맥진기 결과에 대한 판독자간의 판독 일치율 비교 연구 = Comparative Studies on the Concordance Rate of Pulse Condition Interpretation between Interpreters and Pulse Analyser

다국어 초록 (Multilingual Abstract)

Objectives: The purpose of our investigation is to determine degrees of concordance rate among interpreters. Furthermore, we have examined how much concordance rate to come out when beginners have been compared with the pulse analyzer. Methods: Thirty-nine volunteers were enrolled for this study. These subjects took a 5-minute rest in a sitting position as instructed by the protocol. As they were not allowed to move or speak, radial artery pulse conditions were measured on the lower arm of each subject by means of the pulse analyzer under investigation. Two Korean medical doctors, who did not know the status of default pulse conditions, were also instructed to intuitively choose the most corresponding one in comparison with 13 default pulse conditions. Subsequently, we investigated results between interpreters as well as results between interpreter and pulse analyzer. Results: The total concordance rate, with similar concordance rates being included, between interpreters, between interpreter A and pulse analyzer, and between interpreter B and pulse analyzer was 56.4%, 79.5%, and 71.8% respectively. In faint·fine·weak pulse(微細弱脈) case, interpreter A and B selected 6 and 7 cases respectively, matched the concordance rate 5, and corresponded separately with the pulse analyzer interpreting 8 cases. Conclusions : In case of skipping pulse 2(促2脈), short pulse(短脈), faint·fine·weak pulse(微細弱脈), the concordance between interpreters also matches with results drawn from the pulse analyzer. The concordance rate goes higher in proportion with such smaller pulse conditions as faint·fine·weak pulse(微細弱脈) and short pulse(短脈).

참고문헌 (Reference)

1 김은혜, "희수식 전자 맥진기의 재조명" 18 (18): 37-45, 2009

2 이전, "한의사 맥진 가압력 재현에 대한 고찰" 한국한의학연구원 14 (14): 113-119, 2008

3 김석하, "전자맥진기의 맥상과 고전의 제맥체상에 관한 연구(Ⅰ)" 13 (13): 37-45, 2009

4 유현희, "문헌을 통한 맥상의 물리적 요소 분석" 대한동의병리학회 21 (21): 1381-1387, 2007

5 김종열, "맥진기의 문제점과 개선방안에 관한 연구" 3 (3): 28-36, 1999

6 김재욱, "맥진 알고리즘 개발" 37 (37): 32-41, 2010

7 하인영, "맥의 빠르기, 크기, 깊이에 관한 전통맥진과 기기측정 맥진의 비교 연구" 경락경혈학회 28 (28): 23-37, 2011

8 이주호, "맥상 분류 기준에 대한 방법론적 고찰-瀕湖脈學을 중심으로-" 10 (10): 49-61, 2004

9 한봉재, "脈診에 관한 圖像 연구" 한국한의학연구원 15 (15): 101-109, 2009

10 許浚, "東醫寶鑑" 南山堂 292-, 2009

11 이향숙, "A Pilot Study on Reliability of Pulse Diagnosis in Eight-Constitution Medicine" 경락경혈학회 22 (22): 1-8, 2005

12 강희정, "A Comparative Study of Methods of Measurement of Peripheral Pulse Waveform" 대한한의학회 30 (30): 98-105, 2009

13 강희정, "3차원 로봇 맥 영상 분석기의 5단계 가압 맥파 분석에 의한 고혈압 환자의 현맥(弦脈) 연구" 경락경혈학회 27 (27): 1-12, 2010