探討腦中風相關因子之良導絡值變化

Evaluation of Ryodoraku Value Change with Related Factors in Stroke

本研究為探討腦中風相關因子之良導絡值之變化，以良導絡儀來測量十二經脈之良導點，試以觀察中風後遺症，其良導絡值較同年齡非中風患者偏低，而在中風後遺症患者其性刑、年齡、發病種類是否也影響良導絡值的變化，作為探討經絡理論。本研究以中關醫藥學院附設醫院針灸科及復健科門診之腦中風患者82 位，作為實驗組，以無中風者64 位作為對照組，均測量其十二經良導點的良導絡值並記錄之，分析其相關因子：如性別、年齡、發品種類之不同，各經脈良導絡值之數據，以多項直線回歸方程式計算統計其意義。研究結果顯示：（一）實驗表且較對照組在性別上之良導要創直均顯著性偏低(P < 0 .001)，實驗組或對照組其女性的良導絡值亦略低於男性；（二）對照組其年齡與脾經、膀耽經的良導絡值主顯著負相關(P < 0.01)；實驗組則年齡與肺經、小腸經、膽經的良導絡值呈顯著負相關(P < 0.01)，與脾經、胃經、肝經、腎經、膀耽經主極顯著負相關(P <0.001)；（三）實驗組之栓塞型，出血型之間無差異性，但顯著低於對照組(P < 0.05)（四）實驗組其年齡，詮塞型、出血型均有顯著影響十二經良導要各值的變化(P < 0.01)。由本研究結果顯示腦中風患者其年齡及發病種類會影響良導絡值之降低，而性別的影響不是主要的，此結果可提供腦中風患者良導絡值變化之參考。

This study used ”ryodoraku” to detect the ”source point” of the twelve meridians and compared the change of ryodoraku value according to related factors. The stroke patient is said to have ryodoraku value lower than normal, so we tried to evaluate the change of values according to the sex, age and case of the stroke patient. We recorded the ryodoraku values of the twelve meridians, according to the sex, age and case of the stroke each meridian for all patients, and compared the readings by the statistical method of multiple lin-ear regression. The results show that: (1) The ryodoraku value is significantly lower in females than in males in both the experimental and control group (p＜0.001). (2) The ryodoraku value of spleen or bladder meridian in the control group varies in inverse proportion with age (p＜0.01). The same inverse proportion relationship is found between the age and the ryodoraku value of eight meridians included lung, small intestine, spleen, stomach, liver, gallbladder, kidney and bladder in experimental group. (3) Although there are no significant differences between thrombotic and hemorrhagic type in experimental group, their value was lower than those in control group (p＜0.05). (4) The change of value in twelve meridians is significantly inverse proportion with age, thrombotic or hemorrhagic type in experimental group (p＜0.01). The results of this study shows that age and cause of stroke patient can lower their ryodoraku value. Sex is not the main factor. This result provides some reference for evaluation of stroke patients using ”ryodoraku”.