@article{oai:air.repo.nii.ac.jp:00000586,
 author = {佐々木, 誠 and 佐藤, 峰善 and 畠山, 和利 and SASAKI, Makoto and SATO, Mineyoshi and HATAKEYAMA, Kazutoshi},
 issue = {1},
 journal = {秋田大学医学部 保健学科紀要},
 month = {Mar},
 note = {本研究の目的は,熱線式スパイロメータを用いて咳嗽時の最大呼気フロー(peak cough expiratory flow; 以下PCEF)の測定を行い,測定再現性について検討し,基本的属性,スパイロメトリー,呼気筋力との関連をみることでこのパラメータの特性を明らかにすることである.健常な男性学生18名を対象にスパイロメトリー,呼気筋力測定,咳嗽力測定を行った.PCEFの測定値のICC (1,1)は0.74であり,ICC(1,2)は0.85であった.咳嗽力と基本的属性,スパイロメトリー,呼気筋力との相関係数はr=-0.438〜0.456であり,統計学的有意には至らなかった.ステップワイズ法による重回帰分析では,PCEF=年齢×(-0.069)+身長×0.078-2.763の回帰式が得られた(p<0.05).以上より, PCEFで測定した咳嗽力は測定再現性があり,年齢と身長の影響を受ける可能性があることが示され,また,ピークフロー値をはじめとしたスパイロメトリーのパラメータ,呼気筋力と相関関係を認めないことから,他のパラメータとは独立した呼吸機能の指標であると考えられた., The purpose of this study was to examine the reproducibility of peak cough expiratory flow (PCEF) measured by thermal spirometer, and to clarify the characteristics through analysis of relationship between this parameter and the fundamental characteristics, spirometory data and expiratory muscle strength. The spirometer data, expiratory muscle strength and PCEF of eighteen male students of normal health were measured. The intraclass correlation coefficient (ICC) (1,1) of measured PCEF was 0.74 and ICC(1,2) was 0.85. The relationship between PCEF and fundamental characteristics, spirometory data and expiratory muscle strength was r=-0.438〜0.456, not statistically significant. The equation; PCEF=age× (-0.069)+height×0.078-2.763 was obtained by stepwise regression (p<0.05). In conclusion, it was shown that cough intensity measured as PCEF has measurement reproducibility, and there is a possible influence by age and height. Furthermore, since PCEF did not relate to spirometory data such as peak flow rate and expiratory muscle strength, cough intensity might be a specific parameter of respiratory function independent from other parameters.},
 pages = {53--57},
 title = {咳嗽力の測定再現性と特性},
 volume = {12},
 year = {2004}
}