Page 72 - วารสารปีที่16ฉบับที่2

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∂‘μ‘ (p < 0.05) ·μàº≈°“√«‘®—¬®“°°“√»÷°…“„π ®ÿ∑’ˇæ‘Ë¡¢÷Èπ √«¡∂÷ߧ«“¡¥—πÕ“°“»„πªÕ¥≈¥μË”°«à“
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Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ ·μà¡’·π«‚πâ¡∑’Ë Ÿß¢÷Èπ Õ“® ŸàªÕ¥‰¥â¥’¢÷Èπ
‡ªìπ‡æ√“–‡π◊ËÕß¡“®“°°“√À“¬„®ÕÕ°π—Èπ‡ªìπ passive §à“ª°μ‘¢Õß§à“ª√‘¡“μ√¢ÕßÕ“°“»∑’Ë∂Ÿ°¢—∫ÕÕ°
process Õ“»—¬°“√§◊πμ—«À¬ÿàπ°≈—∫¢Õß (elastic re- „π«‘π“∑’·√°¢Õß°“√À“¬„®ÕÕ°Õ¬à“߇√Á«·≈–·√߇μÁ¡∑’Ë
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coil) ¢Õß∑√«ßÕ°·≈–ªÕ¥ ´÷Ëß‚ª√·°√¡°“√ (FEV ) ‡∑à“°—∫§à“∑’Ë¡“°°«à“√âÕ¬≈– 80 ¢Õß§à“§“¥
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Ωñ°∑à“·°â‚√§„πÕ°π—Èπ‡ªìπ°“√À“¬„®ÕÕ°‚¥¬‰¡à¡’ §–‡π §à“ª√‘¡“μ√¢ÕßÕ“°“»∑’Ë∂Ÿ°¢—∫ÕÕ°„π«‘π“∑’
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„πÕ°μàÕ ¡√√∂¿“æªÕ¥ √âÕ¬≈– 80 ¢Õß§à“§“¥§–‡π §à“∑’˪°μ‘¢Õß§à“‡©≈’ˬ
º≈°“√»÷°…“¢Õß Stephanie Enright ·≈– ¢ÕßÕ—μ√“°“√‰À≈ÕÕ°¢ÕßÕ“°“»„π™à«ß°÷Ëß°≈“ߢÕß
§≥–æ∫«à“ °“√Ωñ°°≈â“¡‡π◊ÈÕÀ“¬„®‡¢â“ àߺ≈„Àâ¡’ °“√À“¬„®ÕÕ° (FEF ) ‡∑à“°—∫§à“∑’Ë¡“°°«à“√âÕ¬≈–
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°“√‡æ‘Ë¡§à“ª√‘¡“μ√Õ“°“»®“°°“√À“¬„®ÕÕ°‡μÁ¡∑’Ë 50 ¢Õß§à“§“¥§–‡π À“°¡’§à“∑’ËπâÕ¬°«à“§à“∑’˪°μ‘
À≈—ß®“°°“√À“¬„®‡¢â“‡μÁ¡∑’Ë (VC) Õ¬à“ß¡’π—¬ ”§—≠ ·ª≈º≈‰¥â«à“ºŸâ∑¥ Õ∫¡’°“√μ’∫·§∫¢Õß∑“߇¥‘π
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∑“ß ∂‘μ‘ (p < 0.05) ·≈–º≈°“√»÷°…“¢Õß Õ“°“» (restrictive ventilatory defects) ®“°
Anong Tantisuwat ·≈– Premtip Thaveera- §à“‡©≈’ˬ¢Õß§à“ FEV , FEV /FVC ·≈–§à“ FEF
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titham æ∫«à“°“√≈¥≈ߢÕߪ√‘¡“μ√¢ÕßÕ“°“»∑’Ë ¢ÕߺŸâ√à«¡«‘®—¬°àÕπ°“√∑¥≈Õßæ∫«à“¡’§à“‡©≈’ˬ‡∑à“°—∫

À“¬„®ÕÕ°‡μÁ¡∑’ËÕ¬à“ß√«¥‡√Á«·≈–·√߇μÁ¡∑’ËÀ≈—ß®“° √âÕ¬≈– 95.36 ± 12.65 ¢Õß§à“§“¥§–‡π, √âÕ¬≈–
À“¬„®‡¢â“‡μÁ¡∑’Ë (FVC) —¡æ—π∏å°—∫°“√≈¥≈ߢÕß 98.76 ± 7.46 ¢Õß§à“§“¥§–‡π ·≈– 90.56 ± 0.63
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§«“¡·¢Áß·√ߢÕß°≈â“¡‡π◊ÈÕ∑’Ë„™â„π°“√À“¬„® ´÷Ëß ¢Õß§à“§“¥§–‡π μ“¡≈”¥—∫ ´’ËßÕ¬Ÿà„π§à“ª°μ‘ ∫àß
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·≈–§à“ FVC ‡æ‘Ë¡¢÷ÈπÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (p < º≈¢Õß§à“‡©≈’ˬÀ≈—ß°“√∑¥≈Õßæ∫¡’§à“‡©≈’ˬ FEV ,
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0.05) ·≈– —¡æ—π∏å°—∫º≈¢Õß°“√«‘®—¬„π§√—Èßπ’È∑’Ë§à“ FEV /FVC ·≈–§à“ FEF ‰¡à¡’§«“¡·μ°μà“ß°—π
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§«“¡·¢Áß·√ߢÕß°≈â“¡‡π◊ÈÕÀ“¬„®‡¢â“∑’ˇæ‘Ë¡¢÷ÈπÕ¬à“ß Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (p > 0.05) Õ“®«‘‡§√“–Àå
¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (p < 0.05) ∑—Èßπ’Èπà“®–Õ∏‘∫“¬‰¥â º≈‰¥â«à“‡π◊ËÕß®“°ºŸâ√à«¡«‘®—¬‰¡à¡’欓∏‘ ¿“æ¢Õß∑“ß

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∑√«ßÕ°¢¬“¬ °≈â“¡‡π◊ÈÕÀ“¬„®‡¢â“¡’§«“¡·¢Áß·√ß «‘®—¬¢Õß Anong Tantisuwat ·≈– Premtip

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