(一)目的及重要性:
此篇研究主要運用經絡能量分析儀(良導絡)來評估急性腎盂腎炎患者在抗生素治療前後的良導絡值能量的變化，以作為未來中西結合治療泌尿道感染的參考基礎。
(二)材料與方法
這是一個前瞻性世代研究，我們總共收錄了20位因急性腎盂腎炎住院接受靜脈注射抗生素的婦女為病例組，其年齡介於23到64歲，平均年齡為35.1±10.6歲。我們於住院第一天，退燒後隔天，出院前一天，及門診追蹤時，實施良導絡儀器量測。此外，我們亦收錄63健康婦女為控制組，其年齡介於19至61歲，平均年齡為42.3±13歲。
(三)主要成果:
病例組平均能量為39.5±10.6( A)，控制組平均能量為54.3±17.8( A)，病例組的平均能量明顯比控制組低 (P=0.001)。兩組在上下比率、左右比率、陰陽比率、高低比率(自律神經平衡指標)皆沒有差別。在病例組的四次量測中，可以發現大部分患側及正常側的經絡能量，在退燒後隔天的測量都有明顯的上升，但是患側的腎經、膀胱經的能量值上升的不明顯。
(四)結論:
急性腎盂腎炎病患的經絡良導值可以對應出中醫泌尿道感染相關理論，這也提示良導絡測量儀在中西結合領域的重要角色。
Purpose: The study is to evaluate the role of Meridian energy analysis device (MEAD) in the patients with acute pyelonephritis (APN) before and after antibiotics intervention to become the basis of integrated medicine
Materials and Methods: This is a prospective cohort study. We enrolled 20 female with age from 23 to 64 year-old (mean age 35.1±10.6 year-old) who was admitted for antibiotics treatment for APN. We followed up four times of MEAD measurement, including the times of fever, fever subsided, before discharge, outpatient department follow-up. At the same time, we also enrolled 63 healthy female with age from 19 to 61 year-old(mean age 42.3±13 year-old) as control group.
Results: The mean energy level of case group was lower than control group with 39.5±10.6(?A) versus 54.3±17.8(?A) (P=0.001).There were no difference between upper/lower ratio、left/right ratio、Yin/Yang ratio、Maximum /Minimum ratio (autonomic balance indicator)。 In the follow-up of case group, elevated meridian energy were noted after fever subsided except kidney and urinary bladder meridian in the APN sites.
Conclusions: The result of the study revealed MEAD measurement of cases of APN corresponded to the theory of urinary tract infection in traditional Chinese medicine. It also implied the important role of MEAD in the territory of integrated medicine.
