抑郁症中医证候诊断标准研究

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1、北京中医药大学BEIJINGUNIVERSITYOFC艇INESEMEDICINE博士研究生学位论文题目：抑郁症中医证候诊断标准研究专业：中西医结合熬础研究方鹿：流行瘸与卫生统计学媾士生：吴崇魅导鄹：胡立胜教授陈家超教授二00六年五胄抑郁瘟中医证候诊断标准研究蹀、善悲易懿是由心赢虚所致：注意障碍、记忆障碍是由脾气虚所致；疑病、易激惹鼹由火所致。(6)新建立的抑郁瘢中医证候诊断标准是有科学性和临床实用性的一标准主题词：单证双西分法癸ROC曲线法先验概率法抑郁症隐变量分析证候诊断墨墨楚墨!ABSTRACTObjectiveThisstudyisaimedtoexplorenewgoodmethod

2、sforstudyondiagnosticcriteriaofTraditionalChineseMedicine(TCM)syndrome，buildanewdiagnosticcriteriaofTCMsyndromefordepression，anddeveloptheTCMtheoryonpsychiatricsymptomsofdepression．§lethod(t)Analyzetheadvantagesanddisadvantagesoftakingsyndrometypesasthestudyunit，seekmoreapplicableunitinstudyondiagno

3、sticcriteriaofTCMsyndrome．(2)AnalyzethedisadvantagesofoldmethodstodetermineweightcoefficientinDelphimethod，considotingthecharacteristicsofdiagnostiecriferieofTclfsmdro呜exploreaJ】eⅣmethodtodeterminemeightcoefficiont。(3)AnalyzetheshortcomingsofstatisticalanalysisusedinstudyondiagnosticcriteriaofTCMsyn

4、drome，searchmorefeasiblestatisticalanalysiSmethod．(4)Byepidemiologysurvey，collectdataonfourexamination：takesinglesyndromeasthestudyunit；buildtheinitialsyndrome—symptomrelationshipmodelthroughexpertquestionnaire：verifYandmodifythesyndrome—symptomrelationshipmodel，andthendevelopthefinalsyndrome—sympto

5、mrelationshipmodelthroughlatentvariableanalysis：determinethediagnosticcriticalvaluebyquasiRoecurve．Thus，buildthediagnosticcriteriaofsingleTCMsyndromefordepression。(辩DiscusstheTCMpathomechanismofpsychiatricsNnptomsofdepression．Result(1)Todecreasedimensionsandincreasesyndrometypes，andatthesa／fletimeav

6、oidtheproblemofuncertaintyofsyndrometypes，anewstudytinit，singlesyndromeisrecorr目aended。(2)Putforw'ardanewmethod。doublepercentmethod￡odeterminesymptomweightcoeffieientinstudyondiagnosticcriteriaofTCMsyndromewithDelphimethod．(3)Analyzetheshortcomingsoflogisticregression。discriminantanalysis，factoranal

7、ysis，principalcomponentanalysis，clusteranalysis，dataminingusedinstudyondiagnosticcriteriaofTCMsyndrome，fullmodeloflatentvari曲leanalysisisrecommendedtodeterminethesyndrome—symptomrelationshipandsymptom