584\u52b9\u679c<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u99ac\u623f\u7a3c\u50cd\u7387\u30fb\u30ed\u30fc\u30c6\u30fc\u30b7\u30e7\u30f3<\/strong>\uff1a\u65e9\u671f\u306e\u8ddb\u884c\u6d88\u5931\uff08Geburek\uff1a8\u9031\u5bfe12\u9031\uff09\u306b\u3088\u308a\u99ac\u623f\u56de\u8ee2\u3092\u6539\u5584\u3057\u3046\u308b\u3002<\/li>\n\n\n\n<li><strong>\u80b2\u6210\u30ed\u30b9\u4f4e\u6e1b<\/strong>\uff1aGarrett\u306e\u793a\u3059\u3088\u3046\u306b\u3001\u82e5\u99ac\u306e\u7a2e\u5b50\u9aa8\/\u7e4b\u976d\u5e2f\u679d\u75c5\u5909\u3067PRP\u306b\u3088\u308a2\u6b73\u51fa\u8d70\u958b\u59cb\u7387\u304c\u5411\u4e0a\uff1d\u30c7\u30d3\u30e5\u30fc\u9045\u5ef6\u30fb\u65ad\u5ff5\u306e\u6e1b\u5c11\u3002<\/li>\n\n\n\n<li><strong>\u5b9a\u91cf\u5316\u306e\u9650\u754c<\/strong>\uff1a\u7af6\u8d70\u5fa9\u5e30\u7387\u306e\u6709\u610f\u6539\u5584\u304c\u5358\u72ec\u3067\u672a\u8a3c\u660e\u3067\u3042\u308b\u4ee5\u4e0a\u3001ROI\u306f\u300c\u96e2\u8131\u671f\u9593\u77ed\u7e2e\u300d\u300c\u8efd\u75c7\u4f8b\u306e\u65e9\u671f\u5fa9\u5e30\u300d\u300c\u518d\u767a\u4e88\u9632\uff08MSC\u4f75\u7528\u6642\uff09\u300d\u3067\u8a55\u4fa1\u3059\u3079\u304d\u3067\u3001\u904e\u5927\u306a\u671f\u5f85\u306f\u7981\u7269\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">11. \u30b3\u30b9\u30c8\u69cb\u9020<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>PRP 1\u982d\u3042\u305f\u308a<\/strong>\uff1a$500\u301c$1,500\/\u56de\uff08\u99ac\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u306e\u5e73\u5747\u7d04$700\uff09\u3002\u5185\u8a33\uff1d\u63a1\u8840\u30fb\u52a0\u5de5\uff08\u30ad\u30c3\u30c8$98\u301c$500\uff09\u30fb\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u6ce8\u5c04\u30fb\u30ea\u30cf\u30d3\u30ea\u7ba1\u7406\u3002<\/li>\n\n\n\n<li><strong>\u30ad\u30c3\u30c8\u5358\u4fa1<\/strong>\uff1aArthrex ACP\u30c0\u30d6\u30eb\u30b7\u30ea\u30f3\u30b8\u7d04$98\/\u30ad\u30c3\u30c8\uff085\u500b\u7bb1$490\u3001\u4eba\u533b\u30e9\u30a4\u30f3\u53c2\u8003\u4fa1\u683c\uff09\u3002\u99ac\u7528ACP\/ACP Max\u3001\u30be\u30a8\u30c6\u30a3\u30b9 Restigen PRP\u3001E-PET\u3001JorVet Rebound\u7b49\u306f\u7363\u533b\u30a2\u30ab\u30a6\u30f3\u30c8\u9650\u5b9a\u3067\u516c\u958b\u4fa1\u683c\u306a\u3057\u3002<\/li>\n\n\n\n<li><strong>\u5e79\u7d30\u80de<\/strong>\uff1a$2,000\u301c$4,000\/\u56de\uff08\u8102\u80aa\/\u9aa8\u9ac4\u63a1\u53d6\uff0b\u57f9\u990a\uff0b\u6ce8\u5c04\uff09\u3002<\/li>\n\n\n\n<li><strong>\u4fa1\u683c\u6bd4\u8f03<\/strong>\uff1aPRP\u306f\u5e79\u7d30\u80de\u306e\u7d041\/3\u301c1\/5\u3002<\/li>\n\n\n\n<li><strong>\u65e5\u672c\u306e\u76f8\u5834<\/strong>\uff1a\u516c\u958b\u3055\u308c\u305f\u5186\u5efa\u3066\u81e8\u5e8a\u4fa1\u683c\u306f\u78ba\u8a8d\u3067\u304d\u305a\u3002\u4e0a\u8a18\u306f\u7c73\u30c9\u30eb\u304b\u3089\u306e\u63db\u7b97\uff08\u53c2\u8003\uff1a$700\u2252\u7d0411\u4e07\u5186\u3001$2,000\u2252\u7d0431\u4e07\u5186\u3001$155\/\u30c9\u30eb\u63db\u7b97\uff09\u3002\u5b9f\u969b\u306e\u56fd\u5185\u7363\u533b\u8cbb\u7528\u306f\u63d0\u643a\u7363\u533b\u306b\u500b\u5225\u898b\u7a4d\u3082\u308a\u304c\u5fc5\u8981\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">12. \u5c0e\u5165\u30b9\u30ad\u30fc\u30e0\u6bd4\u8f03<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><\/th><th>\u30e2\u30c7\u30ebA\uff08\u9662\u5185\u5b8c\u7d50\uff09<\/th><th>\u30e2\u30c7\u30ebB\uff08\u5916\u90e8CPC\/\u65e2\u88fd\u54c1\u9023\u643a\uff09<\/th><\/tr><\/thead><tbody><tr><td>\u521d\u671f\u6295\u8cc7<\/td><td>\u9ad8\uff08\u9060\u5fc3\u6a5f\u30fb\u8d85\u97f3\u6ce2\u30fb\u51e6\u7406\u8a2d\u5099\uff09<\/td><td>\u4f4e<\/td><\/tr><tr><td>\u904b\u7528\u8ca0\u62c5<\/td><td>\u4e2d\uff08\u8981\u719f\u7df4\u30b9\u30bf\u30c3\u30d5\u30fb\u7363\u533b\uff09<\/td><td>\u4f4e\uff08\u642c\u9001\u30fb\u767a\u6ce8\u306e\u307f\uff09<\/td><\/tr><tr><td>\u54c1\u8cea\u5b89\u5b9a\u6027<\/td><td>\u500b\u4f53\u5dee\u30fb\u30ad\u30c3\u30c8\u5dee\u3067\u5909\u52d5<\/td><td>\u9ad8\uff08\u6a19\u6e96\u5316\u30fb\u65e2\u88fd\u54c1\uff09<\/td><\/tr><tr><td>\u30ea\u30fc\u30c9\u30bf\u30a4\u30e0<\/td><td>\u5373\u65e5<\/td><td>\u642c\u9001\u30fb\u767a\u6ce8\u5f85\u3061<\/td><\/tr><tr><td>\u9069\u5fdc\u306e\u67d4\u8edf\u6027<\/td><td>\u8171\u5185\u30fb\u976d\u5e2f\u5185\u30fb\u95a2\u7bc0\u5185\u5168\u822c<\/td><td>\u65e2\u88fd\u51cd\u7d50\u4e7e\u71e5PRP\u306f\u95a2\u7bc0\u5185\u5c02\u7528<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c0f\u898f\u6a21\u80b2\u6210\u7267\u5834\u306f\u300c\u5916\u90e8\u7363\u533b\u5f80\u8a3a\uff0b\u30dd\u30a4\u30f3\u30c8\u30aa\u30d6\u30b1\u30a2\u30ad\u30c3\u30c8\u300d\u307e\u305f\u306f\u300c\u65e2\u88fd\u54c1\u53d6\u308a\u5bc4\u305b\u300d\u304c\u73fe\u5b9f\u7684\u3002\u5927\u898f\u6a21\u306a\u3089\u9662\u5185\u8a2d\u5099\u6295\u8cc7\u3067\u5185\u88fd\u5316\u3082\u691c\u8a0e\u4f59\u5730\u3042\u308a\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">13. \u5b89\u5168\u6027\u30fb\u502b\u7406\u30fb\u7af6\u8d70\u898f\u7a0b\u5bfe\u5fdc<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5b89\u5168\u6027\uff1a<\/strong> \u81ea\u5df1\u8840\u7531\u6765\u306e\u305f\u3081\u62d2\u7d76\u53cd\u5fdc\u30fb\u611f\u67d3\u30ea\u30b9\u30af\u304c\u4f4e\u3044\u3002\u526f\u4f5c\u7528\u306f\u8efd\u5ea6\u30fb\u4e00\u904e\u6027\u306e\u5c40\u6240\u71b1\u611f\u30fb\u816b\u8139\u306e\u307f\u3002\u540c\u7a2e\u4ed6\u5bb6PRP\uff08PrecisePRP\u7b49\uff09\u3082\u514d\u75ab\u539f\u6027\u306b\u3088\u308b\u6709\u5bb3\u4e8b\u8c61\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\uff08Garbin et al.\u306e\u5b89\u5168\u6027\u8a55\u4fa1\u3067\u3082\u81ea\u5df1\u8840\u88fd\u5264\u3068\u7d71\u8a08\u7684\u306b\u6709\u610f\u5dee\u306a\u3057\uff09\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u65e5\u672c\u306e\u898f\u5236\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u52d5\u7269\u306e\u518d\u751f\u533b\u7642\u306b\u306f\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5\u304c\u9069\u7528\u3055\u308c\u306a\u3044<\/strong>\uff08\u540c\u6cd5\u306f\u4eba\u533b\u7642\u306e\u6cd5\u5f8b\uff09\u3002\u52d5\u7269\u518d\u751f\u533b\u7642\u63a8\u9032\u5354\u8b70\u4f1a\u30fb\u5e73\u5c71\u7d00\u592b\uff08\u65e5\u672c\u7363\u533b\u5e2b\u4f1a\u96d1\u8a8c76:9-15, 2023\uff09\u304c\u660e\u78ba\u5316\uff1a\u300c\u52d5\u7269\u306b\u304a\u3051\u308b\u518d\u751f\u533b\u7642\u306f\uff0c\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5\u306e\u3088\u3046\u306a\u6cd5\u5f8b\u304c\u306a\u3044\u305f\u3081\u7363\u533b\u5e2b\u306e\u88c1\u91cf\u3068\u6a29\u9650\u306e\u3082\u3068\u3067\u5b9f\u65bd\u305b\u3056\u308b\u3092\u5f97\u306a\u3044\u300d\u3002\u518d\u751f\u533b\u7642\u7b49&#8221;\u88fd\u54c1&#8221;\u306f\u85ac\u6a5f\u6cd5\uff08\u4eba\u30fb\u52d5\u7269\u5171\u901a\uff09\u3067\u898f\u5236\u3055\u308c\u308b\u304c\u3001\u300c\u7363\u533b\u5e2b\u307e\u305f\u306f\u98fc\u80b2\u52d5\u7269\u8a3a\u7642\u65bd\u8a2d\u306e\u958b\u8a2d\u8005\u304c\u52d5\u7269\u306e\u75be\u75c5\u306e\u6cbb\u7642\u30fb\u4e88\u9632\u306e\u76ee\u7684\u3067\u4f7f\u7528\u3059\u308b\u305f\u3081\u306b\u518d\u751f\u533b\u7642\u7b49\u88fd\u54c1\u3092\u88fd\u9020\u3059\u308b\u5834\u5408\u300d\u306e\u7701\u4ee4\u4e0a\u306e\u4f8b\u5916\u304c\u3042\u308b\u3002<\/li>\n\n\n\n<li>\u72ac\u732b\u306b\u306f\u65e5\u672c\u7363\u533b\u518d\u751f\u533b\u7642\u5b66\u4f1a\uff08\u73fe\u30fb\u65e5\u672c\u7363\u533b\u518d\u751f\u30fb\u7d30\u80de\u7642\u6cd5\u5b66\u4f1a\uff09\u306e\u81ea\u4e3b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff082018\u300c\u72ac\u53ca\u3073\u732b\u306b\u304a\u3051\u308b\u518d\u751f\u533b\u7642\u53ca\u3073\u7d30\u80de\u7642\u6cd5\u306b\u304a\u3051\u308b\u5b89\u5168\u6027\u78ba\u4fdd\u306b\u95a2\u3059\u308b\u6307\u91dd\u300d\uff09\u304c\u3042\u308b\u304c\u3001\u99ac\u306f\u7363\u533b\u5e2b\u88c1\u91cf\u306e\u9818\u57df\u3002<\/li>\n\n\n\n<li>\u53c2\u8003\uff1a\u4eba\u533b\u7642\u3067\u306fPRP\u306f\u7b2c\u4e09\u7a2e\u518d\u751f\u533b\u7642\u7b49\u306b\u5206\u985e\u3055\u308c\u3001\u56fd\u5185\u306e\u518d\u751f\u533b\u7642\u63d0\u4f9b\u8a08\u753b\u306e\u7d0465%\uff082022\u5e74\u6642\u70b9\uff09\u3092\u5360\u3081\u308b\u6700\u591a\u306e\u518d\u751f\u533b\u7642\u3002\u99ac\u3067\u306f\u540c\u67a0\u7d44\u307f\u306e\u5bfe\u8c61\u5916\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u7af6\u8d70\u898f\u7a0b\uff08\u30c9\u30fc\u30d4\u30f3\u30b0\uff09\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u65e5\u672c\uff1a\u7af6\u99ac\u6cd5\u306b\u3088\u308a\u300c\u305d\u306e\u99ac\u306e\u7af6\u8d70\u80fd\u529b\u3092\u4e00\u6642\u7684\u306b\u9ad8\u3081\u53c8\u306f\u6e1b\u305a\u308b\u85ac\u54c1\u53c8\u306f\u85ac\u5264\u300d\u304c\u7981\u6b62\u85ac\u7269\u3002\u691c\u67fb\u306f\u7af6\u8d70\u99ac\u7406\u5316\u5b66\u7814\u7a76\u6240\uff08IFHA\u30ea\u30d5\u30a1\u30ec\u30f3\u30b9\u30e9\u30dc\u30e9\u30c8\u30ea\u30fc\uff09\u304c\u30011\u301c3\u7740\u99ac\u7b49\u306e\u5c3f\uff08\u63a1\u53d6\u4e0d\u80fd\u6642\u306f\u8840\u6db2\uff09\u3067\u5b9f\u65bd\u3002PRP\u306f\u81ea\u5df1\u7d44\u7e54\u3067\u3042\u308a\u5916\u56e0\u6027\u85ac\u7269\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u30ec\u30fc\u30b9\u5f53\u65e5\u306e\u7406\u5316\u5b66\u691c\u67fb\u306e\u4e3b\u5bfe\u8c61\u3068\u306f\u306a\u3089\u306a\u3044\u3002\u306a\u304a\u6295\u4e0e\u306f\u4f11\u990a\u671f\u306b\u884c\u308f\u308c\u30ec\u30fc\u30b9\u76f4\u524d\u6295\u4e0e\u306f\u60f3\u5b9a\u3055\u308c\u306a\u3044\u3002<\/li>\n\n\n\n<li>FEI\uff1a\u7981\u6b62\u7269\u8cea\u30ea\u30b9\u30c8\uff08EPSL\uff09\u3067\u300cBanned Substances\u300d\u3068\u300cControlled Medication\u300d\u3092\u533a\u5225\u3002\u81ea\u5df1\u8840PRP\u306f\u5916\u56e0\u6027\u7981\u6b62\u7269\u8cea\u3067\u306f\u306a\u3044\u304c\u3001\u7af6\u6280\u524d\u306e\u4f7f\u7528\u6642\u671f\u30fb\u8a18\u9332\uff08Medication Report Form\u7b49\uff09\u8981\u4ef6\u306b\u7559\u610f\u3002<\/li>\n\n\n\n<li>\u80b2\u6210\u6bb5\u968e\u3067\u306e\u4f7f\u7528\uff1a\u30ec\u30fc\u30b9\u51fa\u8d70\u524d\u306e\u80b2\u6210\u30fb\u8abf\u6559\u671f\u3067\u3042\u308a\u3001\u30c9\u30fc\u30d4\u30f3\u30b0\u898f\u5236\u4e0a\u306e\u76f4\u63a5\u7684\u5236\u7d04\u306f\u307b\u307c\u306a\u3044\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u81ea\u5df1\u8840PRP vs \u540c\u7a2e\u4ed6\u5bb6\/\u51cd\u7d50\u4e7e\u71e5PRP\uff1a<\/strong> \u81ea\u5df1\u8840\u306f\u898f\u5236\u30fb\u502b\u7406\u7684\u306b\u3082\u3063\u3068\u3082\u5358\u7d14\u3002\u540c\u7a2e\u30fb\u51cd\u7d50\u4e7e\u71e5\uff08PrecisePRP\uff09\u306f\u7c73\u56fd\u3067FDA\u5be9\u67fb\u6e08\u307fACTP\u3068\u3057\u3066\u6d41\u901a\u3059\u308b\u304c\u3001\u65e5\u672c\u3067\u306f\u85ac\u6a5f\u6cd5\u4e0a\u306e\u8f38\u5165\u30fb\u53d6\u308a\u6271\u3044\u78ba\u8a8d\u304c\u5fc5\u8981\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">14. \u5c06\u6765\u5c55\u671b<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u51cd\u7d50\u4e7e\u71e5\u30fb\u65e2\u88fdPRP\u306e\u666e\u53ca<\/strong>\uff1a\u5e38\u6e29\u4fdd\u5b58\u30fb\u5373\u6642\u4f7f\u7528\u53ef\u80fd\u306aVetStem PrecisePRP\u7b49\u304c\u54c1\u8cea\u6a19\u6e96\u5316\u3068\u5229\u4fbf\u6027\u3092\u4e21\u7acb\u3002\u80b2\u6210\u7267\u5834\u306e\u5728\u5eab\u904b\u7528\u306b\u9069\u3059\u308b\u53ef\u80fd\u6027\uff08\u305f\u3060\u3057\u73fe\u72b6\u306f\u95a2\u7bc0\u5185\u5c02\u7528\uff09\u3002<\/li>\n\n\n\n<li><strong>PRP\u88fd\u5264\u306e\u6a19\u6e96\u5316<\/strong>\uff1a\u8840\u5c0f\u677f\u6fc3\u5ea6\u30fb\u767d\u8840\u7403\u6570\u306e\u898f\u683c\u5316\u304c\u81e8\u5e8a\u6210\u7e3e\u306e\u3070\u3089\u3064\u304d\u89e3\u6d88\u306e\u9375\u3002<\/li>\n\n\n\n<li><strong>MSC\u4f75\u7528\u306e\u4e3b\u6d41\u5316<\/strong>\uff1a\u518d\u767a\u4e88\u9632\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u6700\u3082\u5f37\u3044\u306e\u306fMSC\/MSC+PRP\u4f75\u7528\u3067\u3042\u308a\u3001\u9ad8\u4fa1\u5024\u99ac\u3067\u306f\u4f75\u7528\u30d7\u30ed\u30c8\u30b3\u30eb\u304c\u6a19\u6e96\u5316\u306b\u5411\u304b\u3046\u53ef\u80fd\u6027\u3002<\/li>\n\n\n\n<li><strong>\u80b2\u6210\u6700\u9069\u5316\u3078\u306e\u7d44\u307f\u8fbc\u307f<\/strong>\uff1a\u65e9\u671f\u8a3a\u65ad\uff08UTC\u3001\u30bb\u30ea\u306e\u30ec\u30dd\u30b8\u30c8\u30ea\u30fcX\u7dda\uff09\uff0b\u65e9\u671fPRP\u4ecb\u5165\uff0b\u6bb5\u968e\u7684\u8abf\u6559\u306e\u7d71\u5408\u30d7\u30ed\u30b0\u30e9\u30e0\u3002\u65e5\u672c\u3067\u306fJRA\u7af6\u8d70\u99ac\u7dcf\u5408\u7814\u7a76\u6240\u304c\u5c48\u8171\u708e\u30fb\u7b4b\u640d\u50b7\u3078\u306ePRP\u7814\u7a76\u3092\u9032\u3081\u3066\u304a\u308a\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u84c4\u7a4d\u304c\u671f\u5f85\u3055\u308c\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Recommendations\uff08\u63d0\u8a00\uff09<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u6bb5\u968e1\uff08\u5373\u6642\u30fb\u4f4e\u30ea\u30b9\u30af\uff09\uff1a<\/strong> \u63d0\u643a\u7363\u533b\u3068\u300c\u8efd\u301c\u4e2d\u7b49\u5ea6\u306e\u5c48\u8171\u708e\u30fb\u7e4b\u976d\u5e2f\u708e\u30fb\u82e5\u99ac\u306e\u7a2e\u5b50\u9aa8\/\u7e4b\u976d\u5e2f\u679d\u75c5\u5909\u300d\u306b\u9650\u5b9a\u3057\u305fPRP\u30d1\u30a4\u30ed\u30c3\u30c8\u3092\u958b\u59cb\u3002\u5916\u90e8\u5f80\u8a3a\uff0b\u30dd\u30a4\u30f3\u30c8\u30aa\u30d6\u30b1\u30a2\u30ad\u30c3\u30c8\u65b9\u5f0f\u3067\u521d\u671f\u6295\u8cc7\u3092\u6291\u3048\u308b\u3002\u8a3a\u65ad\u306fUTC\u8d85\u97f3\u6ce2\u3068AAEP\u8ddb\u884c\u30b9\u30b3\u30a2\u3067\u6a19\u6e96\u5316\u3057\u3001\u767a\u75c78\u9031\u4ee5\u5185\u306e\u65e9\u671f\u4ecb\u5165\u3092\u5fb9\u5e95\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u6bb5\u968e2\uff086-12\u30f6\u6708\u5f8c\u30fb\u52b9\u679c\u691c\u8a3c\uff09\uff1a<\/strong> \u30d1\u30a4\u30ed\u30c3\u30c8\u75c7\u4f8b\u306e(1)\u4f11\u990a\u65e5\u6570\u3001(2)2\u6b73\u51fa\u8d70\u958b\u59cb\u7387\u3001(3)\u518d\u767a\u7387\u3092\u7121\u51e6\u7f6e\u306e\u904e\u53bb\u75c7\u4f8b\u3068\u30d9\u30f3\u30c1\u30de\u30fc\u30af\u3002<strong>\u5fa9\u5e30\u307e\u3067\u306e\u65e5\u6570\u304c15%\u4ee5\u4e0a\u77ed\u7e2e\u3001\u307e\u305f\u306f\u82e5\u99ac\u306e\u51fa\u8d70\u958b\u59cb\u7387\u304c\u5411\u4e0a\u3059\u308c\u3070\u672c\u683c\u5c0e\u5165\u3078\u3002<\/strong> \u91cd\u5ea6\u4f8b\uff08\u65ad\u9762\u7a4d50%\u4ee5\u4e0a\u3001\u5f8c\u80a2\u8fd1\u4f4d\u7e4b\u976d\u5e2f\u3001\u6162\u6027\u4f8b\uff09\u306f\u6700\u521d\u304b\u3089\u9069\u5fdc\u5916\u3068\u3057\u3066\u5e79\u7d30\u80de\/\u4fdd\u5b58\u7642\u6cd5\u306b\u632f\u308a\u5206\u3051\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u6bb5\u968e3\uff08\u6761\u4ef6\u4ed8\u304d\u62e1\u5927\uff09\uff1a<\/strong> \u9ad8\u4fa1\u5024\u99ac\u30fb\u518d\u767a\u30ea\u30b9\u30af\u75c7\u4f8b\u306b\u306fMSC+PRP\u4f75\u7528\u3092\u691c\u8a0e\uff08\u518d\u767a\u4e88\u9632\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u6700\u3082\u5f37\u3044\u3001\u518d\u767aOR 0.29\uff09\u3002\u5e74\u9593\u51e6\u7f6e\u982d\u6570\u304c\u4e00\u5b9a\u898f\u6a21\u3092\u8d85\u3048\u308c\u3070\u9662\u5185\u8a2d\u5099\u5185\u88fd\u5316\uff08\u9060\u5fc3\u6a5f\u30fb\u51e6\u7406\u5ba4\uff09\u306eROI\u3092\u518d\u8a55\u4fa1\u3002\u51cd\u7d50\u4e7e\u71e5\u65e2\u88fdPRP\u306e\u95a2\u7bc0\u5185\u9069\u5fdc\u3082\u5728\u5eab\u904b\u7528\u306b\u7d44\u307f\u8fbc\u3080\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5224\u65ad\u3092\u5909\u3048\u308b\u95be\u5024\uff1a<\/strong> PRP\u7fa4\u306e\u5fa9\u5e30\u7387\u30fb\u518d\u767a\u7387\u304c\u7121\u51e6\u7f6e\u3068\u5dee\u304c\u306a\u3044\u7d50\u679c\u304c\u7d9a\u3051\u3070\u3001PRP\u5358\u72ec\u9069\u5fdc\u3092\u7e2e\u5c0f\u3057MSC\u4f75\u7528\u307e\u305f\u306f\u4fdd\u5b58\u7642\u6cd5\u3078\u3002\u9006\u306b\u80b2\u6210\u30ed\u30b9\uff08\u30c7\u30d3\u30e5\u30fc\u9045\u5ef6\u30fb\u65ad\u5ff5\uff09\u306e\u6e1b\u5c11\u304c\u660e\u78ba\u306a\u3089\u82e5\u99ac\u3078\u306e\u4e88\u9632\u7684\u30fb\u65e9\u671f\u4ecb\u5165\u3092\u62e1\u5927\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Caveats\uff08\u7559\u610f\u70b9\uff09<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u306f\u5168\u822c\u306b\u4f4e\u3044\u3002<\/strong> 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