臺灣博碩士論文加值系統

「燒傷」在醫療上是屬於重大意外傷害事件，燒傷病患的最大後遺症為疤痕的增生與關節的攣縮，壓力治療被認為是安全有效的方法，且壓力須達到25 mmHg才能達到醫療效果。本研究目的是針對在燒燙傷壓力治療中的彈性護套，研製一套壓力量測系統，主要為量測彈性護套對人體不同部位之壓力，進而探討彈性護套均壓性之表現，並且提供量化的臨床資料。
本壓力量測系統之設計架構主要包含三個部分，一為壓力感測元件，二為微處理系統，最後則為訊號輸出等三部份。為了評估本論文壓力量測系統實際臨床量測之適用性，將以自行研製之壓力量測系統與AMI公司所生產的壓力量測系統進行實際臨床量測之比較，量測結果顯示這兩系統實際量測之差異很小，結果也驗證了本論文壓力量測系統可運用在彈性護套與皮膚之介面壓力的量測。本臨床實驗量測將針對上肢與下肢等較易遭受到燒燙傷的部位做相關之探討與分析，由臨床實驗量測結果可知，人體皮膚表面的曲率半徑是分佈不均勻的，在皮膚表面曲率半徑變化量較小的位置上，彈性護套能夠提供均勻且適當的壓力，而在皮膚表面曲率半徑變化量較大的位置上，則需藉由可加壓之材料(泡棉或矽膠等材料)來增加表面的曲率以解決壓力分佈不均的問題。
本論文所研製之壓力量測系統的應用上不僅可以用於燒燙燒病患彈性護套的壓力量測上，也可應用在治療下肢靜脈曲張的彈性襪、產後子宮收縮的束腹帶或術後抑制血腫的束衣等。

“Burns”are considered as a serious trauma in medical treatment. The main effects of the burning patients are hypertrophic scars and contracture of the joints. The therapy of pressure is deemed a safe and effective method for burn injuries, however, the medical efficacy can only be reached in the condition of pressure at least 25mmHg. The purpose of this study is focusing on designing a pressure measurable system for the pressure garment that is widely used for the treatment of burn. With the aim of providing quantitative clinical data, this system collects and analyses the performances of pressure garment, which get from different human body parts.
The pressure measurable system divides into three parts: (1) pressure measurement component, (2) microprocessor system, and (3) signal output. To evaluate the applicable information that acquire from the actual clinical practice by using this system has compared with the pressure measurement system produced by AMI Company. The results reveal a minute performing difference between these two systems. It also proves the pressure measurable system that is used in this study is appropriate for measuring the interface pressure between the pressure garment and the skin. The clinical experiment will discuss and analyze of upper and lower limbs that are the parts in human’s body frequency to get burned. From the clinical experiment, the surface curvature of skin for human is irregularly distributed. However, the foam or silicon can be employed to create the pressure more even and proper for a large variation in surface curvature of human body.
In this study, the pressure measurable system not only can be applied to measuring pressure of the pressure garment for the burning patients, it but also can be used in the elastic compression stockings for the varicose veins of the lower limbs, the tunics for postnatal uterus’ contraction and post-surgery restrained hematoma.

第一章 緒論
1.1 研究背景 1
1.2 研究動機 5
1.3 文獻回顧 6
1.3.1 壓力治療 6
1.3.2 壓力量測與定量評估 8
1.4 本文目標 11
1.5 論文架構 12
第二章 壓力量測系統之設計
2.1 壓力量測系統之設計架構 16
2.2 壓力感測元件 17
2.2.1 氣囊型壓力感測器 18
2.2.2 PGM-02KG壓力換能器 18
2.3 儀器放大器 23
2.4 類比/數位轉換器 24
2.5 微處理控制器 25
2.6 顯示裝置 27
2.7 電源電路設計 28
第三章 壓力量測系統之校正
3.1 校正設備 45
3.2 微處理系統之校正 46
3.3 壓力量測系統之校正 47
第四章 臨床實驗量測與分析
4.1 臨床實驗量測 59
4.2 臨床實驗分析 60
第五章 結論與未來研究方向 80
參考文獻 82

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