基于四诊合参辅助诊疗系统抑郁症诊断研究.docVIP

基于四诊合参辅助诊疗系统抑郁症诊断研究 　　摘要：目的 以中医理论为基础，将可获取的人体诊断信息整合为基于主客观联合辨证、以数据形式表达的中医四诊信息，形成多信息融合的开放性中医诊疗平台，为促进抑郁症诊疗技术的发展提供启示。方法 根据纳入标准选取30例抑郁症患者、30例正常人，使用四诊合参辅助诊疗仪采集四诊信息，运用统计软件进行脉诊结果分析，并进行数字化舌诊与闻诊信息特征研究。结果 正常组脉率、流利度、心率稍高于抑郁症组，但差异无统计学意义（P0.05）；正常组与抑郁症组脉律、力度、弦紧度、脉搏波传导速度比较差异均有统计学意义（P0.05）。30例抑郁症患者共有6种证型：心胆气虚型（8例）、痰热内扰型（6例）、阴虚火旺型（6例）、肝郁化火型（6例）、心火炽盛型（3例）、心脾两虚型（3例）。结论 脉图参数差异结果与中医经典脉学理论基本相符，脉搏波传导速度差异结果符合现代医学研究结论。四诊合参辅助诊疗技术可实现动态检测抑郁症患者的数字化四诊信息，建立基于数字化四诊合参的抑郁症诊疗方法。 　　关键词：四诊合参；主客观联合辨证；抑郁症；诊断研究 　　DOI：10.3969/j.issn.1005-5304.2015.05.006 　　中图分类号：R277.794.1；R241.2 文献标识码：A 文章编号：1005-5304（2015）05-0016-04 　　Abstract：Objective Base on the theory of traditional Chinese medicine （TCM）， obtained human diagnostic information available for joint syndrome differentiation is integrated based on subjective and objective combined syndrome differentiation， in the form of data expression of TCM four diagnosis， forms multiple information fusion of open platform for TCM diagnosis and treatment， and provides some revelation for promoting the development of depression and treatment technology. Methods Totally 30 depression patients and 30 normal people were selected according to the inclusion criteria. TCM four diagnostic and auxiliary diagnosis instrument was used to collect information of four diagnosis， and the statistical software was used for the analysis on pulse diagnosis， and information features of digitalized tongue and listening diagnosis of patients in depression group and normal group were studied. Results Compared with depression group， pulse frequency， fluency， and heart rate of normal group were a bit higher than depression group， without statistical significance （P0.05）；There was statistical significance among pulse frequency， strength， tightness， and pulse wave velocity between the normal group and depression group （P0.05）. 30 patients had 6 depression syndrome types：heart-gallbladder qi deficiency （8 cases）， phlegm-heat attacking internally （6 cases）， fire excess from yin deficiency （6