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研究生:陳姵潔
研究生(外文):Chen, Pei Chieh
論文名稱:運用層級分析法與案例式推理建立脂肪肝預測模型
論文名稱(外文):A fatty liver prediction model utilizing analytical hierarchy process and case-based reasoning
指導教授:李有仁李有仁引用關係
學位類別:碩士
校院名稱:國立政治大學
系所名稱:資訊管理研究所
學門:電算機學門
學類:電算機一般學類
畢業學年度:100
語文別:中文
論文頁數:76
中文關鍵詞:脂肪肝健康檢查案例式推理層級分析法
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  從現今社會的進步與發展,可以發現人們的生活品質不斷提升且生活型態逐
漸改變,生活型態的改變使得疾病的型態隨之改變,從過去的傳染病演變成現今
的社會文明病─ 慢性疾病。近年來的社會繁榮與經濟進步,使國人有更良好的
飲食營養,且工商進步使得應酬喝酒的機會增加,逐漸使肥胖、血脂過高、糖尿
病的國人越來越多,因此有脂肪肝的人也越來越多,幾乎高達三分之一。脂肪肝
盛行所帶來的健康問題使國人不得不更注意身體的健康,更擴展到疾病預防的概
念,希望能透過及早發現與及早治療來促進健康並省下龐大的醫療費用。因此醫
療照護需求更廣更高。在科技的進步下使得醫學界使用越來越多的資訊科技來輔
助疾病診斷、進行健康管理,另外,醫學界亦越來越注重預防醫學的概念用以面
對龐大的慢性疾病患者,故疾病預測的概念更加被醫學界所關注,不論是在醫療
的前中後期,都依賴著資訊科技輔助其管理與診斷。

  目前大多數醫院的健康檢查僅提供檢查報告的數值並隨報告附上正常標準
值的對照資訊,用以提供給健檢者做為建議與自我健康管理的參考。但是對於僅
進行最基本健康檢查的健檢者,如:員工、校園新生等,透過健檢報告的數值來
提供個人化疾病資訊建議的情況較為少見,故本研究希望能透過案例式推理脂肪
肝預測模型來給予患者透過健康檢查報告的數值與日常健康行為的問卷,進行脂
肪肝疾病的預測,幫助健檢者提升對於健檢報告與疾病關係的瞭解,加強健檢者
的自我健康管理,期望幫助未進行完整付費健康檢查的健檢者也能夠透過簡單的
脂肪肝預測模型來初步評估自我健康情況,並作為是否進一步就醫的參考依據;
並提供許多相似案例給醫生從更宏觀的角度去診斷病患,幫助降低診斷錯誤且改
善醫療品質及醫療治療的成效,以達到更完善的自我健康管理及降低個人、社會
醫療成本的負擔。
第一章 緒論....................................................................................................... 4
第一節 研究背景與動機........................................................................................ 4
第二節 研究目的與貢獻........................................................................................ 6
第三節 研究流程.................................................................................................... 7
第二章 文獻探討 ............................................................................................... 8
第一節 健康檢查.................................................................................................... 8
2.1.1 健康檢查項目說明.................................................................................... 8
第二節 脂肪肝...................................................................................................... 13
2.2.1 脂肪肝定義.............................................................................................. 13
2.2.2 脂肪肝相關研究...................................................................................... 13
第三節 層級分析法.............................................................................................. 24
2.3.1 定義及發展.............................................................................................. 24
2.3.2 層級及要素.............................................................................................. 25
2.3.3 貢獻與應用範圍...................................................................................... 26
第四節 案例式推理.............................................................................................. 27
2.4.1 案例式推理演進...................................................................................... 27
2.4.2 案例式推理的定義與運作流程.............................................................. 28
2.4.3 案例式推理在醫學上的應用.................................................................. 31
第三章 研究方法 .............................................................................................. 35
第一節 研究架構.................................................................................................. 35
第二節 層級分析法.............................................................................................. 36
3.2.1 定義問題與層級架構建立...................................................................... 36
3.2.2 問卷設計.................................................................................................. 37
3.2.3 建立成對比較矩陣.................................................................................. 37
3.2.4 一致性檢定.............................................................................................. 39
第三節 個案推理.................................................................................................. 40
3.3.1 研究工具.................................................................................................. 40
3.3.2 最近相鄰法計算案例相似度.................................................................. 40
第四節 脂肪肝預測模型...................................................................................... 42
第四章 資料分析與研究結果 ............................................................................ 43
第一節 層級分析法.............................................................................................. 43
4.1.1 專家問卷回收.......................................................................................... 43
4.1.2 問卷資料結果.......................................................................................... 44
第二節 案例式推理.............................................................................................. 47
4.2.1 資料收集與前置處理.............................................................................. 47
4.2.2 脂肪肝預測模型與驗證.......................................................................... 48
第五章 討論與結論 .......................................................................................... 53
第六章 研究限制與未來發展 ............................................................................ 57
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建文(2007),員工健康檢查實用手冊,行政院衛生署國民健康局,台北。
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