基于频繁模式挖掘算法的中医问诊策略研究  

A Study of Chinese Medicine Consultation Strategies Based on Frequent Pattern Mining Algorithms

作　　者：李瑞珍[1,2] 夏春明 王忆勤[4] 许朝霞 熊玉洁[3] LI Ruizhen;XIA Chunming;WANG Yiqin;XU Zhaoxia;XIONG Yujie(Northwestern Polytechnical University,School of Civil Aviation,Xi'an 710129,China;School of Mechanical and Power Engineering,East China University of Science and Technology,Shanghai 200237,China;School of Electrical and Electronic Engineering,Shanghai University of Engineering Science,Shanghai 201620,China;Shanghai University of Traditional Chinese Medicine,Shanghai Key Laboratory of Health Identification and Assessment/Laboratory of Traditional Chinese Medicine Four Diagnostic Information,Shanghai 201203,China)

机构地区：[1]西北工业大学民航学院,西安710129 [2]华东理工大学机械与动力工程学院,上海200237 [3]上海工程技术大学电子电气工程学院,上海201620 [4]上海中医药大学上海市健康辨识与评估重点实验室/中医四诊信息化实验室,上海201203

出　　处：《世界科学技术-中医药现代化》2024年第6期1608-1617,共10页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：上海市科学技术委员会科技项目(21DZ2203100):基于机器学习的中医脉诊信息采集与分析国际标准研究,负责人:夏春明;上海市科学技术委员会科技项目(21DZ2271000):上海市健康辨识与评估重点实验室,负责人:王忆勤;国家自然科学基金委员会面上项目(82074333):基于舌诊多源信息及临床危险因素的动态变化探讨早发冠心病中医证候演变规律,负责人:许朝霞。

摘　　要：目的研究中医问诊策略,实现快速捕捉患者的关键病情信息,推进中医问诊客观化的发展。方法采用基于关联分析中频繁模式挖掘算法的症状提问模型,并使用交叉合并的方法建立中医单系统症状提问与多系统综合症状提问的中医症状问诊策略,达到通过最短的时间、最高的效率来获取到患者关键病情信息。结果实现了从单系统问诊到五系统综合问诊的突破,通过单系统与五系统两种症状提问模式实现了高效获取患者病情信息的过程,且对比传统量表提问方式,系统减少了65%的提问次数就可获取到患者92%的症状信息,大大提高了对患者症状信息获取的效率。结论在两种不同的症状提问模式下,打破了中医基于量表来询问患者的传统问诊模式,缩短了对患者症状获取的时间,简化了问诊流程,减少了由于经验不足或人为主观造成的差异,能够用于中医临床辅助诊断中。Objective To study Chinese medicine consultation strategies to achieve rapid capture of key information about patients′conditions and to advance the development of objectification in Chinese medicine consultation.Methods A symptom questioning model based on frequent pattern mining algorithm in correlation analysis was used,and a cross-merging method was used to establish a TCM symptom questioning strategy between single-system symptom questioning and multi-system integrated symptom questioning in TCM,to achieve the shortest time and highest efficiency in capturing key information about the patient′s condition.Results A breakthrough from single-system questioning to five-system integrated questioning was achieved,and the process of efficiently obtaining information about the patient′s condition was achieved through both single-system and five-system symptom questioning modes,and the system was able to obtain 92%of the patient′s symptom information with at most 65%fewer questions than the traditional scale questioning method,greatly improving the efficiency of obtaining information about the patient′s symptoms.Conclusion With the two different symptom questioning modes,the traditional TCM questioning mode of asking patients based on scales is broken,the time to obtain symptoms from patients is shortened,the questioning process is simplified,and discrepancies due to inexperience or human subjectivity are reduced,which can be used in clinical aids to diagnosis in TCM.

关 键 词：中医问诊 频繁模式挖掘算法 症状关联性 问诊策略 

分 类 号：R-058[医药卫生]