Identification and classification of traditional Chinese medicine syndrome types among senior patien

来源 :结合医学学报(英文版) | 被引量 : 0次 | 上传用户:sffntm
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
OBJECTIVE:To treat patients with vascular mild cognitive impairment (VMCI) using traditional Chinese medicine (TCM),it is necessary to classify the patients into TCM syndrome types and to apply different treatments to different types.In this paper,we investigate how to properly carry out the classification for patients with VMCI aged 50 or above using a novel data-driven method known as latent tree analysis (LTA).METHOD:A cross-sectional survey on VMCI was carried out in several regions in North China between February 2008 and February 2012 which resulted in a data set that involves 803 patients and 93 symptoms.LTA was performed on the data to reveal symptom co-occurrence patts,and the patients were partitioned into clusters in multiple ways based on the patts.The patient clusters were matched up with syndrome types,and population statistics of the clusters are used to quantify the syndrome types and to establish classification rules.RESULTS:Eight syndrome types are identified:Qi deficiency,Qi stagnation,Blood deficiency,Blood stasis,Phlegm-dampness,Fire-heat,Yang deficiency,and Yin deficiency.The prevalence and symptom occurrence characteristics of each syndrome type are determined.Quantitative classification rules are established for determining whether a patient belongs to each of the syndrome types.CONCLUSION:A solution for the TCM syndrome classification problem for patients with VMCI and aged 50 or above is established based on the LTA of unlabeled symptom survey data.The results can be used as a reference in clinic practice to improve the quality of syndrome differentiation and to reduce diagnosis variances across physicians.They can also be used for patient selection in research projects aimed at finding biomarkers for the syndrome types and in randomized control trials aimed at determining the efficacy of TCM treatments of VMCI.
其他文献
期刊
一天,张先生参加了朋友请吃的海鲜宴,回家后不久,便感觉身体不适,出现了皮肤发痒、头晕发烧、呼吸困难、心律不齐,甚至连他以前患过的高血压、心绞痛的老毛病也出现了。家人急忙把他送到医院,经医生诊断,张先生因食物过敏而导致“心脏荨麻疹”。  食物过敏为什么会危及心脏呢?张先生及家人“丈二和尚摸不着头脑”,心里直纳闷。在诊室里,刘教授向其家人作了详细介绍,他说,食物过敏,心脏受损,这是医生们的一句行话。在
Research on acupuncture has been muddled by attempts to bridge the ancient with the modem.Barriers to effectiveness research are reflected in recurring conflict
There had been no standardized rules for citing ethical Kampo products used in clinical trials in journal articles. Although the name of a Kampo manufacturer wa
Cupping (Hijama in Arabic) is an ancient,holistic method for the treatment of a variety of diseases.Though the exact origin of cupping therapy is a matter of co
人们一般认为一个人一旦被诊断为癌症,就是判了“死刑”。但是,随着新疗法的涌现,这种情况正在改变。下面就来举几个例子:  (1)我们都知道,放疗是杀死癌细胞最有效的方法之一。但是传统放疗不光杀死癌细胞,而且也攻击周围的非癌细胞,引起诸如恶心、器官损害甚至瘫痪等副作用。现在,一种更精确的叫做“强度调节放射疗法(IMRT)的新方法,可以使射线更精确地集中到杀伤目标上,从而大大增加剂量以提高疗效,同时减少