Computer Engineering Department, Engineering Faculty, Akdeniz University Kampus, 07058 Antalya, Turkey.
Comput Biol Med. 2014 Aug;51:223-8. doi: 10.1016/j.compbiomed.2014.05.013. Epub 2014 Jun 7.
Loss of gastrointestinal motility is a significant medical setback for patients who experience abdominal surgery and contributes to the most common reason for prolonged hospital stays. Recent clinical studies suggest that initiating feeding early after abdominal surgery is beneficial. Early feeding is possible when the patients demonstrate bowel motility in the form of bowel sounds (BS). This work provides a data collection, processing and analysis methodology for detection of recovery of gastrointestinal track motility by observing BSs in auscultation recordings. The approach is suitable for real-time long-term continuous monitoring in clinical environments. The system was developed using a Naive Bayesian algorithm for pattern classification, and Minimum Statistics and spectral subtraction for noise attenuation. The solution was tested on 59h of recordings and 94.15% recognition accuracy was observed.
胃肠蠕动丧失是经历腹部手术的患者面临的重大医学挫折,并导致患者住院时间延长的最常见原因。最近的临床研究表明,腹部手术后尽早开始喂养是有益的。当患者以肠鸣音(BS)的形式表现出肠道蠕动时,早期喂养是可能的。这项工作提供了一种数据收集、处理和分析方法,通过观察听诊记录中的 BS 来检测胃肠道运动的恢复。该方法适用于临床环境中的实时长期连续监测。该系统使用朴素贝叶斯算法进行模式分类,以及最小统计量和谱减法进行噪声衰减。该解决方案在 59 小时的记录和 94.15%的识别准确率上进行了测试。