基于多特征联合的肠鸣音检测方法及实验研究

      Bowel Sounds Detection Method and Experiment Based on Multi-feature Combination

      • 摘要: 肠鸣音是监测和反映肠道运动功能的重要指标,传统的人工听诊方式对医生的专业知识和临床经验要求较高,且长时间听诊费时费力,存在因主观性偏差造成的误判。为解决此问题,首先利用小波多分辨率重构对肠鸣音信号进行预处理,达到肠鸣音降噪和增强的目的,然后提取肠鸣音的三种典型特征。根据特征组合设计了三级判决进行多参数的联合门限检测,实现了肠鸣音信号的检测和起止端点的定位,从而确保完整肠鸣音信号的有效提取。该研究采集了大量带标签的肠鸣音临床数据,并提出了新的算法评估方式对所提肠鸣音检测算法进行实验验证,准确率达83.51%。该算法将为肠道疾病诊断和患者术后肠道功能恢复的监测提供理论保障和算法支持。

         

        Abstract: Bowel sounds is an important indicator to monitor and reflect intestinal motor function, and traditional manual auscultation requires high professional knowledge and rich clinical experience of doctors. In addition, long-time auscultation is time-consuming and laborious, which may lead to misjudgment caused by subjective error. To solve the problem, firstly, the wavelet transform is used to preprocess the bowel sounds signal for noise reduction and enhancement. Secondly, three typical features of intestinal sound were extracted. According to the combination of these features, a three-stage decision was designed to carry out multi-parameter and multi-feature joint threshold detection. This algorithm realized the detection of bowel sound signal and the location of its start and end points, making it possible that the complete bowel sound signal was extracted effectively. In this study, a large number of clinical data and label of bowel sounds were collected, and a new effective evaluation method was proposed to verify the proposed method. The accuracy rate is 83.51%. Results of this study will provide systematic support and theoretical guarantee for the diagnosis of intestinal diseases and the monitoring of postoperative intestinal function recovery of patients.

         

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