´ëÇÑÀϹݰú°³¿øÀÇÇùÀÇȸ Áø·á±â·Ï ÀÛ¼º ³ëÇÏ¿ì ÃÊÆÇ ¹ßÇà 2016³â 12¿ù 18ÀÏ Àμâ 2016³â 12¿ù 15ÀÏ Áö Àº ÀÌ ´ëÇÑÀϹݰú°³¿øÀÇÇùÀÇȸ Á¤ °¡ 50,000¿ø ISBN 978-89-91294-79-0 ¼¹® ´ëÇÑÀϹݰú°³¿øÀÇÇùÀÇȸ´Â ÀÏÂ÷Áø·áÇöÀåÀ» ¹¬¹¬È÷ ÁöŰ´Â ÀÇ»çµéÀÇ µçµçÇÑ ÁÖÃåµ¹ÀÇ ¿ªÇÒÀ» ÇØ¿À°í ÀÖ½À´Ï´Ù. °³¿øÀÇ·Î ´ëÇѹα¹¿¡¼ »ì¾Æ°¡±â À§ÇØ ¹Ýµå½Ã ¾Ë¾Æ¾ß ÇÒ Á¡µé¿¡ ´ëÇÏ¿© 2016³â ÇÑ ÇØ µ¿¾È ´ëÇÑÀϹݰú°³¿øÀÇÇùÀÇȸ¿¡¼ ÇÔ²² °øºÎÇØ¿Ô½À´Ï´Ù. ÀÇÇÐÀû ±â¼úÀÇ ½Àµæµµ Áß¿äÇÏÁö¸¸, ±× Áö½ÄÀ» ÀÇÇÐÀûÀ¸·Î, ´õ ³ª¾Æ°¡ ¹ý·üÀûÀ¸·Î ´õ Á¤È®ÇÏ°Ô ±â·ÏÇϰí Àü´ÞÇÏ´Â °ÍÀÇ Á߿伺ÀÌ ´õ Ä¿Áö°í ÀÖ½À´Ï´Ù. 2016³â ´ëÇÑÀϹݰú°³¿øÀÇÇùÀÇȸ µ¿°è¿¬¼ö°Á¿¡¼´Â ÀÌ ½Ã´ëÀû ¼Ò¸íÀ» ¹Þµé¾î Á¤È®ÇÏ°í ²Ä²ÄÇÑ Áø·á±â·ÏÀÇ ÀÛ¼ºÀ» À§ÇÑ Çʼö ±âÀç »çÇ×À» Áß½ÉÀ¸·Î, ¹ý·ü, ÇàÁ¤±îÁö ÇÔ²² °øºÎÇÏ´Â ½Ã°£À» ¸¶·ÃÇß½À´Ï´Ù. ÀÌ °ÀÇÀÚ·áÁý¿¡´Â ±×µ¿¾ÈÀÇ °øºÎ ¼º°úµéÀ» Á¤¸®Çß°í, ¾ÕÀ¸·Î °³¿øÀÇ»çµéÀÇ µî´ë ¿ªÇÒÀ» ÇÏ´Â ´ëÇÑÀϹݰú°³¿øÀÇÇùÀÇȸÀÇ ¹Ì·¡±îÁöµµ ÇÔ²² °øÀ¯ÇÏ´Â ÀÇÁö¸¦ ´ã¾Ò½À´Ï´Ù. 2016³â 12¿ù 18ÀÏ ´ëÇÑÀϹݰú°³¿øÀÇÇùÀÇȸ Á¶Ã¢½Ä CONTENTS CHAPTER 01 Áø´Ü°Ë»çÀÇ Setting°ú ChartingÀÇ ³ëÇÏ¿ì 01 °¡Àå Áß¿äÇÑ °ÍÀº ¹®ÁøÀÔ´Ï´Ù. 14 1.1 ȯÀÚ¿ÍÀÇ ´ëÈ¿¡¼ ÁøÇàÇØ¾ß ÇÒ ¹®ÁøÀÇ ÇÙ½É Points 14 02 °üÀý ÁÖÀ§ Áõ»óÀ» È£¼ÒÇϴ ȯÀÚÀÇ ÀÌÇÐÀû °ËÁø Process 15 2.1 ÅëÁõÀ» È£¼ÒÇϴ ȯÀÚ°¡ ³»¿øÇÏ¿´À» ¶§ Áø´ÜÀ» ÇØ ³ª°¡´Â °úÁ¤ 15 2.2 ¾ðÁ¦ºÎÅÍ ¾ÆÆÍ¾î¿ä? (Onset of pain) 15 2.3 ÅëÁõÀÇ ºÎÀ§, ¿øÀΰú ÀüÆÄ ÆÐÅÏÀº? 16 2.4 ȯÀÚµéÀÌ È£¼ÒÇÏ´Â ÅëÁõ¿¡´Â ´Ù¾çÇÑ ¿øÀεéÀÌ ÀÖ´Ù. 16 2.5 ÅëÁõ¿¡ ´ëÇÑ Reactions 17 2.6 ÅëÁõ¿¡ ´ëÇÑ Emotion°ú ´ëÀÀ 18 2.7 ÅëÁõ Á¡¼ö¿Í ±â´É Æò°¡ ±â·Ï 18 2.8 °Ç°º¸Çè¿¡ µîÀçµÈ ÀÌÇÐÀû °ËÁøÀÇ ¼ö°¡ Ç׸ñ 21 2.9 ·ù¸¶Æ¼½º ¾àÁ¦¸¦ ó¹æÇϱâ À§Çؼ´Â? DAS28 24 2.10 °Á÷¼ºÃ´Ãß¿° Áø´Ü ±âÁØ 25 2.11 Kellgren-Lawrence Clacsification Scale for Osteroarthritis Severity 27 03 ¸¸¼ºÅëÁõ ȯÀÚ¸¦ Áø·áÇϱâ À§ÇÑ Á¤½Å•½Åü °Ë»ç Ç׸ñµé 29 3.1 ¸¸¼ºÀü½ÅÅëÁõ(Chronic Widespread Pain) 30 3.2 ºÒ¾È, ¿ì¿ï, °øÈ²Àå¾Ö Æò°¡(±Þ¿©) 32 3.3 ¸»ÃʽŰ溴Áõôµµ 44 3.4 ¾îÁö·³Áõ ȯÀÚÀÇ ÀÓ»ó°Ë»ç 50 3.5 ÀÚÀ²½Å°æ±â´É°Ë»ç 58 3.6 °¡·Á¿òÁõ¿¡ ´ëÇÑ °Ë»ç 67 3.7 ÇÏÁöºÒ¾ÈÁõÈıº(restless legs syndrome, RLS)ÀÇ Áø´Ü 69
04 °ñ¹Ðµµ°Ë»ç 71
05 µ¿¸Æ°æÈµµ(¸ÆÆÄÀü´Þ¼Óµµ)°Ë»ç(EZ868) 77
06 °üÀý¿°ÀÇ ÃÊÀ½ÆÄ¿Í X-ray °Ë»ç 80 6.1 °ñ°üÀý¿°(Ostearthritis)ÀÇ X-ray ¿µ»ó 82 6.2 °ñ°üÀý¿°ÀÇ ÃÊÀ½ÆÄ°Ë»ç 92 6.3 ÅëdzÀÇ ÃÊÀ½ÆÄ°Ë»ç 98 6.4 ·ù¸¶Æ¼½º°üÀý¿°ÀÇ ÃÊÀ½ÆÄ°Ë»ç 109 07 ±Ù°ñ°Ý°è Áúȯ ȯÀڵ鿡°Ô ½ÃÇàÇØ¾ß ÇÒ Ç÷¾×°Ë»ç 7.1 ¸ðµç Ç÷¾×°Ë»çÀÇ ±âº»ÀÎ CBC 127 7.2 C2241/C2243 C-¹ÝÀÀ¼º ´Ü¹éÁú(C-Reactive Protein) CRP °Ë»ç 128 7.3 C4901 RA factor Á¤¼º/C4902 RA factor Á¤·® 129 7.4 C3780 Uric Acid 130 7.5 C4911Ç×ÇÙ°Ë»ç ÀϹÝ/C49120006Ç×ÇÙ°Ë»ç Á¤¹Ð 131 7.6 CZ432 Ç×CCP Ab 133 7.7 CY917006 HLA B27 °Ë»ç 133 7.8 C2520 Ferritin(ÈѸ®Æ¾) °Ë»ç 134 7.9 ºñŸ¹Î D°Ë»ç 136 |