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강병갑(Byoung Kab Kang),이정섭(Jung Sup Lee),김소연(So Yeon Kim),최선미(Sun Mi Choi),고미미(Mi Mi Ko),김정철(Jeong Cheol Kim),권세혁(Hyug Kwon),방옥선(Ok Sun Bang) 한국자료분석학회 2009 Journal of the Korean Data Analysis Society Vol.11 No.6
본 연구에서는 한의 변증 표준화를 위한 연구의 일환으로 수집된 임상자료를 이용하여 변증을 보다 객관적으로 변별할 수 있는 주요 지표를 도출하고 이를 이용하여 변증 판별모형을 개발하고자 하였다. 중풍 발병 1개월 이내의 환자를 대상으로 변증 임상자료를 수집하였으며, 임상 경험이 3년 이상인 전문가 2인의 변증이 일치하는 1,448개 임상자료를 분석에 사용하였다. 61개 지표 중에서 단계별선택법을 통해 4개 변증의 진단에 유의한 지표 33개를 선택하였으며, 이 지표들을 사용하여 변증 판별모형(IV)을 개발한 후, 개발된 모형의 진단 정확률과 예측 정확률을 분석하였다. 판별 모형(IV)으로 1,159개 임상자료를 사용하여 개발된 변증 판별 모형(III)과 (IV)에 의한 4개 변증의 진단 정확률은 73.68%(854/1,159)였으며, 289개로 분석한 예측 정확률은 70.59% (204/289)로 나타났다. 변증 진단 판별모형(IV)의 진단 정확률은 각각74.89%, 73.68%이고, 예측 정확률은 각각 69.90%, 70.59%로 유사하였다. In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. As a part of researches for standardization and objectification of differentiation of syndromes for stroke, in this present study, we tried to develop the statistical diagnostic tool discriminating the 4 subtypes of syndrome differentiation using the essential indices. Discriminant analysis was carried out using clinical data collected from 1,448 stroke patients who was identically diagnosed for the syndrome differentiation subtypes diagnosed by two clinical experts with more than 3 year experiences. Empirical discriminant model(IV) was constructed using 33 significant symptoms and sign indices selected by stepwise selection. The overall diagnostic accuracy and prediction rate of 4 syndrome differentiation subtypes for discriminant model (III) and (IV) were almost same as 74.89%, 73.68%, 69.90% and 70.59%, respectively.
문진석,강병갑,강경원,심우진,신미숙,최선미,Moon, Jin-Seok,Kang, Byung-Kab,Kang, Kyung-Won,Shin, Woo-Jin,Shin, Mi-Sook,Choi, Sun-Mi 한방비만학회 2008 한방비만학회지 Vol.8 No.1
Objectives We have investigated a questionnaire on syndrome differentiation pertaining to obesity. To calculate data from this questionnaire, we can simply sum up the degree of symptoms. However, this does not reflect the difference in contribution of syndrome differentiation. In order to improve the level of precision of this questionnaire, we gather the weight of each symptom from experts and apply them to overweight persons. Method Nine Experts from The Society of Korean Medicine for Obesity Research nominated weights for the symptoms. We created a program based on weight survey results and applied to 1487 overweight persons and 26 oriental medical doctors. The concordance rate between the result obtained from the oriental medical doctors and that obtained using three methods was analyzed. Results 1. The reliability of this questionnaire is very high (Cronbach' ${\alpha}$=0.963). 2. The concordance level between diagnosis by oriental medical doctors and the result of general calculation is 0.347, between diagnosis by oriental medical doctors and the result of weighted calculation by syndrome differentiation is 0.362, between diagnosis by oriental medical doctors and the result of weighted calculation by symptoms is 0.1. Conclusions Weighted calculation by syndrome differentiation is relative more appropriate among three methods studied.
한국형 중풍 변증 표준시안의 습담 변증 지표에 대한 연구
조현경,김중길,강병갑,유병찬,백경민,이인,최선미,설인찬,Jo, Hyun-Kyung,Kim, Joong-Kil,Kang, Byeong-Kab,Yu, Byeong-Chan,Baek, Kyung-Min,Lee, In,Choi, Sun-Mi,Seol, In-Chan 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.1
Objectives : This study was done to investigate clinical frequency and correlation among the indicators of dampness-phlegm pattern identification settled by tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke. Methods : The subjects were 147 hospitalized patients with stroke, and a list of registry was made for each of them. Among the five types of pattern identification, fire-heat, dampness-phlegm, blood-stasis and deficiency of Qi and of Yin, those that have shown a high frequency in dampness-phlegm type were categorized as the dampness-phlegm pattern group. Frequency of dampness-phlegm indicators was compared with those from the non-dampness-phlegm pattern group. Correlations among dampness-phlegm indicators were also studied. Results : 1. Dampness-phlegm pattern group included 26 patients out of 147. 2. Among the indicators of dampness-phlegm pattern. those, in order of highest frequency, were 'tiredness or sluggishness', 'white Coated tongue' and 'sputum'. 3. In comparing dampness-phlegm pattern group with non-dampness-phlegml group, the indicators such as 'lightheadedness', 'nigrescence', 'sputum', 'dermatic dysaesthesia' showed significantly high frequency. 4. Among the indicators, 'sputum' and 'tiredness or sluggishness', 'sputum' and 'yellow coated tongue', and 'white coated tongue' and 'yellow coated tongue' showed significant correlation. 5. In investigation of the correlation of scale in symptoms, various results such as positive correlation and negative correlation were obtained. Conclusion : In this study, more sensitive indicators of dampness-phlegm pattern identification were found. Based on these results, it is suggested that a more practical Korean Standard Differentiation of the Symptoms and Signs of Stroke would be established through continuous clinical studies by giving weight on each specific type of pattern identification.
문진석 ( Jin Suk Moon ),강병갑 ( Byung Gop Kang ),류은경 ( Eun Kyung Ryu ),최선미 ( Sun Mi Choi ) 한방비만학회 2007 한방비만학회지 Vol.7 No.1
The aim of the study was to investigate the principal symptoms and a syndrome differentiation in the obesity using surveys from Oriental medical doctors and obese patients. Methods : Seventy three Oriental medical doctors who participated in the 2006 autumn annual conference of Korean Oriental Association for Study of Obesity and 243 obese patients responded to the survey. Results : Twenty nine percent of Oriental medical doctors replied that the syndrome differentiation is the most important diagnosis index, and 21 percent of them replied they use Sasang Constitution classification during diagnostic process. The syndrome differentiations used were mainly phlegm-fluid, blood stasis, spleen vacuity, food accumulation, damp phlegm, and Gi deficiency order. In the response of doctors and patients about principle symptoms of 6 syndrom differentiation belong inside 5 place except phlegm fluid and liver stasis Conclusions : We should develop syndrome differentiation questionnaire about obese symptoms.