基于朝医四象医学理论的体感诱发电位（SEP）各参数男女间的比较

发布时间：2018-06-05 20:28

  本文选题：朝医学 + 四象理论　； 参考：《延边大学》2017年硕士论文

【摘要】：目的:以朝医四象理论为基础,应用现代科技仪器,电刺激上肢正中神经来检测其体感诱发电位(SEP),联合朝医体质辨象,观察和分析朝医四象人各体质类型在神经传导功能上的特点,探讨在朝医四象理论的基础上体感诱发电位各参数男女间的关系,希望能将其应用到朝医学的临床诊疗工作中,相信对朝医学的辨象诊断和临床治疗会提供一定的帮助,对朝医学的学术发展也会具有一定的积极意义。方法:实验室室温保持在25摄氏度左右,且湿度适中,除去检查设备,一些可发出电磁干扰的设备,仪器,如手机等,需关机或禁止带入,被试者需保持安静平稳的状态。①实验对象为延边大学160名健康在校生,其中男性61名,女性99名,年龄为18至24岁之间(平均年龄20.64±1.42岁),检测其体感诱发电位(SEP)。②所有志愿者根据本人实际情况自行填写辨象调查表。在自行填写调查表后,还要对志愿者进行图像信息的采集,分别采集全身正面、侧面及背面图像,还有面部正面特写图像。通过整理调查表,再对志愿者整体形态及头面部进行观察对比,进而由多名在临床工作中拥有丰富辨象经验的专家组,结合上述各种方式所采集到的信息,对志愿者们进行四象人体质类型的分辨工作。③应用体感诱发电位的检测应用肌电图诱发电位仪-海鲨-NDI-092(上海海神医疗电子仪器有限公司)来检测志愿者的体感诱发电位。实验进行时,志愿者呈闭目养神的状态,全身放松,在实验床上侧卧,心态放平静。应用电刺激左右正中神经分别检测160名志愿者的SEP。④检测正中神经SEP,需记录刺激开始至各诱发成分间的传导时间、波形及波幅等。⑤比较分析四象组间及四象组间男女、四象组内男女间体感诱发电位各波的参数。⑥对上述所得数据进行整理、统计、分析,探讨四象人体质各类型不同脏局所致的内环境与神经传导功能上的关联性。结果:①在160名志愿者中,太阴人94名,约占58.8%;少阳人39名,约占24.4%;少阴人25名,约占15.6%;太阳人2名,约占1.3%。在四象组间,太阴人在体重方面明显重于少阳人(P0.05),在年龄、身高方面无显著性差异(P0.05)。②左右体N13波潜伏期(N130nset,以下简称N13a)、N13波峰(N13Peak,以下简称N13b)、N13波结束时间(N13End,以下简称N13c)太阴人、少阳人以及少阴人之间均无明显差异(P0.05)。③太阴人右体N20波潜伏期(N200nset,以下简称 N20a)、N20 波峰(N20Peak,以下简称 N20b)、N20 波结束时间(N20End,以下简称N20c)均较少阳人延长,差异有统计学意义(P0.05);④太阴人右体N13波N20波潜伏期间期(N13 Onset-N20 Onset,以下简称N13a-N20a)和波峰间期(N13Peak-N20Peak,以下简称N13b-N20b)较少阳人、少阴人延长,差异有统计学意义(P0.05);⑤在少阳人组内,女性左体N13波峰(N13Peak,以下简称N13b)及N13b-N20b较男性延长,差异有统计学意义(P0.05)。结论:1.四象人一般情况:太阴人在体重方面明显重于少阳人(P0.05)。2.N20波:太阴人N20a、N20b、N20c较少阳人延长(P0.05);太阴人N20b、N20c较少阴人延长(P0.05)。左体:太阴人N20c较少阴人延长(P0.01)。3.N13-N20波:右体:太阴人N13a-N20a及N13b-N20b较少阳人及少阴人延长(P0.05);左体:太阴人N13b-N20b较少阴人延长(P0.05)。4.在少阳人组内,女性左体N13b、N13b-N20b较男性延长,(P0.05)。5.太阴人体质血浊气涩,而且平时对于油腻、甘甜、味道重的食物比较喜爱,性格上喜欢安静不爱运动,导致体内气血运行的状态没有其他象人那么通畅,因此在神经传导方面,体感诱发电位各波的参数与其它象体质相比有明显的延长。6.少阳人体质多阳少阴,喜动不喜静,在此基础上女性相对男性体质偏阴,且喜静,运动量比男性明显偏少,体内气血运行状态相对较慢,在神经传导方面体感诱发电位各波的参数对比男性有所延长,这种情况少阳人要比其它象体质更明显。
[Abstract]:Objective: on the basis of the four elephant theory of the Korean medicine, using modern scientific and technological instruments, electric stimulation of the median nerve of the upper limb to detect the somatosensory evoked potential (SEP), combined with the physique identification of the DPRK, observed and analyzed the characteristics of the physique types of the four elephants of the DPRK, and discussed the parameters of the somatosensory evoked potentials on the basis of the four elephant theory of the DPRK. The relationship between women is expected to be applied to the clinical diagnosis and treatment of medical medicine. It is believed that it will provide some help to the diagnosis and clinical treatment of medical treatment, and it will also have some positive significance for the academic development of medical treatment. Method: the room temperature remains about 25 degrees Celsius, and the humidity is moderate, and some equipment can be removed. Equipment that can emit electromagnetic interference, such as mobile phone, such as cell phone, need to shut down or forbidden to be brought in, the subjects need to keep quiet and steady state. (1) the subjects were 160 healthy students at Yanbian University, including 61 men and 99 women, aged from 18 to 24 years (average age 20.64 + 1.42 years), and detected their somatosensory evoked potential (SEP). The volunteers fill out the questionnaire according to their own actual situation. After filling out the questionnaire, the volunteers have to collect the image information of the volunteers, collect the whole body front, the side and the back images, and face the face close-up images. By sorting out the questionnaire, the whole form and the head face of the volunteers are observed and compared, and then, the whole form and the head face are observed and compared. In the clinical work, we have a group of experts with rich experience in the discrimination. In combination with the information collected in all the above methods, the volunteers are able to distinguish the human body types. (3) the application of somatosensory evoked potential detection using electromyography evoked potential instrument - sea shark -NDI-092 (Shanghai Haishen medical Electronic Instrument Co., Ltd.) to detect The volunteers showed a somatosensory evoked potential. When the experiment was carried out, the volunteers were relaxed, lying on the experimental bed and calm. The median nerve of 160 volunteers was detected by the electrical stimulation of the right and left middle nerves, and the median nerve SEP was detected by the SEP. (4) of the volunteers. The conduction time, waveform and amplitude of the stimuli began to be recorded. Compare and analyze the parameters of each wave of somatic somatosensory evoked potential of men and women between four elephant groups and four elephant groups. 6. The correlation between the internal environment and the nerve conduction function caused by the different types of dirty bureaus of four elephants. Results: (1) 94 of the 160 volunteers, 94 The name, about 58.8%, 39 of the young people, about 24.4%, 25 of less Yin people, about 15.6%, and 2 of the sun, accounting for 1.3%. between the four elephants, the Taiyin people were significantly heavier than the young people (P0.05) in the body weight (P0.05). The N13 wave latency (N130nset, hereinafter referred to as N13a), N13 wave peak (N13Peak, hereinafter referred to N1) 3b), the end time of N13 wave (N13End, hereinafter referred to as N13c) had no significant difference (P0.05) between Shaoyang and Shaoyin (P0.05). (3) the N20 wave latency of the right body of the Tai Yin (N200nset, hereinafter referred to as N20a), N20 wave peak (N20Peak, hereinafter referred to N20b), N20 wave end time (hereinafter referred to as hereinafter referred to as the less Yang) extended, the difference was statistically significant Significance (P0.05); (4) the latent period of the right body N13 wave N20 wave in the Tai Yin people (N13 Onset-N20 Onset, hereinafter referred to as N13a-N20a) and the peak interval (N13Peak-N20Peak, hereinafter referred to as N13b-N20b) are more significant than the Shaoyang people, and the difference has a significant difference (P0.05). (5) in the Shaoyang group, the female left body N13 wave peak (N13Peak, hereinafter referred to hereinafter referred to as hereinafter referred to as) Compared with men, the difference was statistically significant (P0.05). Conclusion: 1. the general situation of four elephant people: the weight of the Tai Yin people is significantly heavier than the Shaoyang (P0.05).2.N20 wave: N20a, N20b and N20c are longer in the Tai Yin people (P0.05); the Tai Yin people N20b, N20c less Yin people lengthening (P0.05). The N13a-N20a and N13b-N20b of the Tai Yin people are more than the Shaoyang and the less Yin people (P0.05); the left body: the N13b-N20b less Yin people of the Tai Yin (P0.05).4. is in the Shaoyang group, the female left body N13b, the N13b-N20b is longer than the male, and (P0.05).5. Tai Yin human body blood is astringent, and usually for the greasy, sweet, taste heavy food is more favorite, the character likes Quiet and not sports, resulting in the state of blood and blood running in the body is not so smooth as other people, so in the nerve conduction, the parameters of the somatosensory evoked potential are significantly longer than those of other physique, and the.6. Shaoyang human body is much more yang and less negative. The blood flow in the body is relatively slower than that of the male, and the parameters of the somatosensory evoked potential in the nerve conduction are longer than those of the male, which is more obvious than the other physique.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R29
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本文编号：1983306