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超声介导下肠道功能恢复的机器学习算法及下消化道恶性肿瘤术后护理疗效分析

Machine learning algorithm of ultrasound-mediated intestinal function recovery and nursing efficacy analysis of lower gastrointestinal malignant tumor after surgery.

作者信息

Ma Lei, Zhang Hao

机构信息

Lei Ma, Master of Medicine. Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Xi'an Jiaotong University Xi'an, 710061, China.

Hao Zhang, PhD. Department of Surgical oncology, The First Affiliated Hospital of Xi'an Jiaotong University Xi'an, 710061, China.

出版信息

Pak J Med Sci. 2021;37(6):1662-1666. doi: 10.12669/pjms.37.6-WIT.4866.

DOI:10.12669/pjms.37.6-WIT.4866
PMID:34712302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8520359/
Abstract

OBJECTIVES

In this paper, machine learning algorithms was used to explore the application value of ultrasound contrast in the early evaluation of neoadjuvant chemotherapy in patients with gastrointestinal malignant liver metastases, and analyzes the effect of sports nursing methods on intestinal function recovery.

METHODS

Forty-seven patients with gastrointestinal malignancies were divided into 25 patients (combined chemotherapy group) and 22 cases (chemotherapy group) from April 2018 to April 2019. Two groups of patients were treated with CEUS. The effective lesion patients and invalid quantitative parameters were compared between the two groups before and after treatment, and the postoperative routine nursing was implemented.

RESULTS

Chemotherapy group effective in 18 cases, accounting for 81.82%; 4 cases, 18.18%. Combination chemotherapy patients 21 cases, accounting for 84.00%; 4 cases, accounting for 16.00%.

CONCLUSION

Based on early is important to assess the efficacy of neoadjuvant chemotherapy in patients with liver metastases peak intensity ultrasound contrast parameters of the machine learning algorithms malignant tumors in the gastrointestinal tract, post-operative care movement helps to restore bowel function.

摘要

目的

本文运用机器学习算法探讨超声造影在胃肠道恶性肿瘤肝转移患者新辅助化疗早期评估中的应用价值,并分析运动护理方法对肠道功能恢复的影响。

方法

选取2018年4月至2019年4月期间47例胃肠道恶性肿瘤患者,分为25例(联合化疗组)和22例(化疗组)。两组患者均接受超声造影检查。比较两组治疗前后有效病灶患者及无效定量参数情况,并实施术后常规护理。

结果

化疗组有效18例,占81.82%;无效4例,占18.18%。联合化疗组有效21例,占84.00%;无效4例,占16.00%。

结论

基于早期评估胃肠道恶性肿瘤肝转移患者新辅助化疗疗效,机器学习算法的超声造影峰值强度参数具有重要意义,术后运动护理有助于肠道功能恢复。

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本文引用的文献

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SCDb: an integrated database of stomach cancer.SCDb:胃癌综合数据库。
BMC Cancer. 2020 Jun 2;20(1):490. doi: 10.1186/s12885-020-06869-3.
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Study protocol of a multicenter phase III randomized controlled trial investigating the efficiency of the combination of neoadjuvant chemotherapy (NAC) and neoadjuvant laparoscopic intraperitoneal hyperthermic chemotherapy (NLHIPEC) followed by R0 gastrectomy with intraoperative HIPEC for advanced gastric cancer (AGC): dragon II trial.多中心 III 期随机对照临床试验研究方案,旨在评估新辅助化疗(NAC)联合新辅助腹腔镜腹腔内热化疗(NLHIPEC)序贯 R0 胃切除术后术中腹腔内热化疗(HIPEC)治疗进展期胃癌(AGC)的疗效:龙 II 试验。
BMC Cancer. 2020 Mar 17;20(1):224. doi: 10.1186/s12885-020-6701-2.
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Lysyl oxidase promotes liver metastasis of gastric cancer via facilitating the reciprocal interactions between tumor cells and cancer associated fibroblasts.赖氨酰氧化酶通过促进肿瘤细胞与癌相关成纤维细胞的相互作用促进胃癌肝转移。
EBioMedicine. 2019 Nov;49:157-171. doi: 10.1016/j.ebiom.2019.10.037. Epub 2019 Oct 31.
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PRAME as a Potential Biomarker for Liver Metastasis of Gastric Cancer.PRAME 作为胃癌肝转移的潜在生物标志物。
Ann Surg Oncol. 2020 Jun;27(6):2071-2080. doi: 10.1245/s10434-019-07985-6. Epub 2019 Oct 28.
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Impact of contrast ultrasound diagnosis for patients with liver cancer.超声造影诊断对肝癌患者的影响。
Medicine (Baltimore). 2019 May;98(19):e15445. doi: 10.1097/MD.0000000000015445.
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Artificial Intelligence and Machine Learning in Anesthesiology.人工智能和机器学习在麻醉学中的应用。
Anesthesiology. 2019 Dec;131(6):1346-1359. doi: 10.1097/ALN.0000000000002694.
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