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    題名: 懷孕期間橈動脈波共振頻譜之分析;Analysis of harmonic components change in radial pulse spectra during pregnancy
    作者: 梁信杰;Shinn-Jye Liang
    貢獻者: 中國醫藥大學:中西醫結合研究所碩士班
    關鍵詞: 脈診;器官共振;頻譜分析;懷孕;resonance;pulse;frequency spectrum;pregnancy
    日期: 2008-01-10
    上傳時間: 2009-08-06 11:02:46 (UTC+8)
    摘要: 王維工的團隊研發了模擬人體循環系統的物理模型。利用此模型,進一步研究得知藉由橈動脈頻譜分析可以反映出人體內在器官的狀況,因而發展出”器官共振學說”的理論。後來許多延展的研究,證實脈搏頻譜分析與器官共振理論可以用來支持基礎傳統中醫理論。
    成功的懷孕,母體生理必須有重大的生理調適。本研究是首次長期而完整地觀察懷孕第一產程到產後的橈動脈波頻譜分析。吾等利用PDS-2000型脈波量測系統,擷取孕婦左右之橈動脈波,利用傅立葉轉換得到相應之頻譜。再分析隨懷孕初期到生產後各共振諧波的能量分布狀況。於2006年9月到2007年11月期間,在中國醫藥大學婦產科門診,共完整追蹤18位孕婦。以各共振諧波測量值分析時,發現在懷孕期間C0(心)、C1(肝)、C2(腎)、C3(心)等四個脈搏諧波,到生產之前,左右雙側皆呈有意義的線性增加,且增加量心>肝>腎>脾。如以各諧波百分比率來分析,則可見C1(肝)於左、右兩側橈動脈皆有意義的增加,C0(心)百分比變化則不具顯著意義;而雙側之C4(肺)、C5(胃)、C6(膽)、C7(膀胱)、C9(三焦),以及左手C10(小腸)等諧波之百分比率則會有意義地下降。其他則不因初產婦或經產婦、嬰兒性別、嬰兒體重、母體妊娠體重改變量或生產方式不同而有統計上之差異。
    本實驗結果得知懷孕期間人體內在的改變,確實會客觀地反映於橈動脈波之各共振頻譜。如更進一步研究,建立完整之脈波資料庫,歸納其中客觀趨勢,將有助於電腦診斷妊娠脈象。

    Wang, W.K. and his group had built up a physical model to simulate circulatory system. Then he developed “Organs resonance” theory, which the frequency spectrum analysis of radial artery can be response to internal conditions. Serial studies demonstrate that the pulse frequency spectrum analysis and resonance theory can support traditional Chinese medicine (TCM ) for basic physiologic theory.
    As we know, major alternations in maternal anatomy and physiology are required for a successful pregnancy. This study is the first time to read the women’s pulse spectra completely since first trimester to postpartum during their pregnancy. The pulse-reading system used in this study is PDS-2000 produced by Skylark Device & System Co. The measured pulse spectra were calculated through fast Fourier transform program to generate frequency spectra. Eighteen subjects were who are patient of the gynecology department of the Chinese Medicine University Hospital involved in this investigation. We measured the patients’ bilateral radial arteries pulse spectra in different stages of their pregnancy and within one month after delivery to compare the variation during the study period.
    The statistics results of original data revealed the intensity of primary(C0, as heart system), 1st(C1, as liver system), 2nd(C2, as kidney system) and 3rd(C3, as spleen system) harmonics are increasing significantly before delivery. They also have linear relationship within the time. But the statistics results based on spectra percentage shown that bilateral 1st(C1) and left 10th(C10, as intestinal system) harmonics were increased significantly and 4th(C4, as lung system), 5th(C5, as stomach system), 6th(C6, as gallbladder system), 7th(C7, bladder system) and 9th(C9, san-jiao system) decreased significantly.
    This study results indicated that pulse harmonic spectra analysis can reflect internal change objectively on harmonics variation during pregnancy. If we can conduct a further study for collecting more comprehensive pulse data, it would be helpful perform pulse diagnosis with computer.
    顯示於類別:[中西醫結合研究所] 博碩士論文

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