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„π°“√®—¥Õ∫√¡Ωñ°´âÕ¡„πß“π‡Õ°´‡√¬åÕÿ∫—쑇Àμÿ Analysis of General X-Ray Examinations for the Necessary of Rehearsal Training in Trauma

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ª√‘¡“≥°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ª√–À«à“ߪï 2558-60 æ∫«à“ ª√–‡¿∑°“√μ√«®∑’ˬ“°·≈–´—∫´âÕπ‚¥¬°“√∑” subjective ranking score ·≈–π”¡“‡√’¬ß≈”¥—∫ ‰¥â·°à Head & Neck, Shoulder ·≈– Lower extremities μ“¡≈”¥—∫  ”À√—∫

ª√‘¡“≥°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ª∑’Ë¡’¡“°∑—Èß„π·≈–πÕ°‡«≈“√“™°“√√«¡ 3 ªï ‰¥â·°à chest, wrist & hand ·≈– foot

‚¥¬¡’ª√‘¡“≥ 10,559 √“¬ 9,653 √“¬ ·≈– 6,684 μ“¡≈”¥—∫ ¥—ßπ—Èπ °“√®—¥Õ∫√¡Ωñ°´âÕ¡®÷ßμâÕß°”Àπ¥„πÀ—«¢âÕ Head

& Neck, Shoulder ·≈– Chest ‡ªìπÕ¬à“ßπâÕ¬ ‡æ◊ËÕ„À⇰‘¥∑—°…–„π°“√®—¥∑à“„πºŸâªÉ«¬∑’Ë¡’¢âÕ®”°—¥„π°“√‡§≈◊ËÕπ‰À«

·≈–À≈—°°“√„π°“√„™âÕÿª°√≥å™à«¬°“√®—¥∑à“√à«¡¥â«¬

Abstract

This analysis had objective to find the necessary of rehearsal training in general x-ray in trauma which considered with the rank of difficult and complex in positioning and the amount of x-ray request in 2014-17, the results were the ranking of difficult and complex in positioning by subjective ranking score were Head & Neck, Shoulder and lower extremities, respectively. The high amount of x-ray request in trauma in those 3 years was chest, wrist & hand and foot, (10,559, 9,653 and 6,684 cases) respectively. So the rehearsal training has to set the topic at least in Head

& Neck, Shoulder and Chest to the skillful of the positioning in immobilization patient and supported equipment tips were need.

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∑—Ë«‰ª„πÀπ૬‡Õ°´‡√¬åÕÿ∫—쑇Àμÿ√–À«à“ߪï æ.». 2557-60 3. ‡æ◊ËÕ°”Àπ¥°√Õ∫°“√Õ∫√¡Ωñ°´âÕ¡„π°“√®—¥

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°“√‡Õ°´‡√¬å∑—Ë«‰ª‚¥¬°“√„™â subjective ranking score

‚¥¬π—°√—ß ’°“√·æ∑¬å 4 §π ·≈–π” cumulative score

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º≈«‘‡§√“–Àå

(μ“√“ß∑’Ë 1-4 ·ºπ¿Ÿ¡‘∑’Ë 1-2)

 √ÿªº≈°“√«‘‡§√“–Àå

°“√‡√’¬ß≈”¥—∫§«“¡¬“°·≈–´—∫´âÕπ¢Õߪ√–‡¿∑

°“√∂à“¬‡Õ°´‡√¬å∑—Ë«‰ª¢Õßß“πÕÿ∫—쑇Àμÿ¥â«¬ subjective ranking score ‚¥¬π—°√—ß ’°“√·æ∑¬å 4 §π ·≈–π” cumu- lative score ¡“‡√’¬ß≈”¥—∫ æ∫«à“ °“√∂à“¬‡Õ°´‡√¬å

∑—Ë«‰ª∑’ˬ“°·≈–´—∫´âÕπ≈”¥—∫·√°§◊Õ Head & Neck √Õß

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·≈–´—∫´âÕπ

1 Head &Neck

2 Shoulder

3 Lower extremities

4 C-spine

5 L-S spine

6 Abdomen

7 Pelvis

8 T-L spine

9 Upper extremities

10 Other Portable eg.

abdomen, spine

11 Chest

12 Knee

13 Foot

14 Chest portable

15 Wrist & Hand

μ“√“ß∑’Ë 2 ª√‘¡“≥°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ªÀπ૬‡Õ°´‡√¬åÕÿ∫—쑇Àμÿªï æ.». 2558-60 „π‡«≈“√“™°“√

æ.». 2558 æ.». 2559 æ.». 2560

°“√μ√«®„π‡«≈“√“™°“√ √«¡

(√“¬) (√“¬) (√“¬)

Head & Neck 558 463 503 1,524

Shoulder 682 606 656 1,944

Lower extremities 937 1,078 1,041 3,056

C-spine 224 201 233 658

L-S spine 315 293 328 936

Abdomen 48 48 47 143

Pelvis 169 211 190 570

T-L spine 136 152 150 438

Upper extremities 800 869 881 2,550

Other Portable 38 50 67 155

Chest 1,388 1,361 1,645 4,394

Knee 609 534 595 1,738

Foot 1,168 1,267 1,355 3,790

Chest portable 550 500 513 1,563

Wrist & Hand 1,746 1,651 1,694 5,091

√«¡ 9,368 9,283 9,898 28,549

μ“√“ß∑’Ë 3 ª√‘¡“≥°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ªÀπ૬‡Õ°´‡√¬åÕÿ∫—쑇Àμÿªï æ.». 2558-60 πÕ°‡«≈“√“™°“√

æ.». 2558 æ.». 2559 æ.». 2560

°“√μ√«®πÕ°‡«≈“√“™°“√ √«¡

(√“¬) (√“¬) (√“¬)

Head & Neck 1,078 888 898 2,864

Shoulder 495 491 446 1,432

Lower extremities 1,141 1,173 1,100 3,414

C-spine 433 386 363 1,182

L-S spine 288 305 276 869

Abdomen 89 100 112 301

Pelvis 236 214 214 664

T-L spine 114 143 104 361

Upper extremities 964 959 976 2,899

Other Portable 79 92 89 260

Chest 1,983 2,054 2,128 6,165

Knee 678 699 613 1,990

Foot 935 975 984 2,894

Chest portable 619 569 717 1,905

Wrist & Hand 1,531 1,536 1,495 4,562

√«¡ 10,663 10,584 10,514 31,761

μ“√“ß∑’Ë 4 ¢Õß°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ªÀπ૬‡Õ°´‡√¬åÕÿ∫—쑇Àμÿ ª√‘¡“≥√«¡ 3 ªï √–À«à“ß æ.».2558-60

®”π«π

ª√–‡¿∑°“√μ√«® √âÕ¬≈–

(√“¬)

Head &Neck 4,388 7.27

Shoulder 3,376 3.05

Lower extremities 6,469 1.32

C-spine 1,840 2.99

L-S spine 1,805 17.51

Abdomen 444 0.742

Pelvis 1,234 2.05

T-L spine 799 5.60

Upper extremities 5,448 9.03

Other Portable 415 16.01

Chest 10,559 10.72

Knee 3,728 6.18

Foot 6,684 11.08

Chest portable 3,468 5.75

Wrist & Hand 9,653 0.69

Total 60,310 100.00

·ºπ¿Ÿ¡‘∑’Ë 1 °√“ø —¥ à«π°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ª„π‡«≈“√“™°“√„πß“π‡Õ°´‡√¬åÕÿ∫—쑇Àμÿ 3 ªï

≈ß¡“§◊Õ Shoulder ·≈– Lower extremities μ“¡≈”¥—∫

‚¥¬ Wrist & Hand ‡ªìπª√–‡¿∑°“√∂à“¬‡Õ°´‡√¬å∑—Ë«‰ª

∑’Ëßà“¬∑’Ë ÿ¥

ª√‘¡“≥°“√‡Õ°´‡√¬å∑—Ë«‰ª ≥ Àπ૬‡Õ°´‡√¬å Õÿ∫—쑇Àμÿ „π‡«≈“√“™°“√ ªï æ.». 2558 æ∫«à“ ª√–‡¿∑

°“√‡Õ°´‡√¬å∑—Ë«‰ª∑’Ë¡’ª√‘¡“≥ Ÿß ‰¥â·°à Wrist & Hand

®”π«π 1,746 √“¬ √Õß≈ß¡“‰¥â·°à Chest ®”π«π 1,388

√“¬ ·≈– Foot ®”π«π 1,168 √“¬ μ“¡≈”¥—∫ ªï æ.».2559 æ∫«à“ ª√–‡¿∑°“√‡Õ°´‡√¬å∑—Ë«‰ª∑’Ë¡’ª√‘¡“≥ Ÿß ‰¥â·°à Wrist & Hand ®”π«π 1,651 √“¬ √Õß≈ß¡“‰¥â·°à Chest

®”π«π 1,361 √“¬ ·≈– Foot ®”π«π 1,267 √“¬ μ“¡

≈”¥—∫ ·≈– ªï æ.».2560 æ∫«à“ ª√–‡¿∑°“√‡Õ°´‡√¬å

∑—Ë«‰ª∑’Ë¡’ª√‘¡“≥ Ÿß ‰¥â·°à Wrist & Hand ®”π«π 1,694

√“¬ √Õß≈ß¡“‰¥â·°à Chest ®”π«π 1,645 √“¬ ·≈– Foot

®”π«π 1,355 √“¬ μ“¡≈”¥—∫

ª√‘¡“≥°“√‡Õ°´‡√¬å∑—Ë«‰ª ≥ Àπ૬‡Õ°´‡√¬å Õÿ∫—쑇Àμÿ πÕ°‡«≈“√“™°“√ ªï æ.». 2558 æ∫«à“

ª√–‡¿∑°“√‡Õ°´‡√¬å∑—Ë«‰ª∑’Ë¡’ª√‘¡“≥ Ÿß ‰¥â·°à Chest

®”π«π 1,983 √“¬ √Õß≈ß¡“‰¥â·°à Wrist & Hand ®”π«π 1,531 √“¬ ·≈– Lower extremities ®”π«π 1,141 √“¬

μ“¡≈”¥—∫ ªï æ.». 2559 æ∫«à“ ª√–‡¿∑°“√‡Õ°´‡√¬å

∑—Ë«‰ª∑’Ë¡’ª√‘¡“≥ Ÿß ‰¥â·°à Chest ®”π«π 2,054 √“¬

√Õß≈ß¡“‰¥â·°à Wrist & Hand ®”π«π 1,536 √“¬ ·≈–

Lower extremities ®”π«π 1,173 √“¬ μ“¡≈”¥—∫ ·≈– ªï æ.». 2560 æ∫«à“ ª√–‡¿∑°“√‡Õ°´‡√¬å∑—Ë«‰ª∑’Ë¡’ª√‘¡“≥

 Ÿß ‰¥â·°à chest ®”π«π 2,128 √“¬ √Õß≈ß¡“‰¥â·°à Wrist

& Hand ®”π«π 1,495 √“¬ ·≈– Lower extremities ®”π«π 1,100 √“¬ μ“¡≈”¥—∫

‡¡◊ËÕ‡ª√’¬∫‡∑’¬∫°“√‡Õ°´‡√¬å∑—Ë«‰ª√–À«à“ß„π‡«≈“

√“™°“√·≈–πÕ°‡«≈“√“™°“√ æ∫«à“ °“√‡Õ°´‡√¬å∑—Ë«‰ª

„πºŸâªÉ«¬Õÿ∫—쑇ÀμÿπÕ°‡«≈“√“™°“√¡’ª√‘¡“≥°“√∂à“¬

‡Õ°´‡√¬å¡“°°«à“„π‡«≈“√“™°“√ ∑—Èßπ’È ≈”¥—∫¢Õß ª√–‡¿∑°“√μ√«®°Á¡’§«“¡·μ°μà“ß®“°„π‡«≈“√“™°“√

¥â«¬‡™àπ‡¥’¬«°—π π—Ëπ§◊Õ Chest ¡’°“√ àßμ√«®‡ªìπ≈”¥—∫

·√° „π¢≥–∑’Ë„π‡«≈“√“™°“√‡ªìπ≈”¥—∫∑’Ë 2 ·≈– Wrist

& Hand ´÷Ë߇ªìπ≈”¥—∫ 2 ¢ÕßπÕ°‡«≈“√“°“√¡’≈”¥—∫ Ÿß

‡ªìπÕ—π¥—∫·√°„π‡«≈“√“™°“√  à«π∑’Ë·μ°μà“ߧ◊Õ πÕ°

‡«≈“√“™°“√®– àßμ√«® Lower extremities ¡“°‡ªìπ

≈”¥—∫∑’Ë 3 ´÷Ëß„π‡«≈“√“™°“√‡ªìπ≈”¥—∫ 4 „π¢≥–∑’Ë„π

‡«≈“√“™°“√‡ªìπ°“√∂à“¬‡Õ°´‡√¬å Foot

∑—Èßπ’È ‡¡◊ËÕπ”¡“ √â“ß°√“ø√âÕ¬≈–¢Õߪ√‘¡“≥°“√

μ√«® 3 ªï ‡æ◊ËÕ¥Ÿª√‘¡“≥°“√μ√«®∑’Ë¡’§à“ Ÿß‡°‘π √âÕ¬≈–

10 ‡¡◊ËÕ‡∑’¬∫°—∫°“√μ√«®Õ◊ËπÊ „π°√Õ∫‡«≈“„π‡«≈“

√“™°“√·≈–πÕ°‡«≈“√“™°“√ æ∫«à“ „π‡«≈“√“™°“√¡’ 4 ª√–‡¿∑°“√μ√«®‰¥â·°à Wrist & Hand §‘¥‡ªìπ √âÕ¬≈–

17.83 Chest §‘¥‡ªìπ √âÕ¬≈– 15.39 Foot §‘¥‡ªìπ √âÕ¬≈–

13.28 ·≈– Lower extremities §‘¥‡ªìπ √âÕ¬≈– 10.70

·≈–πÕ°‡«≈“√“™°“√æ∫«à“¡’‡æ’¬ß 3 ª√–‡¿∑°“√μ√«®

∑’Ë¡’ª√‘¡“≥°“√μ√«® Ÿß‡°‘π°«à“ √âÕ¬≈– 10 ‰¥â·°à Chest

·ºπ¿Ÿ¡‘∑’Ë 2 °√“ø —¥ à«π°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ªπÕ°‡«≈“√“™°“√„πß“π‡Õ°´‡√¬åÕÿ∫—쑇Àμÿ 3 ªï

§‘¥‡ªìπ √âÕ¬≈– 19.41 Wrist & Hand §‘¥‡ªìπ √âÕ¬≈– 14.36 Lower extremities §‘¥‡ªìπ √âÕ¬≈– 10.75

Õ¬à“߉√°Áμ“¡ ‡¡◊ËÕæ‘®“√≥“„π√“¬°“√°“√μ√«®

‡Õ°´‡√¬å∑—Ë«‰ªπ—Èπ Chest ¬—ß¡’ª√‘¡“≥ Ÿß¢÷Èπ®“° Portable chest x-ray Õ’°¥â«¬ ∑”„ÀâÀ“°¡Õß®“°ª√–‡¿∑°“√

μ√«®‡æ’¬ßÕ¬à“߇¥’¬«π—Èπ®–∂◊Õ‰¥â«à“ Chest ¡’ª√‘¡“≥

°“√μ√«® Ÿß ÿ¥ §‘¥‡ªìπ√âÕ¬≈– 20.86  ”À√—∫„π‡«≈“

√“™°“√ ·≈– √âÕ¬≈– 25.41  ”À√—∫πÕ°‡«≈“√“™°“√

¢âÕ‡ πÕ·π–μàÕ°“√®—¥Õ∫√¡Ωñ°´âÕ¡

°“√°”À𥂪√·°√¡°“√Õ∫√¡Ωñ°´âÕ¡π—È𮔇ªìπ μâÕß¡’§«“¡§‘¥ √â“ß √√§å ¡’§«“¡¬◊¥À¬ÿàπ ·≈– “¡“√∂

¥—¥·ª≈߇°≥±å°“√Ωñ°π—Èπ‰¥â‚¥¬Õ¬Ÿà∫πæ◊Èπ∞“π∑“ߥâ“π

‡ªÑ“À¡“¬ æƒμ‘°√√¡·≈–°“√μÕ∫ πÕßμàÕ°“√Ωñ°´âÕ¡

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‰¡à‰¥â√—∫√—ß ’‚¥¬‰¡à®”‡ªì𠇪ìπμâπ

 ”À√—∫°“√°”À𥂪√·°√¡°“√Õ∫√¡Ωñ°´âÕ¡ ®–

μâÕß°”Àπ¥À—«¢âÕª√–‡¿∑°“√μ√«®∑’ˬ“°·≈–´—∫´âÕπ

·≈–ª√–‡¿∑∑’Ë¡’ª√‘¡“≥¡“°‚¥¬„À⧫“¡ ”§—≠‡∑à“

‡∑’¬¡°—π ∑—Èßπ’È º≈°“√«‘‡§√“–Àå≈”¥—∫§«“¡¬“°·≈–´—∫

´âÕπ‚¥¬°“√∑” subjective ranking score ·≈–π”¡“

‡√’¬ß≈”¥—∫ ‰¥â·°à Head & Neck, Shoulder ·≈– Lower extremities μ“¡≈”¥—∫ ΩÉ“¬°“√®—¥Õ∫√¡Ωñ°´âÕ¡ “¡“√∂

π”¡“‡ªìπμâπ·∫∫ ”À√—∫À—«¢âÕ°“√Ωñ°´âÕ¡´È”‰¥â„π À—«¢âÕ°“√μ√«®‡Õ°´‡√¬å∑—Ë«‰ª∑’ˬ“°·≈–´—∫´âÕπ„πß“π Õÿ∫—쑇Àμÿ‚¥¬°“√„À⧫“¡√Ÿâ‡∫◊ÈÕßμâπ°“√®—¥∑à“·≈–°“√„™â Õÿª°√≥å√à«¡„π°“√®—¥∑à“ °“√Ωñ°´âÕ¡°“√∂à“¬‡Õ°´‡√¬å

∑—Ë«‰ª„πºŸâªÉ«¬ª°μ‘ ·≈–°“√Ωñ°´âÕ¡‡ ¡◊Õπ®√‘ß„πμ—«

·∫∫ºŸâªÉ«¬Õÿ∫—쑇Àμÿ∑’Ë¡’¿“«– immobilization ‡æ◊ËÕæ—≤π“

∑—°…–„π°“√®—¥∑à“·≈–°“√¥Ÿ·≈∑“ß°“√·æ∑¬å‚¥¬‡πâπ

¥â“𧫓¡ª≈Õ¥¿—¬„π°“√®—¥∑à“ºŸâªÉ«¬Õ’°¥â«¬

‡¡◊ËÕæ‘®“√≥“®“°ª√‘¡“≥°“√‡Õ°´‡√¬åÕÿ∫—쑇Àμÿ

®”·π°μ“¡ª√–‡¿∑°“√μ√«®π—Èπ ®–‡ÀÁπ‰¥â«à“ °“√∂à“¬

‡Õ°´‡√¬å∑’Ë¡’ª√‘¡“≥¡“°π—ÈπÕ¬Ÿà„πª√–‡¿∑°“√μ√«®∑’Ë¡’

§«“¡ßà“¬ ‰¡à´—∫´âÕπ „π ∂“π°“√≥å®”≈Õßπ—Èπ®–æ∫«à“

À“°‡°‘¥°“√∂à“¬¿“æ§≈“¥‡§≈◊ËÕπ·≈–®”‡ªìπμâÕß∂à“¬

¿“æ‡Õ°´‡√¬å´È”‡æ’¬ß√“¬≈– 1 §√—Èß °“√∂à“¬‡Õ°´‡√¬å Chest ®–∑”„Àâ°“√∂à“¬‡Õ°´‡√¬å´È”‡°‘¥¢÷Èπ Ÿß∂÷ß 43 √“¬

„π‡«≈“√“™°“√·≈– 61 √“¬ ”À√—∫πÕ°‡«≈“√“™°“√

§‘¥‡ªìπ√âÕ¬≈– 0.15 ·≈– 0.19 μ“¡≈”¥—∫ ¥—ßπ—Èπ „π°“√

Ωñ°´âÕ¡π—È𮔇ªìπ®–μâÕß∫√√®ÿ°“√Ωñ°´âÕ¡´È” ”À√—∫°“√

∂à“¬‡Õ°´‡√¬å Chest ¥â«¬∑ÿ°§√—Èß  ”À√—∫ Wrist & Hand

·¡â®–¡’ª√‘¡“≥°“√∂à“¬‡Õ°´‡√¬å∑’Ë Ÿß ·μà√–¥—∫§«“¡´—∫

´âÕππâÕ¬∑’Ë ÿ¥ Õ“®®–∫√√®ÿÀ√◊Õ‰¡à∫√√®ÿ ”À√—∫°“√

Õ∫√¡Ωñ°´âÕ¡´È”°Á‰¥â ‡™àπ‡¥’¬«°—∫ Foot ´÷Ëß∂◊Õ«à“¡’

ª√‘¡“≥°“√‡Õ°´‡√¬å Ÿß ·μàπÕ°‡«≈“√“™°“√ª√‘¡“≥

π—Èπ‰¡à Ÿß¡“°π—° Õ“®®—¥Ωñ°´âÕ¡´È”‡ªìπ§√—ÈßÊ ‰ª°Á‰¥â Õ¬à“߉√°Áμ“¡ ‡¡◊ËÕæ‘®“√≥“®“°§«“¡´—∫´âÕπ„π

°“√∂à“¬‡Õ°´‡√¬å Lower extremities ¡’ª√‘¡“≥°“√

‡Õ°´‡√¬å∑’Ë Ÿß≈”¥—∫∑’Ë 3  ”À√—∫πÕ°‡«≈“√“™°“√·≈–

≈”¥—∫∑’Ë 4  ”À√—∫„π‡«≈“√“™°“√ ·≈–‡¡◊ËÕæ‘®“√≥“

®“° “‡Àμÿ°“√∂à“¬‡Õ°´‡√¬å ®–æ∫«à“ °“√∂à“¬‡Õ°´‡√¬å

¡’§«“¡‰¡à´—∫´âÕπ·μà¡’§«“¡¬ÿà߬“°„π°“√∂à“¬‡Õ°´‡√¬å

‡π◊ËÕß®“°°“√¢¬—∫‡§≈◊ËÕπ‰À«‰¥â¢ÕߺŸâªÉ«¬¡’®”°—¥„π°√≥’

bone fracture ¥—ßπ—Èπ®÷ßπà“®–‡ªìπ≈”¥—∫μâπÊ „π°“√®—¥

Õ∫√¡Ωñ°´âÕ¡´È”‚¥¬°“√ √â“ß ∂“π°“√≥å®”≈Õß ‡æ◊ËÕ

„À⺟âªØ‘∫—μ‘ß“π‰¥â∑¥≈Õß®—¥∑à“‡ ¡◊Õπ®√‘ß·≈–‰¥â√—∫§”

·π–π”„π¥â“𧫓¡ª≈Õ¥¿—¬„π°“√¬°¬â“¬·≈–°“√®—¥

∑à“ºŸâªÉ«¬¥â«¬

∑—Èßπ’È ‡¡◊ËÕæ‘®“√≥“®“°μ“√“ß∑’Ë 2-3 æ∫«à“ „π°“√

μ√«®∑’Ë´—∫´âÕπ·≈–¬ÿà߬“° ‡™àπ Head & Neck ·≈– Shoul- der ·≈â«°Áæ∫«à“¡’ª√‘¡“≥°“√μ√«®‡Õ°´‡√¬å∑’Ë ŸßæÕ

 ¡§«√ §◊Õ √âÕ¬≈– 5.34 ·≈– 9.02  ”À√—∫ Head & Neck

„π‡«≈“√“™°“√·≈–πÕ°‡«≈“√“™°“√ μ“¡≈”¥—∫ ·≈–

√âÕ¬≈– 6.81 ·≈– 4.51  ”À√—∫ Shoulder „π‡«≈“

√“™°“√·≈–πÕ°‡«≈“√“™°“√ μ“¡≈”¥—∫ ¥—ßπ—Èπ À“°¡’

™—Ë«‚¡ß°“√Ωñ°´âÕ¡´È”‡æ’¬ßæÕ °Á§«√®–§—¥‡≈◊Õ°∑à“∑’Ë¡’

§«“¡¬ÿà߬“°„π°“√®—¥∑à“∑”°“√Ωñ°´âÕ¡´È”„π ∂“π°“√≥å

®”≈Õß ‡æ◊ËÕ‡æ‘Ë¡∑—°…–·°àºŸâªØ‘∫—μ‘ß“π

º≈°“√«‘‡§√“–Àåπ’ȇ πÕ„Àâ°“√®—¥Õ∫√¡Ωñ°´âÕ¡

μâÕß°”Àπ¥„πÀ—«¢âÕ Head & Neck, Shoulder ·≈– Chest

‡ªìπÕ¬à“ßπâÕ¬ ‡æ◊ËÕ„À⇰‘¥∑—°…–„π°“√®—¥∑à“„πºŸâªÉ«¬∑’Ë

¡’¢âÕ®”°—¥„π°“√‡§≈◊ËÕπ‰À«·≈–À≈—°°“√„π°“√„™â Õÿª°√≥å™à«¬°“√®—¥∑à“√à«¡¥â«¬

∫√√≥“πÿ°√¡

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