一种评估慢性失眠的新方法:基于机器学习的TCM观察数字特征的融合
Yu Wang1,2, Jie Chen3,4, Qincheng Chen5
1School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Digital health
|November 28, 2025
概括
对慢性失眠的客观评估是具有挑战性的. 这项研究开发了一种机器学习模型,使用面部和舌头特征来准确评估失眠严重程度,提供一种非侵入性诊断方法.
科学领域:
- 综合医学是一个整体的医学.
- 医疗信息学医学信息学
- 传统中国医药 传统中国医药
背景情况:
- 慢性失眠的临床评估面临的挑战是昂贵和复杂的客观方法,如多睡眠学.
- 需要客观,多样化和易于使用的方法来评估慢性失眠.
研究的目的:
- 开发和验证一种用于评估慢性失眠严重性的非侵入性分类模型.
- 通过机器学习探索面部和舌头特征在慢性失眠诊断中的实用性.
主要方法:
- 收集了594名慢性失眠患者的临床数据,包括通过舌头面部诊断分析-1仪器分析的面部和舌头特征.
- 在变量选中采用渐进回归,主要成分分析和零膨胀负二项式 (ZINB) 回归.
- 使用六种监督机器学习方法构建了一个分类模型,对灵敏度,特异性,F1得分,精度和准确性进行评估,并使用SHAP和DCA进行可视化.
主要成果:
- 模型4,整合基线数据,睡眠症状和面部特征,表现出卓越的性能,接收器运行特征曲线值为0.822.
- 决策曲线分析 (DCA) 证实了模型4的显著临床实用性.
- 沙普利添加式扩展 (SHAP) 突出了特定的传统中医特征 (Ch-Y,CH-G,Ch-R) 在预测失眠严重程度的突出地位,与传统尺度 (PSQI,SAS) 相比.
结论:
- 这项研究成功开发了一种方便且非侵入性的分类模型,用于评估慢性失眠的严重程度.
- 面部和舌头特征的整合为诊断和治疗慢性失眠提供了有前途的进展.
- 这些发现支持在现代机器学习模型中使用基于传统中医学的特征,以提高临床效用.
更多相关视频
04:34Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
Published on: February 17, 2023
1.6K
04:59Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
Published on: May 30, 2025
1.2K
相关概念视频
01:19Management of Insomnia
507
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
507
01:27Insomnia
381
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
381
01:24Substance Use Disorders Affecting Sleep
369
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
369