Page 73 - วารสารปีที่16ฉบับที่2
P. 73

245



              §à“‡©≈’ˬ∑’Ë∫àß∫Õ°∂÷ߧ«“¡·¢Áß·√ߢÕß°≈â“¡‡π◊ÈÕ               ¢âÕ √ÿª

              ·≈–ª√‘¡“μ√¢ÕßÕ“°“»∑’ËÀ“¬„®ÕÕ°‡μÁ¡∑’ËÕ¬à“߇√Á«   °“√Ωñ°∫√‘À“√°“¬ƒÂ…’¥—¥μπ∑à“·°â‚√§„πÕ°
              ·≈–·√ß À≈—ß®“°À“¬„®‡¢â“‡μÁ¡∑’Ë Õ¬à“ß¡’π—¬ ”§—≠   —ª¥“Àå≈– 3 §√—Èß §√—Èß≈– 30 π“∑’ ‡ªìπ‡«≈“ 4  —ª¥“Àå
                              [41]
              ∑“ß ∂‘μ‘ (p < 0.05)  ·≈– Õ¥§≈âÕß°—∫ß“π«‘®—¬  ¡’º≈‡æ‘Ë¡§«“¡·¢Áß·√ߢÕß°≈â“¡‡π◊ÈÕ„π°“√À“¬„®‡¢â“
              ¢Õ߇ “«≥’¬å «√«ÿ≤“ß°Ÿ√ ·≈–¬‘Ëß≈—°…≥å «‘√ÿ≥√—μπ°‘®  °“√¢¬“¬μ—«¢Õß∑√«ßÕ°‡æ‘Ë¡¢÷Èπ  àߺ≈„Àâ ¡√√∂¿“æ
              ∑’ˉ¡àæ∫§«“¡·μ°μà“ß°—πÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘  ªÕ¥¥’¢÷Èπ ∑”„ÀâÕ—μ√“°“√‡μâπ¢ÕßÀ—«„®·≈–§à“§«“¡

              ¢Õß§à“ FEV  ·μà¡’°“√‡æ‘Ë¡¢÷Èπ¢Õß§à“‡©≈’ˬ∑’Ë∫àß∫Õ°  ¥—π‚≈À‘μ≈¥≈ß ®÷߇ªìπ∑’Ëπà“ π„®«à“„πÕπ“§μ
                        1
              ∂÷ߧ«“¡·¢Áß·√ߢÕß°≈â“¡‡π◊ÈÕÀ“¬„® °“√¢¬“¬μ—«   “¡“√∂π”∑à“∫√‘À“√ƒÂ…’¥—¥μπ∑à“·°â‚√§„πÕ°∑’Ë

              ¢Õß∑√«ßÕ°„π∑ÿ°√–¥—∫ Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (p   “¡“√∂ªØ‘∫—μ‘„π∑à“πÕπ‰¥â¡“ª√–¬ÿ°μ儙Ⱇ∫ºŸâ ŸßÕ“¬ÿ
                    [30]
              < 0.05)                                     ºŸâªÉ«¬μ‘¥‡μ’¬ß∑’Ë¡’¢âÕ®”°—¥„π°“√ÕÕ°°”≈—ß°“¬¥â«¬
                   4. º≈¢Õß∑à“°“¬∫√‘À“√ƒÂ…’¥—¥μπ∑à“·°â‚√§  «‘∏’Õ◊Ëπ‰¥â„π°“√‡æ‘Ë¡ ¡√√∂¿“æ¢Õߪե

              „πÕ°μàÕ¢âÕ¡Ÿ≈æ◊Èπ∞“π∑“ß √’√–∑—Ë«‰ª
                                                                     °‘μμ‘°√√¡ª√–°“»
                   º≈°“√»÷°…“„π§√—Èßπ’Èæ∫«à“Õ—μ√“°“√‡μâπ¢Õß
              À—«„® §«“¡¥—π‚≈À‘μ¢≥–À—«„®∫’∫μ—« ·≈–§«“¡¥—π     ¢Õ¢Õ∫§ÿ≥∑ÿπ π—∫ πÿπ‚§√ß°“√«‘®—¬‡æ◊ËÕ àß

              ‚≈À‘μ¢≥–À—«„®§≈“¬μ—«≈¥≈ß∑’Ë√–¥—∫π—¬ ”§—≠∑“ß  ‡ √‘¡·≈–æ—≤π“°“√«‘®—¬¢Õß∫ÿ§≈“°“√ §≥–
               ∂‘μ‘ (p < 0.05) ·≈–º≈°“√»÷°…“¢Õß Bernardi  ·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À“ “√§“¡ ‡§√◊ËÕß¡◊Õ
              Luciano ·≈–§≥– æ∫«à“°“√À“¬„®Õ¬à“ߙⓠàߺ≈   ®“°§≥–·æ∑¬»“ μ√å ¡À“«‘∑¬“¢Õπ·°àπ ·≈–ºŸâ∑’Ë
                                                 [44]
              „Àâ‡æ‘Ë¡°“√∑”ß“π¢Õß baroreflex sensitivity  ´÷Ëß  ‡°’ˬ«¢âÕß∑ÿ°∑à“π
              ‡ªìπ‰ª‰¥â«à“∑à“∫√‘À“√·≈–°“√À“¬„®Õ¬à“ߙⓄπ°“√

              »÷°…“§√—Èßπ’È  àߺ≈„Àâ¡’°“√‡æ‘Ë¡°“√∑”ß“π¢Õß barore-
                                                                         References
              ceptor reflex ´÷Ë߇ªìπ°≈‰°¢Õß√à“ß°“¬∑’Ë ”§—≠
                                                           1. Songsorn P. Reference values of chest expansion among
               ”À√—∫°“√ª√—∫°“√∑”ß“π¢Õß√–∫∫ª√– “∑             Thai healthy people aged 20-70 years. Thammasat
                                                             Medical Journal. 2014;14(4):571-9. (in Thai)
              Õ—μ‚π¡—μ‘„π°“√§«∫§ÿ¡√–∫∫‰À≈‡«’¬π‚≈À‘μ·≈–À—«„®
                                                           2. Lowery EM, Brubaker AL, Kuhlmann E, Kovacs EJ.
               àߺ≈„Àâ≈¥°“√∑”ß“π¢Õß√–∫∫ª√– “∑´‘¡æ“‡∑μ‘°      The aging lung. Clin Interv Aging. 2013;8:1489-96.
                                                           3. Thompson LF. Failure to wean: exploring the influence
              ∑’ËÀ≈Õ¥‡≈◊Õ¥·≈–À—«„® ´÷Ëß®–∑”„ÀâÕ—μ√“°“√‡μâπ¢Õß
                                                             of age-related pulmonary changes. Crit Care Nurs Clin
              À—«„®™â“≈ß ·≈–§«“¡¥—π‚≈À‘μ∑—Èߢ≥–À—«„®§≈“¬
                                                             North Am. 1996;8(1):7-16.
              μ—«·≈–À—«„®À¥μ—«≈¥≈ß  Õ¥§≈âÕß°—∫º≈°“√        4. Hungsapruek S, editor. Physiology. 3rd ed. Bangkok:
                                                             Ruankaew Kanphim; 1991. 422 p. (in Thai)
              »÷°…“¢Õß Kanit Ngowsiri ·≈–§≥– ∑’Ëæ∫«à“°“√
                                                           5. Vejbaesya C. Physiology of aging. 2nd ed. Bangkok:
              ÕÕ°°”≈—ß°“¬ƒÂ…’¥—¥μπ‡ªìπ√–¬–‡«≈“ 13  —ª¥“Àå    Supawanit Kanphim; 1995. (in Thai)
                                                           6. Janssens JP. Aging of the respiratory system: impact
              ∑”„ÀâÕ—μ√“°“√‡μâπ¢ÕßÀ—«„® §«“¡¥—π‚≈À‘μ≈¥≈ß
                                                             on pulmonary function tests and adaptation to exertion.
                                          [45]
              Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘μ‘ (p < 0.05)             Clin Chest Med. 2005;26(3):469-84.
   68   69   70   71   72   73   74   75   76   77   78