{"id":29334,"date":"2025-02-10T08:33:32","date_gmt":"2025-02-09T23:33:32","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=29334"},"modified":"2025-02-10T08:33:32","modified_gmt":"2025-02-09T23:33:32","slug":"%e5%b0%bf%e9%85%b8%e5%80%a4%e3%81%8c%e9%ab%98%e3%81%84%e3%81%a8%e8%85%8e%e8%87%93%e3%81%8c%e6%82%aa%e3%81%8f%e3%81%aa%e3%82%8b%e3%81%a8%e6%80%9d%e3%82%8f%e3%81%9b%e3%82%8b%e7%a0%94%e7%a9%b6","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=29334","title":{"rendered":"\u5c3f\u9178\u5024\u304c\u9ad8\u3044\u3068\u814e\u81d3\u304c\u60aa\u304f\u306a\u308b\u3068\u601d\u308f\u305b\u308b\u7814\u7a76"},"content":{"rendered":"

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 <\/p>\n

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\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306f\u6a2a\u8ef8\u304c\u8840\u4e2d\u306e\u5c3f\u9178\u5024\u3001\u5de6\u304b\u3089CKD\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u3001\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u3067\u3059\u3002\u5c3f\u9178\u304c\u9ad8\u304f\u306a\u308b\u307b\u3069\u3059\u3079\u3066\u306e\u814e\u75be\u60a3\u304c\u5897\u52a0\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u4e0b\u306e\u56f3\u306f\u591a\u5909\u91cf\u8abf\u6574\u3057\u305f\u3001\u8840\u4e2d\u5c3f\u9178\u5024\u30681mg\/dl\u5897\u52a0\u3054\u3068\u306eCKD\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u3001\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u306e\u767a\u75c7\u306e\u53ef\u80fd\u6027\u3067\u3059\u3002<\/p>\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\u5c3f\u9178\u5024\u3000mg\/dl<\/th>\n\u591a\u5909\u91cf\u8abf\u6574\u6e08\u307f<\/th>\n<\/tr>\n
OR<\/th>\n<\/tr>\n<\/thead>\n
\u6162\u6027\u814e\u81d3\u75c5<\/td>\n<\/tr>\n
\u3000\u22644.0<\/td>\n1.00<\/td>\n<\/tr>\n
\u30004.1\uff5e4.9<\/td>\n1.21<\/td>\n<\/tr>\n
\u30005.0\uff5e5.8<\/td>\n1.47<\/span><\/td>\n<\/tr>\n
\u3000\u22655.9<\/td>\n2.10<\/span><\/td>\n<\/tr>\n
\u30001mg\/dl\u5897\u52a0\u3054\u3068\u306b<\/td>\n1.18<\/span><\/td>\n<\/tr>\n
\u814e\u6a5f\u80fd\u969c\u5bb3<\/td>\n<\/tr>\n
\u3000\u22644.0<\/td>\n1.00<\/td>\n<\/tr>\n
\u30004.1\uff5e4.9<\/td>\n2.30<\/span><\/td>\n<\/tr>\n
\u30005.0\uff5e5.8<\/td>\n2.81<\/span><\/td>\n<\/tr>\n
\u3000\u22655.9<\/td>\n3.73<\/span><\/td>\n<\/tr>\n
\u30001mg\/dl\u5897\u52a0\u3054\u3068\u306b<\/td>\n1.24<\/span><\/td>\n<\/tr>\n
\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f<\/td>\n<\/tr>\n
\u3000\u22644.0<\/td>\n1.00<\/td>\n<\/tr>\n
\u30004.1\uff5e4.9<\/td>\n1.12<\/td>\n<\/tr>\n
\u30005.0\uff5e5.8<\/td>\n1.35<\/td>\n<\/tr>\n
\u3000\u22655.9<\/td>\n1.81<\/span><\/td>\n<\/tr>\n
\u30001mg\/dl\u5897\u52a0\u3054\u3068\u306b<\/td>\n1.15<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

\u5c3f\u9178\u5024\u304c\u5897\u52a0\u3059\u308b\u306b\u3064\u308c\u3001\u5148\u307b\u3069\u3068\u540c\u3058\u3088\u3046\u306b\u814e\u75be\u60a3\u304c\u5897\u52a0\u3057\u3001\u5c3f\u9178\u5024\u304c4.0\u3068\u6bd4\u8f03\u3057\u3066\u3001\u5c3f\u9178\u50245.9\u4ee5\u4e0a\u3060\u3068CKD\u306e\u53ef\u80fd\u6027\u306f2.1\u500d\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u306e\u53ef\u80fd\u6027\u304c3.73\u500d\u3001\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u306f1.81\u500d\u3067\u3059\u3002\u5c3f\u9178\u5024\u306e\u57fa\u6e96\u5024\u306f\u691c\u67fb\u6a5f\u95a2\u306b\u3088\u3063\u3066\u9055\u3044\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u7537\u6027\u30673.6\uff5e7.0mg\/dL\u3001\u5973\u6027\u30672.3\uff5e7.0mg\/dL\u306e\u306f\u305a\u3067\u3059\u3002\u5c3f\u9178\u5024\u304c5.9\u3063\u3066\u5168\u304f\u6b63\u5e38\u7bc4\u56f2\u3058\u3083\u306a\u3044\u3067\u3059\u304b\uff1f\u814e\u6a5f\u80fd\u969c\u5bb3\u306b\u9650\u3063\u3066\u8a00\u3048\u3070\u3001\u5c3f\u9178\u50244.0\u4ee5\u4e0b\u3068\u6bd4\u8f03\u3057\u30664.1\uff5e4.9\u306e\u5c3f\u9178\u5024\u3067\u3055\u3048\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u306e\u53ef\u80fd\u6027\u304c2.3\u500d\u306b\u3082\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u304a\u304b\u3057\u304f\u306a\u3044\u3067\u3059\u304b\uff1f\u305d\u3093\u306a\u306b\u5c3f\u9178\u5024\u306f\u4e0b\u3052\u306a\u3044\u3068\u814e\u6a5f\u80fd\u304c\u60aa\u304f\u306a\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306f\u5e74\u9593\u306eeGFR\u5909\u5316\u7387\u3067\u3059\u3002\u6700\u3082\u4f4e\u4e0b\u7387\u306e\u4f4e\u3044\u306e\u306f\u5c3f\u9178\u50244.0\u4ee5\u4e0b\u3067\u3059\u3002\u5c3f\u9178\u50245.9\u3060\u30684.0\u3088\u308a\u3082\u6709\u610f\u306b\u4f4e\u4e0b\u7387\u304c\u4e0a\u304c\u3063\u3066\u3044\u307e\u3059\u3002\u3067\u3082\u3053\u308c\u3082\u5909\u3060\u3068\u601d\u3044\u307e\u305b\u3093\u304b\uff1f<\/p>\n

\u3061\u3087\u3063\u3068\u53e4\u3044\u3067\u3059\u304c\u300c\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f CKD \u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 2009<\/a>\u300d\u306b\u306f\u3001\u6b21\u306e\u3088\u3046\u306b\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u65e5\u672c\u4eba\u306e GFR \u306e\u4f4e\u4e0b\u901f\u5ea6\u306f\u5e73\u5747 0.36 mL\uff0f\u5206\uff0f1.73 m2\uff0f\u5e74\u3067\u3042\u308a\uff0c40\uff5e69 \u6b73\u3067\u306f 50 mL\uff0f\u5206\uff0f1.73 m2 \u4ee5\u4e0b\uff0c70\uff5e79 \u6b73\u3067\u306f 40 mL\uff0f\u5206\uff0f1.73 m2 \u4ee5\u4e0b\u306e\u814e\u6a5f\u80fd\u306e\u5834\u5408\uff0c\u814e\u6a5f\u80fd\u4f4e\u4e0b\u901f\u5ea6\u304c\u6709\u610f\u306b\u901f\u307e\u308b\u3002\uff08\u3053\u306e\u8ad6\u6587<\/a>\u53c2\u7167\uff09<\/span><\/p>\n

\u65e5\u672c\u4eba\u306eeGFR\u306e\u4f4e\u4e0b\u7387\u306f\u5e73\u57470.36\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u4e0a\u306e\u7814\u7a76\u306e\u6700\u3082\u4f4e\u3044\u5c3f\u9178\u50244.0\u4ee5\u4e0b\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u3055\u3048\u3001\u6e1b\u5c11\u7387\u306f1\u4ee5\u4e0a\u3082\u3042\u308a\u307e\u3059\u3002\u304a\u3088\u305d3\u500d\uff1f\u3064\u307e\u308a\u4e45\u5c71\u753a\u7814\u7a76\u306e\u53c2\u52a0\u8005\u306e\u591a\u304f\u306f\u5e73\u5747\u3088\u308a\u3082\u814e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3084\u3059\u3044\u8981\u7d20\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3057\u3087\u3046\u304b\uff1f\u4e5d\u5dde\u5927\u5b66\u304c\u5909\u308f\u3063\u305f\u4ecb\u5165\u3092\u3057\u3066\u3044\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u4e45\u5c71\u753a\u7814\u7a76\u304c\u59cb\u307e\u3063\u3066\u3001\u7cd6\u5c3f\u75c5\u767a\u75c7\u7387\u306f\u5287\u7684\u306b\u5897\u52a0\u3057\u305f\u3053\u3068\u3082\u95a2\u4fc2\u3059\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u9593\u9055\u3063\u305f\u98df\u4e8b\u6307\u5c0e\u3067\u3082\u884c\u308f\u308c\u3066\u3044\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u3068\u306b\u304b\u304f\u814e\u6a5f\u80fd\u304c\u5e74\u3005\u4e0b\u304c\u308a\u904e\u304e\u3067\u3059\u3002\u3053\u308c\u306f\u5c3f\u9178\u5024\u306e\u554f\u984c\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n

\u3061\u3087\u3063\u3068\u53e4\u3044\u3067\u3059\u304c\u3001\u4e45\u5c71\u753a\u306e\u98df\u4e8b\u306b\u3064\u3044\u3066\u6b21\u306e\u3088\u3046\u306a\u60c5\u5831\u304c\u3042\u308a\u307e\u3057\u305f\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff09<\/p>\n

\"\"<\/a><\/p>\n

\u798f\u5ca1\u770c\u306e\u4eba\u305f\u3061\u3068\u6bd4\u8f03\u3059\u308b\u3068\u3001\u4e45\u5c71\u753a\u6c11\u306f\u91ce\u83dc\u306e\u6442\u53d6\u91cf\u304c\u591a\u3044\u306e\u3060\u305d\u3046\u3067\u3059\u3002\u3053\u308c\u304c\u60aa\u3044\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u306d\u3002<\/p>\n

\u4e16\u306e\u4e2d\u306b\u306f\u3001\u4e0b\u306e\u56f3\u306e\u3088\u3046\u306b\u8089\u98df\u306e\u4eba\u3088\u308a\u3082\u30d3\u30fc\u30ac\u30f3\u306e\u65b9\u304c\u5c3f\u9178\u5024\u304c\u9ad8\u3044\u3068\u3044\u3046\u7814\u7a76\u3082\u5b58\u5728\u3057\u307e\u3059\u304b\u3089\u306d\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\u3001\u56f3\u3082\u3053\u3053\u3088\u308a\uff09<\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306f\u5de6\u304b\u3089\u3001\u8089\u98df\u3001\u9b5a\u98df\u3001\u30d9\u30b8\u30bf\u30ea\u30a2\u30f3\u3001\u30d3\u30fc\u30ac\u30f3\u3067\u3059\u3002\u307e\u3042\u3067\u3082\u3001\u4e45\u5c71\u753a\u306e\u4eba\u304c\u30d3\u30fc\u30ac\u30f3\u3060\u3068\u306f\u601d\u3044\u307e\u305b\u3093\u304b\u3089\u3001\u8089\u3092\u98df\u3079\u308b\u304b\u3089\u3068\u304b\u3001\u91ce\u83dc\u3092\u98df\u3079\u308b\u304b\u3089\u3001\u3068\u3044\u3046\u6b21\u5143\u306e\u8a71\u3067\u306f\u306a\u3055\u305d\u3046\u3067\u3059\u3002<\/p>\n

\u3082\u3068\u306b\u623b\u308b\u3068\u3001\u3053\u306e\u7814\u7a76\u306e\u7d50\u8ad6\u306f\u300c\u4e00\u822c\u7684\u306a\u65e5\u672c\u4eba\u96c6\u56e3\u306b\u304a\u3044\u3066\u3001\u8840\u4e2d\u5c3f\u9178\u30ec\u30d9\u30eb\u306e\u4e0a\u6607\u306f\u814e\u6a5f\u80fd\u969c\u5bb3\u3068\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u306e\u4e21\u65b9\u306e\u767a\u75c7\u306b\u5bfe\u3059\u308b\u91cd\u5927\u306a\u5371\u967a\u56e0\u5b50\u3067\u3057\u305f\u3002\u300d\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u672c\u5f53\u306b\u305d\u308c\u3067\u3044\u3044\u306e\uff1f<\/p>\n

\u3053\u306e\u7814\u7a76\u306e\u53c2\u52a0\u8005\u306e\u5e74\u9f62\u3068\u6027\u5225\u3092\u8abf\u6574\u3057\u305f\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u7279\u5fb4\u3092\u898b\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\u5909\u6570<\/th>\n\u5c3f\u9178\u5024 (mg\/dl)<\/th>\n<\/tr>\n
\u22644.0<\/th>\n4.1\uff5e4.9<\/th>\n5.0\uff5e5.8<\/th>\n\u22655.9<\/th>\n<\/tr>\n<\/thead>\n
\u5e74\u9f62<\/td>\n58 (0.5)<\/td>\n60 (0.5)<\/td>\n60 (0.5)<\/td>\n58 (0.5)<\/td>\n<\/tr>\n
\u7537\u6027\u3001%<\/td>\n13.7<\/span><\/td>\n26.5<\/td>\n44.0<\/td>\n83.9<\/span><\/td>\n<\/tr>\n
\u53ce\u7e2e\u671f\u8840\u5727\u3001mmHg<\/td>\n124<\/span> (0.8)<\/td>\n127 (0.8)<\/td>\n130 (0.8)<\/td>\n132<\/span> (0.9)<\/td>\n<\/tr>\n
\u62e1\u5f35\u671f\u8840\u5727\u3001mmHg<\/td>\n74 (0.5)<\/td>\n77 (0.5)<\/td>\n78 (0.5)<\/td>\n80 (0.5)<\/td>\n<\/tr>\n
\u964d\u5727\u5264\u3001%<\/td>\n10.3<\/span><\/td>\n16.6<\/td>\n23.8<\/td>\n23.7<\/span><\/td>\n<\/tr>\n
\u7cd6\u5c3f\u75c5\u3001 \uff05<\/td>\n17.0<\/td>\n14.5<\/td>\n13.7<\/td>\n14.4<\/td>\n<\/tr>\n
\u7dcf\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001mg\/dl<\/td>\n198 (1.5)<\/td>\n207 (1.5)<\/td>\n205 (1.5)<\/td>\n209 (1.7)<\/td>\n<\/tr>\n
HDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001mg\/dl<\/td>\n65<\/span> (0.7)<\/td>\n64 (0.7)<\/td>\n63 (0.7)<\/td>\n62<\/span> (0.8)<\/td>\n<\/tr>\n
BMI\u3001kg\/m\u00a02<\/sup><\/td>\n21.9<\/span> (0.14)<\/td>\n22.8 (0.14)<\/td>\n23.7 (0.14)<\/td>\n24.2<\/span> (0.15)<\/td>\n<\/tr>\n
\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u3001g\/dl<\/td>\n13.3 (0.05)<\/td>\n13.6 (0.05)<\/td>\n13.8 (0.05)<\/td>\n14.0 (0.06)<\/td>\n<\/tr>\n
\u5c3f\u9178\u964d\u4e0b\u5264\u3001%<\/td>\n0.1<\/span><\/td>\n2.3<\/td>\n0.9<\/td>\n2.1<\/span><\/td>\n<\/tr>\n
hs-CRP\u3001mg\/L<\/td>\n0.35<\/span> (0.32\u20130.39)<\/td>\n0.44 (0.40\u20130.48)<\/td>\n0.48 (0.43\u20130.52)<\/td>\n0.58<\/span> (0.52\u20130.64)<\/td>\n<\/tr>\n
eGFR\u3001ml\/\u5206\/1.73 m\u00a02<\/sup><\/td>\n83<\/span> (0.3)<\/td>\n82 (0.3)<\/td>\n80 (0.3)<\/td>\n79<\/span> (0.3)<\/td>\n<\/tr>\n
U-ACR\u3001mg\/g<\/td>\n7.8 (7.3\u20138.3)<\/td>\n7.1 (6.6\u20137.6)<\/td>\n7.3 (6.8\u20137.8)<\/td>\n7.0 (6.5\u20137.6)<\/td>\n<\/tr>\n
\u55ab\u7159\u7fd2\u6163\u3001%<\/td>\n23.3<\/td>\n24.2<\/td>\n23.8<\/td>\n21.6<\/td>\n<\/tr>\n
\u30a2\u30eb\u30b3\u30fc\u30eb\u6442\u53d6\u3001%<\/td>\n32.8<\/span><\/td>\n45.1<\/td>\n51.3<\/td>\n53.0<\/span><\/td>\n<\/tr>\n
\u5b9a\u671f\u7684\u306a\u904b\u52d5\u3001%<\/td>\n9.0<\/span><\/td>\n11.4<\/td>\n12.1<\/td>\n13.4<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

\u4e0a\u306e\u8868\u3092\u898b\u3066\u3001\u6700\u3082\u76ee\u7acb\u3064\u9055\u3044\u306f\u3001\u7537\u5973\u6bd4\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f\u5c3f\u9178\u50244.0\u4ee5\u4e0b\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u7537\u6027\u304c13.7\uff05\u3001\u5973\u6027\u304c86.3\uff05\u3067\u3059\u3002\u4e00\u65b9\u5c3f\u9178\u50245.9\u4ee5\u4e0a\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u3001\u7537\u602783.9\uff05\u3001\u5973\u602716.1\uff05\u3001\u3068\u307b\u307c\u771f\u9006\u306e\u7537\u5973\u6bd4\u3067\u3059\u3002<\/p>\n

\u305d\u308c\u4ee5\u5916\u306b\u3082\u5927\u304d\u306a\u9055\u3044\u306f\u3001\u5c3f\u9178\u50244.0\u4ee5\u4e0b\u306e\u30b0\u30eb\u30fc\u30d7\u3068\u6bd4\u8f03\u3057\u3066\u5c3f\u9178\u50245.9\u4ee5\u4e0a\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u3001\u9ad8\u8840\u5727\u306e\u85ac\u3092\u98f2\u3093\u3067\u3044\u308b\u4eba\u304c2\u500d\u4ee5\u4e0a\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u6442\u53d6\u30821.6\u500d\u3067\u3059\u3002<\/p>\n

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2023\u5e74\u306e\u60a3\u8005\u8abf\u67fb\u7968\u306b\u304a\u3044\u3066\u3001\u4eba\u5de5\u900f\u6790\u5c0e\u5165\u60a3\u8005\u6570\u306f36,115\u4eba\u3067\u3001\u7537\u6027\u306f25,193\u4eba\u3001\u5973\u6027\u306f10,922\u4eba\u3067\uff0c\u5b9f\u306b2.3\u500d\u3067\u3059\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff09<\/p>\n

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\u3082\u3063\u3068\u4f4e\u3044\u5c3f\u9178\u5024\u306e\u65b9\u304c\u814e\u81d3\u306b\u6709\u76ca\u3060\u3068\u3044\u3046\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u4f5c\u308a\u51fa\u3057\u3001\u60a3\u8005\u6570\u3092\u5897\u3084\u3057\u305f\u3044\u306e\u3067\u3057\u3087\u3046\u306d\u3002\u3053\u3093\u306a\u9177\u3044\u7814\u7a76\u304c\u4eca\u5f8c\u51fa\u3066\u3053\u306a\u3044\u4e16\u754c\u306b\u306a\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u30a2\u30e1\u30ea\u30ab\u306e\u52d5\u304d\u3092\u6ce8\u8996\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n

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\u300cSerum Uric Acid as a Risk Factor for Chronic Kidney Disease in a Japanese Community\u3000\u2013 The Hisayama Study \u2013\u300d<\/span><\/p>\n

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