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전문가 변증과정을 반영한 중풍 변증 판별모형

Discriminant Model for Pattern Identifications in Stroke Patients Based on Pattern Diagnosis Processed by Oriental Physicians

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초록

In spite of many studies on statistical model for pattern identifications (PIs), little attention has been paid to the complexity of pattern diagnosis processed by oriental physicians. The aim of this study is to develop a statistical diagnostic model which discriminates four PIs using multiple indicators in stroke. Clinical data were collected from 981 stroke patients and 516 data of which PIs were agreed by two independent physicians were included. Discriminant analysis was carried out using clinical indicators such as symptoms and signs which referred to pattern diagnosis, and applied to validation samples which contained all symptoms and signs manifested. Four Fischer's linear discriminant models were derived and their accuracy and prediction rates were 93.2% and 80.43%, respectively. It is important to consider the pattern diagnosis processed by oriental physicians in developing statistical model for PIs. The discriminant model developed in this study using multiple indicators is valid, and can be used in the clinical fields.

Abstract

In spite of many studies on statistical model for pattern identifications (PIs), little attention has been paid to the complexity of pattern diagnosis processed by oriental physicians. The aim of this study is to develop a statistical diagnostic model which discriminates four PIs using multiple indicators in stroke. Clinical data were collected from 981 stroke patients and 516 data of which PIs were agreed by two independent physicians were included. Discriminant analysis was carried out using clinical indicators such as symptoms and signs which referred to pattern diagnosis, and applied to validation samples which contained all symptoms and signs manifested. Four Fischer's linear discriminant models were derived and their accuracy and prediction rates were 93.2% and 80.43%, respectively. It is important to consider the pattern diagnosis processed by oriental physicians in developing statistical model for PIs. The discriminant model developed in this study using multiple indicators is valid, and can be used in the clinical fields.

참고문헌 (5)

  1. 한의진단명과 진단요건의 표준화연구(1), "한국한의학연구원", 한국한의학연구원, 3~ (1995)
  2. 강병갑, "중풍 변증 모델에 의한 진단 정확률과 예측률 비교", 동의생리병리학회지, 23(5), pp.938~941 (2009), 대한동의병리학회
  3. 성웅현, "응용 다변량분석", pp.255~263 (1997), 탐진
  4. 신양규, "중풍의 증형 진단을 위한 판별모형", Journal of Statistical Theory and Methods, 7, pp.283~287 (1996)
  5. 강병갑, "중풍의 변증진단을 위한 판별모형", 한국한의학연구원논문집, 13(2), pp.59~64 (2007)

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