淡江大學覺生紀念圖書館 (TKU Library)
進階搜尋


系統識別號 U0002-0508201417065500
中文論文名稱 規則引擎專家系統 – 以糖尿病為例
英文論文名稱 Rule Base Expert System – A Case Study On Diabetes Mellitus
校院名稱 淡江大學
系所名稱(中) 資訊工程學系碩士在職專班
系所名稱(英) Department of Computer Science and Information Engineering
學年度 102
學期 2
出版年 103
研究生中文姓名 林心薇
研究生英文姓名 Hsin-Wei Lin
學號 700410177
學位類別 碩士
語文別 中文
第二語文別 英文
口試日期 2014-06-19
論文頁數 64頁
口試委員 指導教授-蔣璿東
委員-王鄭慈
委員-葛煥昭
委員-蔣璿東
中文關鍵字 糖尿病  異常偵測  規則引擎 
英文關鍵字 diabetes  abnormally detection  rules engine 
學科別分類 學科別應用科學資訊工程
中文摘要 多年來,糖尿病已經成為在台灣的十大死因排行榜中死亡率攀升最快的死因,由於糖尿病患者在初期的時候,常常會因為症狀不容易察覺而錯失病情控制與治療的最佳時機,所以一旦罹患了糖尿病就必須進行長期的治療與控制,對政府的醫療成本也造成了龐大的負擔,若患者於日常生活中就可以進行自我的監測,對日常的血糖值進行控管,可以有助於降低糖尿病的併發症發生。因為現今市售的血糖機大多數僅只有單向血糖檢測功能,沒有血糖值的異常偵測以及與患者提供互動的功能,本論文希望透過醫學資料與相關文獻的收集,以糖尿病為例,將所蒐集到的資料進行結構化並藉由整理出的判斷規則及流程,建立基於規則引擎之專家系統,使血糖機與血糖自我管理系統可使用規則引擎進行血糖異常偵測的判斷,期望能對未來血糖機的功能提升能有幫助,甚至可以發展一套糖尿病自我檢測的系統來達到早期控制的目標,將有助於降低患者的人數以及降低醫療的成本。
英文摘要 Over the years, diabetes has become the cause with the fastest rise in mortality rates among the ten leading causes of death in Taiwan. In the early onset, diabetic patients often miss the best time for disease control and treatment as symptoms are not easily detected. Therefore, once a person contracts diabetes, the person has to undergo long-term treatment and control, thus the resulting in high medical costs that burden the government. If patients can self-monitor their blood sugar in daily life, they will be able to reduce complications of diabetes. Since most blood glucose meters available in the market only feature one-way blood sugar testing, without abnormal blood sugar value detection and patient interaction functions, this paper is intended to structuralize data collected through medical data and related literatures and using diabetes as an example. Through determination rules and processes compiled, a rules engine experiment system was setup for blood glucose meters and glucose self-management system to determine abnormal glucose detected through the rules engine. It is expected to contribute to the enhancement of future blood glucose meter functions as well as the development of a diabetes self-test system that helps achieve the goal of early control, thereby decreasing diabetic patients and medical costs.
論文目次 目錄
第1章 緒論 1
1.1 研究動機 1
1.2 研究目的 3
第2章 相關文獻 6
2.1 規則引擎專家系統 6
2.2 糖尿病 8
2.3 糖尿病診斷與照護 12
2.4 糖尿病的併發症 13
第3章 研究方法 17
3.1 問題陳述 17
3.2 研究流程 21
3.3 血糖異常彙整結果 23
第4章 規則引擎 27
4.1 異常偵測判斷規則 27
4.2 異常偵測規則結構化 39
4.3 實作畫面 43
第5章 結論 47
REFERENCE 49
附錄-英文論文 53

圖目錄
圖 1 糖尿病階段示意圖 13
圖 2 Family Caregivers are Wired for Health 20
圖 3 研究流程圖 21
圖 4 飯前血糖判斷規則流程圖 27
圖 5 飯前血糖案例分析 29
圖 6 飯前血糖輕度異常 30
圖 7 飯前血糖嚴重異常 32
圖 8 飯前血糖危險異常 33
圖 9 飯後血糖判斷規則流程圖 34
圖 10 飯後血糖案例分析 35
圖 11 飯後血糖輕度異常 36
圖 12 飯後血糖嚴重異常 37
圖 13 飯後血糖危險異常 38
圖 14 血糖機示意圖—正常血糖 43
圖 15 血糖機示意圖—血糖輕度異常 44
圖 16 血糖機示意圖—血糖嚴重異常 45
圖 17 血糖機示意圖—血糖危險異常 46

表目錄
表 1 民國101年全國主要死亡原因與死亡率 2
表 2 我國99-101年十大死因統計 2
表 3 血糖值標準 13
表 4 基本資訊彙整 24
表 5 一般血糖異常彙整表 24
表 6 糖尿病急性併發症 25
表 7 血糖值系統判定區間 26
表 8 病患情形及危急程度 28
表 9 症狀列表 40
表 10 飯前血糖嚴重程度表 40
表 11 飯後血糖嚴重程度表 41
表 12 意見列表 42
表 13 問題列表 42
參考文獻 [1] 全民糖尿病觀測站. Available: http://www.diabetes.org.tw/wddt_wdd2.jsp
[2] I. D. Federation. (2013). IDF Diabetes Atlas (6th edn ed.). Available: http://www.idf.org/diabetesatlas
[3] 衛生福利部統計處. 101年度死因統計. Available: http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=2747
[4] D. M. Mosen, J. Schmittdiel, J. Hibbard, D. Sobel, C. Remmers, and J. Bellows, "Is patient activation associated with outcomes of care for adults with chronic conditions?," J Ambul Care Manage, vol. 30, pp. 21-9, Jan-Mar 2007.
[5] J. T. Newsom, N. Huguet, M. J. McCarthy, P. Ramage-Morin, M. S. Kaplan, J. Bernier, et al., "Health behavior change following chronic illness in middle and later life," J Gerontol B Psychol Sci Soc Sci, vol. 67, pp. 279-88, May 2012.
[6] "Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group," Bmj, vol. 317, pp. 703-13, Sep 12 1998.
[7] O. A. Blanson Henkemans, P. J. van der Boog, J. Lindenberg, C. A. van der Mast, M. A. Neerincx, and B. J. Zwetsloot-Schonk, "An online lifestyle diary with a persuasive computer assistant providing feedback on self-management," Technol Health Care, vol. 17, pp. 253-67, 2009.
[8] "Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group," Lancet, vol. 352, pp. 837-53, Sep 12 1998.
[9] E. Mattila, I. Korhonen, J. H. Salminen, A. Ahtinen, E. Koskinen, A. Sarela, et al., "Empowering citizens for well-being and chronic disease management with wellness diary," IEEE Trans Inf Technol Biomed, vol. 14, pp. 456-63, Mar 2010.
[10] "The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group," N Engl J Med, vol. 329, pp. 977-86, Sep 30 1993.
[11] P. Castillejo, J. F. Martinez, J. Rodriguez-Molina, and A. Cuerva, "Integration of wearable devices in a wireless sensor network for an E-health application," Wireless Communications, IEEE, vol. 20, pp. 38-49, 2013.
[12] Z. Mi and A. A. Sawchuk, "Human Daily Activity Recognition With Sparse Representation Using Wearable Sensors," Biomedical and Health Informatics, IEEE Journal of, vol. 17, pp. 553-560, 2013.
[13] D. P. Tobón, C. INRS, T. H. Falk, and M. Maier, "Context awareness in WBANs: a survey on medical and non-medical applications," Wireless Communications, IEEE, vol. 20, pp. 30-37, 2013.
[14] A. D. Association., "Consensus Statement on Self-Monitor ing of Blood Glucose," Diabetes Care, vol. 10, pp. 95-99, January 1, 1987 1987.
[15] G. F. Luger and W. A. Stubblefield, Artificial Intelligence and the Design of Expert Systems: Benjamin-Cummings Publishing Co., Inc., 1990.
[16] P. Jackson, Introduction to Expert Systems: Addison-Wesley Longman Publishing Co., Inc., 1990.
[17] J. C. Giarratano and G. Riley, Expert Systems: Principles and Programming: Brooks/Cole Publishing Co., 1989.
[18] M. Stefik, Introduction to knowledge systems: Morgan Kaufmann Publishers Inc., 1995.
[19] S. Russell and P. Norvig, Artificial Intelligence: A Modern Approach: Prentice Hall Press, 2009.
[20] P. Winston, Artificial intelligence, 3rd (repr. with corrections 1993) ed: Reading, Mass.: Addison-Wesley, ISBN: 0-201-53377-4, 1993.
[21] C. L. Dym and R. E. Levitt, Knowledge-based systems in engineering: McGraw-Hill Book Company, 1991.
[22] A. A. Hopgood, Knowledge-based systems for engineers and scientists: CRC Press, Inc., 1993.
[23] J. Durkin and J. Durkin, Expert systems: design and development: Prentice Hall PTR, 1998.
[24] I. S. Torsun, Foundations of intelligent knowledge-based systems: Acad. press London etc, 1995.
[25] J. Liebowitz, The handbook of applied expert systems: cRc Press, 1997.
[26] (May 26th). 馬偕淡水健康檢查中心. Available: http://www.mmh.org.tw/division/tamhc/article/PatientEdu/HealthEducation03.htm
[27] 奇美醫院. Available: http://www.chimei.org.tw/main/clh_department/77780/html/09.files/%E8%95%AD-9.pdf
[28] (May 12th). Diagnosis and Classification of Diabetes Mellitus. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797383/
[29] (May 26th). 心血管保健諮詢網. Available: http://www.allergen.com.tw/diabetes_symptom.php
[30] Kumar and Clark's Clinical Medicine, 8 ed.: Elsevier, 2012.
[31] 台大內科住院醫師醫療手冊, 4 ed.: 國立台灣大學醫學院, 2012.
[32] J. L. Leahy, "Pathogenesis of Type 2 Diabetes Mellitus," Archives of Medical Research, vol. 36, pp. 197-209, 5// 2005.
[33] C. J. Nolan, P. Damm, and M. Prentki, "Type 2 diabetes across generations: from pathophysiology to prevention and management," The Lancet, vol. 378, pp. 169-181, // 2011.
[34] M. Stumvoll, B. J. Goldstein, and T. W. van Haeften, "Type 2 diabetes: principles of pathogenesis and therapy," The Lancet, vol. 365, pp. 1333-1346, // 2005.
[35] (May 25th). 亞東醫院新陳代謝科. Available: http://www.femh.org.tw/epaperadmin/viewarticle.aspx?ID=3952
[36] (May 23th). 馬偕心臟內科. Available: http://www.mmh.org.tw/taitam/car_int/dm_1.htm
[37] L. Yuan-Fa, "Personal Medical Monitoring System: Addressing Interoperability," IT Professional, vol. 15, pp. 31-37, 2013.
[38] Walter C. Willett, J. P. Koplan, R. Nugent, C. Dusenbury, P. Puska, and T. A. Gaziano, "Prevention of Chronic Disease by Means of Diet and Lifestyle Changes," in Disease Control Priorities in Developing Countries, D. T. Jamison, J. G. Breman, A. R. Measham, G. Alleyne, M. Claeson, D. B. Evans, et al., Eds., ed Washington (DC): World Bank, 2006.
[39] P. Castillejo, J.-F. Martinez, J. Rodriguez-Molina, and A. Cuerva, "Integration of wearable devices in a wireless sensor network for an E-health application," Wireless Communications, IEEE, vol. 20, 2013.
[40] (2011, May 09th). The Social Life of Health Information, 2011--I don’t know, but I can try to find out" is the default setting for people with health questions. Available: http://www.pewinternet.org/2011/05/12/the-social-life-of-health-information-2011/
[41] (May 06th). The Wisdom of Patients: Health Care Meets Online Social Media. Available: http://www.chcf.org/publications/2008/04/the-wisdom-of-patients-health-care-meets-online-social-media
[42] "iCrossing - How America Searches - Health and Wellness," Noah Elkin, Ed., ed Opinion Research Corporation: Noah Elkin, Vice President, Strategy
iCrossing.
[43] (2012, May 10th). Philips Survey Reveals One in 10 Americans Believe Online Health Information Saved Their Life. Available: http://www.newscenter.philips.com/us_en/standard/news/press/2012/20121212_philips_survey_health_info_tech.wpd#.U4Mg7fmSzMs
[44] J. Zhou, Z. Cao, X. Dong, X. Lin, and A. V. Vasilakos, "Securing m-healthcare social networks: challenges, countermeasures and future directions," Wireless Communications, IEEE, vol. 20, 2013.
[45] X. Liang, X. Li, M. Barua, L. Chen, R. Lu, X. Shen, et al., "Enable pervasive healthcare through continuous remote health monitoring," IEEE Wireless Communications, vol. 19, pp. 10-18, 2012.
[46] (2013, May 09th). Family Caregivers are Wired for Health. Available: http://www.pewinternet.org/2013/06/20/family-caregivers-are-wired-for-health/
論文使用權限
  • 同意紙本無償授權給館內讀者為學術之目的重製使用,於2019-08-07公開。
  • 同意授權瀏覽/列印電子全文服務,於2019-08-07起公開。


  • 若您有任何疑問,請與我們聯絡!
    圖書館: 請來電 (02)2621-5656 轉 2281 或 來信