| 摘要: | 背景及目的：在人體心理及生理的運作中，自主神經負責掌控大腸收縮的協調收縮性、感覺統合和血液循環快慢，因此自主神經的平衡對胃腸功能有極重要的影響。現代人在心理層面上之遭遇各種外在壓力及內在情緒變化，刺激大腦的中樞神經系統和腸道神經系統共同作用，引發消化道各種不適症狀，也會使潰瘍和腫瘤的患病率提高。虹膜全息學理論是透過虹膜徵兆對應著人體的組織器官，本研究目的在探討中小企業人員其虹膜徵兆、心率變異與胃腸功能之相關性。 材料及方法：本研究採橫斷式調查方式，在2018年9月至2019年1月間，以50位台灣南部中小企業人員為研究對象。收集數據包括 1.虹膜檢測、2.心率變異參數 (SDNN、RMSSD、NN50、PNN50、nLF低頻功率、nHF高頻功率、LF/HF低、高頻功率的比值)、3.胃腸道功能問卷。 結果：在胃腸功能問卷中，功能性消化不良、腸躁症、噁心嘔吐、功能性腹瀉與值班、貸款壓力、年齡有關聯性；在虹膜徵兆中，兩眼中左眼的胃環、右眼的小腸和橫結腸區、左眼的乙狀結腸和橫結腸區其部份與年齡、工作服務年資、性別、身體質量指數、值班情形、貸款壓力有關聯性。虹膜徵兆與胃腸功能問卷之相關性不顯著。將虹膜十二指腸升結腸、降結腸、橫結腸區環徑分為 <0.3、0.3~0.36、>0.36三類，類別間在RMSSD、NN50、nLF、nHF、LF/HF等參數存有差異性；在胃腸功能問卷部分之獨立T檢定結果，有功能性消化不良者其SDNN較低，有腸躁症者nLF較高，有功能性便秘者nHF較低，皆有顯著之差異。 結論：本研究以自主神經生理參數與自評胃腸問卷評估，探討虹膜徵像判讀依據的準確性，結果呈現部份之顯著相關，建議在虹膜判定標準除了環徑大小之外，其他各項特徵如色澤、斑塊、裂縫、凹洞、腸環褶皺、圓度變化…等，均需列入判讀參考，或者利用電腦影像分析技術輔助人工判讀，更能支持虹膜學的實證研究。
Background and Purpose: In human physiology and psychology of operations, responsible for control of the autonomic nervous system to coordinate the contraction of the large intestine contractions, sensory integration and speed of blood circulation, so the balance of the autonomic nervous system has a very important impact on gastrointestinal function. Iris holographic theory is the corresponding tissues and organs of the human body through the iris signs, early detection of pathological changes. This study was to investigate the SME personnel in their iris signs, heart rate variability associated with the gastrointestinal function. Materials and Methods: This study adopted a cross-sectional survey method. From September 2018 to July 2019, 50 SMEs in southern Taiwan were selected as research objects. The data collected include 1. iris detection, 2. heart rate variability parameters (SDNN, RMSSD, NN50, PNN50, nLF low frequency power, nHF high frequency power, LF/HF low, high frequency power ratio), 3. gastrointestinal tract functional questionnaire. Results: In the GI function questionnaire, functional indigestion, intestinal disorder, nausea and vomiting, functional diarrhea is associated with duty, loan stress, age, in the iris signs, the left eye of the left eye of the gastric ring, the left eye of the small intestine and cross colon region, the left eye of the b-shaped colon and cross colon area of the part and age, working service years, sex, BMI, duty situation, loan pressure correlation. The correlation between iris signs and GI function questionnaires was not significant. The iris duodenile colon, lower colon, transverse colon region circulation diameter is divided into three categories, between the categories in RMSSD, NN50, nLF, nHF, LF/HF and other parameters there are differences; Those with functional indigestion had lower SDNN, had higher nLF for those with irritability, and those with functional constipation had lower nHF, all with significant differences. Conclusion: In this study, the evaluation of the autonomous neurophysiological parameters and the self-assessment GI questionnaire, to explore the accuracy of the iris image interpretation basis, the results show some significant correlation, it is suggested that in the iris determination criteria in addition to the size of the ring diameter, other characteristics such as color, plaque, cracks, recesses, intestinal folds, roundness changes...and so on, they need to be included in the interpretation reference, or the use of computer image analysis technology to assist artificial interpretation, more support iris evidence-based practice. |
