過敏性鼻炎臨床表現與良導絡值之關聯性分析

Abstract

過敏性鼻炎是一種不容忽視的疾病，但目前中西醫學對於過敏性鼻炎的診斷與分類仍存在許多困境，本研究運用良導絡理論對過敏性鼻炎嚴重程度進行一項關聯性研究，以瞭解過敏性鼻炎臨床表現與個體良導絡值之關聯性，並為中醫現代化、診斷科學化的進展盡一份心力。 本研究採立意取樣方法，為一橫斷性之相關性研究。收案時間為民國九十六年七月至民國九十六年八月。研究中對97位單純過敏性鼻炎患者進行「過敏性鼻炎評估量表」問卷施測，並運用良導絡儀器檢測受測者之24個良導絡值，以探討良導絡值與過敏性鼻炎臨床表現之關聯性。 研究結果發現，由線性相關性分析可以發現十二經脈中只有脾經與「鼻塞」症狀呈現顯著相關（P<0.01），其他只有膀胱經與「鼻塞」症狀呈現顯著相關（P<0.05）。經採用非線性分析方法來解析良導絡值對過敏性鼻炎的重要程度，結果顯示十二經脈對過敏性鼻炎的重要程度分別是腎經、脾經、肝經、胃經、肺經、小腸經，與傳統中醫對過敏性鼻炎之主要辨證分型（區分為肺臟、脾臟、腎臟、肝臟）大致相符，研究結果印證傳統中醫對過敏性鼻炎之辨證分型方式。

The allergic rhinitis is a kind of disease cannot be neglected. There are still a lot of difficulties for both Chinese and Western medicine to diagnose and classify the allergic rhinitis so far. Accordingly, this study will research the correlation between Ryodoraku system and the manifestations of allergic rhinitis. So we can find out the relationship between the manifestations of allergic rhinitis and Ryodoraku values. I truly hope this study will make great contributions towards the modernization of Chinese medicine. This research is cross-sectional. Our purposive sampling was taken from those patients with allergic rhinitis. The questionnaire “Quality of life measurement for allergic rhinitis” will be completed by 97 patients with allergic rhinitis, and a Ryodoraku instrument will be used for 24 Ryodoraku values collection from testers. The correlation between Ryodoraku values and the manifestations of allergic rhinitis will be treated in more details in this research. The result of the research indicates that there is not only Spleen Meridian of Twelve Main Meridians was greatly correlated with the symptom “stuffy nose” (p<0.01) in terms of the linear correlation analysis, but also Bladder Meridian is significantly correlated with the symptom “stuffy nose” (p<0.05). According to the nonlinear analysis of the importance of Ryodoraku values and allergic rhinitis, the result shows that the most important influence of Twelve Main Meridians on allergic rhinitis are the following, Kidney Meridian, Spleen Meridian, Liver Meridian, Stomach Meridian, Lung Meridian, Small Intestine Meridian. And this result coheres with the traditional Chinese medicine diagnosis and classification of allergic rhinitis (which can be classified as Lungs, Spleen, Kidney and Liver.)