배뇨장애 요 실금의 약물 요법 비교 평가 페이지 정보 전성수 0 짧은주소 × 짧은 글주소 복사 Note! 위 주소를 클릭 후, 복사(Ctrl+C)하여 사용하세요. 이전글다음글 목록 본문 <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 24pt">배뇨장애 요 실금의 </span></b><b><span style="COLOR: red; FONT-SIZE: 24pt">약물 요법 비교 평가</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 24pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"><br> <img src="/_dimg/2%20incont.jpg"></span></b></p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt">[</span></b><b><span style="COLOR: red; FONT-SIZE: 12pt">그림<span>] </span>방광문이 저절로 열려 새어 나온다<span> (</span>요실금<span>)</span></span></b><b><span style="FONT-SIZE: 13.5pt"></span></b></p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt"> Bladder(</span></b><b><span style="COLOR: red; FONT-SIZE: 12pt">방광<span>) Pelvic muscle(</span>골반근<span>)</span></span></b></p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt"></span></b><span style="FONT-SIZE: 12pt"></span> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">요 실금에 사용하는 약물 요법은 </span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">주로 방광을 이완 시키는 항콜린약<span> 7 </span>가지가 사용되고 있다</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">이들에 대한 약효와 안전성이 비교 평가되고</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">여하히 선택 사용할 것인가를 가르쳐 주고 있다</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">이는 미국 미네소타 의대 연구팀의 연구 결과인바</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">1966</span></b><b><span style="FONT-SIZE: 14pt">년부터<span> 2011</span>년까지 발표 되어온 임상 발표 문중에서</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">설계와 통계처리가 합리적인 임상<span>(RCT=Radomized controlled<br>Trials) 94</span>편을 선정하여 정합 분석하고 </span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">이를 미국 내과학 학술지 최신호를 통해 발표된 내용이다</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt"><img src="/_dimg/1%20욧ㄹ금.jpg"></span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 12pt"> [</span></b><b><span style="COLOR: red; FONT-SIZE: 12pt">그림<span>] Detrousor (</span>방광 배뇨근<span>) </span></span></b></p> <p style="LINE-HEIGHT: normal; TEXT-INDENT: 48pt; MARGIN: 0cm 0cm 0pt; mso-char-indent-count: 4.0"><b><span style="COLOR: red; FONT-SIZE: 12pt">부교감 신경이 작동하면 배뇨근이 수축하면서<span> </span>방광문이 열린다</span></b><span style="COLOR: black; FONT-SIZE: 12pt"></span></p> <p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: 48pt; MARGIN: 0cm 0cm 0pt; mso-char-indent-count: 4.0"><b><span style="COLOR: red; FONT-SIZE: 12pt">교감 신경이 작동하면 배뇨근이 이완하면서<span> </span>방광문이 닫힌다</span></b><span style="COLOR: black; FONT-SIZE: 12pt"></span></p> <p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: -132pt; MARGIN: 0cm 0cm 0pt 180pt; mso-char-indent-count: -11.0; mso-para-margin-left: 4.8gd"><b><span style="COLOR: red; FONT-SIZE: 12pt">Sphincter ( </span></b><b><span style="COLOR: red; FONT-SIZE: 12pt">괄약근<span>): </span>체신경이 지배하는 근육<span>: <br></span>오</span></b><b><span style="COLOR: red; FONT-SIZE: 12pt">줌을 의지로 참으려면 참을 수 있게 한다</span></b><span style="COLOR: black; FONT-SIZE: 12pt"></span></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 24pt">모든 약의 약효 가 다 미약하다 </span></b></p> <p style="LINE-HEIGHT: normal; TEXT-INDENT: 72pt; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 24pt">약물간 차이가 없다</span></b></p><b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 14pt"><br clear="all" style="mso-special-character: line-break; mso-column-break-before: always"></span></b> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">현재 요 실금에 사용하는 약은 <span>5</span>가지이며</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">아래 표에서처럼 </span></b><b><span style="FONT-SIZE: 14pt">환자<span> 1,000 </span>당 치료 율이매우 낮아 약효가 미약하며<span><br></span>약물간 차이가 없이 비슷하여<span><br></span>어느 것을 특히 선택할 이유도 없는 약들이다</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <table style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <td width="36" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 26.7pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="198" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 148.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">1,000</span></b><b><span style="FONT-SIZE: 14pt">명당 치료 율</span></b></p></td> <td width="230" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 172.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">범위</span></b></p></td></tr> <tr> <td width="36" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 26.7pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">1</span></b></p></td> <td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Fesoterodine</span></b></p></td> <td width="198" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 148.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">130 </span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="230" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 172.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">56-202</span></b></p></td></tr> <tr> <td width="36" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 26.7pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">2</span></b></p></td> <td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Oxybutinin</span></b></p></td> <td width="198" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 148.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">114 </span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="230" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 172.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">64-164</span></b></p></td></tr> <tr> <td width="36" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 26.7pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">3</span></b></p></td> <td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Trospium</span></b></p></td> <td width="198" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 148.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">114 </span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="230" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 172.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">83-144</span></b></p></td></tr> <tr> <td width="36" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 26.7pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">4</span></b></p></td> <td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Solifenacium</span></b></p></td> <td width="198" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 148.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">107 </span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="230" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 172.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">58=156</span></b></p></td></tr> <tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes"> <td width="36" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 26.7pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">5</span></b></p></td> <td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Tolterodine85</span></b></p></td> <td width="198" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 148.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">85 </span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="230" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 172.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">40-129</span></b></p></td></tr></tbody></table> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0.75pt 0cm"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 24pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 24pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 24pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 24pt">약의 성택 기준은 개개 약의 부작용</span></b></p> <p style="LINE-HEIGHT: normal; TEXT-INDENT: 12pt; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 24pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">이들 약은 모두가 방광을 이완시키는 항 콜린성 약물들이다</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">항콜린성 약의 부작용의 부작용은 </span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt">-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">구강 건조</span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt">-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">안구 건조</span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt">-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">현기증 </span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt">-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">시야혼란<span><br></span></span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"><span><br>-</span>변비</span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"><br>-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">설사</span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"><br>-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">복통<span><br><br>-</span>소화불량</span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"><br>-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">기억장애 </span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt">-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">졸림 </span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt">-</span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">피로 등</span></b></p><b><span style="COLOR: #333333; FONT-SIZE: 14pt"> </span></b><p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><br></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">등 매우 다양하다</span></b></p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt"></span></b> </p> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"><b><span style="COLOR: #333333; FONT-SIZE: 14pt">이러한 부작용 때문에 약물을 중단한 내용을 보면 </span></b><b><span style="COLOR: #333333; FONT-SIZE: 14pt">아래 표와 같다</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <table style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <td width="32" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 24.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="145" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 108.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="182" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 136.6pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; TEXT-INDENT: -14pt; MARGIN: 0cm 0cm 0pt 14pt"><b><span style="FONT-SIZE: 14pt">1,000</span></b><b><span style="FONT-SIZE: 14pt">명당중단 자</span></b></p></td> <td width="257" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 192.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">범위</span></b></p></td></tr> <tr> <td width="32" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 24.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">1</span></b></p></td> <td width="145" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 108.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Fesoterodine</span></b></p></td> <td width="182" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 136.6pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">31</span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="257" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 192.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">10-56</span></b></p></td></tr> <tr> <td width="32" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 24.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">2</span></b></p></td> <td width="145" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 108.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Oxybutinin</span></b></p></td> <td width="182" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 136.6pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">63</span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="257" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 192.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">12-127</span></b></p></td></tr> <tr> <td width="32" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 24.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">3</span></b></p></td> <td width="145" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 108.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Trospium</span></b></p></td> <td width="182" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 136.6pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">18</span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="257" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 192.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">4-33</span></b></p></td></tr> <tr> <td width="32" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 24.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">4</span></b></p></td> <td width="145" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 108.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Solifenacium</span></b></p></td> <td width="182" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 136.6pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">13</span></b><b><span style="FONT-SIZE: 14pt">명</span></b></p></td> <td width="257" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 192.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">1-26</span></b></p></td></tr> <tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes"> <td width="32" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 24.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ffc000; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">5</span></b></p></td> <td width="145" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 108.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Tolterodine</span></b></p></td> <td width="439" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 329.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="2"> <p align="center" style="TEXT-ALIGN: center; LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Fesoterdne </span></b><b><span style="FONT-SIZE: 14pt">보다 약간 적음</span></b></p></td></tr></tbody></table> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">요 실금 치료약은 약효가 모두 미약하고</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">서로간에 약효 차이가 없으므로<span><br></span>환자개별적으로 부작용이 적게 나타난 약을 선정 해줄 수 밖에 없다</span></b></p> <p> </p> <p> </p> <p><b><span style="FONT-SIZE: 14pt"><span> </span></span></b></p><b> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><br><span style="COLOR: red"> </span></p></b> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0.75pt 0cm"><span style="FONT-FAMILY: 굴림; COLOR: black; FONT-SIZE: 12pt"> <img class="style1" src="/_dimg/4%20urgestress.jpg"></span></p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"> [</span></b><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt">그림<span>4] </span>요실금<span>(Incontinence)</span>의<span> 3 </span>가지 종류</span></b><span style="FONT-FAMILY: 굴림; COLOR: black; FONT-SIZE: 13.5pt; mso-hansi-font-family: '┖Times New Roman┖'"></span></p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"> Oveflow(방출성): </span></b><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt">요도가 감염증 등으로 상하며 방광 문이 잘 안 열리므로</span></b></p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"> </span></b><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt">오줌이 방광내 차더라도 배뇨가 어렵게 된다</span></b></p> <p align="left" style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"> Stress : </span></b><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt">골반 근육이 물리적으로 압박을 받으면 방광문이 열린다</span></b></p> <p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: -148.05pt; MARGIN: 0cm 0cm 0pt 148.05pt; mso-char-indent-count: -12.57"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"> Urge : </span></b><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt">신경 장애나 감염증으로 방광이 자극을 받을 때마다 </span></b></p> <p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: -148.05pt; MARGIN: 0cm 0cm 0pt 148.05pt; mso-char-indent-count: -12.57"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"> 오줌이 방광 내에 게 들어 있어도<span> </span>방광이 수축하면서 </span></b></p> <p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: -148.05pt; MARGIN: 0cm 0cm 0pt 148.05pt; mso-char-indent-count: -12.57"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"> 배뇨하게 되는 것을 </span></b></p><p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: -148.05pt; MARGIN: 0cm 0cm 0pt 148.05pt; mso-char-indent-count: -12.57"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"><br></span></b></p><p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: -148.05pt; MARGIN: 0cm 0cm 0pt 148.05pt; mso-char-indent-count: -12.57"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"><br></span></b></p><p align="left" style="LINE-HEIGHT: normal; TEXT-INDENT: -148.05pt; MARGIN: 0cm 0cm 0pt 148.05pt; mso-char-indent-count: -12.57"><b><span style="FONT-FAMILY: 굴림; COLOR: red; FONT-SIZE: 12pt"><br></span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 14pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 24pt">[</span></b><b><span style="COLOR: red; FONT-SIZE: 24pt">참조<span>] </span></span></b><b><span style="FONT-SIZE: 24pt">요 실금의 종류</span></b></p><p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 24pt"><br></span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">요 실금은 방광근육 이상 또는 신경 장애로 발생하며</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">모든 종류의 요실금은 치료가 가능하다</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"><br></span></b><b><span style="FONT-SIZE: 14pt">약물 요법<span>(</span>항콜린약<span>) + </span>요분 운동<span>(</span>골반운동<span>)+bio feedback</span></span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 14pt"></span></b> </p><b><span style="LINE-HEIGHT: 115%; FONT-FAMILY: '맑은 고딕'; COLOR: red; FONT-SIZE: 14pt"></span></b> <p style="MARGIN: 0cm 0cm 10pt"><b><span style="LINE-HEIGHT: 115%; COLOR: red; FONT-SIZE: 14pt"></span></b> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 14pt"></span></b> </p> <table style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <td width="121" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 90.45pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid" rowspan="2"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">스트레스 성 </span></b></p></td> <td width="495" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 371.45pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid" colspan="5"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">기침 웃음 운동시 조금씩 요를 유출</span></b></p></td></tr> <tr> <td width="28" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 21.3pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="2"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="467" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 350.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="3"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">-</span></b><b><span style="FONT-SIZE: 14pt">출산 시 방광근육이 위를 잘못 잡았기 때문</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">-</span></b><b><span style="FONT-SIZE: 14pt">월경 전<span> Estrogen </span>저하로 방광근육의 허약 상태<span><br>-</span>갱녁기<span>estrogen</span>감소로 방광 근육 허약</span></b></p></td></tr> <tr> <td width="121" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 90.45pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" rowspan="2"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">긴급성</span></b></p></td> <td width="480" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 359.65pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="4"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">돌발적으로 요의를 느끼자 마자 대량 배뇨</span></b></p></td> <td width="16" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 11.8pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td></tr> <tr> <td width="28" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 21.3pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="2"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="467" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 350.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="3"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">뇌졸중 파킨슨병 알즈히이머등</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">신경 장애로 방광 신경에 비정상 신경 전달 </span></b></p></td></tr> <tr> <td width="121" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 90.45pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" rowspan="2"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">과민성 </span></b></p></td> <td width="480" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 359.65pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="4"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">빈도가 매우 잦음 하루<span> 7-8 </span>회 배뇨</span></b></p></td> <td width="16" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 11.8pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td></tr> <tr> <td width="38" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 1cm; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="3"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="457" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 343.1pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="2"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">신경 장애자 </span></b></p></td></tr> <tr> <td width="121" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 90.45pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" rowspan="2"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">방출 성</span></b></p></td> <td width="480" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 359.65pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="4"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">돌발적으로 뇨를 약간 만 방출<span>. </span>완전 배뇨 못함</span></b></p></td> <td width="16" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 11.8pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td></tr> <tr> <td width="19" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 14.2pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td> <td width="476" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 357.25pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="4"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">당뇨병 성 신경 장애 자<span>. </span>방광근육 허약 자 </span></b></p></td></tr> <tr style="mso-yfti-irow: 8; mso-yfti-lastrow: yes"> <td width="121" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 90.45pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">혼합성</span></b></p></td> <td width="480" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 359.65pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="4"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">스트레스<span> + </span>긴급성</span></b></p></td> <td width="16" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 11.8pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid"> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p></td></tr> <tr> <td width="121" style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></td> <td width="19" style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></td> <td width="9" style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></td> <td width="9" style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></td> <td width="442" style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></td> <td width="16" style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8"></td></tr></tbody></table> <p align="left" style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><span class="slug-ahead-of-print-date"><b><span style="COLOR: #333300; FONT-SIZE: 14pt">[</span></b></span><span class="slug-ahead-of-print-date"><b><span style="COLOR: #333300; FONT-SIZE: 14pt">근거<span>]<br>April 9, 2012 Annals of InteranlMedicineAmerican College of Physician </span></span></b></span><b><span style="FONT-SIZE: 14pt">Review Systematic Review: Benefits and Harms of Pharmacologic Treatment for Urinary Incontinence in Women</span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><span><a href="http://www.annals.org/search?author1=Tatyana+Shamliyan&sortspec=date&submit=Submit"><b><span style="COLOR: windowtext; FONT-SIZE: 14pt; TEXT-DECORATION: none; text-underline: none">Tatyana Shamliyan</span></b></a></span><b><span style="FONT-SIZE: 14pt">, MD, MS; </span></b><span><a href="http://www.annals.org/search?author1=Jean+F.+Wyman&sortspec=date&submit=Submit"><b><span style="COLOR: windowtext; FONT-SIZE: 14pt; TEXT-DECORATION: none; text-underline: none">Jean F. Wyman</span></b></a></span><b><span style="FONT-SIZE: 14pt">, PhD; </span></b><span><a href="http://www.annals.org/search?author1=Rema+Ramakrishnan&sortspec=date&submit=Submit"><b><span style="COLOR: windowtext; FONT-SIZE: 14pt; TEXT-DECORATION: none; text-underline: none">Rema Ramakrishnan</span></b></a></span><b><span style="FONT-SIZE: 14pt">, MPH; </span></b><span><a href="http://www.annals.org/search?author1=Fran%C3%A7ois+Sainfort&sortspec=date&submit=Submit"><b><span style="COLOR: windowtext; FONT-SIZE: 14pt; TEXT-DECORATION: none; text-underline: none">François Sainfort</span></b></a></span><b><span style="FONT-SIZE: 14pt">, PhD; and </span></b><span><a href="http://www.annals.org/search?author1=Robert+L.+Kane&sortspec=date&submit=Submit"><b><span style="COLOR: windowtext; FONT-SIZE: 14pt; TEXT-DECORATION: none; text-underline: none">Robert L. Kane</span></b></a></span><b><span style="FONT-SIZE: 14pt">, MD <a name="aff-1"></a>From the University of Minnesota School of Public Health, Minnesota Evidence-Based Practice Center, and University of Minnesota School of Nursing, Minneapolis, Minnesota. </span></b></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"> </p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><span class="slug-ahead-of-print-date"><b><span style="COLOR: #333300; FONT-SIZE: 14pt"></span></b></span></p> <p style="LINE-HEIGHT: normal; MARGIN: 0cm 0cm 0pt"><span class="slug-ahead-of-print-date"><b><span style="COLOR: #333300; FONT-SIZE: 14pt"></span></b></span> </p> 이전글다음글 목록
