人體表面積資料庫與估算公式之建立

The Establishment of Human Body Surface Area Database and Estimation Formula

林靜華(Ching-Hua Lin)

指導教授 ： 游志雲

國立清華大學/工學院/工業工程與工程管理學系/博士(2010年)

摘要

本研究的目的是利用3D掃瞄資料建立人體表面積(Body Surface Area, 以下簡稱BSA)資料庫，發展BSA估算公式，及修正Lund和Browder圖表。樣本數為男女各135人。為使樣本的分佈具代表性，抽樣方法依據過去的大型資料庫分層為5種身高級距及3種體重級距。量測儀器使用工研院開發的3D人體掃瞄儀及高解析度的手/腳掃瞄儀，而BSA及人體肢段表面積(Segmental Body Surface Area, 以下簡稱SBSA)計算的演算法是加總三角網格資料的所有三角形面積；其所得之BSA的精確度小於1%。資料庫中BSA、16肢段SBSA及NSBSA(Normalized Segmental Body Surface Area, 以下簡稱NBSA)的呈現分為15分層的男性、女性及總合(結合男、女兩性的資料)。經比較分析，本研究的BSA資料與Du Bois和Du Bois的樣本相當，但小於Tikuisis 等人的數據，可能是由於樣本的身體尺寸差異所致。新發展的BSA估算公式為 , 經比較分析，其估算誤差較Du Bois 和 Du Bois的小，且顯著地優於其他6個公式。而Du Bois 和 Du Bois的公式則僅顯著地優於Boyd 公式及Haycock等人公式。資料庫中的NSBSA資料，經與Lund和Browder圖表比較後，其差異最大為2.30%。修正後的新Lund和Browder圖表分為總合圖表、男性圖表及女性圖表來呈現，以供不同需要之參考。

關鍵字

人體表面積(BSA) ； 人體肢段表面積(SBSA) ； 3D人體掃瞄儀 ； Du Bois和Du Bois公式 ； Lund和Browder圖表

並列摘要

This study was aimed to establish a body surface area (BSA) database, to derive a height-weight BSA estimation formula, and to revise the normalized segmental body surface area (NSBSA) of Lund and Browder chart based on three dimensional (3D) scan data. For each gender, 135 subjects were drawn. The sampling was stratified in five stature heights and three body weights according to a previous survey. The 3D body surface shape was measured using an innovated 3D body scanner and a high resolution hand/foot scanner, the BSA and segmental body surface area (SBSA) were computed based on the summation of every tiny triangular area of triangular meshes of the scanned surface; and the accuracy of BSA measurement is below 1%. The results of BSA and sixteen SBSAs were tabulated in fifteen strata for the male, the female and the total (two genders combined). The comparison of BSA shows that the BSA of this study is comparable with the Du Bois and Du Bois’ but smaller than that of Tikuisis et al. The difference might be attributed to body size difference between the samples. A new BSA estimation formula, , was obtained. An accuracy test showed that this formula has smaller estimation error than that of the Du Bois and Du Bois’; and significantly better than other six BSA estimation formulae. To revise new Lund and Browder chart, the NSBSA data was used. The comparison of NSBSA shows that the differences of NSBSA between this study and the Lund and Browder chart can be high up to 2.30 %BSA. The new Lund and Browder chart for the Total, the Male and the Female are offered for reference.

並列關鍵字

Body Surface Area (BSA) ； Segmental Body Surface Area (SBSA) ； 3D Body Scanners ； Du Bois and Du Bois’ Height-Weight Formula ； Lund and Browder Chart

參考文獻

1. Aswegen A, Marais J, Jansen SE, Otto AC, Lotter MG. A Comparison of Glomerular Filtration Rate Values Determined Using Four Radionuclide Techniques in Healthy Volunteers. Engineering in Medicine and Biology Society, the Proceedings of the 22nd Annual International Conference of the IEEE, 07/23-07/28, 2000.

2. ATLS Advanced trauma life support. 6th edition. Chicago: American College of Surgeons, 1997, pp.276.

3. Banerjee S, Sen R. Determination of the surface area of the body of Indians, J Appl Physiol 7:585-588, 1955.

4. Banerjee, S., Bhattacharya, A. K. Determination of Body Surface Area in Indian Hindu Children. Journal of Applied Physiology, 16(6): 969-970, 1961.

5. Benedict, F. G. A photographic Method for Measuring the Surface Area of the Human Body. The Journal of Physiology, Volume 41, pp. 275-291, 1916.