首页|基于随机森林算法和逻辑回归预测妊娠剧吐的危险因素

基于随机森林算法和逻辑回归预测妊娠剧吐的危险因素

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目的 开发新的预测模型,识别妊娠剧吐危险因素,以有效预测妊娠剧吐发病.方法 选取 2020 至2022 年 118 例孕妇作为研究对象,分为妊娠剧吐组和非妊娠剧吐组,每组 59 例.构建一个随机森林模型和传统的多因素逻辑回归模型.然后分别分析2 个模型的分析结果.结果 随机森林分析结果显示在以基尼系数平均下降为基准,影响因素排序为:低BMI(BMI<20 kg/m2),妊娠剧吐家族史,孕妇年龄,胎儿性别,葡萄胎病史等.多因素逻辑回归模型对数据集的分析结果确定了包括低BMI、妊娠剧吐家族历史、女性胎儿、吸烟史、多胎妊娠、精神病史、糖尿病、上消化道病史、甲状腺机能亢进史和葡萄胎病史均与妊娠剧吐发生显著相关.结论 本研究建立了基于随机森林的发生风险预测模型,具有较好的预测价值,为预防诊断妊娠剧吐提供科学依据和快速筛查工具.
Risk factors for hyperemesis gravidarum using a random forest algorithm and logistic regression
Objective To develop a new predictive model to identify risk factors for hyperemesis gravidarum,thus effectively predicting its occurrence.Methods A total of 118 pregnant women from 2020 to 2022 recruited.They were divided into hyperemesis gravidarum group and non-hyperemesis gravidarum group,with 59 cases per group.A random forest model and traditional multivariate logistic regression model were constructed.Predictive models created by the two methods were compared.Results Random forest analysis results showed that,based on the average decrease in the Gini coefficient,the factors affecting hyperemesis gravidarum were ranked as follows:low body mass index(BMI<20kg/m2),family history of hyperemesis gravidarum,maternal age,fetal gender,and history of molar pregnancy.The analysis results of the multivariate logistic regression model on the dataset confirmed that low BMI,family history of hyperemesis gravidarum,female fetal gender,smoking history,multiple pregnancies,history of psychiatric disorders,diabetes,history of upper gastrointestinal tract disease,history of hyperthyroidism,and history of molar pregnancy were all significantly correlated with the occurrence of hyperemesis gravidarum.Conclusion This study established a risk prediction model based on random forest for effectively predicting hyperemesis gravidarum,which provides scientific evidence for preventing and diagnosing hyperemesis gravidarum and a useful tool to rapidly screen hyperemesis gravidarum.

hyperemesis gravidarumrisk factorsrandom forestnauseavomiting

高媛媛、王灿、王晶、寇印巧、王璐鹏

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050000 石家庄市,河北省中医院产科

050000 石家庄市,河北省中医院重症医学科

050000 石家庄市,河北省中医院血管外科

妊娠剧吐 危险因素 随机森林 恶心 呕吐

河北省中医药管理局科研计划项目

2020041

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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