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題名 | 以中醫穴診儀應用於上消化道出血之觀察=The Observation and Research of the Electrodermal Screening Device in the UGI Bleeding |
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作者 | 謝佳蓉; 洪裕強; 楊賢鴻; 廖浩欽; |
期刊 | 中醫藥年報 |
出版日期 | 19980500 |
卷期 | 16:1 1998.05[民87.05] |
頁次 | 頁733-801 |
分類號 | 413.34 |
語文 | chi |
關鍵詞 | 穴診儀; 中醫; 生物能; Electrodermal screening denice; Chinese medicine; Bioenergy measurement; |
中文摘要 | 許多研究顯示皮膚上經絡的區域比周圍的皮膚,表現較高的導電 度和較低的極化度。經絡的訊號傳導更呈現了優勢的方向性,延著經 絡網路傳導的訊號耗能較少且傳導速度較快,這提示了經絡系統具有 生物訊息溝通網路的功能,而穴位則是經絡訊息之窗口。 以電磁學為基礎,根據中醫經絡學說所發展的穴診儀,是一非侵犯 性,並可將體內各系統異常現象予以量化之檢查工具。經由測量穴位點 的電流傳導情況和阻抗之大小,穴診儀可提供客觀的數據以發現體內相 對應各個穴位之器官或是系統的異常現象,作為其診斷之依據。 為了發展中醫有關之診斷工具,本研究是以病例對照研究法,由 林口長庚醫院急診觀察處數集50位上消化道出血的病例以及50位至 針灸科門診求診,卻不是上消化道出血的病人作為對照組。由研究員 使用穴診儀測量患者與消化道系統有關之穴位點,研究結果發現病例 組小腸經和胃經等穴位點的測量結果因上消化道之出血而有明顯的偏 墜值。相反地,對照組的測量值正常而沒有偏墜,兩者比較,有統計 學上顯著之差異。另外,上消化道出血較佳的預測模式是Logit P(x)= -6.80+1.17小腸(右)+0.53小腸(左)+1.67胃經(左)+1.05陷谷(右)。其準確 率是89%,誤歸率11%,敏感度86%,精確度則是92%。如果控制其 他三個變項,則右側小腸經,左側小腸經,左側胃經和左側陷谷測量 點罹患上消化道出血機率odds ratio分別是3.22,1.70,5.31和2.86。 另外,在左右兩側小腸經偏墜值危險比oneway ANOVA檢定後以 Scheffe方法事後比較,得知胃鏡報告十二指腸潰瘍者與對照組比較P 值<0.05,有統計學上的意義,胃鏡報告胃潰瘍者,與對照組的比較則 無統計學上的差異性。至於左側胃經測量點,十二指腸潰瘍組與對照 組比較,以及胃潰瘍和對照組比較,P 值皆小於0.05,有顯著性地差異。 研究結論是:(1)上消化道出血,氣隨血脫,導致患者體內能量不 足,穴位測量點的導電度較低,極化程度越大,越不容易平衡外來電 壓之刺激。(2)胃經與胃潰瘍和十二指腸潰瘍導致的上消化道出血有 關,小腸經則僅與十二指腸潰瘍導致的上消化道出血有關。 |
英文摘要 | Numerous studies have shown that meridian areas of the skin surface exhibit higher conductance and less polarization than neighboring areas. Meridian areas are also likely to exhibit a preferential direction for signal movement in which signals dissipate less and propagate faster, suggesting that the meridian system functions as a bio-informational communication network. Acupuncture points, locating along the meridians, capable of providing data as to the functioning state of specific organ and body system. An electrodermal screening device designed with the same principle as Dr. Voll's is a non-invasive instrument to measure the skin's electrical activity for clinical diagnosis at designated acupuncture points. Through the indicator drop which represents the disturbance of the equilibrium at acupuncture points, electrodermal screening device can be utilized for accessing information about the bioelectric dynamic status of the internal organs and systems. Looking for a diagnostic instrument about Chinese medicine in determining the disease, an electrodermal screening device will be used to measure some acupuncture points which were believed to repressent the function of the gastrointestinal system. 50 UGI bleeding and 50 non-UGI fleeding patient to serve as cases and control grouup will be identified and chosen from the Emergency room amd Acupuature outpatient clinic of Chang Gung Memorial Hospital. The result will identify certain acupuncture points such as small intentine control measure point and stomach control measure point ct al. in the UGI bleeding patients group with abnormal reading such as indicator drop whereas the control group would have a normal reading with no indicator drop. From this result of the case control study, the sensitivity, Specificity, correction rate, and misclassification rate of the predicted model logit P(x)=-6.80+1.17 Small intestine (R)+0.53 Small intestine (L)+1.67 Stomach (L)+1.05 Stomach 43(L) are 86%, 92%, 89%, and 11%. If we control other variables, the odds ratio of the small intestine right or left side, stomach (L), and stomach 43 (L) are 3.22, 1.70, 5.31, and 2.86. The conclusion is that lower conductance and more polarization, couldn't balance the external sti mulation which be resulted from blood loss and energy deficiency in the UGI bleeding. In the meantime, stomach s meridian is related to the gastric ulcer and duodenal ulcer, but mall intestine stomach is only related to the duodenal ulcer. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。