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Global Initiative for Chronic Obstructive Lung …

Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2008 GOLD GOLD 2009 7 GOLD COPD COPD COPD COPD COPD COPD FEV1

プライマリケアでのスパイロメトリー Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2008 この資料は、GOLDが作成・公開している英文資料をGOLD日本委員会が日本語に翻訳したものです。

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  Global, Initiative, Chronic, Obstructive, Global initiative for chronic obstructive

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Transcription of Global Initiative for Chronic Obstructive Lung …

1 Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2008 GOLD GOLD 2009 7 GOLD COPD COPD COPD COPD COPD COPD FEV1

2 : : : FEV1 1 : 1 FVC :1 FEV1/FVC 1 : 1 VC : COPD FVC FEV6 6 :FVC COPD 1 COPD MEFR : COPD Total lungcapacity Tidal volume 1 Inspiratory reserve volume Expiratory reserve volume Residual volume Inspiratory capacity Vital capacity 9 9 9 9 : FEV1:% predicted >80% 80% FVC:% predicted >80% 80 FEV1/FVC.

3 > 1 70 FEV1 FVC - 1234561234 Volume, litersTime, secondsFVC51 FEV1= 4 LFVC = 5 LFEV1/FVC = - Volume, litersTime, seconds543211234 56 FEV1= = = Obstructive COPD COPD COPD COPD 1 70% FEV1/FVC < FEV1/FVC 400 g 15 FEV1 and FVC COPD COPD 20 4 *

4 FEV1 200 400 g 15 500 g 15 160 g** 45 * Ref: ATS/ERS Task Force : Interpretive strategies for Lung Function Tests ERJ2005;26:948** 20 g 8 Figure COPD GOLD Report (2006)Figure COPD 9 6 9 12 9 24 FEV1 5% 2 MDI.

5 Figure COPD : 9400 g 2- 980-160 g 9 2 FEV1 : 9 2- 10-15 9 30-45 Figure COPD FEV1 200mL 12 % mL Figure COPD : FEV1:% predicted < 80% 80% FVC: % predicted < 80% 80 FEV1/FVC: > 1 70 Volume, litersTime, secondsFEV1= = = 2345654321 - Normal Restrictive FEV1: % predicted < 80% 80% FVC:% predicted < 80% 80 FEV1 /FVC.

6 < 1 70 - Volume, litersTime, seconds FEV1= = = - L/sec Volume (L) FVC: (PEF: ) L/secRV: TLC: Volume (L)Expiratory flow rateExpiratory flow rateExpiratory flow rateVolume (L)Volume (L) TimeTimeTimeVolumeVolumeVolume - 3

7 10 :9 2- 6 9 2- 12 9 6 9 24 30 1. 2. 3. 4. 5. 6. 2 3 100mL 5% 3 FVC 5% L 100 mL Volume, litersTime, seconds.

8 9 9 9 9 9 9 9 9 9 9 9 9 9 3 1 1 1 1 Volume, litersTime, seconds NormalVolume, litersTime, seconds NormalVolume, litersTime, secondsNormal Volume, litersTime, secondsNormal Volume, litersTime, secondsNormal Global Initiative for Chronic Obstructive Lung Disease (GOLD) Spirometry in Practice ATS-ERS Taskforce: Standardization of Spirometry.

9 ERJ2005;29 National Asthma Council: Spirometry


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