[[alternative]]The Short Term Effects of Far-infrared Rays on Factors of Bone Mineral Density and Disturbed Symptoms of Postmenopausal Women

[[abstract]]本研究目的係探討遠紅外線腧穴熱敷照護措施對停經後婦女症狀困擾及骨質密度（T-score）與血清雌二醇（E2）、血清骨鈣素（S-OC）之成效影響。採類實驗性研究設計，以桃園市某社區停經後健康婦女（年齡在50-64歲）為研究對象，實驗組21位，控制組21位。實驗組提供遠紅外線腧穴熱敷於督脈及膀胱經，每週兩次，每次20分鐘，連續10週，共20次；而對照組則不施與任何措施。測量工具包含個人基本屬性調查表、更年期症狀困擾調查表、腳跟骨骨質密度、血清雌二醇及骨鈣素檢測值。統計資料使用SPSS12.0套裝軟體進行分析，以卡方檢定、無母數Mann-Whitney U檢定、無母數Wilcoxon Signed Ranks檢定及斯皮爾曼相關（Spearman’s Correlation）加以分析處理。研究結果顯示：一、實驗組經遠紅外線腧穴熱敷照護措施後，於前後測雌二醇含量及更年期症狀困擾變化達統計上顯著差異。二、介入遠紅外線腧穴熱敷照護措施後，兩組更年期症狀困擾前後測差異變化率有統計上顯著差異。三、控制組前後測差異變化率之骨質密度（T-score）與血清雌二醇（E2）間達統計上顯著正相關。整體而言，遠紅外線腧穴熱敷照護措施對提高血清雌二醇無效果，但可改善停經後婦女不適症狀困擾問題。因此，可作為停經後婦女因不適症狀且不願接受藥物治療者另一項替代照護之參考。建議未來研究者可在本研究基礎下，來探討遠紅外線腧穴熱敷照護措施於其他疾病之適用範疇及實證護理成效之評值。[[abstract]]OBJECTIVES：To evaluate the short-term effects of Far-infrared Rays on bone mineral density(BMD), estradiol( E2), serum osteocalcin ( S-OC) for the postmenopausal women.RESERCH DESIGN AND METHODS：The study subjects were 42 postmenopausal women aged from 50 to 64 years. We divided into two groups, one is experimental group（n=21）who were treated with far-infrared rays（FIR）on the acupunctural point of DU meridian and urinary bladder meridian of foot-taiyang for 20 minutes（400C）, twice one week for 10 weeks. And the other is placebo group（n=21）who not do anything. Quantitative calcaneus ultrasound was used to measure bone mineral density. Serum estradiol（E2）and osteocalcin（S-OC）were collected, and their Disturbed Symptoms were surveied. Datas were analyzed using spss 12.0 for windows . RESULTS：（1）E2 data and disturbed symptoms of Postmenopausal were significantly in experimental group before and after test.（2）The result of variety in postmenopausal disturbed symptoms were significantly between groups.（3）The relationship between E2 and T-score was significantly positive correlated in placebo group.CONCLUSIONS：FIR showed significant effects in relieing postmenopausal women disturbed symptoms, but there are not significant effect in E2,, S-OC and T-score