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颅脑损伤术后躁动患者行神经外科手术时右美托咪定的特征提取与小样本学习。

Feature Extraction and Small-Sample Learning of Dexmedetomidine for Neurosurgery on Postoperative Agitation in Patients with Craniocerebral Injury.

机构信息

Department of Anesthesiology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong 250117, China.

Department of Materials Chemistry, Anhui Normal University, Wuhu, Anhui 241002, China.

出版信息

Comput Intell Neurosci. 2022 Mar 15;2022:3699647. doi: 10.1155/2022/3699647. eCollection 2022.

DOI:10.1155/2022/3699647
PMID:36874255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9977537/
Abstract

. To observe the controlled effect of dexmedetomidine for neurosurgery and the effect on postoperative cognitive function. The main task of this paper is to use data from a small sample. The proposed feature extraction algorithm based on the bilinear convolutional neurological network (BCNN) is based on a small sample of data. BCNN involves the simultaneous extraction of highly discriminative cross-sectional features from the input image using two parallel subnetworks. By optimizing the algorithm to minimize losses, the two subnetworks can be supervised by each other, improving the performance of the network and obtaining accurate recognition results without spending a lot of time adjusting parameters. The mean arterial pressure (MAP) and heart rate (HR) levels of cerebral oxygen metabolism were compared between the two groups before (T0), after (T1), immediately after (T2), and after intubation (T3). In the observation group, MAP and HR values at T3, arterial-internal jugular vein bulb oxygen difference [( - ) ] at T1, T2, and T3, cerebral oxygen uptake (CEO) levels, and postawakening agitation scores were lower than those of the control group during the same period ( < 0.05).

摘要

观察右美托咪定在神经外科中的控制效果及对术后认知功能的影响。本文的主要任务是使用小样本数据。基于双线性卷积神经网络(BCNN)的提出的特征提取算法基于小样本数据。BCNN 涉及使用两个并行子网同时从输入图像中提取高度有区别的横向特征。通过优化算法使损失最小化,两个子网可以相互监督,从而提高网络的性能,并获得准确的识别结果,而无需花费大量时间调整参数。比较两组患者在(T0)前、(T1)后、(T2)即刻和(T3)插管后的平均动脉压(MAP)和脑氧代谢心率(HR)水平。观察组 T3 时的 MAP 和 HR 值、T1、T2 和 T3 时的动脉-颈内静脉球血氧差[(-)]、脑氧摄取(CEO)水平和苏醒后躁动评分均低于同期对照组(<0.05)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/9fce9b8a5533/CIN2022-3699647.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/b9fd0de55285/CIN2022-3699647.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/36c6b0a9feb4/CIN2022-3699647.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/86b5dac0eed4/CIN2022-3699647.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/c7563cef4920/CIN2022-3699647.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/9c843c5b72dc/CIN2022-3699647.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/9fce9b8a5533/CIN2022-3699647.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/b9fd0de55285/CIN2022-3699647.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/36c6b0a9feb4/CIN2022-3699647.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/86b5dac0eed4/CIN2022-3699647.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/c7563cef4920/CIN2022-3699647.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/9c843c5b72dc/CIN2022-3699647.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcef/9977537/9fce9b8a5533/CIN2022-3699647.006.jpg

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本文引用的文献

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Certification Circle: A Peer Support Model to Increase Certification Among Medical-Surgical Inpatient Nurses.认证圈:一种增加医疗外科住院护士认证的同伴支持模式。
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Dexmedetomidine Reduces Perioperative Opioid Consumption and Postoperative Pain Intensity in Neurosurgery: A Meta-analysis.
右美托咪定可减少神经外科围手术期阿片类药物的消耗和术后疼痛强度:一项荟萃分析。
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Analgosedation With Dexmedetomidine in a Patient With Superior Vena Cava Syndrome in Neurosurgery.
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The Opioid-Sparing Effect of Perioperative Dexmedetomidine Plus Sufentanil Infusion during Neurosurgery: A Retrospective Study.神经外科手术中围手术期右美托咪定联合舒芬太尼输注的阿片类药物节省效应:一项回顾性研究
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Evaluation of low-dose dexmedetomidine and neostigmine with bupivacaine for postoperative analgesia in orthopedic surgeries: A prospective randomized double-blind study.低剂量右美托咪定与新斯的明联合布比卡因用于骨科手术术后镇痛的评估:一项前瞻性随机双盲研究。
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Microelectrode recording (MER) findings during sleep-awake anesthesia using dexmedetomidine in deep brain stimulation surgery for Parkinson's disease.帕金森病脑深部刺激手术中使用右美托咪定进行睡眠-清醒麻醉期间的微电极记录(MER)结果。
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