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題名 | 中醫語音聞診於上消化道疾病之探討=A Study of Acoustical Method in Traditional Chinese Medicine for the Upper GI Disorder Patients |
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作 者 | 翁清松; 徐良育; 張永賢; 姜禮能; | 書刊名 | 中華醫學工程學刊 |
卷期 | 18:4 1998.12[民87.12] |
頁次 | 頁245-251 |
分類號 | 413.242 |
關鍵詞 | 中醫; 語音處理; 越零率; 共振峰; Chinese medicine; Digital processing of speech signals; Zero crossing rate; Formant; |
語文 | 中文(Chinese) |
中文摘要 | 中醫診斷方法-望、聞、問、切,是臨床中醫師獲得病理資訊的重要依據。為了 聞診的現代化,本研究之目的即在探討上消化道疾病患者之語音與健康人語音之間的差異。 影響的語音參數,包括音高、越零率與共振峰三方面。上消化道疾病患者取樣人數為 47 人 ;健康人為中原大學學生 52 人。 受測者統一發母音 (/a/、/i/、/u/、/e/、/o/) 持續五 秒鐘左右。 根據語音參數與統計結果,母音 /o/ 的音高、越零率、與第一共振峰可作為判 別上消化道疾病之指標。與健康人的語音比較之,本研究所採之胃炎患者有效樣本,則根據 其舌苔與舌色等資料,歸類為「真熱假寒」證,臨床症狀白苔、口乾等,故實驗與統計後得 其音高偏低,越零率與第一共振峰偏高。歸類為「熱」證之十二指腸患者,其臨床症狀黃苔 、舌紅等,得其音高偏高,越零率與第一共振峰偏高。至於胃潰瘍患者,兩名男性患者,其 病因乃因藥物引起,加上所取胃潰瘍患者有效樣本太少,故於本研究中只提供參考。 |
英文摘要 | For the doctor of traditional Chinese medicine, four major diagnostic methods, inspection, auscultation, questioning and palpation, are the perfect ways to get pathology. In order to modernize the way of auscultation, this research was to find out the speech differences between the upper GI disorder patients and the healthy people. In order to search the speech characteristic features about them, we used speech parameters, including pitch, zero crossing rates and formants, to compare the speech pattern of healthy people with upper GI disorder patients. The vowel (/a/,/i/,/u/,/e/,/o/)sounds were chosen for two subject groups to pronounce for 5 seconds. There were 52 healthy students and 47 patients with the upper GI disorder involved in this research. After the processes of speech analysis and statistics, we made a conclusion that pitch, zero crossing rates, and the first formant of vowel (/o/)were the indices to distinguish between the diseased and the healthy. Form messages of the tongue, the pitches of gastritis who is categorized to "truly hotness and pretended cold" symptom on the efficacious samples of this research were lower than the healthy peoples', but the zero crossing rates and the first formant were higher than the healthy peoples'. The pitches of some peptic ulcers who are pyrexiogenic were higher than the healthy peoples'; the zero crossing rates and the first formant were also higher than the healthy peoples'. Both of patients of gastric ulcer were caused by medicaments; as a result, we didn't make a conclusion. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。