Page 62 - วารสารกรมการแพทย์แผนไทยฯ ปีที่ 11 ฉบับที่ 2

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