腦梗死證候量化分級研究.pdf

1、南京中醫(yī)藥大學碩士學位論文腦梗死證候量化分級研究姓名：溫淑云申請學位級別：碩士專業(yè)：中醫(yī)內科學指導教師：酈永平20080501腦梗死證候量化分級研究QUANTIFIEDGRADEoFSYDROMEML刪IFE黟嘟’IONoFCEREBRALINFRACTIONABSTRACTObjectiveInthecaseof“modernizedstudyonsyndromedifferentiation—classificationilITCM

2、ofcerebralinfraction”discriminantequationsWereestablishedbyusingstepwisediscriminantanalysistogradeeveryTCMsyndromemanifestationofcerebralinfractioninordertoaccomplishcomputerizeddiagnosisforquantifiedgradeofcerebralinfr

3、actionThustoexploremethodsofmildmoderateandseveredegreeofeverysyndromemanifestation0fcerebralinfractionMethodsFirstlytoestablishsubordinatedatebasesofFengyusyndrome，OiXUsyndrome，Tanshisyndrome，HuoresyndromeandYinxusyndro

4、mefromthewholedatebasesof841casesfor‘modernizedstudyonsyndromedifferentiationclassificationinTCMofcerebralinfraction”aswellastransformeverysyndrometo0or1，thentogroupeverysyndrometypeintomild，moderateandseveredegree，asold

5、groups，nexttoestablishdisriminantequationsbymeansofDiscriminantAnalysisinSPSSll5，discriminantclassificationgroupswereclassifiednediscriminanteffectswereproofedbycrossvalidationandtwo—groupedsamples111erelationbetweendisc

6、riminantgradegroupsandclinicalgradegroupstestifiedbyKappacoefficientAlsoeffectofdiscriminantequationofFengyusyndromewasproofedfromthepointofpracticalclinicbygrading145newcasesofcerebralinfractionResultsDisriminantequatio

7、nsandthecontributivedegreesofsymptomtomild，moderateandseveregradeofsyndromemanifestationwereestablishedAnastomosisratesofdiscriminantgradegroupsandclinicalgradegroupsbyOwIIeSSvalidationmeansofFengyusyndromeQiXBsyndrome，T

8、an—shisyndrome，HuoresyndromeandYinXUsyndromebyCrossValidationwere975％，954％，955％，901％and901％，andthecrossvalidationonesoftheabovefivesyndromemanifestationswere963％，937％，932％，884％and901％whereastheprospectivevalidationonesof

9、Feng—yusyndrome，QiXUsyndrome，Tan—shisyndromebytwo—groupedsampleswere993％，8571％and8899％145newcasesweregradedbydiscriminantequationofFu—yusyndromeCasesofmilddegreewere28Casesofmoderateandseveredegreewere82and35respectively