本文選題：醫(yī)學(xué)指標(biāo)參考值 + 地理因素�。� 參考：《陜西師范大學(xué)》2010年碩士論文

【摘要】： 目的：一秒率、殘總百分比和功能殘氣量參考值是肺功能檢查的重要指標(biāo),常用于判斷氣流阻塞的程度,為疾病的診斷和防治提供依據(jù)。由于國內(nèi)外缺乏一秒率、殘總百分比和功能殘氣量參考值的統(tǒng)一標(biāo)準(zhǔn),嚴(yán)重影響了臨床診斷的準(zhǔn)確性。許多醫(yī)學(xué)工作者只是測定了某些地區(qū)的一秒率、殘總百分比和功能殘氣量參考值,有的只是簡單的描述了一秒率、殘總百分比和功能殘氣量參考值與地理因素的定性的關(guān)系,對于它們之間的專題化,定量化研究未見報道過。方法：本文選取有關(guān)地理文獻(xiàn)的六項地理指標(biāo),即為海拔高度、年日照時數(shù)、年平均氣溫、氣溫年較差、年平均相對濕度、年降水量作為影響因素進(jìn)行研究。探討了不同年齡、不同性別中國人的一秒率、殘總百分比和功能殘氣量參考值與其六項地理因素之間的關(guān)系。并以整個中國為研究區(qū)域,借助GIS中的地統(tǒng)計方法繪制出醫(yī)學(xué)指標(biāo)參考值的地理分布圖。 結(jié)果：本文利用因子分析的方法研究了老年前期男性一秒率參考值、中年男性殘總百分比參考值、老年男性殘總百分比參考值與地理因素的關(guān)系,建立了數(shù)學(xué)模型,同時利用數(shù)學(xué)模型預(yù)測出未知點的醫(yī)學(xué)指標(biāo)參考值。 老年前期男性一秒率參考值與地理因素之間的因子分析回歸模型為：Y=77.93-0.0004518X1-0.0005240X2+0.05639X3-0.01615X4+0.03800X5+0.0003352X6±4.333 中年男性殘總百分比參考值與地理因素之間的因子分析回歸模型為：Y=28.49-0.0007474x1-0.0002139x2+0.04396x3+0.03615x4+0.02961x5+0.0005054x6±4.552 老年男性殘總百分比參考值與地理因素之間的因子分析回歸模型為：Y=33.49-0.001319x1-0.0003431x2+0.09287x3-0.01044x4+0.04255x5 +0.001286x6±4.856 通過建立BP人工神經(jīng)網(wǎng)絡(luò),選取對醫(yī)學(xué)指標(biāo)參考值影響比較大的地理因素,研究了中年男性一秒率參考值、中年女性一秒率參考值、中年女性殘總百分比參考值、中年功能殘氣量與地理因素的關(guān)系。 研究中年男性一秒率參考值與地理因素的關(guān)系,選取年日照時數(shù)、年平均氣溫、氣溫年較差、年相對濕度及年降水量為輸入數(shù)據(jù),構(gòu)建BP人工神經(jīng)網(wǎng)絡(luò),訓(xùn)練次數(shù)為1500次時效果最好。 研究中年女性一秒率參考值與地理因素的關(guān)系,選取日照時數(shù)、年平均氣溫、氣溫年較差、年相對濕度、年降水量為輸入數(shù)據(jù),構(gòu)建BP人工神經(jīng)網(wǎng)絡(luò),訓(xùn)練次數(shù)為1200次時效果最好。 研究中年女性殘總百分比參考值與地理因素的關(guān)系,選取海拔高度、年日照時數(shù)、年平均氣溫、年相對濕度為輸入數(shù)據(jù),構(gòu)建BP人工神經(jīng)網(wǎng)絡(luò),訓(xùn)練次數(shù)為1500次時效果最好。 研究中年功能殘氣量與地理因素的關(guān)系,選取年日照時數(shù)、年平均氣溫、氣溫年較差、年相對濕度、年降水量為輸入數(shù)據(jù),構(gòu)建BP人工神經(jīng)網(wǎng)絡(luò),訓(xùn)練次數(shù)為700次時效果最好。 結(jié)論：以全國作為研究區(qū)域,選取全國4383個地區(qū)作為基礎(chǔ),利用數(shù)學(xué)模型或建立BP人工神經(jīng)網(wǎng)絡(luò)獲得未知點的醫(yī)學(xué)指標(biāo)參考值,借助于GIS地統(tǒng)計方法,繪制出醫(yī)學(xué)指標(biāo)參考值的地理分布圖。因此,如果知道了某一地區(qū)的地理因素值就可以通過數(shù)學(xué)模型或者建立BP人工神經(jīng)網(wǎng)絡(luò)獲得這一地區(qū)的醫(yī)學(xué)指標(biāo)參考值,也可以通過查詢醫(yī)學(xué)指標(biāo)參考值地理分布圖獲得。
[Abstract]:Objective : The reference value of one - second rate , residual total percentage and functional residual air quantity is an important index of pulmonary function examination , which is often used to judge the degree of obstruction of airflow and provide a basis for the diagnosis and prevention of diseases .



Results : In this paper , the relationship between the reference value , the reference value of the total percentage of male residue in middle age , the reference value of the total percentage of male residue in the elderly and the geographical factors were studied by means of factor analysis . The mathematical model was established , and the reference value of medical index of unknown point was predicted by mathematical model .



The regression model of factor analysis between the reference value and geographical factors for male one second rate in the early age is Y = 77.93 - 0.000004518X1 - 0.000005240X2 + 0.05639X3 - 0.01615X4 + 0.03800X5 + 0.00332X6 鹵 4.333



The regression model of factor analysis between the reference value of male residual percentage and geographical factors in middle age is : Y = 28.49 - 0.000007474x1 - 0.000002139x2 + 0.04396x3 + 0.03615x4 + 0.02961x + 0.000554x6 鹵 4.552



The regression model of factor analysis between the reference value and geographical factors for male residual percentage in the elderly is : Y = 33.49 - 0.001319x1 - 0.000003431x2 + 0.09287x3 - 0.01044x4 + 0.04255x5 + 0.001286x6 鹵 4.856



By establishing the BP artificial neural network and selecting the geographical factors which influence the reference value of medical index , the relation between the reference value of the first - second rate of middle - aged man , the reference value of middle - aged female , the reference value of female residual percentage in middle age , the reference value of female residual percentage in middle age , and the geographical factors of middle - aged functional residual capacity is studied .



The relationship between the reference value and geographical factors in the middle - aged man was studied , the annual sunshine duration , the annual average temperature , the annual average temperature , the annual relative humidity and the annual precipitation were selected as input data , the BP artificial neural network was constructed , and the training frequency was 1500 times .



In this paper , the relationship between the reference value and geographical factors of the first - second rate of female in middle - aged women was studied , the sunshine hours , annual average temperature , annual temperature , annual relative humidity and annual precipitation were selected as input data , BP artificial neural network was constructed , and the training frequency was 1200 times .



In this paper , the relationship between the reference value of total percentage of female residue and geographical factors in middle - aged women was studied . The data of altitude , annual sunshine duration , annual average temperature and annual relative humidity were selected as input data . BP artificial neural network was constructed , and the training frequency was 1500 times .



The relationship between the function residual capacity and geographical factors in middle - aged and middle - aged is studied . The annual sunshine duration , annual average temperature , annual temperature difference , annual relative humidity and annual precipitation amount are input data , BP artificial neural network is constructed , and the training frequency is 700 times , and the effect is best .



Conclusion : Using a mathematical model or establishing BP artificial neural network to obtain the reference value of medical index of unknown points , the geographical distribution map of medical index reference value can be obtained by using mathematical model or BP artificial neural network . Therefore , if the geographical factor value of a region is known , the reference value of medical index can be obtained through mathematical model or BP artificial neural network .
【學(xué)位授予單位】：陜西師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R188

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 徐迎輝,李如,郭琳琪;類風(fēng)濕關(guān)節(jié)炎的肺功能改變[J];北京醫(yī)學(xué);2004年02期

2 張濤,劉元福,王勛,楊玉秀,程淑群;大氣污染對女性成人肺通氣功能影響的研究[J];重慶環(huán)境科學(xué);1999年03期

3 招鏡堯,葉曜芩,沈曼斐,文世鑰,鄧琨,陳國根,王近中,王友謙;784例正常人肺功能的研究[J];第二軍醫(yī)大學(xué)學(xué)報;1981年04期

4 汪麗曼,鄧琨;健康吸煙者與不吸煙者小氣道功能測定的比較[J];第二軍醫(yī)大學(xué)學(xué)報;1988年03期

5 葉曜芩,嚴(yán)文海,沈曼斐,鄧琨;肺一氧化碳彌散量測定在慢性阻塞性肺疾病的應(yīng)用[J];第二軍醫(yī)大學(xué)學(xué)報;1989年05期

6 羅文侗，，葉曜芩，王山澤，沈曼斐，曹昌宇，文金序;功能殘氣量和殘氣容積測算及其臨床意義[J];第二軍醫(yī)大學(xué)學(xué)報;1995年03期

7 趙寧俠,季寶琴,郭瑞林,李健,任秦有;針刺與艾灸對健康人肺功能的影響[J];第四軍醫(yī)大學(xué)學(xué)報;2002年03期

8 盧家強(qiáng),李志平,黃建強(qiáng),黃毓東,郭禹標(biāo),謝燦茂;狼瘡性腎炎患者與健康人肺功能比較[J];廣東醫(yī)學(xué);2000年11期

9 鄧家珍,鐘小寧,梁國容,朱靖茹,白晶;重復(fù)呼吸法測定慢性阻塞性肺疾病相關(guān)指標(biāo)的探討[J];廣西醫(yī)科大學(xué)學(xué)報;2002年03期

10 高秀峰,仲躋璨,辛雪霏,崔濟(jì)生,宮錫禮;鋼鐵工業(yè)健康工人肺通氣功能測定[J];工業(yè)衛(wèi)生與職業(yè)病;1991年01期

本文編號：1927654