Department of Neurosurgery, Eighth People's Hospital of Hengshui City, Hengshui 253800, China.
Department of Neurology, Eighth People's Hospital of Hengshui City, Hengshui 253800, China.
J Healthc Eng. 2021 Dec 23;2021:2401256. doi: 10.1155/2021/2401256. eCollection 2021.
The objective of this study was to explore the effect of minimally invasive puncture drainage under unsupervised learning algorithm and conservative treatment on the prognosis of patients with cerebral hemorrhage. Fifty patients with cerebral hemorrhage were selected as the research objects. The CT images of patients were segmented by unsupervised learning algorithm, and the application value of unsupervised learning algorithm on CT images of patients with cerebral hemorrhage was evaluated. According to the treatment wishes of the patients themselves and their authorizers, they were divided into 30 patients with cerebral hemorrhage in the minimally invasive group and 20 patients with cerebral hemorrhage in the conservative group. The incidence rate of complications of cerebral hemorrhage, the length of hospitalization of the two groups, hematoma volume at admission, 3 days and 7 days after operation, and the hematoma dissipation rate on the 3rd and 7th day after operation were used as the evaluation index of therapeutic effect. MRS and ADL scores were used as prognostic indicators. The results show that -means clustering algorithm has high quality and short time for CT image segmentation. The overall incidence rate of complications in minimally invasive group was 10%, lower than that in conservative group (25%) ( < 0.05), and the length of hospitalization in minimally invasive group was longer than that in conservative group ( < 0.05). The hematoma volume of minimally invasive group was 16.5 ± 2.4 mL on the 3rd day after operation, and that of conservative group was 27.4 ± 1.8 mL. There was significant difference between the two groups ( < 0.05). In addition, CT showed that the hematoma reduction degree of minimally invasive group was higher than that of conservative group, and the hematoma dissipation rate was higher than that of conservative group on the 3rd and 7th day ( < 0.05). The good MRS score in minimally invasive group was 3.15 times that in conservative group, and the good ADL score was 1.6 times that in conservative group, and there was significant difference in the total score between the two groups ( < 0.05). Minimally invasive puncture drainage is better than conservative treatment in the clearance of hematoma, which is conducive to the recovery of neurological function and daily life of patients with cerebral hemorrhage and is of great help to the prognosis of patients.
本研究的目的是探讨在无监督学习算法和保守治疗下微创穿刺引流对脑出血患者预后的影响。选择 50 例脑出血患者作为研究对象，通过无监督学习算法对患者的 CT 图像进行分割，并评估无监督学习算法在脑出血患者 CT 图像中的应用价值。根据患者自身及其授权人的治疗意愿，将其分为微创组 30 例和保守组 20 例脑出血患者。脑出血并发症发生率、两组住院时间、入院时血肿量、术后 3 天和 7 天血肿量、术后第 3 天和第 7 天血肿消散率作为疗效评价指标，MRS 和 ADL 评分作为预后指标。结果表明，-means 聚类算法对 CT 图像分割具有高质量和短时间的特点。微创组并发症总发生率为 10%，低于保守组（25%）（<0.05），微创组住院时间长于保守组（<0.05）。微创组术后第 3 天血肿量为 16.5±2.4ml，保守组为 27.4±1.8ml，两组比较差异有统计学意义（<0.05）。此外，CT 显示微创组血肿减少程度高于保守组，术后第 3 天和第 7 天血肿消散率高于保守组（<0.05）。微创组良好的 MRS 评分为保守组的 3.15 倍，良好的 ADL 评分为保守组的 1.6 倍，两组总分比较差异有统计学意义（<0.05）。微创穿刺引流术在清除血肿方面优于保守治疗，有利于脑出血患者神经功能和日常生活的恢复，对患者预后有很大帮助。
