2006³â 5¿ù 1ÀϺÎÅÍ ¿£ºê·¼Àû¿ë 2006-05-03 ¹®ÇõÁØ |
![]() ![]() |
¿£ºê·¼ÀÇ º¸ÇèÀû¿ëÀÌ 2005³â 5¿ù 10ÀϺÎÅÍ ÀÌ·ïÁ³À¸³ª,
º¸ÇèÀû¿ë ±âÇÑÀÌ 9°³¿ù·Î µÇ¾î ÀÖ¾ú½À´Ï´Ù. 2006³â 5¿ù 1ÀϺÎÅÍ ÃÑ 24°³¿ù·Î ±âÇÑÀÌ ¿¬ÀåµË´Ï´Ù. ±×¸®°í, ¿£ºê·¼ÀÇ ¾à°¡µµ 10%ÀÎÇϸ¦ Çϱâ·Î °áÁ¤µÇ¾ú½À´Ï´Ù. ´Þ¶óÁø ³»¿ëÀº ´ÙÀ½°ú °°½À´Ï´Ù. 1) ÃÑ 9°³¿ù¿¡¼ 24°³¿ù·Î ¿¬ÀåµÇ¾ú½À´Ï´Ù. 2) ±âÇÑÀÇ »êÁ¤¿¡ ÀÖ¾î ±âÁ¸¿¡´Â ¿£ºê·¼ÀÇ Åõ¿©½ÃÀÛ°ú ÇÔ²² Áß°£¿¡ Áֻ縦 ÇÏÁö ¾Ê¾Æµµ Àϼö°¡ Æ÷ÇÔÀÌ µÇ¾úÀ¸³ª, À̹ø¿¡´Â ½ÇÁ¦ Áֻ緮À¸·Î º¯°æµÇ¾ú½À´Ï´Ù. (ÃÖ´ë 208¹ÙÀ̾˱îÁö ±Þ¿© ÀÎÁ¤µË´Ï´Ù.) °Á÷¼ºÃ´Ãß¿°ÀÇ ¿£ºê·¼(etanercept) º¸ÇèÀû¿ë ±âÁØ ---------------------------------------------- ¥². ÁßÁõÀÇ °Á÷¼ºÃ´Ãß¿° °¡) Åõ¿©´ë»ó : µÎ°¡Áö Á¾·ù ÀÌ»óÀÇ NSAIDs ȤÀº DMARDs ¾àÁ¦·Î 3°³¿ù ÀÌ»ó Ä¡·á¸¦ ÇÏ¿´À¸³ª Ä¡·áÈ¿°ú°¡ ¹ÌÈíÇϰųª, »ó±â ¾àÁ¦µéÀÇ ºÎÀÛ¿ë µîÀ¸·Î Ä¡·á¸¦ Áß´ÜÇÑ, ÁßÁõÀÇ È°µ¿¼º °Á÷¼º ôÃß¿° ȯÀÚ ¡Ø ÁßÁõÀÇ È°µ¿¼º °Á÷¼º ôÃß¿° : Modified New York criteria 1984(¾Æ·¡ ÂüÁ¶)¸¦ ±Ù°Å·Î ÇÏ¿©, ¹æ»ç¼±ÇÐÀû ±âÁØ (Radiologic criteria)°ú 2°³ ÀÌ»ó(aÇ×Àº ¹Ýµå½Ã Æ÷ÇÔ)ÀÇ ÀÓ»óÀû ±âÁØ(Clinical criteria)À» µ¿½Ã¿¡ ¸¸Á·Çϸç, Bath Ankylosing Spondilitis Disease Activity Index (BASDAI)°¡ Àû¾îµµ 4 ÀÌ»óÀÎ °æ¿ì 1. Radiologic criteria (¹æ»ç¼±ÇÐÀû ±âÁØ) ----Sacroilitis: Grade ¡Ã2 bilateral or Grade 3 or 4 unilateral. (õÀå°ñ¿° : ¾çÃø¼º Grade 2ÀÌ»ó, ÆíÃø¼º Grade 3 ȤÀº 4) 2. Clinical criteria (ÀÓ»óÀû ±âÁØ) a. Low back pain and stiffness for more than 3months, which improves with exercise but is not relieved by rest.(¿îµ¿½Ã È£ÀüµÇ³ª, ÈÞ½ÄÀ¸·Î´Â È£Àü µÇÁö ¾Ê´Â 3°³¿ù ÀÌ»óÀÇ low back pain°ú °Á÷) b. Limitation of motion of the lumbar spine in both the sagittal and frontal planes. (½Ã»ó¸é°ú ÀüµÎ¸é ¸ðµÎ¿¡¼ ¿äÃß°ñ ¿îµ¿ÀÇ Á¦ÇÑ) c. Limitation of chest expansion.(ÈäºÎÆØâÀÇ Á¦ÇÑ) ³ª) Åõ¿©±â°£ ¹× Æò°¡¹æ¹ý : Åõ¿© 3°³¿ù° Æò°¡¸¦ ÅëÇÏ¿© BASDAI°¡ 50% ¶Ç´Â 2(scale 0-10)ÀÌ»ó °¨¼ÒÇÑ °æ¿ì Ãß°¡ 6°³¿ùÀÇ Åõ¿©¸¦ ÀÎÁ¤ÇÔ. - ÀÌÈÄ¿¡´Â ¾àÁ¦ »ç¿ë 6°³¿ù¸¶´Ù Æò°¡¸¦ ÇÏ¿© ù 3°³¿ù°ÀÇ Æò°¡ °á°ú°¡ À¯ÁöµÇ¸é Ãß°¡ Åõ¿©¸¦ ÀÎÁ¤ÇÔ (ÃÖ´ë 24°³¿ù) ¡Ø ±Þ¿©ÀÎÁ¤ ±â°£¿¡ ´ëÇÑ ¼³¸í µ¿ ¾àÁ¦´Â ù 3°³¿ùÀº ¿øÄ¢ÀûÀ¸·Î Áö¼Ó Åõ¿©, ÀÌÈÄ Ãß°¡ ±Þ¿© ÀÎÁ¤±â°£(21°³¿ù)Àº ½ÇÁ¦ Åõ¿©±â°£ ÇÕ»ê. Áï, ÀÇÇÐÀû Áß´Ü»çÀ¯ µîÀ¸·Î ÀÏÁ¤±â°£ ÈÞ¾àÇÑ °æ¿ì¿¡´Â Åõ¿© Áß´Ü ±â°£À» Á¦¿ÜÇÏ°í ÇÕ»ê ´Ù) Åõ¿©±â°£ »êÁ¤¹æ¹ý ÀÌ ¾àÁ¦´Â 1ÁÖ¿¡ 2¹ÙÀ̾Ë(50mg)ÀÌ »ó¿ë·®À̸ç, °Á÷¼ºÃ´Ãß¿°ÀÇ °æ¿ì ÈÞ¾à ±â°£ÀÌ ÀÎÁ¤µÇ¹Ç·Î ó¹æ·® 8¹ÙÀ̾ËÀ» 4ÁÖ·Î °è»êÇÏ¿© »ç¿ë±â°£À» »êÁ¤ÇÔ. Áï, 24°³¿ùÀÇ °æ¿ì ÃÑ 104ÁÖ¿¡ ÇØ´çÇϹǷΠÃÖ´ë 208¹ÙÀ̾˱îÁö ±Þ¿© ÀÎÁ¤µÊ |
|
|||
![]() ![]() |
¹øÈ£ | Á¦¸ñ | µî·ÏÀÏ | ÀÛ¼ºÀÚ | Á¶È¸¼ö | |
---|---|---|---|---|---|
![]() |
10¿ù 21ÀÏ [Á¤±â¸ðÀÓ] °øÁö (3) | 2023-09-22 | °ü¸®ÀÚ´Ô | 11177 | |
![]() |
À¯·áÁ¤È¸¿øÁ¦ ÆóÁö¾È³» (1) | 2023-08-11 | °ü¸®ÀÚ´Ô | 8457 | |
![]() |
Äڷγª±Øº¹À» À§ÇÑ ·ù¸¶Æ¼½ºÇÐȸ¿Í ȯ¿ìȸ °øµ¿ ... | 2021-07-07 | °ü¸®ÀÚ´Ô | 25801 | |
![]() |
Äڷγª ¹é½Å Á¢Á¾ ·ù¸¶Æ¼½ºÇÐȸ °¡À̵å | 2021-06-23 | °ü¸®ÀÚ´Ô | 22138 | |
![]() |
100¿ø ±âºÎ ÇÁ·ÎÁ§Æ® - õ¸¸¿ø ¸ð±Ý | 2020-10-30 | °ü¸®ÀÚ´Ô | 82979 | |
![]() |
2019Èñ±Í³Ä¡¼ºÁúȯ ȯ¿ì¸¦ À§ÇÑ º¹ÁöÁ¤º¸ (1) | 2019-05-22 | °ü¸®ÀÚ´Ô | 31980 | |
![]() |
°í¿±Á¦ ÇÇÇØ 2¼¼ °ü·Ã Á¤º¸ ¼öÁý (10) | 2018-09-06 | °ü¸®ÀÚ´Ô | 34429 | |
![]() |
°Á÷¼ºÃ´Ãß¿° ȯ¿ìȸ ¿îµ¿ÀÚ·á È°¿ë ¾È³» (2) | 2018-07-13 | °ü¸®ÀÚ´Ô | 33238 | |
![]() |
<Á¦30ȸ>Àü±¹¸ðÀÓ °øÁö | 2017-09-01 | °ü¸®ÀÚ´Ô | 32645 | |
![]() |
<3¿ù 30ÀÏ> ´ë±¸ °¿¬È¸ ¾È³» | 2016-03-07 | °ü¸®ÀÚ´Ô | 41687 | |
![]() |
¿îµ¿°ú ±³À°¿ë½Ãµð ¹ß¼Û¹æ¹ý | 2015-07-22 | °ü¸®ÀÚ´Ô | 51369 | |
![]() |
¸®Çà ºÎŹÇÕ´Ï´Ù.°Á÷¼ºÃ´Ãß¿° <¹ÙÀ̺í> Á¦ÀÛ | 2015-02-03 | °ü¸®ÀÚ´Ô | 55660 | |
![]() |
<Çʵ¶> ȸ¿ø °Åð¿Í ±Û »èÁ¦ | 2014-08-18 | °ü¸®ÀÚ´Ô | 57870 | |
![]() |
<Á¤È¸¿ø> ÀÎÁõ ¸í´Ü(4/27)-10Â÷ (2) | 2014-01-21 | °ü¸®ÀÚ´Ô | 70052 | |
![]() |
<¿îµ¿±³½Ç>¾îµð¿¡¼ ºÉ±î¿ä | 2014-01-06 | À̽ÂÈ£´Ô | 59291 | |
9329 | Ç×¹®¼Ò¾çÁõ (2) | 2021-06-18 | ±è¹Ì°æ´Ô | 4554 | |
9328 | Äڷγª¹é½Å Á¢Á¾¿¡ ´ëÇÏ¿© (2) | 2021-06-16 | ±èµ¿¼ö´Ô | 5385 | |
9327 | ³ª¸¸ÀÇ ¿¹»Û Æ˾ÆÆ® ÃÊ»óÈ, Áö±Ý ½ÅûÇϼ¼¿ä!(~... | 2021-06-10 | °ü¸®ÀÚ´Ô | 3234 | |
9326 | Àΰø °í°üÀý ġȯ¼ú Àü Àå¾Öµî±Þ¿¡ °ü·Ã¿¡¼ ¹®... | 2021-05-27 | À±¼º¿ø´Ô | 4893 | |
9325 | »ç¹«Á÷Àε¥ ÀÇÀÚ ÃßõÇØÁֽǸ¸ÇÑ°Å ÀÖÀ»±î¿ä? | 2021-05-18 | ·ù¼ºÇö´Ô | 3221 | |
9324 | ![]() |
2021-05-26 | °ü¸®ÀÚ´Ô | 2717 | |
9323 | ¾î¶»°ÔÇؾßÇÒ±î¿ä? | 2021-05-01 | °¹ÌÁ¤´Ô | 3363 | |
9322 | ![]() |
2021-05-02 | °ü¸®ÀÚ´Ô | 3646 | |
9321 | ·¥½Ã¸¶sc ó¹æÇÏ´Â º´¿øÀÖÀ»±î¿ä? | 2021-04-16 | ÀÌÀçÈÆ´Ô | 3136 | |
9320 | ![]() |
2021-05-02 | °ü¸®ÀÚ´Ô | 3051 | |
9319 | µµ¿ÍÁÖ¼¼¿ä | 2021-04-08 | ÀÌâÇö´Ô | 3184 | |
9318 | ![]() |
2021-04-09 | °ü¸®ÀÚ´Ô | 2589 | |
9317 | ![]() |
2021-05-21 | ÀÌâÇö´Ô | 2485 | |
9316 | ![]() |
2021-05-26 | °ü¸®ÀÚ´Ô | 2448 | |
9315 | °³¹ßÀÚ´Ô²² (°Ô½ÃÆÇ ¿À·ù) (1) | 2021-03-30 | ½Åº´Å¹´Ô | 3436 | |
9314 | Àå¾ÖÁø´Ü-2 (3) | 2021-03-24 | ±èÀç±â´Ô | 4087 | |
9313 | Àå¾ÖÁø´Ü (1) | 2021-03-20 | ±èÀç±â´Ô | 3554 | |
9312 | °Á÷ôÃß¿° ¿îµ¿µ¿¿µ»ó ÃÔ¿µÀ» À§ÇÑ ÀÚ¿øȯÀÚ ¸ð... | 2021-02-24 | °ü¸®ÀÚ´Ô | 3078 | |
9311 | Äڷγª (1) | 2021-02-05 | Èĸ®Áö¾Æ´Ô | 3425 | |
9310 | ¿¬¸»Á¤»ê Àå¾ÖÀÎ ±âº»°øÁ¦ ²À ¹ÞÀ¸¼¼¿ä. | 2021-02-02 | Áø±¤Çö´Ô | 3853 |
|
|
![]() ![]() |
HOME > °Ô½ÃÆÇ > ÀÚÀ¯°Ô½ÃÆÇ