Journal of Okayama Medical Association
Published by Okayama Medical Association

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気管支喘息の臨床病型と温泉プール水泳訓練の効果

谷崎 勝朗 岡山大学三朝分院内科
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抄録
Swimming training in a hot spring pool was carried out with 30 patients with bronchial asthma including 22 cases with steroid-dependent intractable asthma. Improvement in ventilatory function after 3 months of swimming training was compared among three asthma types, 1-a, 1-b and 2, classified accoridng to clinical symptoms. The ventilatory function test before the training showed that the mean value of FEV(1.0%) was less than 70% in all asthma types, indicating obstruction of the airways, and that the values of % FVC, % MMF, % V(50) and % V(25) of type 2 (bronchiolar obstruction type) asthma cases were significantly lower compared to those of type 1-a (bronchospasm type) and type 1-b (bronchospasm + hypersecretion type) asthma cases. After the 3-month training, type 1-a asthma cases showed an increase in FEV(1.0%) accompanied by an increase in % MMF, % V(50) and % V(25). An increase in % MMF, % V(50) and % V(25) with less increase in FEV(1.0%) was observed in type 2 asthma cases. In type 1-b, the mean increase in all parameters indicating obstruction of the airways was very low even in the cases whose symptoms were improved by the training.
キーワード
換気機能―気管支喘息―
臨床病型―温泉療法―
水泳訓練
ISSN
0030-1558
NCID
AN00032489