基于概率的多属性优化在方剂配方和医疗方案中的应用

M. Zheng, Jie Yu
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摘要

许多药物研究问题都是多目标优化问题,如药物疗效评价等。在基于概率的多属性优化(PMAO)中引入了优选概率的新概念来反映候选对象的优选程度,旨在解决其他方法中主观因素和加性算法固有的问题。此外,PMAO还能客观地解决药物提取处方优化等医学问题。采用PMAO对非小细胞肺癌的药物提取处方和配伍设计进行了优化,并对药物治疗方案进行了选择。将候选人的所有绩效效用指标分为有利型和不利型,并在方案选择中进行一致处理;每个性能效用指标定量地贡献了一个部分优选概率,所有部分优选概率的乘积即为候选方案的总优选概率,从而将多目标优化问题转化为单目标优化问题,是选择过程中唯一的决定性指标。五味子中药物的提取条件为:微波功率526.79w,乙醇浓度75.89%,提取时间5min,乙醇用量12倍,粉碎度80目;2. 灵桂疏肝汤的最佳配伍条件为茯苓18g、桂枝13.5g、苍术13.5g、甘草3g;3.培美曲塞是晚期非小细胞肺腺癌常用化疗方案中比较合适的治疗方案。本研究表明PMAO在处方配方方案选择和医疗方案选择中的适用性。
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Application of Probability based Multi - attribute Optimization in Formulation of Prescription and Medical Treatment
Many drug research problems are multi-objective optimization ones, such as drug efficacy evaluation, etc. The new concept of preferable probability was introduced in the probability based multi – attribute optimization (PMAO) to reflect the preferable degree of the candidate, which aimed to solve the inherent problems of subjective factors and additive algorithms in other methods. Furthermore, some medical prolems including optimizations of prescriptions of drug extraction are dealt with by using PMAO impersonally. The optimizations of prescriptions of drug extraction and the compatibility of the traditional Chinese medicine design, and the schemes chosen in medical treatment for the cure of non-small cell lung cancer are conducted by means of PMAO. All performance utility indicators of candidates are divided into beneficial or unbeneficial types, and consistently treated in the scheme selection; each performance utility indicator contributes a partial preferable probability quantitatively, and the product of all partial preferable probabilities makes the total preferable probability of a candidate, which thus transfers the multi – object optimization problem into a single – object optimization one and is the uniquely decisive index in the selection process. 1. The drug extraction conditions from schisandra fruit are at 526.79w microwave power, 75.89% ethanol concentration, 5min extraction time, 12 times ethanol consumption, and 80 mesh pulverization degree; 2. The optimal compatibility of Lingguishugan Decoction is with Poria 18g, Guizhi 13.5g, Atractylodes 13.5g, and Licorice 3g; 3. The pemetrexed is the appropriate treatment for the commonly used chemotherapy regimens for advanced non-small cell lung adenocarcinoma comparatively. This study indicates the applicability of the PMAO in scheme selection of formulation of prescription and medical treatment.
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