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基于Fisher判別分析的多囊卵巢綜合征中醫(yī)證候分布規(guī)律

Distribution regularity of TCM syndromes in patients withpolycystic ovary syndrome based on Fisher discriminant analysis

作者: 章浩偉  孫洋洋  劉穎  王子楠 
單位:上海理工大學(xué)醫(yī)療器械與食品學(xué)院(上海200093)
關(guān)鍵詞: 中醫(yī)證候;辨證分型;多囊卵巢綜合征;二次分型;Fisher判別分析;回歸分析;性激素 
分類號(hào):R318.04;R271.9
出版年·卷·期(頁碼):2017·36·1(82-86)
摘要:

目的 多囊卵巢綜合征(polycystic ovary syndrome,PCOS)屬慢性排卵功能障礙性疾病,以高雄激素血癥及持續(xù)無排卵為特征。本文探討Fisher判別分析(Fisher discriminant analysis,F(xiàn)DA)方法在多囊卵巢綜合征中醫(yī)證候分布規(guī)律中的應(yīng)用以及證型與性激素水平的關(guān)系。方法 中醫(yī)診斷PCOS患者62例,臨床辨證分為3組,其中包括腎虛證組21例、腎虛痰阻證組22例及腎虛肝郁證組19例。證型包括單證和兼夾證,需要采用二次分型的方法。先運(yùn)用Logistic回歸法將腎虛證分離出來,再運(yùn)用Fisher判別分析法對(duì)剩余的兼夾證進(jìn)行第二次分類。運(yùn)用統(tǒng)計(jì)學(xué)方法分析證型與性激素水平的相關(guān)性。結(jié)果 Fisher判別分析法對(duì)PCOS 兼夾證的分型的正確率為87.8%。腎虛痰阻證組黃體生成素(luteinizing hormone,LH)顯著高于腎虛肝郁證組(P<0.05),腎虛肝郁證組泌乳素(prolactin,PRL)顯著高于腎虛痰阻證組(P<0.05)。結(jié)論 Fisher判別函數(shù)模型檢驗(yàn)結(jié)果與實(shí)際情況吻合良好,可以作為一種輔助工具來幫助研究PCOS中醫(yī)證候分布規(guī)律。PCOS證型與性激素變化有相關(guān)性。

Objective Polycystic ovary syndrome (PCOS) is a chronic ovulation disorders and is characterized by hyperandrogenism and continuous anovulation. The objective is to discuss the application of Fishier discriminant analysis (FDA) on Chinese medicine syndrome type distribution in patients with PCOS and the relationship with sexual hormones between the symptoms. Methods Chinese medicine syndrome types of 62 PCOS patients were differentiated,including 21 cases with kidney deficiency syndrome,22 cases with kidney deficiency and phlegm stagnation syndrome and 19 cases with kidney liver depression syndrome. These cases covered single symptoms,accompanied symptoms and are separated with the method of twice grouping. The cases with kidney deficiency syndrome were separated with Logistic regression first,and then the remaining accompanied symptoms were for the second classification with Fishier discriminant analysis method. The correlation on sex hormones between the symptoms was analyzed with statistical method. Results Fishier discriminant analysis was used for the separation of accompanied symptoms and the correct rate was 87.8%. The luteinizing hormone (LH) level was significantly higher in the groups of kidney deficiency and phlegm stagnation syndrome than in the group of kidney liver depression syndrome(P<0.05)and the prolactin (PRL) level was significantly higher in the group of kidney liver depression syndrome than in the group of kidney deficiency and phlegm stagnation syndrome (P<0.05). Conclusions The test results of Fisher discriminant function model are in good agreement with those obtained from the actual situation,and may be used as an auxiliary tool for the exploration on Chinese medicine syndrome type distribution in patients with PCOS. There is a correlation between syndrome type and sexual hormone levels.

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