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題名 運用層級分析法與案例式推理建立脂肪肝預測模型
A fatty liver prediction model utilizing analytical hierarchy process and case-based reasoning
作者 陳姵潔
Chen, Pei Chieh
貢獻者 李有仁
陳姵潔
Chen, Pei Chieh
關鍵詞 脂肪肝
健康檢查
案例式推理
層級分析法
日期 2011
上傳時間 30-Oct-2012 13:59:49 (UTC+8)
摘要 　　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。
參考文獻 英文部分

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中文部分

 王濟川、郭志剛(2000)，Logistic 迴歸模型─方法及應用，高等教育出版社，台北。
 朱佳雯 (2004)，『案例式推理與類神經網路在心電圖診斷之應用研究』，私
立真理大學管理科學研究所碩士論文，台北。
 江瑞坤、顏韶宏、陳世琦、劉鎮嘉、陳慶餘（2005），『新陳代謝後群』，
基層醫學，第二十卷，第一期，頁 2-7。
 行政院衛生署國民健康局(2006)，遠離糖尿病完全學習手冊，行政院衛生署國民健康局，台北。
 行政院衛生署（2012），「99 年死因統計結果分析」，行政院衛生署官方網站，網址：http://www.doh.gov.tw/CHT2006/index_populace.aspx，上網日期：2011-06-15。
 吳建國(2011)，『酒精性脂肪肝探析』，中醫肝病醫學雜誌，第七卷，第一期，頁 25-29。
 李博智（2002），『資料探勘在慢性病預測模式之建構』，私立元智大學資訊
管理學系碩士論文，桃園。
 侯丞、戴嘉言 (2002)，『老病新談—再談脂肪肝』，高醫醫訊月刊，第二十一卷，第十一期。
 姚開屏（2002），『健康相關生活品質概念與測量原理之簡介』，台灣醫學會，第三卷，第一期，頁 183-192。
 高雄醫學大學附設中和紀念醫院腎臟照護團隊(2011)，
慢性腎臟病健康管理67

手冊，行政院衛生署國民健康局，台北。
 國民健康局(2012)，『預防保健服務檢查對象與服務項目：成人預防保健服
務』，國民健康局，台北。
 楊培銘 (2010) 『好肝不卡油 拋開脂肪肝 輕盈好健康』，
好心肝會刊，第五十期，財團法人肝病防治學術基金會，網址：
http://liver.org.tw/index.php?option=com_content&view=article&layout=liverart
icle&catid=110&id=1037
 楊超然 (2004)，『利用文件及影像檢索建立胃癌診斷與治療的案例式推理』，臺北醫學大學醫學資訊研究所碩士論文，台北。
 榮泰生 (2011)，EXPERT CHOICE在分析層級程序法(AHP)之應用，五南圖書出版股份有限公司，台北，初版。
 劉俊人、楊偉勛 (2010)『脂肪肝患者 如何消脂保肝』，好心肝會刊，第五十期，財團法人肝病防治學術基金會，網址：http://liver.org.tw/index.php?option=com_content&view=article&layout=liverart
icle&catid=47&id=204&COLUMNMODE=2
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精性脂肪肝疾病與肥胖相關因子之研究』，台灣家庭醫學誌，第十六卷，頁215-225。
 蔡崇煌、黃素雲、羅永杰、林高德（2004），『新陳代謝症候群』，
基層醫學，第十九卷，第十一期，頁 270-273。
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 鍾玉衡、林敏雄 (2011)，『非酒精性脂肪肝疾病與心血管疾病的相關研究』，家庭醫學與基層醫療，第二十六卷，第十期，頁 410-414。
 職場健康促進暨菸害防制輔導中心、陳叡瑜、葉錦瑩、蘇千田、黃百粲、黃
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。
描述 碩士
國立政治大學
資訊管理研究所
99356019
100
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0099356019
資料類型 thesis
dc.contributor.advisor 李有仁zh_TW
dc.contributor.author (Authors) 陳姵潔zh_TW
dc.contributor.author (Authors) Chen, Pei Chiehen_US
dc.creator (作者) 陳姵潔zh_TW
dc.creator (作者) Chen, Pei Chiehen_US
dc.date (日期) 2011en_US
dc.date.accessioned 30-Oct-2012 13:59:49 (UTC+8)-
dc.date.available 30-Oct-2012 13:59:49 (UTC+8)-
dc.date.issued (上傳時間) 30-Oct-2012 13:59:49 (UTC+8)-
dc.identifier (Other Identifiers) G0099356019en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/54852-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 資訊管理研究所zh_TW
dc.description (描述) 99356019zh_TW
dc.description (描述) 100zh_TW
dc.description.abstract (摘要) 　　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。		zh_TW
dc.description.tableofcontents 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		zh_TW
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0099356019en_US
dc.subject (關鍵詞) 脂肪肝zh_TW
dc.subject (關鍵詞) 健康檢查zh_TW
dc.subject (關鍵詞) 案例式推理zh_TW
dc.subject (關鍵詞) 層級分析法zh_TW
dc.title (題名) 運用層級分析法與案例式推理建立脂肪肝預測模型zh_TW
dc.title (題名) A fatty liver prediction model utilizing analytical hierarchy process and case-based reasoningen_US
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) 英文部分

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