만성 긴장성 두통의 한의학적 진단 및 변증의 가중치에 대한 접근방법 연구

Study about Oriental Medical Diagnosis and Approach Related to Weighting According to Differentiation of Chronic Tension-type Headaches

  • 이기수 (대전대학교 한의과대학 침구학교실) ;
  • 김민정 (대전대학교 한의과대학 침구학교실) ;
  • 박미라 (을지대학교 의과대학 예방의학교실) ;
  • 이상봉 (카톨릭대학교 의과대학 신경과) ;
  • 홍권의 (대전대학교 한의과대학 침구학교실)
  • Lee, Ki-Su (Dept. of Acupuncture and Moxibustion, College of Oriental Medicine, Daejeon University) ;
  • Kim, Min-Jung (Dept. of Acupuncture and Moxibustion, College of Oriental Medicine, Daejeon University) ;
  • Park, Mi-Ra (Dept. of Preventive Medicine, College of Medicine, Eulji University) ;
  • Lee, Sang-Bong (Dept. of Neurology, College of Medicine, Catholic University) ;
  • Hong, Kwon-Eui (Dept. of Acupuncture and Moxibustion, College of Oriental Medicine, Daejeon University)
  • 투고 : 2010.05.18
  • 심사 : 2010.08.24
  • 발행 : 2010.09.30

초록

Objective: Headache is one of the most common symptoms in primary medical care. The purpose of this study was to support medical treatment by consideration of a new CTTH (chronic tension-type headache) oriental medical diagnosis index. Methods: An Oriental medical diagnosis questionnaire was administered to a CTTH group, migraine group and normal group. The result was classified by using LDA, CART, factor diagnosis and tested in comparison with the original diagnosis. Also, weighting method based on expert opinions was done. Results: 1. The result analyzed by using LDA has an accuracy of 93.9% in comparison with the original diagnosis. 2. High accuracy showed when the test was performed with about 35 significant questions and four questions selected based on SPSS Wilks' lambda. 3. There was accuracy of 90.9% when differentiation was performed by using CART compared with original diagnosis. 4. 10 factors has a high initial value after factor analysis, consisting of questions to the similar differentiation. 5. Diagnosis formula of headache was made by using weighting method based on expert opinions. Conclusion: Oriental medical diagnosis questionnaires make it possible to classify headaches significantly. The study about weighting method of CTTH can make it possible to classify symptoms more accurately.

키워드

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