基于人工智能服务的大肠癌初筛阳性人群转诊模式探索  

Exploratory Research on Referral Patterns of Early-stage Population about Colorectal Cancer Based on Artificial Intelli-gence Services

作　　者：王森[1] 张柯 黎桂福[1] 吴周理 陆杰 吴雅 Wang Seng;Zhang Ke;Li Guifu;Wu Zhouli;Lu Jie;Wu Ya(Qingpu District Center for Disease Control and Prevention,Shanghai,201402,China)

机构地区：[1]上海市青浦区疾病预防控制中心,上海201402

出　　处：《中国初级卫生保健》2023年第10期19-22,共4页Chinese Primary Health Care

基　　金：上海市青浦区科技发展基金项目(QKY2021-32)。

摘　　要：目的:探索人工智能转诊干预对大肠癌初筛阳性人群转诊肠镜检查率的影响。方法:选取2021年8月1日—2021年12月31日上海市青浦区华新和练塘社区卫生服务中心筛查出的7139例大肠癌初筛阳性人群作为研究对象,对于转诊工作结束后1个月仍未转诊的初筛阳性人群,利用人工智能服务对其进行转诊干预,比较人工智能干预前后转诊肠镜检查率的差异。结果:2个社区卫生服务中心大肠癌初筛阳性人群在性别方面差异无统计学意义(P>0.05),在年龄方面差异有统计学意义(P<0.01)。大肠癌初筛阳性人群与人工智能干预后转诊肠镜检查人群在年龄和性别方面差异无统计学意义(P>0.05)。人工智能转诊干预后,练塘社区卫生服务中心的转诊肠镜率从34.29%升高至36.67%,华新社区卫生服务中心的转诊肠镜率从17.29%升高至20.63%,2个社区卫生服务中心的总转诊肠镜率从28.30%升高至31.01%。结论:利用人工智能对大肠癌初筛阳性人群进行转诊干预,可以提高人群的转诊肠镜检查率。OBJECTIVE To explore the effect of artificial intelligence referral intervention on the rate of referral colonoscopy inearly-stage population of colorectal cancer.METHODS 7139 people with positive preliminary screening of colorectal cancer inHuaxin and Liantang Community Hospital of Qingpu District of Shanghai from August 1"to December 31in 2021 were selected asthe research objects.For those who still were not referred within 1 month after the end of the referral work,artificial intelligence ser-vices were used for referal intervention.RESULTS There was no significant dfference in gender between people with positive prelim-inary screening ofcolorectal cancer in Liantang community and these in Huaxin community(P>0.05),but there was significant dfer-ence in age(P<0.01).There was no significant difference in age and gender between those who screened positive for colorectal can-cer and those referred for colonoscopy after AI intervention(P>0.05).After AI referral intervention,the referral colonoscopy rate in-creased from 34.29%to 36.67%in Liantang community,from 17.29%to 20.63%in Huaxin community,and the total referral colo-noscopy rate increased from 28.30%to 31.01%.CONCLUSION The referral intervention of artificial intelligence services on the pa-tients with positive initial screening of colorectal cancer can improve the referral rate of colonoscopy.

关 键 词：人工智能 大肠癌 转诊 结肠镜检查 干预 

分 类 号：R735.34[医药卫生—肿瘤]