Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (3): 88-94.doi: 10.6040/j.issn.1673-3770.1.2019.023

• Original Article • Previous Articles     Next Articles

Artificial intelligence technology application in disclosing allergic rhinitis patients′ needs to otolaryngologists

Changyu QIU1,Jun ZHOU2,De′en ZHUANG2,Qing YANG1,Meiping LU1,3,Lei CHENG1,3,4()   

  1. 1. Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China
    2. Hangzhou Firestone Technology Co. , Hangzhou 310000, Zhejiang, China
    3. Clinical Allergy Center, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China
    4. International Centre for Allergy Research, Nanjing Medical University, Nanjing 210029, Jiangsu, China
  • Received:2019-04-18 Revised:2019-05-18 Online:2019-05-20 Published:2019-08-07
  • Contact: Lei CHENG E-mail:chenglei@jsph.org.cn

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Abstract: Objective

To help otolaryngologists better understand the real needs of patients with allergic rhinitis (AR) to manage patients more rationally in clinical practice, we used artificial intelligence technology to analyze the online search information of AR in Chinese internet users in recent years.

Methods

AR ′hot research′ used the Baidu Index to analyze the daily average and peak trend of the Baidu platform ′allergic rhinitis′ search index. AR ′hot question′ used artificial intelligence technology to automatically extract and categorize the questions under the specified keyword ′allergic rhinitis′ from ′Badu Know′ and ′360 Question and Answer′. On this basis, a fusion algorithm based on Word2Vec model and semantic similarity matching is applied to merge similar questions. Then we analyzed the number of AR questions, the pageviews of AR questions, the distribution of appeals and symptom distribution data for AR questions.

Results

The search index daily average and peak values of ′allergic rhinitis′ in the Baidu platform were increasing annually. The three most frequently viewed answers to questions were the best treatment for AR, ruminant of AR, and means of coping with AR. The top three drugs mentioned in the questions were traditional Chinese medicine, antihistamines and nasal irrigation, while 64% of respondents knew nothing about AR drug treatment.

Conclusion

The application of artificial intelligence can help otolaryngologists better understand the real needs of patients and assist determining if the prevalence of AR is elevated. This study showed that Chinese AR patients were most concerned about AR treatment and expected that their symptoms could be improved through daily life management. However, their knowledge of AR regular treatment drugs was insufficient and they preferred traditional Chinese medicine and remedies. Besides, their awareness of the characteristics of AR and the concept of allergen or allergen avoidance were not enough. It was suggested that healthcare providers need to better educate patients and improve standardized treatment in clinical diagnosis and treatment.

Key words: Allergic rhinitis, Internet, Artificial intelligence, Consumer health information, Satisfying desire behavior

CLC Number: 

  • R765.4

Fig.1

Daily average trend of allergic rhinitis search index from 2011 to 2018 in Baidu platform"

Fig. 2

Peak trend of allergic rhinitis search index from 2011 to 2018 in Baidu platform"

Table 1

The numbers of patients′ questions that ′allergic rhinitis′ as a keyword"

提问量

前10位

提问次数问题
1524过敏性鼻炎的最佳治疗方法
2191过敏性鼻炎怎么样处理好（吃什么药/喷剂/打针/盐水洗鼻…）
3127过敏性鼻炎的注意事项（饮食/运动/检查/游泳…）
498过敏性鼻炎是如何形成的
582过敏性鼻炎的危害（鼻癌/发烧/鼻咽癌/咳嗽/鼻息肉…）
679怎么根治过敏性鼻炎
754过敏性鼻炎有什么好的中医治疗方法（中药/按摩/艾灸）
851过敏性鼻炎的治疗偏方
950过敏性鼻炎有什么非药物治疗方法
1047如何判断是不是过敏性鼻炎

Table 2

The pageview that ′allergic rhinitis′ as a keyword"

浏览量

前10位

浏览量问题
1787 717过敏性鼻炎的最佳治疗方法
2574 015过敏性鼻炎的治疗偏方
3330 349过敏性鼻炎怎么样处理好（吃什么药/喷剂/打针/盐水洗鼻…）？
4113 457过敏性鼻炎的注意事项（饮食/运动/检查/游泳…）
5110 002怎么根治过敏性鼻炎?
6106 698过敏性鼻炎有什么好的中医治疗方法（中药/按摩/艾灸）？
799 725过敏性鼻炎是如何形成的？
876 297鼻炎引起头痛？
975 726过敏性鼻炎的危害（鼻癌/发烧/鼻咽癌/咳嗽/鼻息肉…）？
1062 663吃什么东西/水果/食物有助于治疗过敏性鼻炎?

Fig. 3

Drugs mentioned in the questions of allergic rhinitis patients (n=1 518)"

Fig.4

The most worried questions about disease burden in allergic rhinitis patients (n=117)"

Table 3

Questions about the precautions for allergic rhinitis"

注意事项提问次数总浏览量

食物方面有没有禁忌，

吃什么对过敏性鼻炎好

74102 751
能不能吹空调514 994
如何预防2214 221
有什么要注意的539 779
盖什么被子好67 376
适合什么运动46 904
能不能游泳64 325
能不能进行其他治疗62 270
花费21 158
能不能抽烟5947
能不能饲养宠物3808

Fig. 5

Distribution of symptoms in allergic rhinitis patients"

1 AkdisCA, AgacheI. Global Atlas of Allergy[OL].
2 PawankarR, HolgateST, CanonicaGW, et al. WAO. White Book on Allergy: Update 2013[OL].
3 WangXD, ZhengM, LouHF, et al. An increased prevalence of self-reported allergic rhinitis in major Chinese cities from 2005 to 2011[J]. Allergy, 2016, 71(8): 1170-1180. doi:10.1111/all.12874.
doi: 10.1111/all.12874
4 中国互联网络信息中心. 第39次中国互联网络发展状况统计报告[OL].
5 俞国培, 包小源, 黄新霆, 等. 医疗健康大数据的种类、性质及有关问题[J]. 医学信息学杂志, 2014, 35(6): 9-12. doi:10.3969/j.issn.1673-6036.2014.06.002
doi: 10.3969/j.issn.1673-6036.2014.06.002
YUGuopei, BAOXiaoyuan, HUANGXinting, et al. Medical and Health Big Data: types, characteristics and relevant issues[J]. Journal of Medical Intelligence, 2014, 35(6): 9-12. doi:10.3969/j.issn.1673-6036.2014.06.002
doi: 10.3969/j.issn.1673-6036.2014.06.002
6 曹亭, 张恒娟. 基于百度指数的用户健康信息搜寻行为分析[J]. 中国中医药图书情报杂志, 2016, 40(4): 16-18. doi:10.3969/j.issn.2095-5707.2016.04.005
doi: 10.3969/j.issn.2095-5707.2016.04.005
CAOTing, ZHANGHengjuan. Analysis on health information search behaviors of users based on the baidu index[J]. Chinese Journal of Library and Information Science for Traditional Chinese Medicine, 2016, 40(4): 16-18. doi:10.3969/j.issn.2095-5707.2016.04.005
doi: 10.3969/j.issn.2095-5707.2016.04.005
7 邓胜利, 刘瑾. 基于文本挖掘的问答社区健康信息行为研究: 以“百度知道”为例[J]. 信息资源管理学报, 2016, 6(3): 25-33. doi:10.13365/j.jirm.2016.03.025
doi: 10.13365/j.jirm.2016.03.025
8 ChenJ, ZhaoY, LiB. A multicenter study of the clinical features of allergic rhinitis in central China[J]. Am J Rhinol Allergy, 2014, 28(5): 392-396. doi:10.2500/ajra.2014. 28.4075
doi: 10.2500/ajra.2014. 28.4075
9 吕晓飞, 锡琳, 张罗,等. 鼻部症状对变应性鼻炎患者精神心理的影响[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(3): 219-222.
LVXiaofei, XILin, ZHANGLuo, et al. Effects of nasal symptoms on the psychological statuses of adults with moderate-to-severe persistent allergic rhinitis[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2015, 29(3):219-222.
10 金碧漪, 许鑫. 社会化问答社区中糖尿病健康信息的需求分析[J]. 中华医学图书情报杂志, 2014, 23(12): 37-42. doi:10.3969/j.issn.1671-3982.2014.12.010
doi: 10.3969/j.issn.1671-3982.2014.12.010
JINBiyi, XUXin. Health information needs of diabetics in social Q & A community[J]. Chinese Journal of Medical Library and Information Science, 2014, 23(12): 37-42. doi:10.3969/j.issn.1671-3982.2014.12.010
doi: 10.3969/j.issn.1671-3982.2014.12.010
11 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科分会鼻科学组. 变应性鼻炎诊断和治疗指南（2015年，天津）[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(1): 6-24. doi: 10.3760/cma.j.issn.1673-0860.2016.01.004
doi: 10.3760/cma.j.issn.1673-0860.2016.01.004
Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of allergic rhinitis（2015，Tianjin） [J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2016, 51(1):6-24. doi: 10.3760/cma.j.issn.1673-0860.2016.01.004
doi: 10.3760/cma.j.issn.1673-0860.2016.01.004
12 The American Academy of Pediatrics. Allergies in Children Guidelines for Parents[OL].
13 德勤. 2018全球医疗行业展望[OL].
14 NawaN, KogakiS, TakahashiK, et al. Analysis of public concerns about influenza vaccinations by mining a massive online question dataset in Japan[J]. Vaccine, 2016, 34(27): 3207-3213. doi:10.1016/j.vaccine.2016.01.008.
doi: 10.1016/j.vaccine.2016.01.008
15 JiZ, ZhangY, XuJ, et al. Comparing cancer information needs for consumers in the US and China[J]. Stud Health Technol Inform, 2017, 245: 126-130.
16 GianfrediV, BragazziNL, MahamidM, et al. Monitoring public interest toward pertussis outbreaks: an extensive Google Trends-based analysis[J]. Public Health, 2018, 165: 9-15. doi:10.1016/j.puhe.2018.09.001.
doi: 10.1016/j.puhe.2018.09.001
17 BousquetJ, HellingsPW, AgacheI, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) Phase 4 (2018): Change management in allergic rhinitis and asthma multimorbidity using mobile technology[J]. J Allergy Clin Immunol, 2019, 143(3): 864-879. doi:10.1016/j.jaci.2018. 08.049.
doi: 10.1016/j.jaci.2018. 08.049
18 张敏, 刘雪瑞, 张艳. 在线健康信息求助行为实证研究的系统综述: 知识体系、影响因素与前沿分析[J]. 图书情报工作, 2018, 62(15): 122-131. doi:10.13266/j.issn.0252-3116.2018.15.014.
doi: 10.13266/j.issn.0252-3116.2018.15.014
ZHANGMin, LIUXuerui, ZHANGYan. Systematic review of online health information help-seeking behaviour: knowledge system, factors and frontier analysis[J]. Library and Information Service, 2018, 62(15): 122-131. doi:10.13266/j.issn.0252-3116.2018.15.014.
doi: 10.13266/j.issn.0252-3116.2018.15.014
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