5)肺機能予測値対照表 96.5.20現在
検査項目・年齢・性別CHESTAC-55V年齢・性別東京大学採用式備考
VC********
6 - 12M: 34.0 X Ht - 24876 -13M: ( 3.259 + 1.391 X Age) X Ht**
**F: 34.3 X Ht - 2609 (石田)**F: ( 5.778 + 1.022 X Age ) X Ht**
13M: ( 1.40 X Age - 1.20 ) X Ht******
**F: ( 1.70 X Age - 6.70 ) X Ht (金上)******
14 - 17M: ( 0.48 X Age + 17.18 ) X Ht **同左**
**F: ( Age + 3.10 ) X Ht (金上)**同左**
18 - 69 M: ( 27.63 - 0.112 X Age ) X Ht 18-80同左**
**F: ( 21.78 - 0.101 X Age ) X Ht ( Baldwin ) **同左**
ERV** ******
**M: ( 1.12 - 0.004 X Age ) X Ht X 10 **-----------------------------------**
**F: ( 0.78 - 0.003 X Age ) X Ht X 10 (西田) **-----------------------------------**
PEFR** **同左**
**M: 0.05666 X Ht - 0.02403 X Age + 0.22544 **同左 ( Cherniack & Raber ,日本臨床37(夏期増刊)2084**
** F: 0.03594 X Ht - 0.01776 X Age + 1.1316 ( Bouhuys ) **同左**
V75** **同左**
** M: 0.03555 X Ht - 0.01987 X Age + 2.72554 **同左**
** F: 0.02707 X Ht - 0.01926 X Age +2.14264 ( Bouhuys ) **0.02707 X Ht - 0.01926 X Age +2.14653**
V50** **同左**
**M: 0.02569 X Ht - 0.03049 X Age + 2.40337 **同左**
** F: 0.02449 X Ht - 0.02344 X Age + 1.4264 ( Bouhuys ) **同左**
V25** **同左**
**M: 0.01411 X Ht - 0.04142 X Age + 1.98361 **同左**
**F: 0.00919 X Ht - 0.0345 X Age + 2.21596 ( Bouhuys ) **同左**
V25 / Ht** **同左**
**M: 1.796 - ( 0.0104 X Age ) **同左**
**F: 1.525 - ( 0.0088 X Age ) ( Yokoyama ) **同左**
FVC = VC** ******
FEV1.0 ** **同左**
7 - 70M: 34.4 X Ht - 33 X Age - 1000 ******
**F: 26.7 X Ht - 27 X Age - 540 ( Berglund ) ******
FEV1.0 % ** **同左**
**M: 91.79 - 0.373 X Age 18 - 70M: 93.08 - 0.292 X Age**
**F: 92.11 - 0.261 X Age ( Berglund ) **F: 95.56 - 0.338 X Age ( 宮沢)**
MMF ** ******
5 -18M: 94 X Ht ÷2.54 - 2614 18 - 70M: ( 3.867 - 0.0386 X Age ) X Ht ( 宮沢)**
**F: 87 X Ht ÷2.54 - 2389 ( Dickman ) **F: ( 3.082 - 0.0312 X Age ) X Ht**
19 - M: 51 X Ht ÷2.54 + 2954 - 46 X Age ******
**F: 43 X Ht ÷2.54 + 2243 - 37 X Age ( Scmidt ) ******
MVV ** ******
**M: { 86.4 - ( 0.522 X Age )} X BSA **同左**
**F: {71.3 - ( 0.474 X Age )} X BSA **同左**
BSA ** ******
**M, F : Wt0.425 X Ht0.725 X 0.007184******
MVV / BSA ** ******
**MVV予測値 ÷ BSA予測値 ******
FRC ** ******
**M: 15 X Age + 53 X Ht - 37 X Wt - 3890 **同左**
**F: 51.3 X Ht - 28 X Wt - 4500 ( Grimby & Soderholm ) **同左**
RV ** ******
**M: 19 X Ht + 11.5 X Age - 2240 ( Boren ) 18 -70M: ( 0.677 + 0.005 X Age ) X Ht**
**F : 32 X Ht + 9 X Age - 3900 ( Goldman & Beckllake ) **F: ( 0.669 + 0.002 X Age ) X Ht (宮沢)**
TLC ** ******
**M: ( 36.2 - 0.06 X Age ) X Ht 18 - 70M: ( 0.677 + 0.005 X Age ) X Ht**
**F: (28.6 - 0.06 X Age ) X Ht ( Rossier ) **F: (2.872 - 0.0033 X Age ) X Ht (宮沢)**
RV/TLC ** ******
**M: 0.33X Age - 0.14 X Wt + 23.4 **同左 ( 予測値不要)**
**F: 0.28 X Age + 0.27 X Ht - 28 ( Grimby & Soderholm ) **同左 ( 予測値不要)**
CV ** ******
**M, F: CV / VC予測値 X VC予測値 ******
CC ** ******
**M, F: CC / TLC予測値 X TLC予測値 ******
CV / VC ** ******
- 15M, F: 26.12 - 1.25 X Age ( Mansell ) ******
16 - M: 0.562 + 0.357 X Age 16 - 83同左**
** F: 2.812 + 0.293 X Age ( Buist & Ross ) **同左**
CC / TLC ** ******
**M: 14.878 + 0.496 X Age16 - 83M: 同左**
**F: 14.420 + 0.536 X Age ( Buist & Ross )16 -85M: 同左**
DLCO ** ******
**M: 15.5 X BSA - 0.238 X Age + 6.8 **M: ( 23.09 - 0.188 X Age ) X Ht**
**F: 15.5 X BSA - 0.117 X Age +0.5 ( Burrows ) **F: (15.42 - 0.075 X Age ) X Ht (宮沢)**
DLCO' ** ******
**M, F: 24.2 X BSA - 0.289 X Age - 3.4 ( Mc Grath ) ******
DLCO / VA ** ******
**M, F: 6.49 - 0.0298 X Age ( Burrows ) **M: 6.50 - 0.031 X Age**
**** **F: 6.60 - 0.023 X Age ( 西田)**
DLCO S.S ** ******
**M, F: 15.9 X BSA - 8.9 ( 金上) ******
N2洗い出し ** **End N2% < 0.7%**
**** **△'N2 % < 0.5%**
DLCO S.S ** ******
**M, F: 15.9 X BSA - 8.9 ( 金上) ******

呼吸機能予測正常値関連文献:
1. Cherniack R.M., Raber M.B.: Normal standards for ventilatory function using an automated wedge spirometer. Am. Rev. Respir. Dis. 106:38-46, 1972.
 備考。 身長がインチで表示されている。

2. Lung function testing: Selection of reference values and interpretative strategies.
Am. Rev. Respir. Dis. 144:1202-1218, 1991.

3. Crapo O, et al.: Am. Rev. Respir. Dis. 123:659-, 1981.

4. Bouhuys , J. Appl. Physiol. 22:1086, 1967. FV curve の理論

5. 現代臨床機能検査:日本臨床 37(夏期増刊): , 1979.
佐竹辰夫:肺気量分画, 2075-2080.
白石 透: Flow-volume 曲線、2081-2084.
冨田友幸:オッシレーション法による呼吸インピーダンス(呼吸抵抗)、2085-2086.

6. 日本胸部疾患学会肺生理専門委員会:大気汚染による呼吸障害を検出するための呼吸機能検査法の現時点における考え方とその評価。日胸疾会誌 14:443-458, 1976.

7. D. V. Bates ed. Respiratory function in disease. W.B. Saunders Company, 1989.

8. Standarization of spirometry 1994 Update Am. Rev. Respir. Dis. 152:1107-1136, 1995.

9. Single-breath carbon monoxide diffusing capacity ( Transfer factor ): Recommendations for a standard technique-1995 Update. Am. Rev. Respir. Dis.152:2185-2198, 1995.

10. Respiratory function measurements in infants: Symbols, abbreviations, and units. Am. Rev. Respir. Dis.151:2041-2057, 1995.
11. 太田保世:呼吸機能検査。中外、1984

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