首页|基于语义相似性的秦伯未肝病诊治医案推荐模型构建研究

基于语义相似性的秦伯未肝病诊治医案推荐模型构建研究

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目的:以人工智能技术赋能名中医秦伯未诊治肝病临床经验的传承,辅助中医临床决策.方法:基于语义相似性构建秦伯未诊治肝病医案推荐模型,以秦伯未诊治肝病医案为数据基础建立正向样本,以与肝病无关病案组成负向样本,采用长短期记忆网络(LSTM)建模症状群之间的相关性,并根据AdamW优化函数,通过反向传播算法、利用模型参数梯度对LSTM模型进行优化.将症状群向量化表示,计算两个症候群的余弦相似性,最后输出推荐结果供临床医生参考.结果:用于模型训练的样例共包含正负样本2 132例,包含1816个症状描述,对244条医案进行实验,并通过随机验证测试展示了模型应用场景,实现了相似医案推荐.结论:本研究构建的模型医案推荐效果较好,有助于名老中医诊疗经验传承及推广应用,同时可供临床决策参考,提高中医诊疗水平.
Research on the construction of a medical cases recommendation model for Qin Bowei's diagnosis and treatment of liver disease based on semantic similarity
Objective To use AI(artificial intelligence)technology to empower the inheritance of the veteran TCM phycians Qin Bowei's clinical experience in diagnosis and treatment of liver disease,and to assist Chinese medicine clinical decision-making.Methods Based on semantic similarity,a recommendation model of Qin BoWei's liver disease diagnosis and treatment.Positive samples were established based on the data of Qin Bowei's liver disease-related medical cases,and negative samples were composed of unrelated liver disease cases.Long Short-Term Memory(LSTM)network was used to model the correlations between symptom clusters.The AdamW optimizer function was used to optimize the LSTM model through the back-propagation algorithm and the gradient of the model parameters.The symptom clusters were represented vectorically,the cosine similarity of the two syndromes was calculated,and the recommended results were output for clinicians'reference.Results The samples used for model training in this study included a total of 2,132 positive and negative samples,including 1,816 symptom descriptions.244 medical cases were tested,and the application scenarios of the model were displayed through random validation tests,and similar medical case recommendations were achieved.Conclusion The model constructed in this study has a good recommendation effect,which is helpful for the inheritance,promotion and application of the diagnosis and treatment experience of veteran TCM phycians.At the same time,it can serve as a valuable reference for clinical decision-making,and improve the level of TCM diagnosis and treatment.

Veteran TCM phyciansSemantic similarityLSTMMedical case recommendation

孙玲玲、李雁、刘智、骆长永

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100700 北京,北京中医药大学东直门医院

北京中医药大学

南京中医药大学

北京中医药大学东方医院

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名老中医 语义相似性 长短期记忆网络 医案推荐

2025

中国数字医学
卫生部医院管理研究所

中国数字医学

影响因子:0.692
ISSN:1673-7571
年,卷(期):2025.20(1)