A STUDY ON PEAK EXPIRATORY FLOW MONITORING MANEUVER AS COMPARED TO FORCED EXPIRATORY FLOW MANEUVER

  • Nagasaka Yukio
    Fourth Department of Internal Medicine, Kinki University School of Medicine
  • Fujita Etsuo
    Fourth Department of Internal Medicine, Kinki University School of Medicine
  • Hazu Ryuhei
    Fourth Department of Internal Medicine, Kinki University School of Medicine
  • Nishimura Naomi
    Fourth Department of Internal Medicine, Kinki University School of Medicine
  • Nakajima Shigenori
    Fourth Department of Internal Medicine, Kinki University School of Medicine

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  • ピークフロー測定の基礎的検討とくに強制呼出との比較について

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Abstract

In this study, we tried to clarify the characteristics of peak expiratory flow (PEF) measurement maneuver as a tool of daily monitoring severity of asthma in accordance with peak expiratory flow rate (PEFR) of forced expiratory maneuver. PEF did not differ when measured either in the standing or sitting position. However, obese indivduals may have higher PEF when measured in the standing position and subjects with emphysematous change may have higher PEF when measured in the sitting than in the standing position. PEF did not differ when measured either with or without nose clip. Expiration time and volume in PEF measurement requires only one fifth and a half of that of forced expiratory flow volume measurement, respectively. In 36% of asthmatic patients in whom PEF is measured daily, PEF measurements were thought to be measured after inspiring at about 90% of forced vital capacity. Although PEF is a well tolerated useful clinical parameter in the management of bronchial asthma, it has different characteristics from peak expiratory flow rate (PEFR) of forced expiratory volume measurement.

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