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吕倩倩,江钟立,刘守国,林 枫.基于《国际功能、残疾和健康分类》的功能鉴别谱[J].中国康复医学杂志,2021,(3):267~275
基于《国际功能、残疾和健康分类》的功能鉴别谱    点此下载全文
吕倩倩  江钟立  刘守国  林 枫
南京医科大学第三附属医院(南京医科大学附属逸夫医院)
,江苏省南京市,211100
基金项目:南京医科大学附属逸夫医院院内临床重点科室建设专项(YFZDXK02-7);国家自然科学基金项目(81672255)
DOI:10.3969/j.issn.1001-1242.2021.03.003
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摘要:
      摘要 目的:为《国际功能、残疾和健康分类》(ICF)建立条目间的功能鉴别关系图谱,用于指导康复实践。 方法:采用知识图谱建模和分析方法,从ICF知识库中提取每个条目的排除项,以之设立为功能鉴别关系,构建条目之间鉴别关系网络,作为功能鉴别谱。从网络中提取主组元和k-核,分析最致密的核团所持条目在世界卫生组织发布的疾病综合核心组合中的分布。通过与卒中风险相关关系图谱比较,对其中的关键条目进行分析。 结果:ICF的功能鉴别谱含有137个条目,其主组元由73个身体功能条目构成。最致密的4-核结构含有22个身体功能条目,属于脑高级功能和心肺功能相关条目。4-核条目广泛分布于现有的疾病综合核心组合中。功能鉴别谱与风险相关谱之间有条目交叉,但网络关系有差异。 结论:使用ICF体系固有的排除项信息,可以建立功能鉴别谱,作为分析和应用ICF知识的新工具。
关键词:国际功能、残疾和健康分类  鉴别诊断  图建模  网络分析
Differentiation spectrum for functioning items based on the International Classification of Functioning, Disability and Health    Download Fulltext
The Affiliated Sir Run Run Hospital of Nanjing Medical University,211100
Fund Project:
Abstract:
      Abstract Objective: To establish differentiation spectrum for functioning items based on the international classification of functioning, disability and health (ICF) and to guide rehabilitation practices. Method: By using graph modeling method, the exclusions of each ICF item were extracted, and its differential relationships were setup. Then the networks of inter-items differential relationships were constructed. The main connected components and k-core were extracted from the networks to analyze the distribution of items held by the densest cluster in the comprehensive core sets of diseases published by the world health organization. The key items were analyzed by comparing them with the risk dependency graph of stroke. Result: The functioning differentiation graph of ICF contains 137 items, and its main component consists of 73 body functioning items. The densest 4-core structure contains 22 body functioning items, which are related to higher brain function and cardiopulmonary function. The 4-core items are widely distributed in the existing comprehensive core sets of diseases. There is overlap between the items’ differentiation graph and the risk dependency graph, but the connections in networks are different. Conclusion: Using the exclusion information inherent in ICF system, the differentiation spectrum can be established as a new tool for analyzing and applying ICF knowledge.
Keywords:international classification of functioning, disability and health  differential diagnosis  graph modeling  network analysis
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