$POOFIJUP*ODϚϚͷҰาΛࢧ͑ΔεΫϥϜΨΠυͷཧղΛਂΊΔͨΊͷFEV4DSVNΨΠυ
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ా݈ೋ !UPNNZLXw ίωώτגࣜձࣾw "OESPJE&OHJOFFSw ΞδϟΠϧɺεΫϥϜʹ͍ͭͯษڧத
ຊͷษڧձͷςʔϚʮΞδϟΠϧಋೖ͡ΊͷҰาʯ
ΞδϟΠϧͷՁ؍εΫϥϜΛ͡Ίͯಋೖ͢Δ্ͰɺͦΕΒʹֶ͍ͭͯश͕ඞཁͰ͢ɻεΫϥϜʹ͍ͭͯΈͳ͞ΜͲ͏ֶͬͯश͞Ε·͔ͨ͠ʁ
͡ΊͷҰาʹεΫϥϜΨΠυΛಡΈ·ͨ͠
Ͱ͕͢ɺεΫϥϜΨΠυΛಡΜͰΘ͔Βͳ͍෦͕͋Γ·ͤΜͰ͔ͨ͠ʁগ͠ཧղΛਂΊΔͨΊʹ࣍ͷΨΠυΛಡΜͰΈΔͷ͍͔͕Ͱ͠ΐ͏͔ʁ
FEV4DSVNΨΠυw ڭҭͷεΫϥϜw ຊՈͷεΫϥϜΨΠυʹӨڹΛड͚ͯ࡞͞Εͨw ࣄऀҙࣝΛڧ͘ҙ͍ࣝͯ͠Δw ֶੜ͕ࣗͨͪͷֶशϓϩηεʹΛ࣋ͭw ֶߍ͕ͨΒ͢ޮՌͳͷͰΠϝʔδ͍͢͠
FEV4DSVNΛ௨ͯ͡ɺεΫϥϜΨΠυΛ͞Βʹཧղ͢ΔྫΛͭհ͠·͢ɻ
ಁ໌ੑΛ֬อ͢Δํ๏
εΫϥϜΨΠυʹɺಁ໌ੑΛ֬อ͢Δํ๏͕۩ମతʹఏࣔ͞Ε͍ͯͳ͍͕ɺFEV4DSVNͰ͜ͷΑ͏ʹఏࣔ͞Ε͍ͯΔɻ
ϑϦοϓʢΧϯόϯʣ
εϓϦϯτϨτϩεϖΫςΟϒ࣍ͷεϓϦϯτ͕ޮՌతͰָ͍͠ͷʹͳΔΑ͏ʹվળ͢Δ
εΫϥϜΨΠυͰɺָ͠Ή෦ʹ͍ͭͯఏࣔ͞Ε͍ͯͳ͍͕ɺFEV4DSVNͰ͜ͷΑ͏ʹఏࣔ͞Ε͍ͯΔɻ
εϓϦϯτϨτϩεϖΫςΟϒͷ࣭༰
εΫϥϜΨΠυͰɺ۩ମతͳϨτϩεϖΫςΟϒͷ࣭༰ఏࣔ͞Ε͍ͯͳ͍͕ɺFEV4DSVNʹ͜ͷΑ͏ʹఏࣔ͞Ε͍ͯΔɻ
εΫϥϜͷఆٛͷʮशಘࠔʯͳཧ༝
εΫϥϜΨΠυͰɺशಘࠔͳཧ༝͕ఏࣔ͞Ε͍ͯͳ͍͕ɺFEV4DSVNͰ͜ͷΑ͏ʹఏࣔ͞Ε͍ͯΔɻ
·ͱΊw FEV4DSVNΛ௨ͯ͡εΫϥϜΨΠυΛ͞Βʹཧղ͢Δw εΫϥϜΨΠυͱಉ༷ʹFEV4DSVNΨΠυϖʔδͱίϯύΫταΠζw ιϑτΣΞ։ൃ͚ͩͰͳ͘ɺ͍ΖΜͳͰεΫϥϜ͕׆༻͞Ε͍ͯΔ
͝ਗ਼ௌ͋Γ͕ͱ͏͍͟͝·ͨ͠ʂ