慢性腎衰竭血液透析患者，透析前後經絡能量分析

The Comparison and Analysis with the Meridian Energy Analysis Device Value Before and After Hemodialysis in Hemodialysis Patients

目的：探討慢性腎衰竭病人血液透析前後經絡能量改變情形及其影響因子方法：於本院血液透析門診招募慢性腎衰竭受試病人，使用經絡能量分析儀分別在血液透析前後重複測量兩次並平均，以獲得經絡能量值，並記錄病人血液透析原因、年齡、性別、血液透析時間長短（月數）、動靜脈瘻管位置及相關血液生化數據。結果：共招募了102位病人，血液透析的原因以慢性腎絲球腎炎及糖尿病腎病變為前兩名，透析平均年齡為60.36±12.13歲，血液透析時間平均值為58.17±47.15個月，性別以女性為多數，BMI平均值為23.42±3.97。血液透析前經絡能量平均值為43.53±4.23，透析後平均能量為38.47±5.59，且下降達統計學差異。血液透析效率（Kt/V值）≧1.2、白蛋白＜4.0、女性、透析時間（月數）較長之病人，透析後能量下降較明顯且達統計學上差異；病人年齡是否＞65歲、血球容積比（Hct）是否≧30、造成慢性腎衰竭之原因、瘻管位置、身體質量指數（BMI）及接受透析時段等因素分析，經絡能量值下降則未達統計學差異。結論：經過血液透析後，慢性腎衰竭病人經絡能量會下降；血液透析率、白蛋白、女性及透析月數等因素，為影響病人血液透析後之經絡能量下降之影響因子。

Objective: To evaluate the energy of meridians before and after hemodialysis and the factors that affect meridian energetics. Methods: We recruited patients from our hospital's hemodialysis clinic, and the meridian energy analysis device (MEAD) was used to record the meridian electrical conductance (MEC) values of twelve meridians before and after hemodialysis. We also recorded the reason for End Stage Renal Disease (ESRD), gender, age, the duration of hemodialysis, location of arteriovenous fistula, hematology, and biochemistry data. Results: A total of 102 patients were analyzed. The top 2 reasons for ESRD were chronic glomerulonephritis and diabetic nephropathy. The average of patients'age was 60.36±12.13 years old, the average duration of long term dialysis was 58.17±47.15 months, the average BMI was 23.42±3.97, and females are in majority. The meridian energy value before and after hemodialysis was 43.53±4.23 and 38.47±5.59, and the decline was significant. The patients who had dialysis clearance≥1.2, albumin levels <4.0, were female, and require longer durations of dialysis had a greater decrease in energy after dialysis. The factors like patients'age>65 years old, hematocrit≥30, reason caused EGFR, location of arteriovenous fistula, BMI, and time undergoing hemodialysis were insignificant. Conclusions: EGFR patients' energy level decayed after undergoing hemodialysis. Dialysis clearance, albumin levels, female patients, and patients who require longer durations of dialysis were the factors of meridian energetics.