發(fā)布時(shí)間：2018-02-11 15:43

  本文關(guān)鍵詞： 舌象 脈象 本體構(gòu)建 規(guī)范化信息表達(dá)　出處：《湖北中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：隨著我國中醫(yī)醫(yī)院信息化建設(shè)的不斷推進(jìn),醫(yī)院信息系統(tǒng)采集了大量的醫(yī)療數(shù)據(jù)。大數(shù)據(jù)技術(shù)出現(xiàn)后,人們也更加重視這些來自日常醫(yī)療行為產(chǎn)生的數(shù)據(jù),利用大數(shù)據(jù)技術(shù)對(duì)其進(jìn)行處理、分析與利用,開展了大量的中醫(yī)藥臨床相關(guān)研究,這也充分體現(xiàn)了中醫(yī)從臨床來到臨床去的思想。舌象、脈象在中醫(yī)診斷中發(fā)揮著重要作用,但受自然語言靈活性的影響,在描述上存在多種形式,計(jì)算機(jī)在識(shí)別、處理上會(huì)出現(xiàn)問題,影響了數(shù)據(jù)挖掘結(jié)果的質(zhì)量。本體能形式化、規(guī)范化描述相關(guān)知識(shí),在規(guī)范醫(yī)學(xué)用語上已得到運(yùn)用。因此,構(gòu)建中醫(yī)舌象、脈象本體,使其在規(guī)范舌象、脈象信息表達(dá)、提高挖掘結(jié)果質(zhì)量與挖掘效率等方面發(fā)揮作用,是一項(xiàng)亟待開展的工作。目的:構(gòu)建中醫(yī)舌象、脈象本體,規(guī)范舌象、脈象診斷信息表達(dá),為計(jì)算機(jī)識(shí)別、處理舌象、脈象信息奠定基礎(chǔ),規(guī)范和輔助醫(yī)生進(jìn)行舌象、脈象信息的采集。方法:按照七步法構(gòu)建中醫(yī)舌象、脈象本體。從已發(fā)布的標(biāo)準(zhǔn)、《中醫(yī)藥學(xué)名詞》、《中醫(yī)癥狀學(xué)研究》、《中醫(yī)癥狀鑒別診斷學(xué)第二版》中收集舌象、脈象術(shù)語,進(jìn)行去重和同義詞整合處理。然后采用自上而下的方法初步確定分類框架,再從術(shù)語中提取屬性值自下而上聚類,確定本體類、屬性及約束,利用Protégé進(jìn)行舌象、脈象本體的編輯。利用信息分類與編碼技術(shù),以屬性組合的代碼形式對(duì)舌象、脈象本體實(shí)例進(jìn)行表示,并構(gòu)建實(shí)例庫。抽取四家三甲中醫(yī)醫(yī)院近幾年的中醫(yī)電子病歷有關(guān)數(shù)據(jù)進(jìn)行本體完整性驗(yàn)證,基于舌象、脈象本體開發(fā)中醫(yī)舌象脈象規(guī)范化輔助軟件。結(jié)果:根據(jù)分類框架和聚類結(jié)果劃分了舌象、脈象本體類,舌象本體類屬性有14個(gè),脈象本體類屬性有5個(gè),舌象與舌象之間、脈象與脈象之間存在同義關(guān)系、上下位關(guān)系。舌象與脈象均采用定長主碼與不定長補(bǔ)充碼形式進(jìn)行編碼,舌象編碼涉及本體類及其屬性等13個(gè)方面,脈象編碼涉及本體類及其屬性等3個(gè)方面,構(gòu)建了舌象、脈象本體實(shí)例庫。對(duì)從中醫(yī)電子病歷中抽取的舌象、脈象診斷信息進(jìn)行了編碼驗(yàn)證,得到舌象總驗(yàn)證成功率為99.19%,脈象總驗(yàn)證成功率為99.52%。開發(fā)的系統(tǒng)能為用戶提供規(guī)范的舌象、脈象診斷信息及主病的查詢,規(guī)范和輔助用戶進(jìn)行舌象、脈象的采集,并能對(duì)舌象、脈象診斷信息進(jìn)行編碼,能導(dǎo)出相關(guān)數(shù)據(jù),可用于數(shù)據(jù)挖掘中舌象、脈象數(shù)據(jù)的預(yù)處理。結(jié)論:構(gòu)建的舌象、脈象本體能規(guī)范化表達(dá)舌象、脈象診斷信息,其具有完整性,能滿足中醫(yī)臨床實(shí)際需求,促進(jìn)了舌象、脈象信息的數(shù)據(jù)化、結(jié)構(gòu)化。此外,本研究在促進(jìn)標(biāo)準(zhǔn)應(yīng)用、提高中醫(yī)電子病歷診斷信息質(zhì)量方面進(jìn)行了有益探索。但舌象、脈象的屬性體系還需進(jìn)一步完善,軟件規(guī)范舌象脈象部分還需做成輸入法的形式,以方便用戶隨時(shí)調(diào)用。
[Abstract]:With the continuous development of Chinese medicine hospital information construction, hospital information system has collected a large amount of medical data. After big data technology appeared, people also pay more attention to these data from daily medical behavior. Using big data technology to deal with, analyze and use it, and carry out a large number of TCM clinical related research, which fully reflects the Chinese medicine from the clinical to clinical thinking. Tongue, pulse in the diagnosis of TCM plays an important role. However, due to the flexibility of natural language, there are many forms of description. The computer will have problems in identification and processing, which will affect the quality of data mining results. Therefore, the construction of tongue image and pulse ontology of traditional Chinese medicine has played an important role in standardizing tongue image and pulse information expression, improving the quality of mining results and mining efficiency, etc. Objective: to construct the tongue image, pulse body, standard tongue picture, pulse diagnosis information expression of traditional Chinese medicine, lay the foundation for computer recognition, processing tongue picture, pulse image information, standardize and assist doctors to carry out tongue picture. Collection of pulse information. Methods: according to the seven-step method, the tongue picture and pulse image of traditional Chinese medicine were constructed. The terms of tongue and pulse were collected from published standards, "traditional Chinese Medicine nouns", "Research on symptoms of traditional Chinese Medicine", "second edition of TCM symptom differentiation Diagnostics". Then the classification framework is preliminarily determined by the top-down method, and then the attribute value is extracted from the term from the bottom to the top, and the ontology class, attributes and constraints are determined, and Prot 茅 g 茅 is used to carry out the tongue image. The editing of pulse ontology. Using the technology of information classification and coding, the tongue image and pulse ontology instance are represented in the form of attribute combination code. And build a case library. Extract the relevant data from four three A TCM hospitals in recent years for ontological integrity verification, based on tongue image. Results: according to the classification framework and clustering results, the tongue image, pulse ontology class, tongue image ontology attribute has 14, pulse image ontology attribute has 5, tongue image and tongue image. The relationship between pulse and pulse is synonymous, and the relationship between upper and lower. Both tongue and pulse are coded in the form of constant length master code and constant length supplementary code. Tongue image coding involves 13 aspects, such as ontology class and its attributes. Pulse coding involves ontology class and its attributes. The tongue image and pulse ontology case library are constructed. The tongue image and pulse diagnosis information extracted from electronic medical records of traditional Chinese medicine are coded and verified. The total success rate of tongue image verification is 99.19 and that of pulse image verification is 99.52.The system developed can provide users with standardized tongue picture, pulse diagnosis information and inquiry of main diseases, standardize and assist users to collect tongue image, pulse image, and tongue image. It can be used to preprocess the tongue image and pulse data in data mining. Conclusion: the constructed tongue image and pulse ontology can express the tongue image and the pulse diagnosis information. It can meet the actual needs of TCM clinical practice, and promote the digitalization and structuralization of tongue and pulse information. In addition, this study has made a beneficial exploration in promoting the application of standards and improving the quality of diagnostic information of electronic medical records of TCM. The attribute system of pulse needs to be further improved, and the software specification of tongue image needs to be made into the form of input method, so as to make it convenient for users to call at any time.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：TP311.13;R241

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