基于Apriori算法的乳腺癌手术患者的共病模式分析  

Multimorbidity pattern analysis of breast cancer surgery patients based on Apriori algorithm

作　　者：王玲 张生雯 陈永聪[1] WANG Ling;ZHANG Shengwen;CHEN Yongcong(School of Public Health,Lanzhou University,Lanzhou,Gansu Province 730030,China)

机构地区：[1]兰州大学公共卫生学院,甘肃省兰州730030

出　　处：《中国慢性病预防与控制》2025年第2期104-108,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：2023年甘肃省卫生健康行业科研项目(GSWSKY2023-17)。

摘　　要：目的了解乳腺癌手术患者的共病患病情况和共病模式,为患者的治疗、护理和预后管理提供理论依据。方法通过甘肃卫生统计信息网络直报系统提取2018—2023年在甘肃省医疗机构(乡卫生院和村卫生室除外)就诊的所有乳腺癌手术患者的住院病案首页中人口学特征、诊断和手术模块的数据,使用SPSS 29.0和R 4.4.0进行统计分析,组间比较采用χ^(2)检验,采用Apriori算法分析患者的共病情况和关联规则。结果11160例乳腺癌手术患者中,28.41%至少患1种共病,合并1、2、3和4种及以上共病的分别为2110例(18.90%)、707例(6.34%)、246例(2.20%)和108例(0.97%)。不同性别、年龄和婚姻状况的患者的共病患病率差异均有统计学意义(P<0.01)。26条关联规则中,前项包含16种疾病或疾病组合,后项包含7种疾病,后项为高血压的有7条,呼吸系统疾病和心脏病各有4条,糖尿病、动脉硬化和慢性肝病各有3条,消化系统疾病有2条。结论甘肃省乳腺癌手术患者的共病患病率较高,高血压最常见,形成了以高血压、心脏病和呼吸系统疾病为关键疾病的共病模式。建议关注乳腺癌的共病问题,制定综合措施改善患者的生存质量和生存期。Objective To understand the prevalence and patterns of multimorbidity in patients undergoing breast cancer surgery and provide a theoretical basis for the treatment,care and prognostic management of patients.Methods Data on demographic characteristics,diagnosis and surgical modules in the front sheet of medical records of all breast cancer surgery patients attending medical institutions(except township health centres and village health offices)in Gansu Province from 2018 to 2023 were extracted through the Gansu Health Statistics Information Network Direct Reporting System.Statistical analysis were performed using SPSS 29.0 and R 4.4.0,intergroup comparisons were performed using χ^(2) test,and patients'multimorbidity and association rules were analyzed using the Apriori algorithm.Results Among 11160 breast cancer patients who underwent surgery,28.41%suffered from at least one multimorbidity,and 2110(18.90%),707(6.34%),246(2.20%),and 108(0.97%)combined with one,two,three,and four or more multimorbidity,respectively.There was a statistical difference in the prevalence of multimorbidity between patients of different gender,age and marital status(P<0.01).Of the 26 association rules,the former item contains 16 diseases or combinations of diseases,the latter item contains 7 diseases,with 7 entries for hypertension,4 entries each for respiratory and heart diseases,3 entries each for diabetes,arteriosclerosis and chronic liver disease,and 2 entries for digestive diseases.Conclusion The prevalence of multimorbidity among breast cancer surgery patients in Gansu Province is comparatively high,hypertension is the most common,creating a pattern of multimorbidity with hypertension,heart disease and respiratory disease as the key diseases.It is recommended to pay attention to the multimorbidity of breast cancer and develop comprehensive measures to improve the quality and duration of patients'survival.

关 键 词：乳腺癌 共病模式 关联规则 

分 类 号：R737.9[医药卫生—肿瘤]