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基于Apriori算法与病案首页数据浅析妊娠并发症与合并症

发表时间:2019-12-31  浏览量:347  下载量:18
全部作者: 肖川,徐浩
作者单位: 湖南省妇幼保健院病案管理科;四川大学口腔疾病研究国家重点实验室
摘 要: 目的:基于病案首页数据,利用关联规则分析方法,分析妊娠并发症与合并症之间及其与其他疾病症状之间的关联情况。方法:收集某三级甲等医疗机构2016年至2017年产科病案首页数据,描述妊娠并发症与合并症的症状分布,利用Apriori算法对妊娠并发症与合并症及其他疾病症状进行关联规则分析。结果:2016年和2017年分别有18 211条、18 076条孕产妇就诊记录,其中高龄产妇分别占当年全部孕产妇的14.41%与20.70%,妊娠并发症与合并症患者分别占当年全部孕产妇的61.55%与70.86%,均呈上升趋势。2016年和2017年发生率最高的前三位妊娠并发症与合并症均为妊娠合并瘢痕子宫、妊娠期糖尿病与妊娠合并贫血,除妊娠期糖尿病诊断人数降低外,其余均有上升。关联规则分析显示,妊娠合并瘢痕子宫、妊娠合并盆腔炎与妊娠期糖尿病存在较强关联。此外,妊娠合并贫血与产后出血或前置胎盘存在较强关联,子痫前期与胎儿生长受限有极强的关联。结论:妊娠并发症与合并症之间及其与其他疾病症状之间存在较复杂关联,在妊娠围产期监护中需要预防和警惕妊娠并发症与合并症及其关联症状。
关 键 词: 计算机应用;妇产科学;妊娠并发症与合并症;病案首页;Apriori算法
Title: Analysis of pregnancy complications based on Apriori algorithm with the front pages of medical records
Author: XIAO Chuan, XU Hao
Organization: Medical Records Management Division, Hunan Provincial Maternal and Child Health Care Hospital; State Key Laboratory of Oral Diseases, Sichuan University
Abstract: Objective: To analyze the association among pregnancy complications and other disease symptoms with the association rules, based on the front pages of medical records. Methods: The symptoms distribution of pregnancy complications were described with the front pages of medical records collected from 2016 to 2017 in one first class tertiary hospital, then the Apriori algorithm was utilized to explore the association rules of pregnancy complications and other disease symptoms. Results: There were 18 211 and 18 076 maternal visits in 2016 and 2017 respectively, of which 14.41% and 20.70% were senile pregnant women, and 61.55% and 70.86% were with pregnancy complications, respectively. Both showed an upward trend. The top three pregnancy complications in 2016 and 2017 were pregnancy with scar uterus, gestational diabetes and pregnancy with anemia. Except for the decrease in the number of gestational diabetes, the rest increased. Analysis of association rules showed that pregnancy with scar uterus, pregnancy with pelvic inflammatory disease and pregnancy with diabetes were strongly associated. In addition, pregnancy with anemia was associated with postpartum hemorrhage or placenta previa, and preeclampsia was strongly associated with fetal growth restriction. Conclusion: There is a complex relationship between pregnancy complications and other disease symptoms, and it is necessary to prevent and alert pregnancy complications and their associated symptoms during perinatal pregnancy monitoring.
Key words: computer applications; obstetrics and gynecology; pregnancy complications; front pages of medical records; Apriori algorithm
发表期数: 2019年12月第6期
引用格式: 肖川,徐浩. 基于Apriori算法与病案首页数据浅析妊娠并发症与合并症[J]. 中国科技论文在线精品论文,2019,12(6):923-932.
 
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