{"id":10468,"date":"2025-07-19T09:00:31","date_gmt":"2025-07-19T00:00:31","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/19\/10468\/"},"modified":"2025-07-19T09:00:31","modified_gmt":"2025-07-19T00:00:31","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-%ec%b2%99%ec%b6%94%ed%98%91%ec%b0%a9%ec%a6%9d-spinal-stenosis-%ec%bc%80%ec%9d%b4%ec%8a%a4-%ec%8a%a4%ed%84%b0%eb%94%94","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/19\/10468\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 \ucc99\ucd94\ud611\ucc29\uc99d spinal stenosis \ucf00\uc774\uc2a4 \uc2a4\ud130\ub514"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/01\/31\/data29418511-0001.jpg\"><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/01\/31\/data29418511-0002.jpg\"><\/p>\n<p><strong>\ubaa9\ucc28<\/strong><\/p>\n<p>1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840<\/p>\n<p>2. \ubb38\ud5cc\uace0\ucc30<br \/>\n1) \ucc99\ucd94\uad00 \ud611\ucc29\uc99d<br \/>\n2) \ucc99\ucd94\uc720\ud569\uc220<\/p>\n<p>3. \uc9c4\ub2e8\uac80\uc0ac<br \/>\n1) \ud608\uc561 \ubc0f \uc18c\ubcc0\uac80\uc0ac<br \/>\n2) MRI lumbar<\/p>\n<p>4. \uc57d\ubb3c   <\/p>\n<p>5. \uac04\ud638\uacfc\uc815<br \/>\n1) \uac04\ud638\uacfc\uc815 #1 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8<br \/>\n2) \uac04\ud638\uacfc\uc815 #2 \uc218\uc220\ubd80\uc704\uc640 \uad00\ub828\ub41c \uae09\uc131\ud1b5\uc99d<\/p>\n<p>6. Reference<\/p>\n<p><strong>\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n<p>\uae40**\ud658\uc790\ub294 74\uc138 \ub0a8\uc790\ud658\uc790\ub85c \ud1f4\ud589\uc131 \ucc99\ucd94 \ud611\ucc29\uc99d\uc73c\ub85c \ud0c0\ubcd1\uc6d0\uc5d0\uc11c L4\/L5 \uc2dc\uc220 \ud6c4\uc5d0\ub3c4 \uc9c0\uc18d\ub418\ub294 NRS 8\uc810 \uc815\ub3c4\uc758 \ud5c8\ub9ac\ud1b5\uc99d\uc73c\ub85c 5\/30 \uc678\ub798 \ud1b5\ud574 5\/31 \uc785\uc6d0\ud558\uc600\uc2b5\ub2c8\ub2e4. \ub300\uc0c1\uc790\uc758 \uc2e0\uc7a5\uc740 165cm\uc5d0 \uccb4\uc911 59kg\uc73c\ub85c \uace0\ud608\uc555\uacfc \ub2f9\ub1e8\uc758 \uacfc\uac70\ub825\uc740 \uc5c6\uc5c8\uc2b5\ub2c8\ub2e4. \uac04\ud638\ud3c9\uac00 \uc695\ucc3d\uc810\uc218 23\uc810, \ub099\uc0c1\uc810\uc218 15\uc810\uc73c\ub85c \uc800\uc704\ud5d8\uad70\uc774\uc5c8\uc73c\uba70, \ud53c\ubd80 \uc0c1\ud0dc \uc88b\uace0 \uc18c\ubcc0\uacfc \ub300\ubcc0\ubcf4\ub294\ub370\ub3c4 \ubb38\uc81c\uac00 \uc5c6\uc5c8\uc2b5\ub2c8\ub2e4. \ubcf4\ud638\uc790\ub294 \ub530\ub85c \uc0c1\uc8fc\ud558\uc9c0 \uc54a\uc558\uc73c\uba70, \ubcf8\uc6d0\uc5d0\uc11c \uc2dc\ud589\ud55c MRI lumber \ucd2c\uc601 \uacb0\uacfc L3\/4\/5 stenosis \uc9c4\ub2e8\ub418\uc5c8\uc73c\uba70 \uc785\uc6d0 \ub2f9\uc77c OP \uacb0\uc815\ub418\uc5c8\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc0ac\uc8151\uc77c\uc9f8\uc778 5\uc6d4 31\uc77c \uc785\uc6d0 1\uc77c\uc9f8\ub85c \uae08\uc77c \uc804\uc2e0\ub9c8\ucde8\ub85c Both Transforaminal lumbar interbody fusion(\uc591\uce21\uce21\ubc29\uc694\ucd94\uccb4\uac04\uc720\ud569\uc220) L4\/L5 \uc218\uc220 \ud6c4 ClinVAC\uacfc foley catheter insertion(12Fr), PCA IV\ub85c \uac00\uc9c0\uace0 \ubcd1\uc2e4\ub85c \ub3cc\uc544\uc654\uc2b5\ub2c8\ub2e4. \uc218\uc220 \uc804\/\ud6c4 \uc9c4\ub2e8\uba85\uc740 L4\/5 stenosis\uc774\uc5c8\uc73c\uba70, \uc218\uc220 \uc9c1\ud6c4 V\/S\uc740 T\/P\/R 37.1\u00b0C-80\ud68c\/\ubd84-18\ud68c\/\ubd84, BP 130\/80mmHg, Spo2 95% \uc758\uc2dd\uc0c1\ud0dc alert\ud558\uc600\uc2b5\ub2c8\ub2e4. \ub300\uc0c1\uc790\ub294 \ud5c8\ub9ac\ubcf4\uc870\uae30\ub97c \ucc29\uc6a9\ud558\uc600\uc73c\uba70 \uc218\uc220 \ud6c4 NRS \ud1b5\uc99d\uc810\uc218 8\uc810\uc744 \ud638\uc18c\ud558\uc5ec Denogan\uc744 \ud22c\uc5ec\ud558\uc600\uace0 \uac04\ud638\uc0ac\ub85c\ubd80\ud130 \ud1b5\uc99d \uc870\uc808\uc744 \uc704\ud574 2\uc2dc\uac04\ub9c8\ub2e4 PCA \ubc84\ud2bc\uc744 \ub204\ub974\uae30\ub97c \uad8c\uace0\ud558\ub294 \uad50\uc721\uc744 \ubc1b\uc558\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\uc0ac\uc8152\uc77c\uc9f8\uc778 6\uc6d4 01\uc77c \uc785\uc6d0 2\uc77c\uc9f8\ub85c V\/S\uc740 \ubcc0\ud568\uc5c6\uc73c\uba70, gas out(+)\ud655\uc778 \ub418\uc5b4 \uc218\uc220\ub85c \uc778\ud55c NPO\ub97c \ud574\uc81c\ud558\uc600\uc73c\uba70 \uc2dd\uc774 \uc8fd(\uc5f0\uc2dd)\uc744 \uc81c\uacf5\ud558\uc600\uc2b5\ub2c8\ub2e4. \uc218\uc220 \ubd80\uc704 oozing\uc774\ub098 bleeding\uc5c6\uc774 \uc591\ud638\ud558\uc600\uace0, moter power intact\ub85c \ud655\uc778\ud558\uc600\uc2b5\ub2c8\ub2e4. \uc218\uc220\ud55c \ubd80\uc704\uc758 \ud5c8\ub9ac\ud1b5\uc99d\uc740 \uc804\ub0a0\uacfc \ube44\uc2b7\ud55c \uc591\uc0c1\uc778 NRS 7\uc810\uc73c\ub85c \u201c\uc218\uc220 \ubd80\uc704 \uc544\ud30c \uc8fd\uaca0\uc9c0\ub9cc \uc774 \uc815\ub3c4 \ud1b5\uc99d\uc740 \ucc38\uc544 \ubcfc\ub798\uc694. \ud3c9\uc18c\uc5d0\ub3c4 \ud1b5\uc99d\uc740 \uc798 \ucc38\uc558\uc5c8\uac70\ub4e0\uc694.\u201d\ub77c\uace0 \ud638\uc18c\ud558\uc600\uace0 \ub9c8\uc57d\uc131 \uc9c4\ud1b5\uc81c\ub294 \ub530\ub85c \ucc98\ubc29\ub41c \uac74 \uc5c6\uc774 PCA\ub85c\ub9cc \ud1b5\uc99d \uc870\uc808\ud558\uace0 \uc788\uc5c8\uc2b5\ub2c8\ub2e4.<\/p>\n<p>\ucd9c\ucc98 : <a href=\"https:\/\/www.happycampus.com\/report-doc\/29418511\/\" target=\"_blank\">\ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ubaa9\ucc28 1. PBL\uc744 \ud1b5\ud55c \uac04\ud638\uc0ac\ub840 2. \ubb38\ud5cc\uace0\ucc30 1) \ucc99\ucd94\uad00 \ud611\ucc29\uc99d 2) \ucc99\ucd94\uc720\ud569\uc220 3. \uc9c4\ub2e8\uac80\uc0ac 1) \ud608\uc561 \ubc0f \uc18c\ubcc0\uac80\uc0ac 2) MRI lumbar 4. \uc57d\ubb3c 5. \uac04\ud638\uacfc\uc815 1) \uac04\ud638\uacfc\uc815 #1 \uce68\uc2b5\uc801 \ucc98\uce58\uc640 \uad00\ub828\ub41c \uac10\uc5fc\uc758 \uc704\ud5d8 2) \uac04\ud638\uacfc\uc815 #2 \uc218\uc220\ubd80\uc704\uc640 \uad00\ub828\ub41c \uae09\uc131\ud1b5\uc99d 6. Reference \ubcf8\ubb38\ub0b4\uc6a9 \uae40**\ud658\uc790\ub294 74\uc138 \ub0a8\uc790\ud658\uc790\ub85c \ud1f4\ud589\uc131 \ucc99\ucd94 \ud611\ucc29\uc99d\uc73c\ub85c \ud0c0\ubcd1\uc6d0\uc5d0\uc11c L4\/L5 \uc2dc\uc220 \ud6c4\uc5d0\ub3c4 \uc9c0\uc18d\ub418\ub294 NRS 8\uc810 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10796,15236,3559,11415],"class_list":["post-10468","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-c-s-case-study","tag-spinal-stenosis","tag-3559","tag-11415"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10468","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=10468"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10468\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=10468"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=10468"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=10468"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}