本文關(guān)鍵詞： 癲癇運(yùn)動性發(fā)作 運(yùn)動軌跡 體質(zhì)　出處：《成都中醫(yī)藥大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：本研究分兩部分,第一部分：額葉癲癇發(fā)作三維軌跡；第二部分：癲癇體質(zhì)學(xué)調(diào)查。 第一部分：目的：建立額葉癲癇輔區(qū)發(fā)作的三維運(yùn)動軌跡模型。方法：納入額葉癲癇中運(yùn)動輔區(qū)發(fā)作的三種發(fā)作類型(擊劍姿勢、運(yùn)動過度、姿勢性強(qiáng)直)的發(fā)作期視頻,使用圖像分析軟件將所收集癲癇幾種發(fā)作形式的圖像信號轉(zhuǎn)換為矩陣。使用Origin數(shù)值處理軟件繪制時間三維軌跡圖。使用MATLAB數(shù)學(xué)軟件得到三種發(fā)作類型的上肢各標(biāo)記點(diǎn)坐標(biāo)值的比值,繪制成二維曲線。二維曲線的上升或下降的變化代表兩種發(fā)作類型同一標(biāo)記點(diǎn)相同方向的坐標(biāo)變化幅度。從所繪制的三維運(yùn)動軌跡圖中,我們可以看到各標(biāo)記點(diǎn)水平方向上的運(yùn)動方向、幅度。結(jié)果：1)運(yùn)動過多發(fā)作患者各標(biāo)記點(diǎn)均有不規(guī)律、大幅度往返運(yùn)動,近心端以外展、外旋等向外運(yùn)動為主,遠(yuǎn)心端則以屈曲向內(nèi)方向運(yùn)動為主；2)擊劍姿勢及姿勢性強(qiáng)直發(fā)作的運(yùn)動軌跡相似,均為受累肢體緩慢均勻地上升、下降,不過擊劍姿勢頭面、軀干的活動幅度很小,受累肢體以縱向及垂直方向上活動為主；姿勢性強(qiáng)直頭面、軀干以橫向運(yùn)動為主,受累上肢以橫向、縱向運(yùn)動為主,受累下肢則以縱向及垂直方向活動為主。3)擊劍姿勢與姿勢性強(qiáng)直X軸、Y軸上幅度變化均有不同程度差異,遠(yuǎn)端差異大于近端。4)運(yùn)動過多與擊劍姿勢X軸上以右上肢及左手幅度變化差異大,Y軸上以雙手幅度變化差異大。5)運(yùn)動過多與姿勢性強(qiáng)直X軸以右上肢及左手的幅度變化差異大,Y軸上雙手幅度變化差異大。結(jié)論：1)癲癇的三維軌跡模型建立具有可行性；2)三維軌跡模型及其量化分析對癲癇的診斷及鑒別診斷有一定意義。 第二部分：目的：1)探討癲癇與體質(zhì)的關(guān)系；2)指導(dǎo)不同體質(zhì)癲癇患者的治療。方法：本實(shí)驗(yàn)采用臨床調(diào)查的研究方法,依據(jù)北京中醫(yī)藥大學(xué)王琦教授《9種基本中醫(yī)體質(zhì)類型的分析及其診斷表述依據(jù)》的體質(zhì)分類標(biāo)準(zhǔn),對2013年10月至2013年12月在華西醫(yī)院神經(jīng)內(nèi)科腦電圖中心的癲癇全面強(qiáng)直陣攣發(fā)作患者進(jìn)行體質(zhì)調(diào)查。結(jié)果：癲癇患者體質(zhì)以痰濕質(zhì)、氣虛質(zhì)最多,濕熱質(zhì)、血瘀質(zhì)次之,陽虛質(zhì)未見。
[Abstract]:This study is divided into two parts, the first part: the frontal lobe seizure three-dimensional track, the second part: epilepsy physique investigation. Part I: objective: to establish a three-dimensional motion trajectory model of frontal lobe epilepsy. Methods: three types of paroxysmal seizures (fencing posture, excessive movement) were included in frontal lobe epilepsy. Pose ankylosis). Image analysis software is used to convert the collected image signals of several kinds of epileptic seizures into matrices. Origin numerical processing software is used to draw time three dimensional trajectory map. MATLAB mathematical software is used to get three kinds of images. The ratio of the coordinate values of each marker point in the upper limb of the type of attack. 2-D curve. The rise or fall of the two-dimensional curve represents the range of coordinate changes in the same direction between the two attack types, the same mark point, and the same direction. We can see the direction and amplitude of movement in the horizontal direction of each marker point. The external rotation is isotropic and the distal end is buckling inward. 2) the movement track of fencing posture and postural ankylosis is similar, both the affected limbs rise and decrease slowly and uniformly, but the fencing posture head face, the torso movement range is very small. The involved limbs were mainly active in the longitudinal and vertical direction. Posture ankylosis head, trunk with transverse movement, affected upper limb with transverse and longitudinal movement, affected lower extremities with longitudinal and vertical movement. 3) fencing posture and posture ankylosis X axis. There were significant differences in the amplitude of Y axis and the amplitude of right upper limb and left hand in the X axis of fencing posture, the difference of distal difference was greater than that of proximal end. 4) there were significant differences in the amplitude of right upper limb and left hand in the X axis of fencing posture. Y axis with a great difference in the amplitude of the two hands. 5) too much movement and posture ankylosis X axis in the right upper limb and left hand amplitude changes in great difference. There is a great difference in amplitude between hands on Y axis. Conclusion it is feasible to establish three-dimensional trajectory model of epilepsy. 2) the three-dimensional trajectory model and its quantitative analysis are of significance for the diagnosis and differential diagnosis of epilepsy. Part II: objective 1) to explore the relationship between epilepsy and constitution; 2) to guide the treatment of epilepsy patients with different physique. Methods: the clinical investigation method was used in this experiment. According to Beijing University of Chinese Medicine Professor Wang Qi < 9 basic TCM physique type analysis and diagnosis expression basis > the constitution classification standard. From October 2013 to December 2013, we investigated the physique of patients with generalized tonic-clonic seizure in EEG center of Department of Neurology, West China Hospital. Results: the physique of epilepsy patients was phlegm dampness. Qi deficiency is the most, dampness and heat is the most, blood stasis is the second, yang deficiency is not seen.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R742.1

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