研究生: |
陳世軒 Chen, Shi-Xuan |
---|---|
論文名稱: |
布拉格光纖光柵感測器應用於橈動脈寸關尺位置之脈波量測 Radial Artery Pulse Waveform Measurement at Cun, Guan and Chi Using Fiber Bragg Grating Sensor |
指導教授: |
王立康
Wang, Li-Karn |
口試委員: |
馮開明
Feng, Kai-Ming 劉文豐 Liu, Wen-Feng |
學位類別: |
碩士 Master |
系所名稱: |
電機資訊學院 - 光電工程研究所 Institute of Photonics Technologies |
論文出版年: | 2022 |
畢業學年度: | 110 |
語文別: | 中文 |
論文頁數: | 87 |
中文關鍵詞: | 布拉格光纖光柵 、橈動脈 、寸關尺 、脈波量測 、諧波 |
外文關鍵詞: | Radial Artery, PulseWaveform, Cun, Guan, Chi, FiberBraggGrating |
相關次數: | 點閱:3 下載:0 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究利用光纖布拉格光柵能夠隨應力應變的特性來量測脈搏,並且針對《難經》中的寸關尺分侯臟腑之說進行驗證。中醫脈診主張寸口脈法,此種方法有方便隨時量測、脈動較大等等優點,因此中醫皆利用三指進行寸口脈診,但是正因為診斷的結果是靠手指做感覺,難免產生主觀上的誤解,因此期望能利用本研究的架構來實現客觀量化中醫寸口脈診。
本文將三個不同布拉格波長的光柵依照寸關尺的位置用矽膠膜黏合在一起,矽膠膜一方面能夠增加脈動造成的應力,一方面能夠保護光纖,因此整個架構皆由矽膠膜包裹,減少光纖脆弱易斷的缺點,並增加其實用性。將製備好的架構平貼在受測者的寸關尺上並且用木工L型夾提供應力來模擬中醫脈診,得到的資料由I-MON USB擷取,並且利用MATLAB做快速傅立葉轉換得到c0〜c5六個諧波,再依照其相對數值比例大小進行身體評估。本文對異位性皮膚炎患者及心臟疾病患者和正常人的差異做量測,並驗證系統的可能性。
Fiber Bragg gratings can be used to measure the pulse waveforms in accordance with the stress and strain applied on radial artery, and verify against the theory of " cun,guan and chi " in "Nanjing". TCM(traditional chinese medicine)pulse diagnosis advocates radial artery diagnosis, because it has the advantages of convenient measurement,large pulse, etc. Therefore, traditional Chinese medicine uses three fingers for radial artery diagnosis, but the diagnosis results are based on individual finger feeling, which inevitably leads to subjective misunderstanding. Therefore, we expect to use the framework of this study to achieve the quantification of radial artery diagnosis in traditional Chinese medicine.
In this paper, three gratings with different Bragg wavelengths are bonded together within a silicone mold according to the positions of the cun,guan and chi. The silicone mold can increase the stress caused by the pulsation and protect the optical fiber on the other hand. Therefore, the entire structure is wrapped by the silicone mold, reducing the possibility of breaking of fragile fibers and increasing its usefulness. The prepared framework was firmly attached to the radial artery at the positions of cun,guan and chi,and a woodworking L-shaped clip was used to provide stress to simulate the pulse diagnosis of traditional Chinese medicine. The pulse were acquired with an I-MON USB, and Fast Fourier Transform of the pulse waveforms were taken to obtain six spectral amplitudes of harmonics, i.e. , c0 to c5, and then physical assessment was made according to relative numerical scale of their harmonics . In this paper, the difference between the c3 amplitude of a patients with atopic dermatitis and that of a normal person was measured. Moreover, the difference between c0 of that of a patients with heart disease and a normal person was measured ,and the reliability of the system was verified.
[1] 汪淑游,陳李仲惠,黃正一,“中醫脈診脈象圖形化之初步研究,”科學發展月刊, 688-697頁, 1977.
[2] 魏凌雲,“中醫科學化的研究與發展,”科學月刊, 6頁,1983.
[3] W.Wang ,Y.Chieng ,and L.Wang,“Resonance of organs with the heart,” Hemisphere Publishing Corporation ,pp.259-297,1989.
[4] 蔡佳霖,“脈搏訊號及心電圖之時頻分析,”國立成功大學碩士論文,2007.
[5] 李育俊,“水阻抗式微動感測器應用於橈骨動脈之脈波量測,”國立台北科技大學機電整合研究所碩士論文,2009.
[6] 吳尚儒,“應用氣壓撓致動器於脈波量測系統建構與分析,”國立雲林科技大學機械工程系碩士論文,2014.
[7] 吳慈榮,“不同肺功能下脈波諧波頻譜之研究,”中國醫藥學院中醫婦科,2000.
[8] 袁家輝,“電針刺足三里穴對脈波頻譜之變化,”中國醫藥學院中西醫結合研究所碩士論文,2007.
[9] 梁信杰,“懷孕期間橈動脈波共振頻譜之分析,”中國醫藥學院中西醫結合研究所碩士論文,2008.
[10] 劉智民,“脈診儀在異位性皮膚炎患者脈波之研究,”中國醫藥學院中西醫結合研究所碩士論文,2009.
[11] 王鴻松,“脈診儀在精神疾病患者脈波之研究,”中國醫藥學院中西醫結合研究所碩士論文,2010.
[12] J.J.Shu, Y.Sun,“Developing classification indices for Chinese pulse diagnosis,”Complementary Therapies in Medicine, vol. 15, issue 3 , pp. 190-198,2007.
[13] C.H.Luo, Y.F.Chung, C.S.Hu, C.C.Yeh, and X.C.Si,“Possibility of quantifying TCM finger-reading sensations I. Bi-sensing pulse diagnosis instrument,”European Journal of Integrative Medicine, vol.4, issue 3, pp. e255-e262, 2012.
[14] U.Sharath, R.Sukreet ,and G.Apoorva,“Blood pressure evaluation using sphygmomanometry assisted by arterial pulse waveform detection by fiber Bragg grating pulse device,”Journal of Biomedical Optics , vol.18 , issue 6 ,2013.
[15] D.Jia, J.Chao, S.Li, H.Zhang,and Y.Yan,“A fiber Bragg grating Sensor for radial artery pulse waveform measurement,”IEEE Transactions on Biomedical Engineering , vol.65 ,issue 4, pp.839-846,2018.
[16] S.Pant, S.Umesh,and S.Asokan,“knee angle measurement device using fiber bragg grating sensor,”IEEE Sensors Journal, vol.18 ,issue 24 , pp.10034-10040, 2018.
[17] S.Pant,S.Umesh,and S.Asokan“A novel approach to acquire the arterial pulse by finger plethysmography using fiber Bragg grating sensor,”IEEE Sensors Journal, vol.20, issue 11, pp.5921-5928, 2020.
[18] L.F Stokes, H.J Shaw,“All-single-mode fiber resonator,”Optics letters, vol. 7,issue 6,pp. 288-290,1982.
[19] Q.Wang, G.Farrell,and W.Yan.,“investigation on single-mode–multimode–single-mode fiber structure,”Journal of Lightware Technology, vol.26,issue 5,pp. 512-519,2008
[20] J.U.KimLee, J.Lee,and J.Y.Kim,“differences in the properties of the radial artery between Cun, Guan, Chi, and nearby segments using ultrasonographic imaging: a pilot study on arterial depth,”Evidence-Based Complementary and Alternative Medicine,2015
[21] 王唯工,“中醫現代化之研究,” 中國工程師學會第五十二屆年會專題研討論文集, 103-111頁,中國,1987.
[22] A.V.Oppenheim,A.S.Willsky,and I.T.Young,“signal and system,”Prentice-Hall international, pp.163-165,New Jersey,1983.
[23] IG.Porje,“ studies of the arterial pulse wave particular in the aorta,”Acta Physiol Scand, vol.42,pp:1-68,1946.
[24] U.Sharath,R.Sukreet, G.Apoorva,and S.AsokanRaju,“blood pressure evaluation using sphygmomanometry assisted by arterial pulse waveform detection by fiber Bragg grating pulse device,”Journal of Biomedical Optics, vol. 18 , issue 6,2013.
[25] 張芃,“張志禮治療異位性皮炎經驗,”中醫雜誌, vol.39,pp:402-404,1998.