Page 52 - วารสารกรมการแพทย์แผนไทยฯ ปีที่ 11 ฉบับที่ 2
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156  «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°          ªï∑’Ë 11 ©∫—∫∑’Ë 2 情¿“§¡- ‘ßÀ“§¡ 2556




             μ“√“ß∑’Ë 3 Õ“°“√ÀÕ∫À◊¥¢ÕߺŸâªÉ«¬‚√§ªÕ¥Õÿ¥°—Èπ‡√◊ÈÕ√—ß°àÕπ·≈–À≈—ßΩí߉À¡≈–≈“¬

                     ‡Àμÿ°“√≥å            §à“‡©≈’ˬ        §à“‡©≈’ˬ        À≈—ßΩí߉À¡ 6 ‡¥◊Õπ
             Õ“°“√                       °àÕπΩí߉À¡       À≈—ßΩí߉À¡     Õ“°“√¥’¢÷Èπ  Õ“°“√·¬à≈ß
                                       (§√—Èß/ —ª¥“Àå)  (§√—Èß/ —ª¥“Àå)    (√“¬)        (√“¬)

             Õ“°“√°”‡√‘∫°≈“ß«—π             2.4              1.2            11            3
              (Day Symptoms)
             Õ“°“√°”‡√‘∫°≈“ߧ◊π             3.2              1.4            19            3
              (Night Symptoms)
             °“√æàπ¬“¢¬“¬À≈Õ¥≈¡             2.2              1.1            22            2
              (Bronchodilator Usage)




             μ“√“ß∑’Ë 4 ®”π«π§√—Èß°“√æ∫·æ∑¬å¢ÕߺŸâªÉ«¬‚√§ªÕ¥Õÿ¥°—Èπ‡√◊ÈÕ√—ß°àÕπ·≈–À≈—ßΩí߉À¡≈–≈“¬

                  ‡Àμÿ°“√≥å                             √–¬–‡«≈“ 6 ‡¥◊Õπ       √–¬–‡«≈“ 6 ‡¥◊Õπ
             Õ“°“√                                      °àÕπΩí߉À¡ (§√—Èß)    À≈—߇√‘Ë¡Ωí߉À¡ (§√—Èß)
             °“√¡“ÀâÕß©ÿ°‡©‘π (ER visit)                      12                      5
             °“√√—∫μ—«‡¢â“πÕπ‚√ß欓∫“≈ (Admission)             6                      3
             °“√√—∫μ—«‡¢â“πÕπ‚√ß欓∫“≈´È” (Readmission)        5                      2




             μ“√“ß∑’Ë 5 º≈ª√–‡¡‘πºŸâªÉ«¬‚√§ªÕ¥Õÿ¥°—Èπ‡√◊ÈÕ√—ß   à«π„À≠àÕ“¬ÿ§àÕπ¢â“ß¡“° „π‡æ»™“¬ ¡’Õ“¬ÿ‡©≈’ˬ
                      (COPD Assessment test: CAT) °àÕπ·≈–
                                                        67.2 ªï ‡æ»À≠‘ßÕ“¬ÿ‡©≈’ˬ 52.4 ªï ·≈–‡¡◊ËÕ‡ª√’¬∫
                      À≈—ßΩí߉À¡≈–≈“¬
                                                        ‡∑’¬∫®”π«π‡æ»™“¬μàÕ‡æ»À≠‘ß æ∫«à“ ¡’§à“‡∑à“°—∫
                  ‡Àμÿ°“√≥å °àÕπΩí߉À¡   À≈—ßΩí߉À¡     34:16 (2.125:1)
             CAT score    §à“‡©≈’ˬ CAT  §à“‡©≈’ˬ CAT (√“¬)
                                                             º≈°“√«‘®—¬À≈—ß®“°Ωí߉À¡≈–≈“¬ (Catgut)
             ¥’¢÷Èπ          10        CAT = 2 (25 √“¬)  „π√–¬–‡«≈“ 6 ‡¥◊Õπæ∫«à“ ª√– ‘∑∏‘¿“æ¢Õߪե¥’
             §ß∑’Ë            5        CAT = 5 (14 √“¬)
                                                        ¢÷Èπ ¡’§à“ PEFR ‡æ‘Ë¡¢÷Èπ∂÷ß 29 √“¬ ‚¥¬‡æ‘Ë¡¢÷Èπ
             ‡≈«≈ß            1       CAT = 10 (11 √“¬)
                                                        11.07%(62.20-51.13%) of predicted value ‡ªìπ
                                                        62.20% of predicted value §‘¥‡ªìπ 58% ¢Õß°≈ÿà¡,
                 ®“°¢âÕ¡Ÿ≈ß“π«‘®—¬ºŸâªÉ«¬‚√§ªÕ¥Õÿ¥°—Èπ‡√◊ÈÕ√—ß  §ß∑’Ë ®”π«π 5 √“¬ ·≈–≈¥≈ß ®”π«π 16 √“¬ ‚¥¬

             (COPD) ∑’Ë ¡—§√„®‡¢â“√à«¡‚§√ß°“√®”π«π 50 √“¬  ≈¥≈ß 9.12% (61.12-52%) of predicted value
             ∑ÿ°√“¬„π°≈ÿà¡¢ÕߺŸâªÉ«¬‚√§ªÕ¥Õÿ¥°—Èπ‡√◊ÈÕ√—ß¡’  (§‘¥‡ªìπ 52% of predicted value) §‘¥‡ªìπ 32%

             ª√–«—μ‘°“√ Ÿ∫∫ÿÀ√’Ë (Smoking) ∑—Èß∑’ˇ§¬ Ÿ∫‡Õß·≈–  ¢Õß°≈ÿà¡
             ‡ªìπ∫ÿÀ√’Ë¡◊Õ Õß ·≈–¡’®”π«π 3 √“¬∑’ˬ—߉¡à‡≈‘° Ÿ∫  √–¬–∑“ß∑’ˇ¥‘π‰¥â„π 6 π“∑’ ¢ÕߺŸâªÉ«¬ ‡æ‘Ë¡¢÷Èπ
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