{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282681290914816.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11261/iryo1946.62.477"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"9675966"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/9675966"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I9675966"}},{"identifier":{"@type":"NAID","@value":"130004316879"}},{"identifier":{"@type":"NAID","@value":"40016272386"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2008352995"}}],"dc:title":[{"@language":"en","@value":"Meaning of Pulmonary Function Test in Physical Checkup"},{"@value":"健康診断における肺機能検査の意義"},{"@language":"ja-Kana","@value":"ケンコウ シンダン ニ オケル ハイ キノウ ケンサ ノ イギ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Chronic obstructive pulmonary disease (COPD) is a major cause of chronic morbidity and mortality throughout the world. COPD is a preventable and treatable disease and its pulmonary component is characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases such as smoking. Therefore it is important to diagnosis in early stage of the disease. It is necessary to carry out pulmonary function test to find the COPD patients. In this study, we examined whether pulmonary function test was needed in health examination of stuffs in our hospital. Clinical, spirometric, and risk factor exposure data were collected on 208 stuffs (male: 75, female: 133, mean age: 38 years old) in our hospital. Subjects were consisted of 48 current smokers, 31 ex-smokers and 129 never-smokers. Air flow limitation was defined as FEV<sub>1.0%</sub><70%. The abnormality of small air way was defined as V50/V25>3.0. Mean value of FEV<sub>1.0%</sub><70% and V50/V25 obtained from smoker, ex-smoker and never-smoker groups was in normal range, but FEV<sub>1.0%</sub> value from smoker was significantly less than that from never smoker. On the otherhand, V50/V25 value from smoker was significantly higher than that from never smoker. Furthermore, mean values of FEV<sub>1.0%</sub> and V50/V25 obtained form smokers and ex smokers turned worse by aging. In smoker group, the abnormality of small airway was detected in 7.7% of less than 40 years old and 59.1% of 40 years old or more and air flow limitation was detected in 13.6% of 40 years old or more. In ex-smoker group, there were no abnormality of small airway and air flow limitation in subjects less than 40 years old, and abnormality of small airway was detected 38.1% and air flow limitation was detected 4.8% of 40 years old or more. These data suggested that it was necessary to do pulmonary function test for health examination of stuffs."},{"@value":"慢性閉塞性肺疾患: chronic obstructive pulmonary disease (COPD)は世界における慢性罹病率と死亡率の主要原因の一つとなっている. COPDは予防可能, 治療可能な疾患であり肺症状は完全には可逆性でない気流制限を特徴とする. この気流制限は通常進行性で有害な粒子や喫煙のようなガスに対する肺の異常な炎症反応と関連している. それゆえ, この疾患を早期に診断することは重要である. COPD患者の発見には肺機能検査を実施することが必要である. この研究においてわれわれは国立病院機構高知病院の職員の健康診断に肺機能が必要か否かについて検討した. 臨床症状, 肺機能, 喫煙の有無を208名(男性75, 女性133, 平均年齢38歳)の当院職員について分析した. 喫煙歴は48名が現喫煙者, 31名が既喫煙者, 129名が非喫煙者であった. 閉塞性障害はFEV<sub>1.0%</sub>が70%未満とした. 末梢気道障害はV50/V25値3.0以上とした. これらの平均値は現喫煙者, 既喫煙者, 非喫煙者すべてにおいて正常範囲にあった. しかし喫煙者から得たFEV<sub>1.0%</sub>値は非喫煙者にくらべ有意に低値であった. 一方, 喫煙者のV50/V25値は非喫煙者にくらべ高値であった. さらにFEV<sub>1.0%</sub>とV50/V25値は現喫煙者, 既喫煙者において加齢により悪化した. 喫煙者では末梢気道障害は40歳未満の7.7%, 40歳以上の59.1%に, 閉塞性障害は40歳以上の13.6%にみられた. 一方, 既喫煙者では40歳未満では末梢気道障害, 閉塞性障害はみられなかったが, 40歳以上では末梢気道障害は38.1%, 閉塞性障害4.8%にみられた. これらの結果より院内の職員とくに喫煙者, 40歳以上の既喫煙者の健康診断に肺機能が必要であることが示された."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1030003658446246400","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"80201375"},{"@type":"NRID","@value":"1000080201375"},{"@type":"NRID","@value":"9000253621454"},{"@type":"NRID","@value":"9000253162582"},{"@type":"NRID","@value":"9000253593622"},{"@type":"NRID","@value":"9000253632231"},{"@type":"NRID","@value":"9000391644218"},{"@type":"NRID","@value":"9000253624036"},{"@type":"NRID","@value":"9000010107054"},{"@type":"NRID","@value":"9000022030072"},{"@type":"NRID","@value":"9000254617762"},{"@type":"NRID","@value":"9000020979258"},{"@type":"NRID","@value":"9000009247147"},{"@type":"NRID","@value":"9000022170837"},{"@type":"NRID","@value":"9000253625562"},{"@type":"NRID","@value":"9000253615001"},{"@type":"NRID","@value":"9000004473827"},{"@type":"NRID","@value":"9000369739177"},{"@type":"NRID","@value":"9000253618495"},{"@type":"NRID","@value":"9000253602260"},{"@type":"NRID","@value":"9000252903460"},{"@type":"NRID","@value":"9000256346290"},{"@type":"NRID","@value":"9000361699981"},{"@type":"NRID","@value":"9000253610549"},{"@type":"NRID","@value":"9000253621087"},{"@type":"NRID","@value":"9000253112947"},{"@type":"NRID","@value":"9000252796813"},{"@type":"NRID","@value":"9000003760538"},{"@type":"NRID","@value":"9000397712158"},{"@type":"NRID","@value":"9000253625157"},{"@type":"NRID","@value":"9000253609958"},{"@type":"NRID","@value":"9000253631452"},{"@type":"NRID","@value":"9000252904008"},{"@type":"NRID","@value":"9000253629108"},{"@type":"NRID","@value":"9000256524362"},{"@type":"NRID","@value":"9000004436530"},{"@type":"NRID","@value":"9000253628913"},{"@type":"NRID","@value":"9000253613857"},{"@type":"NRID","@value":"9000254059696"},{"@type":"NRID","@value":"9000361229518"},{"@type":"NRID","@value":"9000021251941"},{"@type":"NRID","@value":"9000001092630"},{"@type":"NRID","@value":"9000253630608"},{"@type":"NRID","@value":"9000253612851"},{"@type":"NRID","@value":"9000253614594"},{"@type":"NRID","@value":"9000334739244"},{"@type":"NRID","@value":"9000309192005"}],"foaf:name":[{"@language":"en","@value":"OGUSHI Fumitaka"},{"@language":"ja","@value":"大串 文隆"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"国立病院機構高知病院 呼吸器アレルギー科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290697033669761","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000256524363"}],"foaf:name":[{"@language":"en","@value":"SHINOHARA Tsutomu"},{"@language":"ja","@value":"篠原 勉"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"国立病院機構高知病院 呼吸器アレルギー科"},{"@language":"ja","@value":"国立病院機構高知病院 臨床研究部"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00211699"},{"@type":"EISSN","@value":"18848729"},{"@type":"NDL_BIB_ID","@value":"000000001666"},{"@type":"ISSN","@value":"00211699"},{"@type":"LISSN","@value":"00211699"},{"@type":"NCID","@value":"AN00017113"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of National Medical Services"},{"@language":"ja","@value":"医療"},{"@language":"en","@value":"Japanese Journal of National Medical Services"},{"@language":"ja","@value":"医療"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society of National Medical Services"},{"@language":"ja","@value":"一般社団法人 国立医療学会"}],"prism:publicationDate":"2008","prism:volume":"62","prism:number":"9","prism:startingPage":"477","prism:endingPage":"481"},"url":[{"@id":"http://id.ndl.go.jp/bib/9675966"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I9675966"},{"@id":"https://search.jamas.or.jp/link/ui/2008352995"}],"availableAt":"2008","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=health%20examination","dc:title":"health examination"},{"@id":"https://cir.nii.ac.jp/all?q=smoking","dc:title":"smoking"},{"@id":"https://cir.nii.ac.jp/all?q=pulmonary%20function%20test","dc:title":"pulmonary function test"},{"@id":"https://cir.nii.ac.jp/all?q=chronic%20obstructive%20pulmonary%20disease","dc:title":"chronic obstructive pulmonary disease"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%81%A5%E5%BA%B7%E8%A8%BA%E6%96%AD","dc:title":"健康診断"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%96%AB%E7%85%99","dc:title":"喫煙"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%BA%E6%A9%9F%E8%83%BD%E6%A4%9C%E6%9F%BB","dc:title":"肺機能検査"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%85%A2%E6%80%A7%E9%96%89%E5%A1%9E%E6%80%A7%E8%82%BA%E7%96%BE%E6%82%A3","dc:title":"慢性閉塞性肺疾患"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0031971790"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I9675966"},{"@type":"CIA","@value":"40016272386"},{"@type":"CIA","@value":"130004316879"}]}