WO2015074498A1 - 支持多路输出的循证针灸经穴治疗与检测仪及其使用方法 - Google Patents

支持多路输出的循证针灸经穴治疗与检测仪及其使用方法 Download PDF

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Publication number
WO2015074498A1
WO2015074498A1 PCT/CN2014/090662 CN2014090662W WO2015074498A1 WO 2015074498 A1 WO2015074498 A1 WO 2015074498A1 CN 2014090662 W CN2014090662 W CN 2014090662W WO 2015074498 A1 WO2015074498 A1 WO 2015074498A1
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Prior art keywords
acupuncture
treatment
acupoint
module
evidence
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PCT/CN2014/090662
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English (en)
French (fr)
Inventor
梁繁荣
舒红平
任玉兰
曾芳
李骥
郭太品
杨洁
陈亮
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成都中医药大学
成都淞幸科技有限责任公司
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Priority to US14/903,157 priority Critical patent/US9603774B2/en
Publication of WO2015074498A1 publication Critical patent/WO2015074498A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H39/002—Using electric currents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0531—Measuring skin impedance
    • A61B5/0532—Measuring skin impedance specially adapted for acupuncture or moxibustion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4854—Diagnosis based on concepts of traditional oriental medicine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/7475—User input or interface means, e.g. keyboard, pointing device, joystick
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H39/02—Devices for locating such points
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H39/06—Devices for heating or cooling such points within cell-life limits
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5023—Interfaces to the user
    • A61H2201/5038—Interfaces to the user freely programmable by the user
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5023—Interfaces to the user
    • A61H2201/5043—Displays
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5023—Interfaces to the user
    • A61H2201/5043—Displays
    • A61H2201/5046—Touch screens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5023—Interfaces to the user
    • A61H2201/5048—Audio interfaces, e.g. voice or music controlled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5097—Control means thereof wireless
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients

Definitions

  • the present invention relates to a meridian treatment and detector, and more particularly to an evidence-based acupuncture treatment and detector for supporting multiple outputs and a method for using the same.
  • Acupuncture treatment can overcome many shortcomings of drug treatment, and the effect is obvious, the treatment is safe, and there are no toxic and side effects. Acupuncture is one of the unique treatments in China, and it is a kind of medical treatment of "inside disease and external treatment". Through the conduction of meridians and acupoints, certain methods of operation are used to treat systemic diseases.
  • the cause of the disease is diagnosed, the key to the disease is identified, the nature of the disease is identified, and which meridian and which viscera belong to the lesion are identified, and it is identified which type belongs to the table, the cold and the heat, and the virtual reality. Diagnose; then carry out the corresponding prescription for the acupoint for treatment.
  • diagnose then carry out the corresponding prescription for the acupoint for treatment.
  • Acupuncture therapy is part of the medical heritage of the motherland and is also a unique national medical method in China. For thousands of years, it has made outstanding contributions to the protection of health and the reproduction of the nation. Until now, it still serves this task and is trusted by the masses.
  • Acupuncture is a traditional empirical medicine, and the empirical decision-making model of acupuncture is still dominated by experience. The leading position, because its fundamental flaw is that it rarely pays attention to the role and utilization of scientific evidence, thus hindering the further improvement of the clinical efficacy of acupuncture and the international development of acupuncture. In recent years, there have also been some self-service acupoint detection and treatment products on the market. From the point of view of acupoint location, the location of acupuncture points is defined by the relative positions of the bones, muscles, blood vessels, nerves, lymph and organs in the human body. There are many subtle differences in the shape of each person, even if they are experienced. The old Chinese medicine practitioners cannot guarantee the accuracy of the naked eye positioning.
  • the existing acupoint detection and treatment products cannot achieve precise positioning.
  • acupoint detection and treatment products for non-professionals, accidents are inevitable in the case of self-use, which poses certain risks.
  • the product is intelligently diagnosed and treated by one patient.
  • the acupuncture can't be treated for other patients, and it can't be widely used under the efficiency.
  • the object of the present invention is to overcome the deficiencies of the prior art, and provide a detection technology that combines the characteristics of acupoint resistance, and provides a clinician with a reference for the diagnosis of acupoint-specific resistance parameters, and supports input of multi-channel acupressure resistance detection results. And the output of electronic pulse wave can diagnose and treat multiple patients at the same time, which can improve the doctor's diagnosis rate, and is suitable for clinical medical support for multi-channel output of evidence-based acupuncture point treatment and detector and its use method.
  • an evidence-based acupuncture acupoint treatment and detector supporting multiple outputs which includes a CPU core unit, a communication module, a human-computer interaction module, a debugging module, and an audio module. And a plurality of detection and diagnosis circuits, the CPU core unit is respectively connected to the detection and diagnosis circuit through an interface
  • the detection and diagnosis circuit comprises an acupoint detection unit and an acupuncture acupuncture unit, the acupoint detection unit comprises a resistance detection circuit and an A/D digital conversion circuit, and the acupoint acupuncture unit comprises a D/A pulse current generation circuit and an amplification circuit, the CPU
  • the core unit includes an ARM processor, memory, auxiliary circuits, and evidence-based acupuncture treatment systems;
  • the output of the resistance detecting circuit is connected to the ARM processor through an A/D digital conversion circuit, and the output of the ARM processor is respectively connected to the auxiliary circuit, the audio module and the D/A pulse current generating circuit, and the D/A pulse current generating circuit
  • the output is connected to the amplifying circuit, and the output of the amplifying circuit is connected with the acupuncture acupuncture device, ARM
  • the processor is further connected to the communication module, the memory, the evidence-based acupuncture treatment system, the human-computer interaction module and the debugging module, respectively;
  • the evidence-based acupuncture treatment system includes the following functional modules:
  • System parameter setting module used to set parameters of the device, including sound adjustment of the audio module, screen brightness adjustment and acupuncture standard resistance setting;
  • System update module When the system has a new version, the system is upgraded through the network, and the upgraded content includes the update of the general prescription;
  • TCM meridian acupoint knowledge inquiry module querying the name of the human meridian and the corresponding acupoint, the meridian acupoint location and related knowledge, including the human body meridian knowledge inquiry unit and the human body acupoint knowledge inquiry unit;
  • General prescription management module mainly based on the evidence-based prescription and data mining prescription of the specific evidence-based evaluation and clinical decision-making platform of the acupoint effect, which includes the Chinese medicine condition and the corresponding acupuncture prescription, and is regularly updated through the communication module;
  • Patient Electronic Case Module Recording the previous acupoint test results and acupuncture prescriptions for each patient;
  • the custom prescription module mainly from the doctor's diagnosis prescription, the device can realize the acupuncture treatment of the condition according to the doctor's diagnosis prescription;
  • Acupoint virtual detection module judging the resistance characteristics of acupoints according to the acupoint resistance detected by the resistance detection circuit
  • the acupoint is displayed as virtual, otherwise the acupoint is displayed.
  • the treatment module determining the electronic pulse wave parameter of the acupuncture according to the acupoint virtual detection module and the result and the diagnosis prescription of the custom kitchen module, the electronic acupuncture pulse waveform includes three types: continuous wave, sparse wave and intermittent wave;
  • the management module manages the detection result of the acupoint detecting unit uploaded by each interface, and transmits the acupuncture prescription of the patient to each corresponding acupuncture acupuncture unit.
  • the communication unit comprises WIFI or GPRS or Internet.
  • the human-machine interaction unit includes a button and a touch screen.
  • the audio module includes an audio conversion circuit and a speaker, and an input of the audio conversion circuit is connected to the ARM processor, and an output of the audio conversion circuit is connected to the speaker.
  • the method for supporting the multi-output evidence-based acupuncture acupoint treatment and detector comprises the following steps: [0022]: The user takes the opportunity to enter the system, and the acupoint treatment and the detector detect whether there is an update, if there is an update Inquiry Whether the user updates, restarts the device after the update, and enters the detection and diagnosis function if it is not updated; [0023]: The resistance detection circuit performs resistance detection on the patient's acupoint, and the detected resistance value is A/D digitally converted and uploaded. To the management module, the ARM processor determines the resistance characteristics of the acupoint. If the acupoint is displayed as true, no acupuncture is required, and if the display is virtual, acupuncture is required;
  • the user selects a general prescription treatment or a custom prescription treatment. If the general prescription treatment is selected, the treatment parameters are input according to the prompt, and the general prescription management module formulates the acupuncture prescription according to the parameters; if the custom prescription treatment is selected, the doctor according to the patient The test parameters are formulated into acupuncture prescriptions, and the prepared acupuncture prescriptions are sent to the treatment module;
  • the treatment module determines an electronic pulse wave parameter of the acupuncture acupuncture circuit according to the acupuncture prescription, and sends the parameter to the management module;
  • the management module respectively transmits each determined electronic pulse wave parameter to a D/A pulse current generating circuit of the corresponding interface, generates a pulse wave, and performs acupuncture on the acupuncture point.
  • the method of using the method further includes a step of searching for a knowledge of acupuncture points of a Chinese medicine meridian, and the user can view related knowledge of acupuncture points of the human body during use.
  • the method of use further includes a display step and a voice broadcast step, wherein the displaying step is to scroll display the resistance detection value, the treatment step, the electronic pulse wave parameter, and the picture or text prompt of each interface;
  • the broadcast step is to remind the user through acupuncture parameter setting, acupuncture points and acupuncture.
  • the resistance detection in the step S2 is performed by an alternating current four-electrode method.
  • the fusion detection technology of the acupoint resistance characteristic is provided, and the clinician is provided with a reference for the diagnosis of the acupoint-specific resistance parameter, and has a plurality of interfaces for detecting the diagnosis and treatment circuit, and supports the input of the multi-channel acupressure resistance detection result and the electronic pulse wave.
  • the output can be used to diagnose and treat multiple patients at the same time, which can improve the doctor's diagnosis rate and is suitable for clinical medicine;
  • FIG. 1 is a schematic structural view of a system of the present invention
  • FIG. 2 is a structural diagram of a functional module of the evidence-based acupuncture treatment system of the present invention.
  • an evidence-based acupuncture point treatment and detector supporting multiple outputs includes a CPU core unit, a communication module, a human-computer interaction module, a debugging module, an audio module, and a plurality of detection and diagnosis circuits.
  • the CP U core unit is respectively connected to the detection and diagnosis circuit through an interface;
  • the detection and diagnosis circuit includes an acupoint detection unit and an acupuncture acupuncture unit, the acupoint detection unit includes a resistance detection circuit and an A/D digital conversion circuit, and the acupuncture acupuncture unit includes D/A.
  • a pulse current generating circuit and an amplifying circuit wherein the CPU core unit comprises an ARM processor, a memory, an auxiliary circuit and an evidence-based acupuncture treatment system;
  • the output of the resistance detecting circuit is connected to the ARM processor through an A/D digital conversion circuit, and the output of the ARM processor is respectively connected to the auxiliary circuit, the audio module and the D/A pulse current generating circuit, and the D/A pulse current generating circuit
  • the output is connected to the amplifying circuit, the output of the amplifying circuit is connected with the acupuncture acupuncture device, and the ARM processor is also connected to the communication module, the memory, the evidence-based acupuncture treatment system, the human-computer interaction module and the debugging module respectively;
  • the evidence-based acupuncture treatment system includes the following functional modules:
  • a system parameter setting module for setting parameters of the device, including sound adjustment of the audio module, screen brightness adjustment, and acupuncture standard resistance setting;
  • System update module When the system has a new version, the system is upgraded through the network, and the upgraded content package Includes updates to generic prescriptions;
  • TCM meridian acupoint knowledge inquiry module query the name of the human meridian and the corresponding acupoint, the meridian acupoint location and related knowledge, including the human body meridian knowledge inquiry unit and the human acupoint knowledge inquiry unit, the Chinese medicine acupuncturist can pass This module queries the human body meridian points and the meridian points in the detailed part of the human body;
  • General Prescription Management Module It is mainly derived from the evidence-based prescription and data mining prescription of the specific evidence-based evaluation and clinical decision-making platform of the acupoint effect, which includes the Chinese medicine condition and the corresponding acupuncture prescription, and is regularly updated through the communication module;
  • Patient Electronic Case Module Recording previous acupoint test results and acupuncture prescriptions for each patient;
  • the custom prescription module mainly from the doctor's diagnosis prescription, the device can realize the acupuncture treatment of the condition according to the doctor's diagnosis prescription;
  • Acupoint virtual detection module has a reaction function and an effect function, the reaction function is a direct reflection of the acupoint and the lesion, and is the basis of the effect function.
  • the acupoint surface resistance is a commonly used objective index for the study of the acupoint reaction.
  • the resistance characteristic of the acupuncture point is determined. If the detected acupoint resistance value is smaller than the standard resistance value, the acupuncture point is displayed as virtual, otherwise the acupuncture point is displayed as true;
  • the treatment module according to the acupoint virtual detection module and the result and the diagnostic prescription of the custom kitchen module determine the electronic pulse wave parameters of the acupuncture, the electronic acupuncture pulse waveform includes three types of continuous wave, sparse wave and intermittent wave, the details are as follows:
  • continuous wave one of the combined waves output by the electro-acupuncture instrument, simply repeated by the basic pulse wave
  • a continuous wave with a frequency of 30 Hz called a thinning wave
  • a continuous wave with a frequency higher than 30 called a dense wave.
  • the sparse wave can cause muscle contraction, produce strong tremor, increase the tension of the muscle ligament, regulate the vasomotor function of the blood vessel, improve blood circulation, promote the recovery of neuromuscular function, and have a good effect on neuromuscular spastic diseases;
  • the dense wave tremor is weak, and it can affect some pain areas in the body surface, and it can have some immediate analgesic effects.
  • the entire continuous wave adjustable frequency is 2 ⁇ , 5 ⁇ , 10 ⁇ , 15HZ, 30HZ, 50HZ and lOOHZo
  • Dilatatkmal wave The frequency of the output of the electro-acupuncture instrument is a combination of periodic and rapid changes, which are alternately caused by sparse waves and dense waves, alternating around 1.5S each day, which is not easy to adapt to the tissue.
  • Sexual reaction mostly used for acupuncture.
  • the alternating currents of the sparse can cause the rhythmic relaxation of the muscles, strengthen the blood Circulation and lymphatic circulation regulate the nutrient metabolism of tissues, and have certain curative effects on some soft tissue injuries, lumbar fascia strain, and some diseases such as neuromuscular paralysis.
  • the adjustable frequency has 2HZ and 15HZ alternately appearing, 2HZ and 30HZ appear alternately, 2HZ and 50HZ alternately appear, and 2HZ and 100HZ alternately appear.
  • Intermittent wave A pulse wave sequence obtained by cyclically pulsing a continuous combined wave and a continuous wave passing through a rectangular pulse. Adjustable frequencies are 2HZ, 5HZ, 10HZ, 15HZ, 30HZ, 5 OHZ and lOOHZo
  • the management module manages the detection result of the acupoint detecting unit uploaded by each interface, and transmits the acupuncture prescription of the patient to each corresponding acupuncture acupuncture unit.
  • the communication unit comprises WIFI or GPRS or Internet.
  • the human-machine interaction unit includes a button and a touch screen.
  • the audio module includes an audio conversion circuit and a speaker, and an input of the audio conversion circuit is connected to the ARM processor, and an output of the audio conversion circuit is connected to the speaker.
  • a method for supporting a multi-output evidence-based acupuncture acupoint treatment and detector comprising the following steps:
  • the resistance detecting circuit performs resistance detection on the patient's acupuncture point, and performs the A/D digital conversion on the detected resistance value, and then uploads it to the management module, and the ARM processor determines the resistance characteristic of the acupoint, and if the acupoint display is true, the need does not need to be performed. Acupuncture, if it is shown to be virtual, acupuncture is required;
  • the user selects a general prescription treatment or a custom prescription treatment, if the general prescription treatment is selected, the treatment parameters are input according to the prompt, and the general prescription management module formulates the acupuncture prescription according to the parameters; if the custom prescription treatment is selected, the doctor according to the patient The test parameters are formulated into acupuncture prescriptions, and the prepared acupuncture prescriptions are sent to the treatment module;
  • the treatment module determines an electronic pulse wave parameter of the acupuncture acupuncture circuit according to the acupuncture prescription, and sends the parameter to the management module;
  • the management module respectively transmits each determined electronic pulse wave parameter to a D/A pulse current generating circuit of the corresponding interface, generates a pulse wave, and performs acupuncture on the acupuncture point.
  • the method of using the method further includes a step of searching for a knowledge of acupuncture points of a Chinese medicine meridian, and the user can view the knowledge of acupuncture points of the human body in the course of use.
  • the method of use further includes a display step and a voice broadcast step, wherein the displaying step is to scroll display the resistance detection value, the treatment step, the electronic pulse wave parameter, and the picture or text prompt of each interface; The broadcast step is to remind the user through acupuncture parameter setting, acupuncture points and acupuncture.
  • the resistance detection in the step S2 is performed by an alternating current four-electrode method.
  • the acupoint treatment and detector of the present invention uses a voltage module of +9V output to supply power to other modules of the acupoint treatment and detector.
  • the core module is equipped with a corresponding embedded operating system (android4.0 system), which is the core device of the acupoint physiotherapy instrument, controls other modules through the peripheral interface, and uses the embedded operating system and the embedded application system developed together.
  • the debug module can be used to program embedded systems and drivers into the hardware.
  • the debug module includes the DBGU debug unit and the JTAG debug unit. It is a circuit designed for hardware programming.

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Abstract

一种支持多路输出的循证针灸经穴治疗与检测仪及其使用方法，所述治疗与检测仪包括CPU核心单元、通信模块、音频模块和多个检测诊疗电路；检测诊疗电路包括穴位检测单元和穴位针灸单元，穴位检测单元包括电阻检测电路和A/D数字转换电路，穴位针灸单元包括D/A脉冲电流产生电路和放大电路；CPU核心单元包括ARM处理器、存储器、辅助电路和循证针灸治疗系统，ARM处理器连接循证针灸治疗系统。所述治疗与检测仪为临床医师提供经穴特异性电阻参考，支持多路穴位电阻输入和电子脉冲波输出，可同时为多个病人诊疗；其中的循证针灸治疗系统设有中医经络穴位知识查询、通用处方管理、自定义处方模块以及电子病历等模块，提供基于平台的循证诊断和决策支持，为临床医师提供证据参考。

Description

说明书
发明名称：支持多路输出的循证针灸经穴治疗与检测仪及其使用方 法
技术领域
[0001] 本发明涉及一种经穴治疗与检测仪， 特别涉及一种支持多路输出的循证针灸经 穴治疗与检测仪及其使用方法。
背景技术
[0002] 药物治疗对身体有副作用， 使用过多后还会增加抗药性， 若存在抗药性后， 使 用再多该类药物其疗效均较差。 针灸治疗可以克服药物治疗的诸多缺点， 而且 效果明显， 治疗安全， 无毒副作用。 针灸是我国特有的治疗手段之一， 是一种" 内病外治"的医术。 通过经络、 腧穴的传导作用， 应用一定的操作法来治疗全身 疾病。 在临床上按中医的诊疗方法诊断出病因， 找出疾病的关键， 辨别疾病的 性质， 确定病变属于哪一经脉、 哪一脏腑， 辨明它是属于表里、 寒热、 虚实中 哪一类型， 做出诊断； 然后进行相应的配穴处方， 进行治疗。 以通经脉， 调气 血， 使阴阳归于相对平衡， 使脏腑功能趋于调和， 从而达到防治疾病的目的。 针灸疗法是祖国医学遗产的一部分， 也是我国特有的一种民族医疗方法。 千百 年来， 对保卫健康， 繁衍民族等都有过卓越的贡献， 直到现在， 仍然担当着这 个任务， 为广大群众所信赖。
[0003] 随着生活节奏的不断加快， 年轻人大多忙于工作， 无论其工作环境是在写字楼 还是在工厂车间， 在工作过程中， 或多或少地带入了不少的职业病， 而年轻人 大多忙于工作， 无暇顾及自身健康问题， 亦无暇顾及家中留守老人的健康问题 , 无论是年轻人自身还是家中的留守老人均无法做到身体不适吋能到医院及吋 就诊。 而如今的针灸诊疗从穴位的各项物理特性的探测到穴位定位， 再到针灸 治疗都是由专业的中医医务人员根据经验完成的， 非专业医务人员无法自行探 测、 治疗， 至今无法做到普及， 病人必须到诊所接受中医医生的诊断而无法实 现自助式诊断与治疗， 这便于目前患者无法及吋到医院就诊形成了矛盾。
[0004] 针灸学属于传统的经验医学， 以经验为主的针灸临床决策模式仍占据一定主 导地位， 因其根本缺陷在于极少重视科学研究证据的作用和利用， 故在一定程 度上阻碍了针灸临床疗效的进一步提高以及针灸学的国际发展。 近年来， 市场 上也出现了一些自助式的穴位探测治疗产品。 从穴位定位方面来看， 针灸穴位 的定位多由人体内部骨骨各、 肌肉、 血管、 神经、 淋巴及脏器的相对位置进行定 义， 每个人的体形又存在着诸多细微差异， 即使是经验丰富的老中医， 也不能 保证肉眼定位的准确性， 现有的穴位探测治疗产品根本无法做到精准定位。 对 于自助式的穴位探测治疗产品， 对于非专业人士， 在自行使用的吋候难免出现 意外情况， 造成一定的危险性， 对于医师的吋候， 该产品智能为一位患者进行 诊治， 在患者进行针灸的吋候无法为其他患者进行治疗， 效率 ί氐下， 无法做到 广泛使用。
技术问题
[0005] 本发明的目的在于克服现有技术的不足， 提供一种融合了经穴电阻特性的检测 技术， 为临床医师提供经穴特异性电阻参数诊断参考， 支持多路穴位电阻检测 结果的输入和电子脉冲波的输出， 可同吋对多个病人进行诊疗， 能够提高医师 的诊疗效率， 适合临床医用的支持多路输出的循证针灸经穴治疗与检测仪及其 使用方法。
问题的解决方案
技术解决方案
[0006] 本发明的目的是通过以下技术方案来实现的： 支持多路输出的循证针灸经穴治 疗与检测仪， 它包括 CPU核心单元、 通信模块、 人机交互模块、 调试模块、 音 频模块和多个检测诊疗电路， CPU核心单元分别通过接口与检测诊疗电路相连
； 所述的检测诊疗电路包括穴位检测单元和穴位针灸单元， 穴位检测单元包括 电阻检测电路和 A/D数字转换电路， 穴位针灸单元包括 D/A脉冲电流产生电路和 放大电路， 所述的 CPU核心单元包括 ARM处理器、 存储器、 辅助电路和循证针 灸治疗系统；
[0007] 电阻检测电路的输出通过 A/D数字转换电路与 ARM处理器相连， ARM处理器 的输出分别与辅助电路、 音频模块和 D/A脉冲电流产生电路连接， D/A脉冲电流 产生电路的输出与放大电路相连， 放大电路的输出与穴位针灸装置连接， ARM 处理器还分别与通信模块、 存储器、 循证针灸治疗系统、 人机交互模块和调试 模块相连；
[0008] 所述的循证针灸治疗系统包括以下功能模块：
[0009] 系统参数设置模块： 用于设置设备的参数， 包括音频模块的声音调节、 屏幕亮 度调节和穴位标准电阻设置；
[0010] 系统更新模块： 当系统有新版本吋， 通过网络对系统进行升级， 升级的内容包 括通用处方的更新；
[0011] 中医经络穴位知识査询模块： 对人体经络和相应穴位的名称、 经络穴位部位和 相关知识进行査询， 包括人体经络知识査询单元和人体穴位知识査询单元；
[0012] 通用处方管理模块： 主要来源于经穴效应特异性循证评价与临床决策平台的循 证处方和数据挖掘处方， 它包括中医病症和对应的针灸处方， 并通过通信模块 定期更新；
[0013] 患者电子病例模块： 记录每位患者以前的穴位检测结果和针灸处方；
[0014] 自定义处方模块： 主要来源于医师的诊断处方， 设备根据医师的诊断处方， 可 以实现病症的针灸治疗；
[0015] 穴位虚实检测模块： 根据电阻检测电路检测到的穴位电阻判断穴位的电阻特性
, 如果检测穴位电阻值小于标准电阻值， 则显示穴位为虚， 否则显示穴位为实
[0016] 治疗模块： 根据穴位虚实检测模块和结果和自定义厨房模块的诊断处方决定针 灸的电子脉冲波参数， 电子针灸脉冲波形包括连续波、 疏密波和断续波三种；
[0017] 管理模块： 对各个接口上传的穴位检测单元的检测结果进行管理， 将患者的针 灸处方传输到各个对应的穴位针灸单元。
[0018] 所述的通信单元包括 WIFI或 GPRS或 Internet。
[0019] 所述的人机交互单元包括按键和触摸屏。
[0020] 所述的音频模块包括音频转换电路和喇叭， 音频转换电路的输入与 ARM处理 器相连， 音频转换电路的输出与喇叭连接。
[0021] 支持多路输出的循证针灸经穴治疗与检测仪使用方法， 它包括以下步骤： [0022] ： 用户幵机进入系统， 经穴治疗与检测仪检测是否有更新， 若有更新则询问用 户是否进行更新， 更新后需重启设备， 若没有更新则进入检测与诊疗功能； [0023] ： 电阻检测电路对患者穴位进行电阻检测， 并将检测到的电阻值进行 A/D数字 转换后上传至管理模块， ARM处理器判断该穴位的电阻特性， 若穴位显示为实 则无需进行针灸， 若显示为虚则需进行针灸；
[0024] ： 用户选择通用处方治疗或者自定义处方治疗， 若选择通用处方治疗则按照提 示输入治疗参数， 由通用处方管理模块根据参数制定针灸处方； 若选择自定义 处方治疗， 则由医师根据患者的检测参数制定针灸处方， 并将制定好的针灸处 方发送到治疗模块；
[0025] ： 治疗模块根据针灸处方确定穴位针灸电路的电子脉冲波参数， 并发送到管理 模块；
[0026] ： 管理模块将各个确定的电子脉冲波参数分别传输到对应接口的 D/A脉冲电流 产生电路， 产生脉冲波， 对该穴位进行针灸。
[0027] 所述的使用方法还包括一个中医经络腧穴知识査询步骤， 用户在使用过程中随 吋査看人体经络穴位相关知识。
[0028] 所述的使用方法还包括一个显示步骤和语音播报步骤， 所述的显示步骤即滚动 显示各个接口的电阻检测值、 治疗步骤、 电子脉冲波参数和图片或文字提示； 所述的语音播报步骤即在通过语音方式提醒用户针灸参数设置、 针灸穴位和针 灸吋间。
[0029] 所述的步骤 S2中的电阻检测采用交流四电极法。
发明的有益效果
有益效果
[0030] 本发明的有益效果是：
[0031] 、 融合了经穴电阻特性的检测技术， 为临床医师提供经穴特异性电阻参数诊断 参考， 设有多个检测诊疗电路的接口， 支持多路穴位电阻检测结果的输入和电 子脉冲波的输出， 可同吋对多个病人进行诊疗， 能够提高医师的诊疗效率， 适 合临床医用；
[0032] 、 设有中医经络穴位知识査询、 通用处方管理和自定义处方和患者电子病历等 模块， 提供基于平台的^ f证诊断与决策支持， 为临床医师提供证据参考， 医师 可以注册已经建好的循证针灸临床决策网络平台， 査询基于患者病证的循证针 灸临床处方， 进行远程专家会诊；
[0033] 、 具备高灵敏、 可视化的脉冲治疗参数的调节， 能够滚动显示各个接口的电阻 检测值、 治疗步骤、 电子脉冲波参数和中医经络腧穴知识査询吋的图片或文字 提示， 使临床治疗更方便。
对附图的简要说明
附图说明
[0034] 图 1为本发明的系统结构示意图；
[0035] 图 2为本发明的循证针灸治疗系统功能模块结构图。
本发明的实施方式
[0036] 下面结合附图进一步说明本发明的技术方案， 伹本发明所保护的内容不局限于 以下所述。
[0037] 如图 1所示， 支持多路输出的循证针灸经穴治疗与检测仪， 它包括 CPU核心单 元、 通信模块、 人机交互模块、 调试模块、 音频模块和多个检测诊疗电路， CP U核心单元分别通过接口与检测诊疗电路相连； 所述的检测诊疗电路包括穴位检 测单元和穴位针灸单元， 穴位检测单元包括电阻检测电路和 A/D数字转换电路， 穴位针灸单元包括 D/A脉冲电流产生电路和放大电路， 所述的 CPU核心单元包括 ARM处理器、 存储器、 辅助电路和循证针灸治疗系统；
[0038] 电阻检测电路的输出通过 A/D数字转换电路与 ARM处理器相连， ARM处理器 的输出分别与辅助电路、 音频模块和 D/A脉冲电流产生电路连接， D/A脉冲电流 产生电路的输出与放大电路相连， 放大电路的输出与穴位针灸装置连接， ARM 处理器还分别与通信模块、 存储器、 循证针灸治疗系统、 人机交互模块和调试 模块相连；
[0039] 如图 2所示， 所述的循证针灸治疗系统包括以下功能模块：
[0040] 系统参数设置模块： 用于设置设备的参数， 包括音频模块的声音调节、 屏幕亮 度调节和穴位标准电阻设置；
[0041] 系统更新模块： 当系统有新版本吋， 通过网络对系统进行升级， 升级的内容包 括通用处方的更新；
[0042] 中医经络穴位知识査询模块： 对人体经络和相应穴位的名称、 经络穴位部位和 相关知识进行査询， 包括人体经络知识査询单元和人体穴位知识査询单元， 中 医针灸医师可以通过此模块査询人体经络穴位相关说明和经络穴位处于人体的 详细部位；
[0043] 通用处方管理模块： 主要来源于经穴效应特异性循证评价与临床决策平台的循 证处方和数据挖掘处方， 它包括中医病症和对应的针灸处方， 并通过通信模块 定期更新；
[0044] 患者电子病例模块： 记录每位患者以前的穴位检测结果和针灸处方；
[0045] 自定义处方模块： 主要来源于医师的诊断处方， 设备根据医师的诊断处方， 可 以实现病症的针灸治疗；
[0046] 穴位虚实检测模块： 穴位具有反应功能和效应功能， 反应功能是经穴与病变部 位相关的直接体现， 是效应功能产生的基础， 穴位体表电阻为经穴反应研究的 常用客观指标， 根据电阻检测电路检测到的穴位电阻判断穴位的电阻特性， 如 果检测穴位电阻值小于标准电阻值， 则显示穴位为虚， 否则显示穴位为实；
[0047] 治疗模块： 根据穴位虚实检测模块和结果和自定义厨房模块的诊断处方决定针 灸的电子脉冲波参数， 电子针灸脉冲波形包括连续波、 疏密波和断续波三种， 详情如下：
[0048] 连续波 (continuous wave): 电针仪输出的组合波之一， 由基本脉冲波简单重复
, 中间没有停顿， 频率连续可调。 频率 ί氐于 30HZ的连续波， 称为疏波， 频率高 于 30ΗΖ的连续波， 称为密波。 疏波可引起肌肉收缩， 产生较强的震颤感， 提高 肌肉韧带的张力， 调节血管的舒缩功能， 改善血液循环， 促进神经肌肉功能的 恢复， 对神经性肌肉瘫痪性疾病有良好的效果； 而密波震颤感弱， 作用体表某 些疼痛区， 能有某些即吋镇痛效果。 整个连续波可调频率有 2ΗΖ、 5ΗΖ、 10ΗΖ 、 15HZ、 30HZ、 50HZ和 lOOHZo
[0049] 疏密波 (dilatatkmal wave): 电针仪输出的频率成周期性快慢变化的组合波形， 由疏波和密波交替出现， 交替持续的吋间各 1.5S左右， 对组织不易出现适应性反 应， 多用于针麻。 疏密交替出现的电流， 能引起肌肉有节奏的舒缩， 加强血液 循环和淋巴循环， 调节组织的营养代谢， 对一些软组织损伤、 腰背筋膜劳损， 以及一些神经肌肉麻痹等疾病有一定的疗效。 可调频率有 2HZ和 15HZ交替出现 、 2HZ和 30HZ交替出现、 2HZ和 50HZ交替出现、 2HZ和 100HZ交替出现。
[0050] 断续波 (intermittent wave): 周期性吋断吋续的组合波， 由连续波经过矩形脉 冲调制后得到的脉冲波序列。 可调频率有 2HZ、 5HZ、 10HZ、 15HZ、 30HZ、 5 OHZ和 lOOHZo
[0051] 管理模块： 对各个接口上传的穴位检测单元的检测结果进行管理， 将患者的针 灸处方传输到各个对应的穴位针灸单元。
[0052] 所述的通信单元包括 WIFI或 GPRS或 Internet。
[0053] 所述的人机交互单元包括按键和触摸屏。
[0054] 所述的音频模块包括音频转换电路和喇叭， 音频转换电路的输入与 ARM处理 器相连， 音频转换电路的输出与喇叭连接。
[0055] 支持多路输出的循证针灸经穴治疗与检测仪使用方法， 它包括以下步骤：
[0056] ： 用户幵机进入系统， 经穴治疗与检测仪检测是否有更新， 若有更新则询问用 户是否进行更新， 更新后需重启设备， 若没有更新则进入检测与诊疗功能；
[0057] ： 电阻检测电路对患者穴位进行电阻检测， 并将检测到的电阻值进行 A/D数字 转换后上传至管理模块， ARM处理器判断该穴位的电阻特性， 若穴位显示为实 则无需进行针灸， 若显示为虚则需进行针灸；
[0058] ： 用户选择通用处方治疗或者自定义处方治疗， 若选择通用处方治疗则按照提 示输入治疗参数， 由通用处方管理模块根据参数制定针灸处方； 若选择自定义 处方治疗， 则由医师根据患者的检测参数制定针灸处方， 并将制定好的针灸处 方发送到治疗模块；
[0059] ： 治疗模块根据针灸处方确定穴位针灸电路的电子脉冲波参数， 并发送到管理 模块；
[0060] ： 管理模块将各个确定的电子脉冲波参数分别传输到对应接口的 D/A脉冲电流 产生电路， 产生脉冲波， 对该穴位进行针灸。
[0061] 所述的使用方法还包括一个中医经络腧穴知识査询步骤， 用户在使用过程中随 吋査看人体经络穴位相关知识。 [0062] 所述的使用方法还包括一个显示步骤和语音播报步骤， 所述的显示步骤即滚动 显示各个接口的电阻检测值、 治疗步骤、 电子脉冲波参数和图片或文字提示； 所述的语音播报步骤即在通过语音方式提醒用户针灸参数设置、 针灸穴位和针 灸吋间。
[0063] 所述的步骤 S2中的电阻检测采用交流四电极法。
[0064] 本发明的经穴治疗与检测仪采用 +9V输出的电压模块， 为经穴治疗与检测仪的 其他各个模块供电。
[0065] 核心模块搭载了相应的嵌入式操作系统 (android4.0系统)， 是经穴理疗仪的核 心器件， 通过外设接口控制其它模块， 利用嵌入式操作系统和研发的嵌入式应 用系统一起实现设备的管理、 数据管理、 穴位检测和电子针灸控制。 通过调试 模块， 可以把嵌入式系统和驱动等烧写到硬件中， 调试模块包括 DBGU调试单 元和 JTAG调试单元， 是为硬件烧写程序而设计的电路。

Claims

权利要求书
[权利要求 1] 支持多路输出的循证针灸经穴治疗与检测仪， 其特征在于： 它包 括 CPU核心单元、 通信模块、 人机交互模块、 调试模块、 音频模 块和多个检测诊疗电路， CPU核心单元分别通过接口与检测诊疗 电路相连； 所述的检测诊疗电路包括穴位检测单元和穴位针灸单 元， 穴位检测单元包括电阻检测电路和 A/D数字转换电路， 穴位针 灸单元包括 D/A脉冲电流产生电路和放大电路， 所述的 CPU核心单 元包括 ARM处理器、 存储器、 辅助电路和循证针灸治疗系统； 电阻检测电路的输出通过 A/D数字转换电路与 ARM处理器相连， A RM处理器的输出分别与辅助电路、 音频模块和 D/A脉冲电流产生 电路连接， D/A脉冲电流产生电路的输出与放大电路相连， 放大电 路的输出与穴位针灸装置连接， ARM处理器还分别与通信模块、 存储器、 循证针灸治疗系统、 人机交互模块和调试模块相连； 所述的循证针灸治疗系统包括以下功能模块： 系统参数设置模块： 用于设置设备的参数， 包括音频模块的声音 调节、 屏幕亮度调节和穴位标准电阻设置；
系统更新模块： 当系统有新版本吋， 通过网络对系统进行升级， 升级的内容包括通用处方的更新；
中医经络穴位知识査询模块： 对人体经络和相应穴位的名称、 经 络穴位部位和相关知识进行査询， 包括人体经络知识査询单元和 人体穴位知识査询单元；
通用处方管理模块： 主要来源于经穴效应特异性循证评价与临床 决策平台的循证处方和数据挖掘处方， 它包括中医病症和对应的 针灸处方， 并通过通信模块定期更新；
患者电子病例模块： 记录每位患者以前的穴位检测结果和针灸处 方；
自定义处方模块： 主要来源于医师的诊断处方， 设备根据医师的 诊断处方， 可以实现病症的针灸治疗； 穴位虚实检测模块： 根据电阻检测电路检测到的穴位电阻判断穴 位的电阻特性， 如果检测穴位电阻值小于标准电阻值， 则显示穴 位为虚， 否则显示穴位为实；
治疗模块： 根据穴位虚实检测模块和结果和自定义厨房模块的诊 断处方决定针灸的电子脉冲波参数， 电子针灸脉冲波形包括连续 波、 疏密波和断续波三种；
管理模块： 对各个接口上传的穴位检测单元的检测结果进行管理
， 将患者的针灸处方传输到各个对应的穴位针灸单元。
[权利要求 2] 根据权利要求 1所述的支持多路输出的循证针灸经穴治疗与检测仪
， 其特征在于： 所述的通信单元包括 WIFI或 GPRS或 Internet。
[权利要求 3] 根据权利要求 1所述的支持多路输出的循证针灸经穴治疗与检测仪
， 其特征在于： 所述的人机交互单元包括按键和触摸屏。
[权利要求 4] 根据权利要求 1所述的支持多路输出的循证针灸经穴治疗与检测仪
， 其特征在于： 所述的音频模块包括音频转换电路和喇叭， 音频 转换电路的输入与 ARM处理器相连， 音频转换电路的输出与喇叭 连接。
[权利要求 5] 如权利要求 1〜4中任意一项所述的支持多路输出的循证针灸经穴 治疗与检测仪使用方法， 其特征在于： 它包括以下步骤： S1 : 用户幵机进入系统， 经穴治疗与检测仪检测是否有更新， 若 有更新则询问用户是否进行更新， 更新后需重启设备， 若没有更 新则进入检测与诊疗功能；
S2: 电阻检测电路对患者穴位进行电阻检测， 并将检测到的电阻 值进行 A/D数字转换后上传至管理模块， ARM处理器判断该穴位 的电阻特性， 若穴位显示为实则无需进行针灸， 若显示为虚则需 进行针灸；
S3： 用户选择通用处方治疗或者自定义处方治疗， 若选择通用处 方治疗则按照提示输入治疗参数， 由通用处方管理模块根据参数 制定针灸处方； 若选择自定义处方治疗， 则由医师根据患者的检 测参数制定针灸处方， 并将制定好的针灸处方发送到治疗模块；
S4: 治疗模块根据针灸处方确定穴位针灸电路的电子脉冲波参数 ， 并发送到管理模块；
S5: 管理模块将各个确定的电子脉冲波参数分别传输到对应接口 的 D/A脉冲电流产生电路， 产生脉冲波， 对该穴位进行针灸。
[权利要求 6] 根据权利要求 5所述的支持多路输出的循证针灸经穴治疗与检测仪 使用方法， 其特征在于： 所述的使用方法还包括一个中医经络腧 穴知识査询步骤， 用户在使用过程中随吋査看人体经络穴位相关 知识。
[权利要求 7] 根据权利要求 5所述的支持多路输出的循证针灸经穴治疗与检测仪 使用方法， 其特征在于： 所述的使用方法还包括一个显示步骤和 语音播报步骤， 所述的显示步骤即滚动显示各个接口的电阻检测 值、 治疗步骤、 电子脉冲波参数和图片或文字提示； 所述的语音 播报步骤即在通过语音方式提醒用户针灸参数设置、 针灸穴位和 针灸吋间。
[权利要求 8] 根据权利要求 5所述的支持多路输出的循证针灸经穴治疗与检测仪 使用方法， 其特征在于： 所述的步骤 S2中的电阻检测采用交流四 电极法。
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