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研究生: 黃郁桂
Yu-Gui Huang
論文名稱: 傷口癒合藥物對於正常人的體表循環供血效應之研究
Effect of Topical Wound-Healing Drugs on the Cutaneous Microcirculatory Blood Flow in Healthy Subjects
指導教授: 許昕
Hsin Hsiu
口試委員: 高震宇
Chen-Yu Kao
許家良
Gu-Liang Hsu
學位類別: 碩士
Master
系所名稱: 應用科技學院 - 醫學工程研究所
Graduate Institute of Biomedical Engineering
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 77
中文關鍵詞: 傷口癒合微循環非侵入式量測動脈血壓波形雷射都普勒血流
外文關鍵詞: Wound-Healing, microcirculatory blood flow, non-invasive measurement, blood pressure waveform, laser Doppler flowmetry
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  • 皮膚是對抗病原入侵的第一道防線。傷口癒合在臨床上的威脅以糖尿病最為嚴重。本實驗將選擇紫雲膏、雷公根、Heparinoid之三款傷口癒合藥物,來觀察對於正常人的體表微循環供血之效應。
    本研究我們對受測者進行心電訊號、動脈血壓波形、血管光容積訊號和雷射都普勒血流等非侵入式量測。受測者為正常人右側定義為對照組;左側定義為實驗組。第一筆量測數據作為空白數據(M0)與第二筆量測數據稱作為對照組(M1)相比來進行探討。並觀察使用的血流參數能否有效評估此一改善效應。
    我們採用的許多參數分析指標具有顯著的解析能力,且在3藥物組中觀察到不同的血流效應。希望在未來能透過血流的參數改變,評估傷口復原狀態監控,並將受測數據搭配雲端傳輸,進行即時評估與解析。


    Wound healing an important topic in clinical application. The present study aimed to compare the different microcirculatory effects between the following three drugs: Comfrey balm, Centella, and Heparinoid.
    We measured electrocardiogram (ECG), blood pressure waveform (BPW), photoplethysmography (PPG), and laser Doppler flowmetry (LDF) signals on the skin surface of healthy subjects. The left side is defined as the experimental group; the right side serves as the control comparison.
    There are several significant changes in the present indexes following applying the drugs, with different response among the three groups.
    In the present study, we confirmed the feasibility of this research, In the future, we hope to monitor the wound healing status monitoring through analyzing the microcirculatory-blood-flow indexes.

    論文摘要 ........................................2 Abstract........................................3 致謝............................................4 目錄............................................5 一、 緒論....................................7 1.1 研究背景與動機...........................7 1.1.1 傷口癒合的相關及威脅.....................7 1.1.2 現有評估技術.............................8 1.1.3 循環系統.................................9 1.1.4 用循環來看傷口癒合的可能..................10 1.1.5 循環參數的意義...........................12 1.1.6 傷口癒合藥物.............................14 1.2 研究目的.................................15 二、 實驗硬體介紹與設計........................16 2.1 實驗流程.................................16 2.1.1 實驗前置.................................17 2.1.2 量測執行流程.............................18 2.2 實驗儀器與硬體系統........................20 2.2.1 心電訊號原理與應用(ECG)...................21 2.2.2 動脈血壓波形原理與應用(BPW)...............22 2.2.3 壓脈帶...................................23 2.2.4 雷射都普勒血流計(LDF).....................24 2.2.5 藥物定量塗抹工具..........................25 2.2.6 類比數位擷取卡(Data Acquistion Card)......26 三、 研究方法..................................27 3.1 分析方法..................................27 3.2 參數介紹..................................30 3.2.1 BPW頻域、諧波分析 .........................30 3.2.2 LDF時域分析...............................32 3.2.3 實驗量測之波形.............................36 四、 實驗結果...................................37 4.1 數據呈現...................................38 4.2 紫雲膏BPW 頻域與諧波參數分析結果.............39 4.3 紫雲膏LDF時域參數分析結果....................41 4.4 雷公根BPW 頻域與諧波參數分析結果..............47 4.5 雷公根LDF時域參數分析結果.....................49 4.6 Heparinoid BPW 頻域與諧波參數分析結果.........55 4.7 Heparinoid LDF時域參數分析結果................57 五、 結果討論與未來展望.............................63 5.1 BPW生理意義...................................63 5.2 BPW實驗結果討論................................65 5.2.1 A組:紫雲膏....................................65 5.2.2 B組:雷公根....................................65 5.2.3 C組:Heparinoid................................65 5.3 LDF生理意義.....................................66 5.4 LDF實驗結果討論.................................68 5.4.1 A組:紫雲膏.....................................68 5.4.2 B組:雷公根.....................................68 5.4.3 C組:Heparinoid.................................68 六、 結論............................................69 6.1 成果簡述.........................................69 6.2 未來展望 70 七、 參考文獻 71 附錄 75

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