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基于脉象参数的冠心病辨证研究。

Research on zheng classification fusing pulse parameters in coronary heart disease.

机构信息

Laboratory of Information Access and Synthesis of TCM Four Diagnostic, Center for TCM Information Science and Technology, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

出版信息

Evid Based Complement Alternat Med. 2013;2013:602672. doi: 10.1155/2013/602672. Epub 2013 Apr 30.

DOI:10.1155/2013/602672
PMID:23737839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3657409/
Abstract

This study was conducted to illustrate that nonlinear dynamic variables of Traditional Chinese Medicine (TCM) pulse can improve the performances of TCM Zheng classification models. Pulse recordings of 334 coronary heart disease (CHD) patients and 117 normal subjects were collected in this study. Recurrence quantification analysis (RQA) was employed to acquire nonlinear dynamic variables of pulse. TCM Zheng models in CHD were constructed, and predictions using a novel multilabel learning algorithm based on different datasets were carried out. Datasets were designed as follows: dataset1, TCM inquiry information including inspection information; dataset2, time-domain variables of pulse and dataset1; dataset3, RQA variables of pulse and dataset1; and dataset4, major principal components of RQA variables and dataset1. The performances of the different models for Zheng differentiation were compared. The model for Zheng differentiation based on RQA variables integrated with inquiry information had the best performance, whereas that based only on inquiry had the worst performance. Meanwhile, the model based on time-domain variables of pulse integrated with inquiry fell between the above two. This result showed that RQA variables of pulse can be used to construct models of TCM Zheng and improve the performance of Zheng differentiation models.

摘要

本研究旨在说明中医(TCM)脉象的非线性动力学变量可以提高 TCM 证分类模型的性能。本研究共采集了 334 例冠心病(CHD)患者和 117 例正常受试者的脉象记录。采用递归定量分析(RQA)获取脉象的非线性动力学变量。构建了 CHD 的 TCM 证模型,并使用基于不同数据集的新型多标签学习算法进行了预测。数据集设计如下:数据集 1,中医问诊信息,包括检查信息;数据集 2,脉象时域变量和数据集 1;数据集 3,脉象 RQA 变量和数据集 1;数据集 4,RQA 变量的主要主成分和数据集 1。比较了不同模型在 Zheng 分化方面的性能。基于 RQA 变量与问诊信息集成的 Zheng 分化模型具有最佳性能,而仅基于问诊的模型则表现最差。同时,基于脉搏时域变量与问诊信息集成的模型则介于上述两者之间。结果表明,脉象的 RQA 变量可用于构建 TCM Zheng 模型,并提高 Zheng 分化模型的性能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/102a/3657409/1828c5d1c918/ECAM2013-602672.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/102a/3657409/b684d5f8ce72/ECAM2013-602672.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/102a/3657409/3323fd832e8c/ECAM2013-602672.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/102a/3657409/1828c5d1c918/ECAM2013-602672.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/102a/3657409/b684d5f8ce72/ECAM2013-602672.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/102a/3657409/3323fd832e8c/ECAM2013-602672.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/102a/3657409/1828c5d1c918/ECAM2013-602672.003.jpg

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