摘 要

肥胖是現今常見的健康問題，其有關本病的有效治療比較困難，預防比治療更為重要和有效。其潛伏糖尿病、動脈粥樣硬化、冠心病、高血壓、通氣換氣不良、骨關節炎、痛風、膽石症，不能抵抗各種感染，不能耐受麻醉和手術等許多合併症。雖然肥胖症有許多治療方式，但預防乃是上策，身體組成的量測是必要的。
目前已知種種之體脂量測法，仍是針對現有身體現況之評估，並無法針對機體脂肪變化趨勢或微少變化做出評估。對於預防肥胖上緩不濟急，我們需要更好的方式來提醒病人注意。
本研究將比較肥胖病患與正常人之穴位電性表現，本實驗以中原大學系所之學生及減肥醫療院所減重者做為研究對象。實驗中利用本實驗室已研究開發之良導絡量測系統量測受測者減重過程之十二經絡良導絡值並記錄。評估肥胖病患身體部分之皮膚電阻抗，並與正常人比較，同時追蹤減重過程中良導絡值變化，以評估良導絡測量皮下組織脂肪量變化之可行性。




10名肥胖者（BMI>26）在指導下進行減重，當中6名完成初期一個月之減重過程，結果顯示：（1）正常體位和肥胖者之良導絡值標準差百分比有統計上之差異（P<0.05）；（2）此減重計畫是有效的；（3）肥胖者減重後之良導絡值標準差百分比明顯下降（P<0.05）。
從本研究得知良導絡擴展應用於肥胖症的預防上，有極大的潛力。

Abstract

Obesity is a common health problem in the world, and the effective treatment is challenging. Obesity is associated with an increased mortality rate and risk factors such as hypertension, hyperlipidemia and diabetes mellitus. Numerous treatments are available for obesity. Anyway, prevention is the best policy. To achieve this goal, periodic measurement of body composition is necessary.
Laboratory procedures such as underwater weighing are typically difficult to perform and costly. Although accurate (or not), they''re not feasible for the practitioner. There are numerous field techniques available to practitioners that offer reasonable reproducible results, but can be cumbersome, complicated and time consuming.
Besides, the presentation of these Laboratory procedures is too late for the prevention, they only represents the present condition not for the future change. We need better method to predict the early change of tendency and to alert the patient.
This study compared the electrical characteristics in acupoints between the obese and the normal population, and follow up the change of Ryodoraku values in the obese during weight reduction. This study was also to evaluate the clinical application of Ryodorku system in weight reduction process and to make the application of Ryodoraku system in the early predicition of body weight change.

Ten healthy obese subjects were instructed to follow a weight reduction program, and 6 of 10 completed the initial one month course. The results revealed that: (1) the coefficience of standard deviation of Ryodoraku between the normal population and the obese was statistically different (p< 0.05); (2) the program of this weight reduction was effective; (3) the coefficience of standard deviation of Ryodoraku post weight reduction in the obese was significantly decreased than that of Ryodoraku before weight reduction (p<0.05).


With this research results, there will be a good potential ability for the extended application of the Ryodoraku neurometer system in the prevention of the obesity.

目錄
中文摘要……………………………………………………………I
英文摘要……………………………………………………………III
謝誌…………………………………………………………………V
目錄…………………………………………………………………VI
圖表索引……………………………………………………………X

第一章 緒論……………………………………………………….1
1-1 前言……………………………………………………………1
1-2 文獻回顧………………………………………………………2
1-2-1 目前體脂測定方法
1-2-2 『體質指數』
1-2-3 生物電阻測量法的重要性
1-2-4 有關生物電阻法之研究
1-3 研究背景…………………………………………………….11
1-4 研究目的…………………………………………………….17

第二章 理論基礎…………………………………………………18
2-1 " 經絡 "與良導絡的發現………………………………….18
2-2 良導絡的研究…………………………………………………22
2-2-1 良導絡診斷的研究
2-2-2 傳統良導絡測定法
2-2-3 原始良導絡診察方式
2-2-4 人體對直流電的導電性
2-2-4-1 汗腺
2-2-4-2 毛囊
2-2-4-3 角質層
2-2-4-4 細胞膜學說
2-3 肥胖簡介………………………………………………………33
2-3-1體脂肪量
2-3-2 肥胖的定義
2-4 以良導絡觀念測量皮下脂肪量變化之可行性………………37
2-4-1 汗的生理意義
2-4-2 中醫所認識汗的信號意義
2-4-3 肥胖與自主神經的關係
2-4-5 生物電阻與體溫調控
2-4-5-1 訊息主要輸入
2-4-5-2 自我調節控制輸出的機制
第三章 實驗方法
3-1 系統架構計……………………………………………….47
3-1-1 硬體方面
3-1-2 量測單位的意義
3-1-3 量測方法
3-1-4 軟體設計
3-2 初步實驗與系統測試………………………………….….53
3-2-1 實驗流程
3-2-2 實驗對象
3-2-3 資料處理
3-3 減重過程良導絡值量測實驗……………………………..56
3-3-1 實驗流程
3-3-2 減重研究過程
3-3-3 有關本研究所用加強減重用藥
3-3-4 實驗步驟說明
3-3-4-1 有關於良導絡儀
3-3-4-2 實驗注意事項
3-3-5 統計分析
3-3-5-1 納入病例標準
3-3-5-2 排除病例標準
3-3-5-3 療效判定標準
3-3-6 資料處理

第四章 結果與討論
4-1 初步實驗結果……………………………………………….64
4-2 初步實驗結果討論………………………………………….78
4-3 減重過程實驗結果………………………………………….78
4-4 肥胖者減重過程中良導絡差異度的變化………………….80
4-5 討論 ……………………………………….……………….84

第五章 結論與未來展望……………………………….……….90

參考文獻………………………………………………………….93
作者簡述………………………………………………………….98

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