Department of Neurology, Affiliated Hospital of Hebei University of Engineering, Handan, 056002 Hebei, China.
Biomed Res Int. 2022 Jul 11;2022:6563193. doi: 10.1155/2022/6563193. eCollection 2022.
This study is aimed at investigating the clinical efficacy of anisodamine combined with chlorpromazine on intractable hiccups after stroke.
150 patients admitted to Affiliated Hospital of the Hebei University of Engineering from 2017 to 2021 were selected as the research objects, all of which received the computed tomography (CT) examination. During CT examination, intelligent algorithms were used to segment the images. An unsupervised multilayer image threshold segmentation algorithm was proposed by using Kullback-Leibler (K-L) divergence and the modified particle swarm optimization (MPSO) algorithm. All patients were divided into three groups, with each group of 50 patients. Patients in the control group (group A) took the calcium tablets, vitamin C tablets, and vitamin B1 tablets orally. Patients in the control group (group B) received the acupoint injection of anisodamine, and those in the observation group (group C) received the acupoint injection of anisodamine combined with chlorpromazine. The therapeutic effect and patient satisfaction of the three groups were compared.
The two-dimensional (2D) K-L divergence was applied for the multilayer segmentation of images, which was helpful to obtain accurate images. The MPSO algorithm was adopted to reduce the computational complexity. The total efficiency of group C was 98%, that of group B was 56%, and that of group A was 22%. The total efficiency and satisfaction rate of group C were signally better than those of group A and group B ( < 0.05).
The combination of 2D K-L divergence and MPSO algorithm could improve the accuracy of multilayer image segmentation and CT imaging. Acupoint injection of anisodamine combined with chlorpromazine had better efficacy than the injection of anisodamine alone for the treatment of intractable hiccups after stroke, with high safety and clinical promotion value.
本研究旨在探讨山莨菪碱联合氯丙嗪治疗脑卒中后顽固性呃逆的临床疗效。
选取 2017 年至 2021 年河北工程大学附属医院收治的 150 例患者作为研究对象,均行 CT 检查。在 CT 检查过程中,使用智能算法对图像进行分割。提出了一种基于 Kullback-Leibler(K-L)散度和改进粒子群优化(MPSO)算法的无监督多层图像阈值分割算法。将所有患者分为三组,每组 50 例。对照组(A 组)患者口服碳酸钙片、维生素 C 片、维生素 B1 片,对照组(B 组)患者进行山莨菪碱穴位注射,观察组(C 组)患者进行山莨菪碱联合氯丙嗪穴位注射。比较三组患者的治疗效果和患者满意度。
采用二维(2D)K-L 散度进行多层分割,有助于获得更准确的图像。采用 MPSO 算法降低计算复杂度。C 组总有效率为 98%,B 组为 56%,A 组为 22%。C 组总有效率和满意度明显优于 A 组和 B 组(<0.05)。
2D K-L 散度和 MPSO 算法相结合可以提高多层图像分割和 CT 成像的准确性。山莨菪碱联合氯丙嗪穴位注射治疗脑卒中后顽固性呃逆的疗效优于单纯山莨菪碱穴位注射,安全性高,具有临床推广价值。