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慢性疲劳综合征定量诊断模型的研究
引用本文:康明祥,贾红,袁婉丽.慢性疲劳综合征定量诊断模型的研究[J].实用中医内科杂志,2009,23(3).
作者姓名:康明祥  贾红  袁婉丽
作者单位:1. 泸州医学院附属医院,四川泸州,646000
2. 泸州医学院,四川泸州,646000
摘    要:目的]根据慢性疲劳综合征(chronic fatigue syndrome CFS)的中医分型,探讨CFS中医证候的诊断规律。方法]收集泸州地区3个医院的441例CFS患者四诊信息,并根据专家诊断的中医证型,采用多元统计分析,建立了判别分析函数。结果]筛选出耳鸣、肌肉或关节痛、烦躁易怒等17项对CFS证候诊断有影响(P<0.05)的症状,建立了中医诊断慢性疲劳综合征的判别函数。经验证,一致性好(Kappa值为0.904),判断正确率达到93.7%。结论]所建立的判别函数能够提高CFS中医辫证分型的客观性和准确性,可帮助指导慢性疲劳综合征专家辅助诊断系统的建立,有较好的应用前景。

关 键 词:慢性疲劳综合征  中医证型  判别分析

Study on the Quantitative Diagnosis Model of the Chronic Fatigue Syndrome
Authors:Kang Ming-xiang  Jia Hong  Yuan Wan-li
Institution:1(1.The Affiliated Hospital of Luzhou Medical College; Luzhou 646000; Sichuan; China; 2.Luzhou Medical College; China);
Abstract:Objictive] To improve the objectivity and accuracy of TCM diagnosis of chronic fatigue syndrome(CFS).Methods]441 cases of CFS patients in three Luzhou s hospitals were colleted to made a multi statistical analysis of symptom variables and establish the discriminant function,basing on TCM expert diagnosis.Results]17 variables were obtained from symptoms by the way of stepwise discriminative analysis(P<0.05)including tinnitus and muscle or joint pain,ect.The TCM syndrome discriminative function was acco...
Keywords:chronic fatigue syndrome  traditional chinese medicine syndrome  discriminative analysis
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