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研究生: 朱修逸
ZHU, XIU-YI
論文名稱: 精油配製實驗設計於中年人三大常見疾病推拿療效之應用探討
Experimental Design of Essential Oils for Three Middle-Age Diseases Curing via Chiropractic Approach
指導教授: 賴新一
Lai, Hsin-Yi
學位類別: 碩士
Master
系所名稱: 工學院 - 機械工程學系
Department of Mechanical Engineering
論文出版年: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 207
中文關鍵詞: 類風溼關節炎預後性腦中風單純性肥胖症實驗設計精油推拿
外文關鍵詞: rheumatoid arthritis, cerebral vascular accident, obesity, experimental design, essential oils, chiropractic approach
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  • 現今醫學運用精油於治療病症之相關文獻非常豐富,但多數臨床治療僅依經驗法則,毫無系統性,進而浪費成本於治療上,然而這種現象,其主要原因是沒有一套經過精省設計的科學統計方法。
    有鑑於此,本文以兩階段建模之實驗設計法,將精油推拿治療應用於類風溼關節炎、預後性腦中風與單純性肥胖症三種常見病症上。以往在精油推拿治療上,常只以精油之主要功效來判斷其療效,而忽略了不同精油間之交互作用效應佔有一定影響力,間接影響了整體療效。因此本文旨在建構一套嚴謹實用的實驗設計法則,並將之應用於常見之病症治療上。
    本研究以精油與病症建立出一精省模型,此模型可用以預測病症療效,進而節省成本。本文實際對病患進行採樣篩選並量取數據,再進行效應、變異與顯著等分析找出顯著因子與主要效應與交互效應,並透過分塊設計以消彌男女個體間之誤差,提升精確度,完成最適精省回歸模型之建構。本研究最後運用逆Yates作精油選取之設計,藉由精油貢獻度與回歸模型之關係,將最適精省回歸模型進行細部調控、設計改良,將原預測目標值在同樣限定條件下,作精油濃度配適較佳之新組合。

    The use of essential oils to treat diseases in modern medical application is very rich in literature. However, most of the clinical treatments are just accordance with the rule of thumb, without systematic. Sometimes the treatment effect is disappointing, resulted in a waste costs in treatment. The main reason is that we have no a set of scientific and statistical methods designed after provincial downsizing.
    In view of the emerging needs, this thesis proposes a two-stage experimental design method for the treatment of disease by essential oils via chiropractic approach with reference to three commonly encounter human diseases including rheumatoid arthritis, cerebral vascular accident and obesity. In the past, we often determine its efficacy mainly based upon main effect of the essential oils but ignoring the effect of interactions between different essential oils. The interaction indirectly affects the overall efficacy. This thesis is devoted to construct sets of rigorous experimental and practical design rules for possible modeling and applications for commonly human diseases.
    In this study, the main objective is to construct a fine provincial model for the essential oils for curing certain specified diseases. This model can be used to predict disease efficacy, and thus can be utilized to save costs. The employment of error analysis, variance analysis and significant analysis make possible the identification of significant parameters and the interactive terms. In order to improve modeling accuracy, block design is employed to dispelling the error between the male and female individuals, and the construction of an accurate and economic regression model for commonly encounter human diseases is accomplished. The results are applied for further redesign and are shown to be effective and accurate.In this study, we use the method of Inverse Yates for the design of essential oils selected by the refined contribution of the essential oils. The provincial regression model can be detailed to modify and to converted into the original forecast target value for the same conditions to come up with better essential oils combination.

    中文摘要 I 英文摘要 II 誌謝 III 目錄 IV 圖目錄 X 表目錄 XII 符號表 XVIII 第一章 緒論 1 1.1研究動機 1 1.2研究目的 2 1.3章節導覽 3 第二章 文獻回顧 5 2.1推拿與精油之文獻回顧 5 2.2實驗設計在醫療復健之文獻回顧 12 2.3類風濕關節炎研究之文獻回顧 13 2.4預後性腦中風研究之文獻回顧 14 2.5單純性肥胖症研究之文獻回顧 16 2.6三大常見病症之正常模式與病理特徵 19 2.6.1類風溼關節炎之病理特徵 19 2.6.2預後性腦中風之病理特徵 21 2.6.3單純性肥胖症之病理特徵 23 2.7基本假設、研究限制與工作範疇 25 第三章 精油配置療效分析與實驗設計之理論 27 3.1精油配方與療效,以及回歸模型與貢獻度之架構 27 3.2順向分析(Yates算法)與逆向設計(逆Yates算法) 32 3.2.1順向分析法與Yates流程 32 3.2.1(a)精油配置、療效與貢獻度之分析與流程 32 3.2.1(b)Yates算法流程 34 3.2.1(c)順向分析之Yates程式碼(Fortran) 37 3.2.2逆向設計(逆Yates算法)理論 38 3.2.2(a)貢獻度調控與療效逆向優化精油之組合設計與流程 39 3.2.2(b)逆向設計與逆Yates流程 41 3.2.2(c)逆向設計之逆Yates程式碼(Fortran) 44 3.3實驗設計理論與模型建構流程 45 3.3.1以部分因子設計篩選系統相關之顯著因子 47 3.3.1(a) 2k-p部份因子設計之原理與步驟 52 3.3.1(b)變異數分析搜尋顯著因子之原理與步驟 54 3.3.2以完全因子設計探討顯著因子之主要與交互作用 57 3.3.2(a)完全因子設計之原理與步驟 57 3.3.2(b)建構最適之精省回歸模型原理與步驟 59 3.3.2(c)貢獻度的計算與調整 59 3.4 實驗對象與安排,操作與療效指標量取之流程 60 3.4.1實驗對象與安排 60 3.4.2操作與療效指標之量取 60 3.4.3實驗流程與步驟 61 3.4.4實驗設備 63 第四章 三大疾病之精油推拿療效實作分析與結果(Yates分析) 64 4.1類風濕關節炎病症 64 4.1.1類風濕關節炎病症之採樣與數據處理結果 65 4.1.1(a)男女混合模型之建構 65 4.1.1(b)男女分塊模型之建構 76 4.1.2類風濕關節炎病症之實測,採樣,分析與實作應用 85 4.1.2(a)回歸模型之建構與精度分析 85 4.1.2(b)顯著因子之化學成份探討 88 4.1.2(c)精油組合增強療效原因探討 90 4.1.2(d)Yates與逆Yates用法比較 90 4.1.3類風濕關節炎病症之結果與討論 92 4.2預後性腦中風病症 94 4.2.1預後性腦中風病症之採樣與數據處理結果 94 4.2.1(a)男女混合模型之建構 94 4.2.1(b)男女分塊模型之建構 106 4.2.2預後性腦中風病症之實測,採樣,分析與實作應用 116 4.2.2(a)回歸模型之建構與精度分析 116 4.2.2(b)顯著因子之化學成份探討 119 4.2.2(c)精油組合增強療效原因探討 121 4.2.2(d)Yates與逆Yates用法比較 121 4.2.3預後性腦中風病症之結果與討論 124 4.3單純性肥胖病症 126 4.3.1單純性肥胖症病症之採樣與數據處理結果 126 4.3.1(a)男女混合模型之建構 126 4.3.1(b)男女分塊模型之建構 138 4.3.2單純性肥胖症病症之實測,採樣,分析與實作應用 148 4.3.2(a)回歸模型之建構與精度分析 148 4.3.2(b)顯著因子之化學成份探討 151 4.3.2(c)精油組合增強療效原因探討 153 4.3.2(d)Yates與逆Yates用法比較 153 4.3.3單純性肥胖症病症之結果與討論 155 第五章 改善療效與成本之優化設計(逆Yates設計) 157 5.1相同成本下求最高療效之精油濃度組合 157 5.1.1類風濕關節炎男女分塊模型精油成本設計 158 5.1.2預後性腦中風男女分塊模型精油成本設計 164 5.1.3單純性肥胖症男女分塊模型精油成本設計 170 5.2等療效下之最低成本之精油濃度組合 176 5.2.1類風濕關節炎男女分塊模型精油療效設計 176 5.2.2預後性腦中風男女分塊模型精油療效設計 182 5.2.3單純性肥胖症男女分塊模型精油療效設計 188 第六章 總結與建議 195 6.1總結 195 6.2未來展望與建議 199 參考文獻 200 附錄一 精油推拿實驗受測者自願同意書 206

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