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EndoTODAY ³»½Ã°æ ±³½Ç


[Endoscopy ergonomics. ³»½Ã°æ ÀÇ»çÀÇ °íÀå] - ðû

in Korean

in English (subnote)

AGC recommendations (PDF)

1. ¼­·Ð - ±Ù°ñ°Ý°è Á÷¾÷º´

2. ³»½Ã°æ ÀÇ»çÀÇ ±Ù°ñ°Ý°è Áúȯ

3. ³»½Ã°æÀº ¾î¶»°Ô Àâ´Â °ÍÀÌ ÁÁ½À´Ï±î?

4. Umbilical cordÀÇ À§Ä¡

5. ³»½Ã°æ ÀÇ»çÀÇ ÀÚ¼¼ - ²À ¼­¼­ °Ë»çÇØ¾ß ÇÒ±î¿ä?

6. ³»½Ã°æÀÇ»çÀÇ ±Ù°ñ°Ý°è Áúȯ ¿¹¹æÀ» À§ÇÑ Àü·«

7. ¿îµ¿ ó¹æ

8. Ergonomically designed endoscopy and endoscopy room

9. ³»½Ã°æ Àǻ縦 À§ÇÑ fitness/stretching program

10. FAQ

11. References

2020³â ¼ÒÈ­±âÇÐȸ °­ÀÇ·Ï. PDF 0.2M


1. ¼­·Ð - ±Ù°ñ°Ý°è Á÷¾÷º´

Procedure-related musculoskeletal injuries in gastroenterology (PDF)

Jun Haeng Lee, MD. Department of Medicine, Samsung Medical Center, Seoul, Korea

Endoscopy is a labor-intensive work not only mentally but also physically. Musculoskeletal pain and injuries (most often in the back, neck, shoulders, hands, wrists, and thumbs) are common problems among endoscopiest. They are associated with the minute and repetitive strain that is placed on these areas during endoscopic procedures. The most important factor seems to be the large work volume, but factors such as height and direction of the monitors, bed height, wrong maneuver of the endoscope handling, ergonomically unsafe design of the endoscope are also needs attention. To determine the prevalence and risk factors of work-related musculoskeletal disorders in gastrointestinal endoscopists in Korea. A survey of musculoskeletal symptoms, using a self-administered questionnaire, was conducted on 55 endoscopists practicing in general hospitals or health promotion centers. Forty-nine (89.1%) endoscopists reported musculoskeletal pain on at least one anatomic location and 37 (67.3%) endoscopists complained of pain at rest. Twenty-six (47.3%) endoscopists had severe musculoskeletal pain defined as a visual analogue score greater than 5.5. Factors related to the development of severe pain were (1) standing position during upper endoscopy, (2) specific posture/habit during endoscopic procedures, and (3) multiple symptomatic areas. Finger pain was more common in beginners, whereas shoulder pain was more common in experienced endoscopists. Sixteen percent of symptomatic endoscopists have modified their practice or reduced the number of endoscopic examinations. Only a few symptomatic endoscopists had sought professional consultation with related specialists. The prevalence of musculoskeletal pain in endoscopists is very high. The location of pain was different between beginners and experienced endoscopists. Measures for the prevention and adequate management of endoscopy-related musculoskeletal symptoms are necessary.

±â°è¸¸ °íÀ峪´Â °ÍÀÌ ¾Æ´Õ´Ï´Ù. ÀÇ»çÀÇ ¸öµµ °íÀå³³´Ï´Ù. ÀÇ»çÀÇ ¸¶À½µµ °íÀå³³´Ï´Ù. ÀÇ»çÀÇ ¸ö°ú ¸¶À½µµ ´Û°í Á¶ÀÌ°í ±â¸§ÃÄ¾ß ÇÕ´Ï´Ù.

À§¾Ï Àü¹® ¿Ü°ú ÀÇ»ç´Â ´Ã ¸ñÀÌ ¾ÆÇÁ´Ù°í ÇÕ´Ï´Ù. °í°³¸¦ ¼÷ÀÌ°í ¼ö¼úÀ» Çϱ⠶§¹®ÀÔ´Ï´Ù. ³»½Ã°æ Àǻ絵 ¸ñÀ̳ª ¼ÕÀ̳ª ¾î±ú°¡ ¾ÆÇ °æ¿ì°¡ ¸¹½À´Ï´Ù. ±×·±µ¥ ´Ùµé "¿î¸íÀÌ·Á´Ï..." Çϸ鼭 Âü°í Áö³À´Ï´Ù. Âü ¾ÈŸ±õ½À´Ï´Ù.

±Ù°ñ°Ý°è Á÷¾÷º´Àº ¡°¹Ýº¹ÀûÀÎ µ¿ÀÛ, ºÎÀûÀýÇÑ ÀÛ¾÷ÀÚ¼¼, ¹«¸®ÇÑ ÈûÀÇ »ç¿ë, ³¯Ä«·Î¿î ¸é°úÀÇ ½ÅüÁ¢ÃË, Áøµ¿ ¹× ¿Âµµ µîÀÇ ¿äÀο¡ ÀÇÇÏ¿© ¹ß»ýÇÏ´Â °Ç°­ÀåÇطμ­ ¸ñ, ¾î±ú, Ç㸮, »ó.ÇÏÁöÀÇ ½Å°æ, ±ÙÀ° ¹× ±× ÁÖº¯ ½ÅüÁ¶Á÷ µî¿¡ ³ªÅ¸³ª´Â Áúȯ¡±À¸·Î Á¤Àǵ˴ϴÙ.

´ëÇ¥ÀûÀÎ Á÷¾÷°ü·Ã ±Ù°ñ°Ý°è ÁúȯÀº ±Ù¸·Åë ÁõÈıº (myofascial pain syndrome), °æÃß ÀÚ¼¼ ÁõÈıº (cervical postural syndrome), ¿Ü»ó°ú¿° (lateral epicondylitis), ³»»ó°ú¿° (medial epicondylitis), Á¡¾×³¶¿° (bursitis), °Ç¸·¿° (tenosynovitis), °Ç¿° (tendonitis), µ¥²ãº¬ °ÇÃÊ¿° (DeQuervain disease), ¹æ¾Æ¼è ¼Õ°¡¶ô (trigger finger), ´©Àû¼º¿Ü»ó Áúȯ (cumulative trauma disorders), ¹Ýº¹¼º¿Ü»ó Áúȯ (repetitive strain injury), °æ°ß¿Ï Àå¾Ö (shoulder arm syndrome), ¼ö±Ù°ü ÁõÈıº (carpal tunnel syndrome) µîÀÌ ÀÖ½À´Ï´Ù. ¹Ýº¹¼º ¿îµ¿ (repetitive motions), ºÎÀÚ¿¬½º·± ÀÚ¼¼ (awkward posture), °úµµÇÑ Èû (forceful exertions), Á¢ÃË ½ºÆ®·¹½º (contact stress), Áøµ¿ (vibration) ¹× ºñÁ¤»óÀûÀÎ ¿Âµµ¿Í Á¶¸í µîÀÌ ¸ðµÎ ±Ù°ñ°Ý°è À§ÇØ¿äÀÎÀ¸·Î ÀÛ¿ëÇÒ ¼ö ÀÖ½À´Ï´Ù.

»ê¾÷º¸°Ç¿¡ °üÇÑ ±ÔÄ¢¿¡ µû¸£¸é ¾Æ·¡¿Í °°Àº ¿äÀεéÀÌ ±Ù°ñ°Ý°è¿¡ ºÎ´ãÀ» ÁÖ´Â ÀÛ¾÷À̶ó°í ÇÕ´Ï´Ù. ³»½Ã°æÀÇ»çÀÇ ÀÔÀå¿¡¼­ »ìÆ캸¾ÒÀ» ¶§ Àå±â°£ÀÇ ³»½Ã°æ °Ë»ç´Â ±× ÀÚü°¡ ½ÅüÀÇ ¿©·¯ ºÎºÐ¿¡ ÀûÁö ¾ÊÀº ºÎ´ãÀ» ÁÖ´Â ÀÛ¾÷À¸·Î »ý°¢ÇÒ ¼ö ÀÖ½À´Ï´Ù.

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±Ù°ñ°Ý°è Á÷¾÷º´Àº ¿¹¹æÀÌ ÃÖ¼±ÀÌÁö¸¸ ÀÏ´Ü ¹ß»ýÇÑ °æ¿ì´Â ÀûÀýÇÑ ´ëÀÀµµ ÇÊ¿äÇÕ´Ï´Ù. »çÀü ¿¹¹æÀ» À§ÇÑ ´Ü±âÀû ´ëÃ¥À¸·Î ÀÛ¾÷Àå ±¸Á¶, °ø±¸, ÀÛ¾÷¹æ¹ý °³¼± µîÀÌ ÇÊ¿äÇÏ°í, Àå±âÀûÀ¸·Î´Â À§Çؼ­´Â À§Çè ¿äÀÎÀÇ ¹ß°ß ¹× Á¶Á¤À» ÅëÇÑ ³ëµ¿°­µµÀÇ Á¶ÀýÀÌ ÇÊ¿äÇÕ´Ï´Ù. ÀûÀýÇÑ °ü¸®¸¦ À§Çؼ­´Â (1) ȯÀÚÀÇ Á¶±â ¹ß°ß ¹× »óÅ¿¡ µû¸¥ Á¶Ä¡, (2) ±Ù°ñ°Ý°èÁúȯ Á¶±â¹ß°ßÀ» À§ÇÑ °æ·Î ¸¶·Ã, (3) »ç³» ¹× »ç¿Ü ¹°¸®Ä¡·á, ¿îµ¿ Ä¡·á Áö¿ø, (4) º´¿ø Áø·á ÈÄ ÀûÀýÇÑ ¿ä¾ç, (5) ¿ä¾ç ÈÄ ¿øÁ÷ º¹Á÷, ÀçÈ° ÇÁ·Î±×·¥ ¿î¿µ µîÀÌ ÇÊ¿äÇÕ´Ï´Ù.


2. ³»½Ã°æ ÀÇ»çÀÇ ±Ù°ñ°Ý°è Áúȯ

¿ì¸®³ª¶ó¿¡¼­ ³»½Ã°æ °Ë»çÀÚÀÇ °Ë»ç °­µµ´Â ¸Å¿ì ³ô½À´Ï´Ù. ¼­±¸¿¡¼­´Â ³»½Ã°æ ½Ã¼úÀÇÀÇ ±Ù°ñ°Ý°è ¹®Á¦¿¡ ´ëÇÑ À¯º´·ü°ú °ü·ÃÀÎÀÚ¿¡ ´ëÇÑ º¸°í°¡ ÀÖÀ¸³ª ±¹³»¿¡¼­´Â ÀÌ·¯ÇÑ ¹®Á¦°¡ Á¶»çµÈ °æ¿ì°¡ ¸¹Áö ¾Ê½À´Ï´Ù.

ÇÊÀÚ´Â 2006³â 6¿ùºÎÅÍ 9¿ù±îÁö Á¾ÇÕº´¿ø ¹× °ÇÁø¼¾ÅÍ¿¡¼­ ±Ù¹«ÇÏ´Â ÀÇ»çµéÀ» ´ë»óÀ¸·Î ÀçÈ°ÀÇÇаú ±³¼ö¿Í °øµ¿À¸·Î Á¦ÀÛÇÑ ÀÚ°¡ ±â¼úÇü ¼³¹®Áö¸¦ ÀÌ¿ëÇÏ¿© ³»½Ã°æÀÇ»çÀÇ ±Ù°ñ°Ý°è Áõ»ó À¯º´·üÀ» Á¶»çÇÑ ¹Ù ÀÖ½À´Ï´Ù (Byun YH. World J Gastroenterol 2008). °¢°¢ÀÇ ±Ù°ñ°Ý°è ÀÌ»óÀÇ Á¾·ù¿Í Á¤µµ¸¦ Visual analogue scale (VAS)·Î Ç¥½ÃÇÏ°Ô ÇÏ¿´°í, °ü·ÃµÈ Áõ»ó, ½Ã¼ú¿¡ ´ëÇÑ ¿µÇâ, ¹®Á¦ ÇØ°á ¹æ¹ý µîÀ» »ìÆ캸¾Ò½À´Ï´Ù.

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ÀÌ·¯ÇÑ Á¶»ç°á°ú¸¦ ¹ÙÅÁÀ¸·Î ÇÊÀÚ´Â ³»½Ã°æ ½Ã¼úÀǵéÀº ½Ã¼ú°ú °ü·ÃµÈ °ÍÀ¸·Î ÃßÁ¤µÇ´Â ¸¹Àº ±Ù°ñ°Ý°è Áõ»óÀ» °æÇèÇÏ°í ÀÖÀ¸³ª, ÀÌ¿¡ ´ëÇÑ È¿°úÀûÀÎ Áø´Ü°ú Ä¡·á´Â ÀÌ·ç¾îÁöÁö ¾Ê°í ÀÖÀ¸¸ç, ³»½Ã°æ ½Ã¼ú°ú °ü·ÃµÈ º¸´Ù ü°èÀûÀÎ ±¤¹üÀ§ÇÑ Á¶»ç¿Í ¿¹¹æ ³ë·ÂÀÌ ÇÊ¿äÇÏ´Ù°í °á·ÐÀ» ¸Î¾ú½À´Ï´Ù.


3. ³»½Ã°æÀº ¾î¶»°Ô Àâ´Â °ÍÀÌ ÁÁ½À´Ï±î? Three finger method°¡ ÁÁ½À´Ï´Ù. Àû¾îµµ óÀ½¿¡´Â...

³»½Ã°æÀ» Àâ´Â ¹æ¹ýÀº two finger method¿Í three finger method°¡ ÀÖ½À´Ï´Ù. Two finger method¸¦ »ç¿ëÇÏ´Â ºÐÀÌ ¸¹Áö¸¸ Àú´Â three finger method¸¦ ±ÇÇÕ´Ï´Ù. ¼ÕÀÌ ÀÛÀº Çѱ¹Àο¡°Ô´Â three finger method°¡ Àû´çÇÏ´Ù°í »ý°¢Çϱ⠶§¹®ÀÔ´Ï´Ù. ±âº»ÀûÀ¸·Î three finger method¸¦ »ç¿ëÇϸ鼭 Áß°£¿¡ Àû´çÈ÷ two finger method¸¦ ÀÌ¿ëÇϸé ÁÁÁö ¾ÊÀ»±î »ý°¢ÇÕ´Ï´Ù.


[2013-11-4. ¾Öµ¶ÀÚ ÆíÁö]

¿£µµÅõµ¥À̸¦ ¿­½ÉÈ÷ º¸³»Áּż­ °¨»çÇÕ´Ï´Ù.^^ Á¦ ¿ÞÂÊ ³×¹ø° ¼Õ°¡¶ô PIP joint¸¦ ³´°Ô ÇØ Áּ̽À´Ï´Ù. 25³â°£ µÎ¼Õ°¡¶ô ¹æ¹ý(two finger method)À¸·Î ³»½Ã°æÀ» Çß´õ´Ï ¿Þ¼ÕÀÌ ¾ÆÇÁ´Ù°¡ ÀÌÁ¨ ¼Õ°¡¶ôÀÌ ¾ÆÆÄ ³»½Ã°æÀ» Æ÷±âÇØ¾ß ÇÏ´Â ÁÙ ¾Ë¾Ò½À´Ï´Ù. ³»½Ã°æ Àâ´Â¹ýÀ» ¹Ù²Û ÈÄ ¼ÕÀÌ °ÅÀÇ ÁÁ¾ÆÁ³½À´Ï´Ù. ÇÐȸ¿¡¼­ ºÆ¸é ²À Àλçµå¸±²²¿ä.^^

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Àú ¶ÇÇÑ Å« º¸¶÷À» ´À³§´Ï´Ù. °¨»çÇÕ´Ï´Ù. »ç½Ç ¿ì¸®´Â ³»½Ã°æÀÇ ±â¼úÀûÀÎ ¹®Á¦¸¦ ³Ê¹« µîÇѽÃÇß½À´Ï´Ù. (1) ³»½Ã°æÀ» Àâ´Â ¹ý°ú °Ë»ç ÀÚ¼¼, (2) Á¶Á÷°Ë»ç¹ý, (3) ³»½Ã°æ ±â±¸ °ü¸®, (4) ³»½Ã°æ ¼Òµ¶ µîÀº ¾îµð¼­µµ Áß¿äÇÏ°Ô °¡¸£Ä¡´Â °÷ÀÌ ¾ø½À´Ï´Ù. Àϼ±¿¡¼­ ³»½Ã°æÀ» ÇÏ´Ù º¸¸é ¾î´À Çϳª Áß¿äÇÏÁö ¾ÊÀº °ÍÀÌ ¾ø´Âµ¥µµ...... À¯±³ ¹®È­ÀÇ ÀüÅëÀÌ °­ÇÑ ¿ì¸®³ª¶ó¿¡¼­´Â ±â¼úÀûÀÎ µðÅ×ÀÏÀº ½Î±¸·Á ȤÀº ÇãÁ¢ÇÑ ÀÏ, °ÝÀÌ ³·Àº ÀÏ, ¾ç¹ÝÀÌ Çؼ­´Â ¾È µÉ ÀÏ, »ó¾Æž°ú´Â ¾î¿ï¸®Áö ¾Ê´Â ÀÏÀ̶ó°í »ý°¢ÇÏ´Â °æÇâÀÌ ÀÖ½À´Ï´Ù. EndoTODAY¿¡¼­´Â ±×·± ÇãÁ¢ÇÑ ³»¿ëµµ ¼ÒÁßÈ÷ ¿©±é´Ï´Ù. ÀÌÀ¯´Â? ÇÊ¿äÇϴϱî.


[2015-3-21 Ãß°¡]

¾î¶² ºÐÀÌ ÀÌ·± À̾߱⸦ Çϼ̽À´Ï´Ù. "Àú´Â ¼±»ý´ÔÀÇ EndoTODAY ³»¿ë¿¡ 90%´Â µ¿ÀÇÇϴµ¥ 10% Á¤µµ´Â ´Ù¸¥ »ý°¢À» °®°í ÀÖ½À´Ï´Ù." ´ç¿¬ÇÑ ÀÏÀÔ´Ï´Ù. ÀÇ°ßÀÌ ´Ù¸¦ ¼ö ÀÖ½À´Ï´Ù. °©Àڱ⠱ñÝÁõÀÌ ¹ßµ¿Çß½À´Ï´Ù. ¿¹¸¦ µé¾î´Þ¶ó°í ºÎŹÇÏ¿´´õ´Ï ³î¶ø°Ôµµ '³»½Ã°æ Àâ´Â ¹ý'À̾ú½À´Ï´Ù. ³»½Ã°æÀ» ÀâÀ» ¶§ three finger method¸¦ ¾²¶ó´Â ȤÀº ½á¾ß ÇÑ´Ù´Â ÀúÀÇ ÃßõÀ» µè°í ½ÃµµÇغ¸¼Ì´Ù°í ÇÕ´Ï´Ù. ±×·±µ¥ Àڽſ¡°Ô´Â °ú°Å¿¡ »ç¿ëÇÏ´ø two finger method°¡ ´õ ÆíÇÏ´Ù´Â °ÍÀ̾ú½À´Ï´Ù.

Three finger method´Â ¸ðµç »ç¶÷ÀÌ ¹Ýµå½Ã ±×·¸°Ô ÇØ¾ß ÇÑ´Ù´Â °ÍÀº ¾Æ´Õ´Ï´Ù. º¸ÅëÀº three finger method¸¦ ±ÇÇϴµ¥ ¼Õ°¡¶ô ±æÀÌ¿¡ µû¶ó, ³»½Ã°æ °Ë»ç ÀÚ¼¼³ª ½À°ü¿¡ µû¶ó, °Ë»ç ºÐ·®¿¡ µû¶ó, Ä¡·á³»½Ã°æ ¿©ºÎ¿¡ µû¶ó, ¾î¶² ȸ»çÀÇ ¾î¶² ³»½Ã°æÀ» »ç¿ëÇϴ°¡¿¡ µû¶ó, ±âŸ ´Ù¸¥ ¸¹Àº ¿äÀο¡ µû¶ó ´Þ¶óÁú ¼ö ÀÖ½À´Ï´Ù. Àú´Â ´ÜÁö (1) three finger method°¡ ´õ ÀϹÝÀûÀ̶ó´Â Á¡, (2) Ȥ½Ã two finger method¸¦ »ç¿ëÇÏ´Ù°¡ ¼Õ°¡¶ôÀ̳ª ¼Õ¸ñÀÌ ¾ÆÇÁ¸é three finger method·Î ¹Ù²ãº¸¶ó´Â Á¡À» ¾Ë·Áµå¸®°í ½Í¾úÀ» »ÓÀÔ´Ï´Ù. ¾î¶² ¹æ¹ýÀÌµç ¸ö »óÇÏÁö ¾Ê°Ô Á¶½ÉÁ¶½É °Ë»çÇϽñ⠹ٶø´Ï´Ù.

[2020-3-2. ÀÌÁØÇà Ãß°¡]

°ú°Å¿¡ Àú´Â two finger method¸¦ °­±ÇÇØ¿Ô½À´Ï´Ù. ¼ö ³â ÀüºÎÅÍ´Â À¯¿¬ÇÑ ÀÔÀåÀ¸·Î º¯°æÇÏ¿´½À´Ï´Ù.

"³»½Ã°æÀ» Àâ´Â ¹æ¹ýÀº two finger method¿Í three finger method°¡ ÀÖ½À´Ï´Ù. Two finger method¸¦ »ç¿ëÇÏ´Â ºÐÀÌ ¸¹Áö¸¸ Àú´Â three finger method¸¦ ±ÇÇÕ´Ï´Ù. ¼ÕÀÌ ÀÛÀº Çѱ¹Àο¡°Ô´Â three finger method°¡ Àû´çÇÏ´Ù°í »ý°¢Çϱ⠶§¹®ÀÔ´Ï´Ù. ±âº»ÀûÀ¸·Î three finger method¸¦ »ç¿ëÇϸ鼭 Áß°£¿¡ Àû´çÈ÷ two finger method¸¦ ÀÌ¿ëÇϸé ÁÁÁö ¾ÊÀ»±î »ý°¢ÇÕ´Ï´Ù."


4. Umbilical cordÀÇ À§Ä¡

[¾Öµ¶ÀÚ Áú¹®1]

³»½Ã°æ Á¶Àۺθ¦ Àâ´Â ¹æ¹ýÀº Àß ¾Ë°Ú½À´Ï´Ù. Àú´Â two finger method¸¦ »ç¿ëÇÏ°í ÀÖ¾ú°í ¼Õ¸ñ ÅëÁõÀ¸·Î °í»ýÇÏ¿´´Âµ¥ ¾ÕÀ¸·Î´Â ±³¼ö´Ô ¸»¾¸Ã³·³ three finger method·Î ¹Ù²Ù°Ú½À´Ï´Ù. ±×·±µ¥ »çÁøÀ» º¸´Ï ³»½Ã°æÀÇ ¿¬°áºÎ(umbilical cord)ÀÇ À§Ä¡°¡ Á¶±Ý ÀÌ»óÇÕ´Ï´Ù. ¿¬°áºÎ°¡ ¿ÞÆÈ ¾ÈÂÊÀ¸·Î µé¾î¿Í¾ß Çմϱî? ¾Æ´Ï¸é ¿ÞÆÈ ¹Ù±ùÂÊ¿¡ ÀÖ¾î¾ß Çմϱî?

[ÀÌÁØÇàÀÇ ´äº¯]

ÁÁÀº Áú¹® °¨»çÇÕ´Ï´Ù. À§ »çÁø¿¡¼­ ¿¬°áºÎ(umbilical cord)°¡ ¿ÞÆÈ ¹Ù±ùÂÊó·³ º¸À̳׿ä... »çÁøÀ» À§ÇØ ¿¬ÃâµÈ Àå¸éÀ̶ó ±×·¸°Ô º¸ÀÎ °Í °°½À´Ï´Ù. ¿¬°áºÎ(umbilical cord)´Â ¹Ýµå½Ã ¿ÞÆÈ ¾ÈÂÊ¿¡ À§Ä¡ÇØ¾ß ÇÕ´Ï´Ù. ±×·¸Áö ¾ÊÀ¸¸é ¿ÞÂÊ ¼Õ¸ñ¿¡ ºñÁ¤»óÀûÀÎ torque¸¦ ÁÖ¾î¾ß Çϱ⠶§¹®¿¡ ¹«¸®°¡ µË´Ï´Ù. ÀÚ¿¬½º·¯¿î ÀÚ¼¼¸¦ À§Çؼ­´Â ¿¬°áºÎ°¡ ¿ÞÆÈ ¾ÈÂÊÀ¸·Î µé¾î¿Í¾ß ÇÕ´Ï´Ù.

¾Æ·¡´Â ÀÎÅͳݿ¡¼­ °¡Á®¿Â ¿©·¯ ±³¼ö´ÔµéÀÇ ³»½Ã°æ Àå¸éÀÔ´Ï´Ù. ¿¬°áºÎ°¡ ¸ðµÎ ¿Þ¼Õ ¾ÈÂÊ¿¡ À§Ä¡ÇÏ°í ÀÖ½À´Ï´Ù.

À嵿°æ ±³¼ö´Ô

±èÁöÇö ±³¼ö´Ô

¾Æ·¡´Â ÇÑ ½Å¹®±â»ç¿¡ ³ª¿Â Ʋ¸° »çÁøÀÔ´Ï´Ù. ¿¬°áºÎ°¡ ¿ÞÆÈÀÇ ¹Ù±ùÂÊ¿¡ À§Ä¡ÇÏ¿´±â ¶§¹®ÀÔ´Ï´Ù. °¡²û ÀÌ·¸°Ô ÇϽô ºÐµéÀÌ °è½Ê´Ï´Ù¸¸ ´çÀå ¹Ù²Ù½Ã´Â °ÍÀÌ ÁÁ½À´Ï´Ù. ¿¬°áºÎ°¡ ¿ÞÆÈÀÇ ¹Ù±ùÂÊ¿¡ ÀÖÀ¸¸é ¿ÞÂÊ ¼Õ¸ñÀ» ºÎÀÚ¿¬½º·´°Ô ¾ÈÀ¸·Î Ʋ¾î¾ß ÇÕ´Ï´Ù. ÅëÁõÀÌ ¹ß»ýÇϱ⠽±½À´Ï´Ù.

¾î¶² ±³°ú¼­ÀÇ »çÁø Áß umbilical cord¸¦ ¼Õ¸ñ ¹Ù±ù¿¡ À§Ä¡½ÃŲ ±×¸²À» ¹ß°ßÇÏ¿´½À´Ï´Ù. ¾Æ¸¶ illustrator°¡ Âø°¢À» ÇÑ °Í °°½À´Ï´Ù.


5. ³»½Ã°æ ÀÇ»çÀÇ ÀÚ¼¼ - ²À ¼­¼­ °Ë»çÇØ¾ß ÇÒ±î¿ä?

'°Ë»ç´Â ¹Ýµå½Ã ¼­¼­ ÇÕ´Ï´Ù'¿¡ ´ëÇؼ­´Â º¸Ãæ¼³¸íÀÌ ÇÊ¿äÇÕ´Ï´Ù. Àú´Â À§³»½Ã°æÀº ¼­¼­ ÇÏ°í ´ëÀå³»½Ã°æÀº ¾É¾Æ¼­ ÇÕ´Ï´Ù. ±×·¸°Ô ¹è¿ü±â ¶§¹®ÀÔ´Ï´Ù. ±×°Ô ÆíÇϱ⠶§¹®ÀÔ´Ï´Ù. ÀÌÁ¦´Â Á¦°¡ ¹è¿î ¹æ¹ýÀÌ ³ª»ÚÁö ¾Ê¾Ò´Ù°í »ý°¢ÇÕ´Ï´Ù.

¹®Á¤¼· ±³¼ö´Ô

2014³â 2¿ù 9ÀÏ ¼¼°èÀϺ¸¿¡ ½Ç¸° ¼­¿ï¾Æ»êº´¿ø Á¤ÈÆ¿ë ±³¼ö´ÔÀÇ ³»½Ã°æÁ¡¸·ÇÏÀýÁ¦¼ú (ESD) ½Ã¼úÀå¸éÀ» º¸¾Ò½À´Ï´Ù. ¸ð´ÏÅ͸¦ Á¤¸é¿¡ µÎ°í Æí¾ÈÇÏ°Ô ¾É¾Æ¼­ ½Ã¼úÇÏ°í °è½Å ¸ð½ÀÀ̾ú½À´Ï´Ù.

³»½Ã°æÀ» ¾É¾Æ¼­ °Ë»çÇϸé Á» ´õ ¾ÈÁ¤°¨ÀÌ ÀÖ°í ´Ù¸®¿¡ ¹«¸®°¡ ¿ÀÁö ¾Ê½À´Ï´Ù. ³»½Ã°æ °í¼ö°¡ µÇ¸é ÀÛÀº µ¿ÀÛÀ¸·Î È¿°úÀûÀÎ °Ë»ç¸¦ ÇÒ ¼ö ÀÖÀ¸¹Ç·Î ¾É¾Æ¼­ Çصµ º° ¹®Á¦°¡ ¾ø½À´Ï´Ù. ±×·¯³ª ³»½Ã°æ Ãʺ¸ÀÚ°¡ ¾É¾Æ¼­ °Ë»çÇϸé Ç㸮°ú ¾î±ú¿¡ Å« ºÎ´ãÀÌ µË´Ï´Ù. ¾à°£ µÚ·Î ¹°·¯¼­°Å³ª ¸öÅëÀ» Á¶±Ý ºñƲ¸é ÃæºÐÇÑ »óȲ¿¡¼­ ÆÈ, ¾î±ú, Ç㸮¸¦ ÀÌ¿ëÇØ¾ß Çϱ⠶§¹®ÀÔ´Ï´Ù. ¾Æ·¡´Â ÀÎÅͳݿ¡¼­ °¡Á®¿Â ¿©·¯ ¼±»ý´ÔµéÀÇ ½Ã¼ú Àå¸éÀÔ´Ï´Ù. °¢¾ç°¢»öÀÌÁÒ. Á¤´äÀº ¾ø½À´Ï´Ù. ±×·¯³ª Àú´Â ÀÌ·¸°Ô ÁÖÀåÇÕ´Ï´Ù. "Ãʺ¸ÀÚ´Â À§³»½Ã°æ °Ë»ç¸¦ ¼­¼­ ÇÏ´Â °ÍÀÌ ÁÁ½À´Ï´Ù. 10³â ÀÌ»ó °æÇèÀÌ ½×ÀÌ¸é ¾É¾Æ¼­ °Ë»çÇصµ ¹«¹æÇÕ´Ï´Ù."

´ëÀå³»½Ã°æÀº ±×¾ß¸»·Î ½Ã¼úÀÚ¸¶´Ù ´Ù¸¥ ÀÚ¼¼·Î °Ë»ç¸¦ ÇÕ´Ï´Ù. Àú´Â À§³»½Ã°æ°ú ºñ½ÁÇÑ ÀÚ¼¼·Î °Ë»ç¸¦ ÇÏ°í Àִµ¥ ÇÑ ¼±»ý´Ô²²¼­´Â ³»½Ã°æ½ÇÀÇ Ä§´ë¿Í monitor À§Ä¡¸¦ »ó´çÈ÷ º¯°æÇÏ¿© °Ë»ç¸¦ ÇϽñ⵵ ÇÕ´Ï´Ù.

³»½Ã°æ ¸ð´ÏÅÍ »ó´ÜÀÌ °Ë»çÀÚÀÇ ´«³ôÀÌ¿¡ ¸ÂÃß´Â °ÍÀÌ ÁÁ½À´Ï´Ù. ¸ð´ÏÅÍ°¡ ³ôÀ¸¸é °Ë»çÀÇ µÞ¸ñ¿¡ ÅëÁõÀÌ ¿À±â ½±½À´Ï´Ù.

Á¦°¡ ¸ð´ÏÅÍ µÚ¿¡ ¼­ º¸¾Ò½À´Ï´Ù. µü Àû´çÇÑ ³ôÀÌÀÔ´Ï´Ù.


[2020-3-2. ¾Öµ¶ÀÚ Áú¹®]

³»½Ã°æÀ» óÀ½ ¹è¿ì°í ÀÖ½À´Ï´Ù. Simulator¸¦ ÀÌ¿ëÇÑ ³»½Ã°æ hands-on training¿¡¼­´Â ¼­¼­ °Ë»çÇÏ´Â ¹ýÀ» ÀÍÇû½À´Ï´Ù. ½Ç¹«¿¡ µé¾î¿Íº¸´Ï ¸¹Àº ºÐµéÀÌ ¾É¾Æ¼­ À§³»½Ã°æ °Ë»ç¸¦ ÇÏ°í °è¼Å¼­ ³î¶ú½À´Ï´Ù. Àúµµ ¾É¾Æ¼­ °Ë»çÇØ¾ß ÇÏ´ÂÁö¿ä?

[2020-3-2. ÀÌÁØÇà ´äº¯]

À§³»½Ã°æÀº À°Ã¼³ëµ¿ÀÔ´Ï´Ù. ¾î¶² ÀÚ¼¼·Î ¾Æ¹«¸® ÁÖÀÇÇؼ­ °Ë»ç¸¦ ÇÏ´õ¶óµµ ¿À·¡ ÇÏ¸é ¾îµò°¡ ¾ÆÆÄ¿À°Ô µË´Ï´Ù. ¼ö¼úµµ À°Ã¼³ëµ¿ÀÔ´Ï´Ù. ¿Ü·¡ Áø·áµµ À°Ã¼³ëµ¿ÀÔ´Ï´Ù. ½ÉÁö¾î´Â ±Û¾²±âµµ À°Ã¼³ëµ¿ÀÔ´Ï´Ù. Ã¥»ó¿¡ ¾É¾Æ¼­ °è¼Ó ±ÛÀ» ¾²¸é ¾î±ú ÅëÁõ, ¿À½Ê°ßÀÌ ¿É´Ï´Ù. Àü¹®°¡°¡ µÈ´Ù´Â °ÍÀº ƯÁ¤ÇÑ ºÐ¾ßÀÇ À°Ã¼³ëµ¿ÀÚ°¡ µÇ´Â °ÍÀÔ´Ï´Ù. ±×·¡¼­ µË´Ï´Ù. Àΰ£ °øÇÐ Ergonomics ÀÌ ÇÊ¿äÇÕ´Ï´Ù. ¾î¶»°Ôµç ¾ÆÇÁÁö ¾Êµµ·Ï ÃÖ¼±ÀÇ ÀÚ¼¼¸¦ ã¾Æ¾ß ÇÕ´Ï´Ù.

Àú´Â À§³»½Ã°æÀº ¼­¼­, ´ëÀå³»½Ã°æÀº ¾É¾Æ¼­ ÇÏ°í ÀÖ½À´Ï´Ù. óÀ½ ¹è¿ï ¶§ºÎÅÍ ±×·¸°Ô ÇØ ¿Â °Íµµ ÀÖÁö¸¸ ¿À·¡ Çϸé ÇÒ¼ö·Ï À§³»½Ã°æÀº ¼­¼­, ´ëÀå³»½Ã°æÀº ¾É¾Æ¼­ ÇÏ´Â °ÍÀÌ Àú¿Í Àß ¸Â½À´Ï´Ù.

À§³»½Ã°æÀ» ¼­¼­ ÇÏ¸é ´Ù¸®°¡ ¾ÆÇà ¼ö ÀÖ½À´Ï´Ù. ±×·¯³ª ¾ÕµÚ·Î Á¶±Ý¾¿ ¿òÁ÷À̰ųª ¸öÀÇ ¹«°ÔÁß½ÉÀ» ¿Å±â´Âµ¥ µµ¿òÀÌ µÇ¸ç, trunk, ¾î±ú, ¼Õ¸ñ µîÀ» ºñƲ ÇÊ¿ä°¡ ¾ø½À´Ï´Ù. ¼Õ°¡¶ô »ç¿ëµµ ÁÙ¾îµì´Ï´Ù. ¼­¼­ °Ë»çÇϸé Å« ±ÙÀ°Àº ´õ ÀÌ¿ëÇÏ°í ÀÛÀº ±ÙÀ°Àº ´ú ÀÌ¿ëÇÏ°Ô µË´Ï´Ù. Àΰ£ °øÇÐ Ergonomics Ãø¸é¿¡¼­ ÈξÀ ÁÁ½À´Ï´Ù. ´Ù¸®´Â Á» ¾ÆÇÁÁö¸¸ ´Ù¸¥ °÷Àº ÀüÇô ¾ÆÇÁÁö ¾Ê½À´Ï´Ù. ÀÏÁÖÀÏ¿¡ ¸î ¹ø ½ºÄâÆ® ¿îµ¿À» Çϸ鼭 ÇÏüÀÇ ÈûÀ» ±â¸£½Ã°í À§³»½Ã°æ °Ë»ç´Â ¼­¼­ ÇÏ½Ç °ÍÀ» ±ÇÇÕ´Ï´Ù.

À§³»½Ã°æÀ» ¸î °³¿ù ÀÌ»ó °æÇèÇϼż­ Á¡Â÷ ¾É¾Æ¼­ °Ë»çÇÏ´Â °ÍÀ» ½ÃµµÇغ¸°í Àڽſ¡°Ô Àß ¸Â´Â ¹æ¹ýÀ» ãÀ¸½Ã¸é µË´Ï´Ù.


6. ³»½Ã°æÀÇ»çÀÇ ±Ù°ñ°Ý°è Áúȯ ¿¹¹æÀ» À§ÇÑ Àü·«

(1) Æò¼Ò »ýÈ° ½À°ü

  1. ÀûÀýÇÑ ¿µ¾ç¼·Ãë
  2. ±ÔÄ¢ÀûÀÎ ½ºÆ®·¡Äª
  3. ¹Ù¸¥ ÀÚ¼¼
  4. ±Ù·Â¿îµ¿. ¹«°ÌÁö ¾ÊÀº ¾Æ·ÉÀ» ÀÌ¿ëÇÏ¿© ¾î±ú, »óÁö Áß½ÉÀ¸·Î ¿îµ¿
  5. ³»½Ã°æ °Ë»ç Àü³¯ ¼ú ¸¶½ÃÁö ¾Ê±â - À̴ ȯÀÚ¿¡ ´ëÇÑ ¿¹ÀÇÀ̱⵵ ÇÕ´Ï´Ù. ÀÇ»çµéÀÇ ³ª»Û ¼ú¹®È­°¡ ¿ì¸®³ª¶ó ÀÇÇÐÀ» ¸ÁÄ¡°í ÀÖ½À´Ï´Ù.
  6. ³»½Ã°æ °Ë»ç Àü³¯ ÀÏÂï ÀÚ±â
  7. ³»½Ã°æ½Ç ±¸Á¶¿Í ³»½Ã°æ ±â±¸ ¹èÄ¡ °ü½ÉÀ» °®°í °³¼±Çϱâ

(2) ³»½Ã°æ °Ë»ç½Ç¿¡¼­

  1. 10ºÐ Àü¿¡ ³»½Ã°æ½Ç¿¡ µµÂø - ´Ã ¿©À¯ÀÖ°í õõÈ÷ °Ë»çÇØ¾ß ÇÕ´Ï´Ù.
  2. ÆíÇÑ º¹Àå°ú ÆíÇÑ ½Å¹ß - Å©·Ï½º´Â (1) ±¸¸ÛÀÌ ÀÖ¾î À̹°ÀÌ µé¾î¿Ã ¼ö ÀÖ°í, (2) ¸¶Âû°è¼ö°¡ ³Ê¹« ³ô¾Æ ³Ñ¾îÁö±â ½±±â ¶§¹®¿¡ »ç¿ëÇÏÁö ¸¿½Ã´Ù.
  3. ª°í °£´ÜÇÑ ½ºÆ®·¡Äª ÈÄ °Ë»ç ½ÃÀÛ
  4. ȯÀÚ Ä§´ë ³ôÀ̸¦ Àû´çÈ÷ Á¶Àý
  5. ¸ð´ÏÅÍ À§Ä¡, ³ôÀÌ, ¹æÇâ Á¶Àý
  6. °Ë»ç´Â ¹Ýµå½Ã ¼­¼­ ÇսôÙ. ÇÊ¿ä¿¡ µû¶ó ¾ÕµÚ·Î Á¶±Ý¾¿ À̵¿ÇÏ¸é ±Ù°ñ°Ý°è¿¡ ¹ÌÄ¡´Â ºÎ´ãÀ» ÃÖ¼ÒÈ­ÇÒ ¼ö ÀÖ½À´Ï´Ù.
  7. ȯÀÚ¿¡ ³Ê¹« ¹Ù¦ ºÙ¾î¼­ °Ë»çÇÏÁö ¸¿½Ã´Ù. ¾à°£ ¶³¾îÁö¸é ÈξÀ ÀÚÀ¯·Ó½À´Ï´Ù.
  8. ³»½Ã°æÀ» ¿Ã¹Ù·Î ÀâÀ¾½Ã´Ù. Three finger ¹ýÀ» »ç¿ëÇÏ°í °¡º±°Ô Áã¾î¾ß ÇÕ´Ï´Ù.
  9. µÇµµ·Ï ÆȸñÀ» ¿·±¸¸®¿¡ ºÙÀÌ°í °Ë»çÇսôÙ.
  10. ÀÛÀº ±ÙÀ°º¸´Ù Å« ±ÙÀ°À» ÀÌ¿ëÇÏ¿© °Ë»çÇսôÙ. Knob¸¦ ÀÚÁÖ »ç¿ëÇϱ⠺¸´Ù´Â ³»½Ã°æÀ» ¾à°£ ºñÆ®´Â torque¸¦ ÀÌ¿ëÇϸé ÈξÀ Æí¾ÈÇÕ´Ï´Ù.
  11. ³»½Ã°æÀ» õõÈ÷ ¿òÁ÷ÀԽôÙ. È×È× 5¹øº¸´Ù õõÈ÷ 2¹øÀÌ ÁÁ½À´Ï´Ù.
  12. 1½Ã°£¹Ý Á¤µµ °Ë»çÇϸé 10ºÐ Á¤µµ´Â ½¬¾î¾ß ÇÕ´Ï´Ù.

¸ð´ÏÅÍ »ó´ÜÀº ´«³ôÀÌ¿¡ ¸ÂÃá´Ù.

Ergonomics °üÁ¡¿¡¼­ ¾îµð°¡ Àß ¸ø µÇ¾ú½À´Ï±î? ¸ñÀ» µ¹¸° ÀÚ¼¼´Â ÁÁÁö ¾Ê½À´Ï´Ù. Á¤¸é¿¡ ¸ð´ÏÅ͸¦ À§Ä¡½Ãŵ½Ã´Ù. (µ¥Àϸ®¸Þµð 2018³â)

¸ð´ÏÅÍÀÇ ¹æÇâÀº ÁÁ½À´Ï´Ù. ±×·¯³ª Á¶±Ý ³ô½À´Ï´Ù. ±×·±µ¥ ³»½Ã°æ ½Ã½ºÅÛÀÇ À§Ä¡°¡ ÀϹÝÀûÀÌÁö ¾Ê½À´Ï´Ù. ±× °á°ú umbilical cord°¡ ȯÀÚÀÇ ¸öÀ» ³Ñ¾î¿À°í ÀÖ½À´Ï´Ù. (ÇコÁ¶¼±´º½º 2014³â)

³»½Ã°æ °Ë»ç½Ç¿¡¼­ stretching Çϱâ. ¿¬¼¼´ëÇб³ ¹ÚÈ¿Áø ±³¼ö´Ô²²¼­ ³»½Ã°æÀÇ»çÀÇ ±Ù°ñ°Ý°è ¹®Á¦ ¿¹¹æÀ» À§ÇÏ¿© ³»½Ã°æ °Ë»ç Àü ´ÙÇÔ²² ¸ð¿© ¸Ç¼ÕüÁ¶¸¦ ÇÏ°í °è½Å´Ù´Â Facebook postingÀ» º¸¾Ò½À´Ï´Ù. ¸î ³â Àü Àúµµ ÀÌ·¯ÇÑ ´Üü ¸öÇ®±â ¿îµ¿À» ÇÏ´Â °ÍÀÌ ÁÁ°Ú´Ù°í »ý°¢¸¸ ÇÏ¿´´Âµ¥ ½ÇÇà¿¡ ¿Å±âÁö ¸øÇß½À´Ï´Ù. ¹ÚÈ¿Áø ±³¼ö´ÔÀÇ ÃßÁø·Â¿¡ Âù»ç¸¦ º¸³À´Ï´Ù.


7. ¿îµ¿ ó¹æ

(1) Stretching exercise

¸ÅÀÏ°æÁ¦¿¡ ½Ç¸° »ï¼º»ý¸í ±¤°í¿¡¼­ ¸ñ, ¾î±ú, ¼Õ¸ñ ½ºÆ®·¹ÄªÀÌ ¼Ò°³µÈ °ÍÀ» º¸¾Ò½À´Ï´Ù.


(2) Strengthen exercise

¾î±ú¿Í »óÁö ±ÙÀ°ÀÇ ÈûÀ» ±æ·¯µÎ¸é ³»½Ã°æ °Ë»ç¿¡ Å« µµ¿òÀÌ µË´Ï´Ù. Àúµµ »ç¹«½Ç ÇÑ ±¸¼®¿¡ 3 kg Â¥¸® ¾Æ·É µÎ °³¸¦ ÁغñÇØ µÎ¾ú½À´Ï´Ù. ¸ÅÀÏÀº ¾Æ´Ï´õ¶óµµ °¡²û ¿îµ¿À» Çϸé ÁÁÀ» °Í °°½À´Ï´Ù.

ȨƮ·¹ÀÌ´×


[¿À½Ê°ß ½ºÆ®·¹Äª]

»õ ÅÇ¿¡¼­ º¸±â


8. Ergonomic endoscopy and ergonomically designed endoscopy room

³»½Ã°æ ÀÚü°¡ ergonomicÇÏ°Ô ¸¸µé¾îÁ®¾ß ÇÑ´Ù´Â ÁÖÀåÀÔ´Ï´Ù.

Ergonomic endoscopy: An oxymoron or realistic goal? (Gastrointest Endosc 2019)

The current endoscope design is not ergonomic. There is a high prevalence of endoscopy-related injury reported in the literature, and studies have demonstrated high-risk biomechanical exposures during the performance of routine colonoscopy. Endoscopy ergonomics focuses on understanding the endoscopist's interaction with the endoscope and the endoscopy unit and re-designing these tasks to minimize the risk of endoscopy-related injury. The discussion to date has focused on what the endoscopist can do to minimize his or her risk of injury. It is imperative that we re-frame that discussion because the implication that physicians are responsible for implementing personal or workplace interventions places an undue burden on physicians and will be the least effective exposure control method. Endoscope companies need to consider the endoscopist in their design process. As a profession, we need to collectively advocate for endoscopist safety. We offer a perspective on how ergonomic endoscopy can become a realistic and achievable goal.

³»½Ã°æ½Ç ÀÚü°¡ ergonomicÇÏ°Ô ²Ù¸çÁ®¾ß ÇÕ´Ï´Ù.

¾Æ·¡ ±×¸²¿¡¼­ ¾îµð°¡ Àß ¸ø µÇ¾ú½À´Ï±î?

.

.

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Á¤´ä: connecting cableÀÌ ¼Õ¸ñ ¾È ÂÊÀ¸·Î ¿Í¾ß ÇÕ´Ï´Ù. SystemÀÇ À§Ä¡°¡ ÀÌ»óÇÏ¿© ±×¸²µµ ÀÌ»óÇÏ°Ô ±×·ÁÁ³½À¤¤´Ù.


[2022-10-25] ÇÑ ¼±»ý´Ô²²¼­ ³»½Ã°æ ½Ã¼ú°úÁ¤¿¡¼­ ÀÚ¿¬½º·´°Ô ³»½Ã°æ °Ë»ç¸¦ ½ÃÀÛÇϱ⠾î·Æ´Ù¸ç ½Ã¼ú Àå¸é µ¿¿µ»óÀ» º¸³»¿À¼Ì½À´Ï´Ù. Ä«ÅåÀ¸·Î ´äÀ» µå·È½À´Ï´Ù. ³»½Ã°æ½Ç µðÀÚÀο¡ ´ëÇÑ À̽´, Áï ³»½Ã°æ ½Ã½ºÅÛ°ú ¸ð´ÏÅÍÀÇ À§Ä¡¿¡ ¹®Á¦°¡ ÀÖ´Â °Í ¾Æ´Ò±î »ý°¢ÇØ º¸¾Ò½À´Ï´Ù.


9. ³»½Ã°æ Àǻ縦 À§ÇÑ fitness/stretching program

ÀÏ»ó ¾÷¹«°¡ ¹Ù»Û Àü°øÀÇ, Àӻ󰭻簡 Á¤±âÀûÀ¸·Î ¿îµ¿À» ÇÏ´Â ÀÏÀº ½±Áö ¾Ê½À´Ï´Ù. ºñ¿ëµµ ¸¸¸¸Ä¡ ¾Ê½À´Ï´Ù. »ï¼º¼­¿ïº´¿ø ³»½Ã°æ½Ç¿¡¼­´Â Àü°øÀÇ, Àӻ󰭻縦 À§ÇÑ Á¤±âÀû stretching sessionÀ» °èȹÇÏ¿´½À´Ï´Ù. Á¦°¡ °³ÀÎÀûÀ¸·Î ¾Ë°í ÀÖ´Â fitness °­»ç¸¦ ÅëÇÏ¿© ÇÁ·Î±×·¥À» ¸¸µé¾î ¿î¿µÇÏ°í ÀÖ½À´Ï´Ù.

Àå¼Ò´Â »ï¼º¼­¿ïº´¿ø ¾Ïº´¿ø ÁöÇÏ 7Ãþ fitness center GX roomÀÔ´Ï´Ù (¿¬¶ôó: 02-2148-9766, ¿ø³» 5221). 2¸íÀÇ Àü¹® ¿îµ¿ °­»ç¸¦ ¸ð½Ã´Âµ¥ ºñ¿ëÀº 1ºÐ´ç 20¸¸¿øÀ̸ç 10% ºÎ°¡¼¼¸¦ Æ÷ÇÔÇÏ¿© 1ȸ¿¡ 44¸¸¿øÀÔ´Ï´Ù. Àü°øÀÇ, ÀÓ»ó°­»ç µîÀÌ ¸Å¿ì ÁÁ¾ÆÇÏ´Â ÇÁ·Î±×·¥ÀÌ µÇ¾ú½À´Ï´Ù.

ȸ½ÄÀ» ÁÙÀÌ´Â ´ë½Å ´Ù¾çÇÑ ÇÁ·Î±×·¥À» Á¦°øÇÏ´Â °ÍÀÌ ½Ã´ë Á¤½ÅÀ̶ó°í »ý°¢ÇÕ´Ï´Ù.


[SMC Endoscopy Team Fitness Class]


[FAQ]

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¾î¶² ½ºÆ÷Ã÷µç óÀ½ ¹è¿ï ¶§ ÈûÀ» »©¶ó´Â ¸»À» ¸¹ÀÌ µè½À´Ï´Ù. ³»½Ã°æÀ» Çϸ鼭 ÈûÀ» »©´Â ¹æ¹ýÀ» ¼Ò°³ÇØ Áֽʽÿä.

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[2017-4-29. ¾Öµ¶ÀÚ Áú¹®]

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Á¦°¡ 2006³â 6¿ùºÎÅÍ 9¿ù±îÁö Á¾ÇÕº´¿ø ¹× °ÇÁø¼¾ÅÍ¿¡¼­ ±Ù¹«ÇÏ´Â ÀÇ»çµéÀ» ´ë»óÀ¸·Î ÀçÈ°ÀÇÇаú ±³¼ö¿Í °øµ¿À¸·Î Á¦ÀÛÇÑ ÀÚ°¡ ±â¼úÇü ¼³¹®Áö¸¦ ÀÌ¿ëÇÏ¿© ³»½Ã°æÀÇ»çÀÇ ±Ù°ñ°Ý°è Áõ»ó À¯º´·üÀ» Á¶»çÇÑ ¹Ù ÀÖ½À´Ï´Ù (Byun YH. World J Gastroenterol 2008 - PDF). ÃÖ´ë ÅëÁõºÎÀ§´Â ÁÂÃø ¼Õ°¡¶ôÀÌ °¡Àå ÈçÇß°í ´ÙÀ½À¸·Î ÁÂÃø ¾î±ú, ¿ìÃø ¼Õ¸ñ µîÀ̾ú½À´Ï´Ù. Ãʺ¸ÀÚ´Â ÁÂÃø ¾î±úÀÇ Áõ»óÀÌ ¸¹¾Ò°í °æÇèÀÌ ¸¹Àº ÀÇ»çµéÀº ÁÂÃø ¼Õ°¡¶ôÀÇ Áõ»óÀÌ ´õ ¸¹¾Ò½À´Ï´Ù. ¿ìÃø ¼Õ¸ñ ÅëÁõÀº ¿À¸¥¼ÕÀ¸·Î ³»½Ã°æÀ» ³Ê¹« ¸¹ÀÌ ºñƲ±â ¶§¹®ÀÏ °ÍÀÔ´Ï´Ù.

WJG 2008

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[2017-6-29. ¾Öµ¶ÀÚ ÆíÁö]

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[2017-9-22. ÀÌÁØÇà µ¶¹é]

2ÁÖ ÀüºÎÅÍ ¿À¸¥ÂÊ ¾î±ú°¡ ¾ÆÆͽÀ´Ï´Ù. ¿ù¿äÀÏ¿¡ ¾È ÇÏ´ø ´ëÀå³»½Ã°æÀ» ¾à°£ Èûµé°Ô ¸¶ÃÆ´ø °ÍÀÌ ¹®Á¦¿´´ÂÁö, Àú³á ¿îµ¿ÀÌ °úÇß´ÂÁö ¾Ë ¼ö ¾ø½À´Ï´Ù. È­¿äÀÏ ¿ÀÀüºÎÅÍ ¿í½Å°Å¸®±â ½ÃÀÛÇÏ´õ´Ï Á¡Á¡ ½ÉÇØÁ®¼­ ¸ñ¿äÀÏ¿¡´Â ÅëÁõ¶§¹®¿¡ ÆÈÀ» ¿Ã¸± ¼ö ¾ø´Â Áö°æÀÌ µÇ¾ú½À´Ï´Ù. ¼Ò¿°ÁøÅëÁ¦¸¦ ¸ÔÀ¸¸ç Åä¿äÀϱîÁö ¹öÅá±³ ÁÖ¸»¿¡ Á¤Çü¿Ü°ú¸¦ ã¾Æ°¡ ÁøÂûÀ» ¹Þ¾Ò½À´Ï´Ù.

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[2019-7-25] ÇÑ ³»½Ã°æ ÀÇ»çÀÇ Facebook posting¿¡¼­

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ÀçÈ°ÀÇÇаú Áø·á ÈÄ ºñ¸ðº¸(naproxen + esomeprazole)µµ ¸Ô°í ¹°¸®Ä¡·áµµ ¹Þ°í ÀÖ½À´Ï´Ù.

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[2021-4-2. InterMD Áú¹®]

Àú´Â ¿©·¯ ÀþÀº ÀÇ»çµéÀÌ ³»½Ã°æ¿¡ µµÀüÇÏ´Ù ergonomic problemÀ¸·Î ±×¸¸ µÐ °ÍÀ» º» ÀûÀÌ ÀÖ½À´Ï´Ù. ÁÖµÈ ¿øÀÎÀÌ ¼Õ°¡¶ô ÅëÁõÀÔ´Ï´Ù. ¼Õ¸ñÀ̳ª ¾î±úµµ ¾ÆÇà ¼ö ÀÖÀ¸³ª ¼Õ°¡¶ôÀÌ °¡Àå ½ÉÇÕ´Ï´Ù. ¿ÀÁ×Çϸé endoscopist's thumbÀ̶ó´Â ¸»ÀÌ ÀÖ°Ú½À´Ï±î?

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[2013-11-4. ¾Öµ¶ÀÚ ÆíÁö] ¿£µµÅõµ¥À̸¦ ¿­½ÉÈ÷ º¸³»Áּż­ °¨»çÇÕ´Ï´Ù.^^ Á¦ ¿ÞÂÊ ³×¹ø° ¼Õ°¡¶ô PIP joint¸¦ ³´°Ô ÇØ Áּ̽À´Ï´Ù. 25³â°£ µÎ¼Õ°¡¶ô ¹æ¹ý(two finger method)À¸·Î ³»½Ã°æÀ» Çß´õ´Ï ¿Þ¼ÕÀÌ ¾ÆÇÁ´Ù°¡ ÀÌÁ¨ ¼Õ°¡¶ôÀÌ ¾ÆÆÄ ³»½Ã°æÀ» Æ÷±âÇØ¾ß ÇÏ´Â ÁÙ ¾Ë¾Ò½À´Ï´Ù. ³»½Ã°æ Àâ´Â¹ýÀ» ¹Ù²Û ÈÄ ¼ÕÀÌ °ÅÀÇ ÁÁ¾ÆÁ³½À´Ï´Ù. ÇÐȸ¿¡¼­ ºÆ¸é ²À Àλçµå¸±²²¿ä.^^


[References]

1) ¼ÒÈ­±â ³»½Ã°æ ÀÇ»çÀÇ ±Ù°ñ°Ý°è ÀÌ»ó (ÀÌÁØÇà) 2020³â ´ëÇѼÒÈ­±âÇÐȸÇмú´ëȸ

2) AGC recommendations for surgical ergonomics

AGC recommendations (PDF)

3) 2024-4-12. Lecture by Dr Eiji Kanehira (Medical Topia Soka, Japan) at KSERS 2024

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.