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CN109859834A - A processing method and device for predicting mortality - Google Patents

A processing method and device for predicting mortality Download PDF

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Publication number
CN109859834A
CN109859834A CN201811621489.9A CN201811621489A CN109859834A CN 109859834 A CN109859834 A CN 109859834A CN 201811621489 A CN201811621489 A CN 201811621489A CN 109859834 A CN109859834 A CN 109859834A
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preset model
patient
ann
days
training
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王宪波
侯艺鑫
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Beijing Ditan Hospital
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Beijing Ditan Hospital
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Abstract

本发明实施例提供一种预测死亡率的处理方法及装置,所述方法包括:获取待预测患者的年龄和检测指标参数;所述检测指标参数包括碱性磷酸酶、谷氨酰转肽酶、乙型肝炎E抗原、是否出现肝性脑病、血清钠、凝血酶原活动度和总胆红素;输入所述年龄和所述检测指标参数至预设模型,将所述预设模型的输出结果作为所述待预测患者在预设天数内的死亡率预测结果;所述预设模型是基于ANN构建的。所述装置执行上述方法。本发明实施例提供的预测死亡率的处理方法及装置,通过将基于ANN构建的预设模型的输出结果作为待预测患者在预设天数内的死亡率预测结果,能够提高由乙型病毒性肝炎相关慢加急性肝衰竭导致的患者在预设天数内的死亡率的预测精度。

Embodiments of the present invention provide a processing method and device for predicting mortality. The method includes: acquiring the age and detection index parameters of a patient to be predicted; the detection index parameters include alkaline phosphatase, glutamyl transpeptidase, Hepatitis B E antigen, presence of hepatic encephalopathy, serum sodium, prothrombin activity and total bilirubin; input the age and the detection index parameters into the preset model, and convert the output results of the preset model As the mortality prediction result of the to-be-predicted patient within a preset number of days; the preset model is constructed based on ANN. The apparatus performs the above-described method. The processing method and device for predicting mortality provided by the embodiments of the present invention, by using the output result of the preset model constructed based on the ANN as the mortality prediction result of the patient to be predicted within the preset number of days, can improve the risk caused by hepatitis B virus Prediction accuracy of mortality in prespecified days due to associated acute-on-chronic liver failure.

Description

A kind of processing method and processing device for predicting the death rate
Technical field
The present embodiments relate to MEDICAL PREDICTION technical fields, and in particular to a kind of processing method and dress for predicting the death rate It sets.
Background technique
With the growth of the disease incidence of the related acute-on-chronic liver failure (ACLF) of virus B hepatitis (HBV), to by second The prediction of mortality caused by type virus hepatitis correlation acute-on-chronic liver failure is particularly important.
The prior art predicts the death rate of ACLF patient using end-stage liver disease model M ELD and/or modified form MELD, so And precision of prediction is not satisfactory.The prior art is more predicted by virus B hepatitis without effective method The death rate of the patient caused by related acute-on-chronic liver failure in preset number of days.
Therefore, drawbacks described above how is avoided, how to improve is caused by virus B hepatitis correlation acute-on-chronic liver failure The death rate of the patient in preset number of days precision of prediction, becoming need solve the problems, such as.
Summary of the invention
In view of the problems of the existing technology, the embodiment of the present invention provides a kind of processing method and dress for predicting the death rate It sets.
In a first aspect, the embodiment of the present invention provides a kind of processing method for predicting the death rate, which comprises
Obtain age and the Testing index parameter of patient to be predicted;The Testing index parameter includes alkaline phosphatase, paddy Whether aminoacyl transpeptidase hepatitis B E antigen, there is hepatic encephalopathy, serum sodium, Prothrombin activity and total bilirubin;
The age and the Testing index parameter are inputted to preset model, using the output result of the preset model as Anticipated mortality result of the patient to be predicted in preset number of days;The preset model is constructed based on ANN;Wherein, The anticipated mortality is the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.
Second aspect, the embodiment of the present invention provide a kind of processing unit for predicting the death rate, and described device includes:
Acquiring unit, for obtaining age and the Testing index parameter of patient to be predicted;The Testing index parameter includes Whether alkaline phosphatase glutamyl transpeptidase, hepatitis B E antigen, there is hepatic encephalopathy, serum sodium, Prothrombin activity And total bilirubin;
Predicting unit, for inputting the age and the Testing index parameter to preset model, by the preset model Anticipated mortality result of the output result as the patient to be predicted in preset number of days;The preset model is to be based on ANN building;Wherein, the anticipated mortality is the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.
The third aspect, the embodiment of the present invention provide a kind of electronic equipment, comprising: processor, memory and bus, wherein
The processor and the memory complete mutual communication by the bus;
The memory is stored with the program instruction that can be executed by the processor, and the processor calls described program to refer to Order is able to carry out following method:
Obtain age and the Testing index parameter of patient to be predicted;The Testing index parameter includes alkaline phosphatase, paddy Whether aminoacyl transpeptidase hepatitis B E antigen, there is hepatic encephalopathy, serum sodium, Prothrombin activity and total bilirubin;
The age and the Testing index parameter are inputted to preset model, using the output result of the preset model as Anticipated mortality result of the patient to be predicted in preset number of days;The preset model is constructed based on ANN;Wherein, The anticipated mortality is the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.
Fourth aspect, the embodiment of the present invention provide a kind of non-transient computer readable storage medium, comprising:
The non-transient computer readable storage medium stores computer instruction, and the computer instruction makes the computer Execute following method:
Obtain age and the Testing index parameter of patient to be predicted;The Testing index parameter includes alkaline phosphatase, paddy Whether aminoacyl transpeptidase hepatitis B E antigen, there is hepatic encephalopathy, serum sodium, Prothrombin activity and total bilirubin;
The age and the Testing index parameter are inputted to preset model, using the output result of the preset model as Anticipated mortality result of the patient to be predicted in preset number of days;The preset model is constructed based on ANN;Wherein, The anticipated mortality is the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.
The processing method and processing device of the prediction death rate provided in an embodiment of the present invention, it is default by that will be constructed based on ANN The output result of model is as anticipated mortality of the patient to be predicted in preset number of days as a result, it is possible to improve by B virus The precision of prediction of the death rate of the patient in preset number of days caused by hepatitis correlation acute-on-chronic liver failure.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is this hair Bright some embodiments for those of ordinary skill in the art without creative efforts, can be with root Other attached drawings are obtained according to these attached drawings.
Fig. 1 is the processing method flow diagram that the embodiment of the present invention predicts the death rate;
Fig. 2 is the processing device structure diagram that the embodiment of the present invention predicts the death rate;
Fig. 3 is electronic equipment entity structure schematic diagram provided in an embodiment of the present invention.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art Every other embodiment obtained without creative efforts, shall fall within the protection scope of the present invention.
Fig. 1 is the processing method flow diagram that the embodiment of the present invention predicts the death rate, as shown in Figure 1, the present invention is implemented A kind of processing method for prediction death rate that example provides, comprising the following steps:
S101: age and the Testing index parameter of patient to be predicted are obtained;The Testing index parameter includes alkaline phosphatase Enzyme, glutamyl transpeptidase, hepatitis B E antigen, hepatic encephalopathy, serum sodium, Prothrombin activity and total gallbladder whether occur red Element.
Specifically, device obtains age and the Testing index parameter of patient to be predicted;The Testing index parameter includes alkali Acid phosphatase, glutamyl transpeptidase, hepatitis B E antigen, whether occur hepatic encephalopathy, serum sodium, Prothrombin activity and Total bilirubin.Device can be the equipment etc. for executing this method.Age corresponding A ge, alkaline phosphatase corresponding A LP, glutamy turn Peptase, which corresponds to GGT, hepatitis B E antigen corresponds to HBeAg, hepatic encephalopathy whether occurs corresponds to HE, when can be admitted to hospital according to patient Testing result determine whether hepatic encephalopathy;Serum sodium corresponds to NA, Prothrombin activity corresponds to PTA, total bilirubin pair Answer TBIL.
S102: the age and the Testing index parameter are inputted to preset model, by the output knot of the preset model Anticipated mortality result of the fruit as the patient to be predicted in preset number of days;The preset model is constructed based on ANN; Wherein, the anticipated mortality is the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.
Specifically, device inputs the age and the Testing index parameter to preset model, by the preset model Export anticipated mortality result of the result as the patient to be predicted in preset number of days;The preset model is based on ANN Building;Wherein, the anticipated mortality is the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.It is default Number of days may be set according to actual conditions, and be chosen as 28 days (i.e. from 28 days for predicting to count on the day of the death rate, later) or 90 It.Artificial neural network (ANN) is made of one group of processing unit (neuron) that is highly complex and connecting each other, these processing are single Member is related to weighting connection, it includes input, output and one or more hidden layers.The 28 days and 90 days death rates include to import The neuron of data available, including various clinical datas, demography and laboratory data and output layer include exporting not With the neuron of prediction result.Hidden layer is used to allow to output and input interaction complicated between neuron.
Construct the prediction model and need first to acquire data, specifically may is that the demography of patient, Laboratory Variables, (HBV reactivation, bacterium infection, alcoholism, hemorrhage of digestive tract, hepatotoxic medication, operation), and complication (hyponatremia, it is spontaneous Property bacterial peritonitis, hepatic encephalopathy, hepatorenal syndrome), the Organ Failures such as liver, kidney, brain, blood coagulation, circulation, breathing be It is obtained from patient medical record or hospital database when HBV-ACLF is diagnosed and during being hospitalized.4 relevant to clinical prognosis are commented Subsystem, including CLIF-ACLF, MELD, MELD-Na and CTP scoring, calculate in baseline.28 days and 90 days after registration The death rate is obtained by the case history of patient or with directly contacting for household.
It should be understood that being needed pre- to being constructed based on ANN in advance before using the preset model prediction death rate If model is trained.It is possible to further be trained using back-propagation algorithm to based on the preset model that ANN is constructed. The advantages of artificial neural network includes self study, adaptive and reasoning process.ANN can learn from example, by changing mind The weight connected in member connects each input with corresponding output.When applicable, input will be from first layer neuron Each layer of neuron is traveled to, until generating output.Then adaptive process is carried out.The value of output and the value of desired output carry out Compare.If had differences between the two values, an error signal will be generated, therefore, it is possible to use backpropagation (BP) Algorithm changes the weight connected between neuron, to reduce the global error of network.In the training process, ANN and desired output Error between value reduces, until reaching minimum value (i.e. network convergence).ANN can according to the knowledge accumulated in training process, Output is generated from new input data, as reasoning process.It therefore, being capable of Accurate Prediction data by training ANN.It can lead to The error calculated between generated and desired output valve is crossed, is calculated by learning process of the BP to ANN.Adjustment nerve The weight connected between member, to reduce the global error of network.If the sum of square error reaches compared with cross-validation data set Minimum then terminates training.Finally, each patient is provided 28 days and 90 days anticipated mortality results.
Further, this method can also include: that sample data is respectively divided into training data and verify data;Complete The pairs of training data after training, the training data for completing training is verified using the verify data.With 684 patients Data as sample data for, can be using the data of 423 patients (accounting 61.8%) therein as training data;It can Using by the data of 261 patients (accounting 38.2%) therein as verify data.
Can also be for statistical analysis to sample data, all statistical analysis can use SPSS software (19.0 editions This, IBM, Armonk, NY) it carries out.Assess whether sample data is normal distribution using Kolmogorov-Smirnov inspection. 28 days of follow-up and 90 days, patient was divided into Survivor and died.Continuous variable, with average value ± standard deviation or middle position Several and quartile range.For classified variable, data are indicated with frequency or percentage.Determine that (input becomes clinical or biochemical parameter Amount) there is the variable of statistical difference or important clinical feature as input layer with choosing after the relationship of prognosis (output variable), Artificial neural network is constructed, to predict the ACLF patient 28-90 days death rates.Ratio calculated ratio (OR) and corresponding 95% confidence Section (95%CI).It is analyzed using ROC curve, the estimated performance of artificial neural network in training and verifying queue is commented Estimate, respectively using area (AUR) under ROC curve, compares the pre- of ANN and meld points-scoring system sequence using Masmaticl method Survey performance.Think that difference is statistically significant in P < 0.05.
As a result
The baseline characteristic of patient
During this investigation it turned out, review and summarization analyzes 684 patients for being diagnosed as ACLF, average age is 43.9 ± 11.7 years old, masculinity proportion 85.1%.175 patients dead (25.6%) in follow-up in 28 days;In follow-up in 90 days, 251 deaths (36.7%).Wherein the score of CTP, CLIF-ACLF and MELD-Na are 11 (10,12) respectively in research, 38.6 ± 8.1,22.9 (20.0,26.5), and 20.0 (18.1,28.0).
ANN structure
According to 28 days and follow-up in 90 days as a result, patient is divided into existence group and died.PTA (OR=0.908,95%CI: 0.891-0.926, P < 0.001), TBil (OR=1.003,95%CI:1.002-1.004, P < 0.001), age (OR= 1.037,95%CI:01.022-1.053, P < 0.001), Na (OR=0.923,95%CI:0.892-0.955, P < 0.001), ALP (OR=0.995,95%CI:0.991-0.999, P=0.009), GGT) (OR=0.984,95%CI:0.975-0.993, P < 0.001), HE (OR=5.623,95%CI:2.358-10.891, P < 0.001), HBeAg positive rate (OR=0.616,95% CI:0.429-0.884, P=0.009) with 28 days death rates there is significant correlation.All these variables are included in building ANN In.
In addition, PTA (OR=0.922,95%CI:0.907-0.937, P < 0.001), TBil (OR=1.003,95%CI: 1.003-1.004, P < 0.001), age (OR=1.040,95%CI:1.026-1.054, P < 0.001), NA (OR=1.379, 95%CI:1.113-1.708, P=0.003), ALP (OR=0.997,95%CI:0.993-1.000, P=0.034), GGT (OR=0.997,0.984,95%CI:0.994-0.999, P=0.005), HE (OR=2.235,95%CI:1.883- 4.837, P < 0.001) and HBeAg positive rate (OR=1.005,95%CI:1.003-1.006, P < 0.001) all with death in 90 days The significant correlation of rate.Equally, these variables are also contained in building ANN.
Evaluation of the ANN to 28 days/90 days anticipated mortality accuracys of ACLF
For 28 days death rates in training queue, the precision of prediction of ANN (AUR 0.948,95%CI 0.925-0.970) It is significantly higher than meld points-scoring system, including MELD (AUR0.777,95%CI:0.735-0.820, P < 0.001), MELD-na (AUR 0.758,95%CI:0.711-0.805, P < 0.001), in verifying queue, the AUR of 28 days death rates of ANN is 0.748 (95%CI:0.673-0.822), still better than MELD (AUR 0.619,95%CI:0.536-0.701, P=0.0099), MELD-Na (AUR 0.720,95%CI:0.642-0.799, P=0.424), CTP (AUR 0.713,95%CI:0.634- 0.792, P=0.303), CLIF-ACLF (AUR 0.696,95%CI:0.615-0.777, P=0.2004).
The precision of prediction of training 90 days death rate ANN of queue is AUR 0.913 (95%CI 0.887-0.938), significantly high In MELD (AUR 0.765,95%CI:0.726-0.805, P < 0.001), MELD-Na (AUR0.775,95%CI:0.733- 0.817, P < 0.001), (AUR 0.712,95%CI:0.669-0.755, P < 0.001) CTP, CLIF-ACLF (AUR0.818, 95%CI:0.782-0.854, P < 0.001), respectively in the verification, the AUR of ANN be 0.754 (95%CI: 0.697-0.812), still better than MELD (AUR 0.626,95%CI:0.560-0.691, P=0.0193), MELD-Na (AUR 0.669,95%CI:0.604-0.733, P=0.1330), CTP (AUR 0.656,95%CI:0.591-0.720, P= , and CLIF-ACLF (AUR 0.632,95%CI:0.565-0.698, P=0.264) 0.0763)
It discusses
MELD and other points-scoring systems based on MELD are mainly used for Decompensational cirrhosis patient.However, due to ACLF It is had differences (such as death rate) with cirrhosis in many aspects, MELD etc. is not enough to predict ACLF's based on the points-scoring system of MELD The death rate.In addition, compared with single factor test, with it is multifactor combine can more effectively predict the prognosis of ACLF.
Artificial neural network can be used to simulate complicated non-linear biosystem.The risk factors of ACLF have first been determined. In this research, discovery is between 28~90 days dead groups and existence group, PTA, age, TBil, Na, ALP, GGT, HE, HBeAg sun There are significant differences for property rate.Studies have shown that PTA is related to the death rate of HBV-ACLF.Age, TBil and serum sodium are also HBV- The predictive factors of ACLF prognosis.In addition, low hemoglobin concentration is according to independent related to the development of ACLF.In addition, HBeAg positive quilt It confirms related to more serious hepatopathy.
Then, we establish the model based on ANN, to predict HBV-ACLF 28-90 days in individual patient The death rate.The model is trained and constructs in large quantities of HBV-ACLF patients (n=423), then in another independent team (n=261) is verified in column.ROC analysis shows, compared with the points-scoring system based on meld, ANN model to 28,90 death The precision of prediction of rate is higher, including MELD, MELD-na, CTP, CLIF-ACLF.This may be due to complicated, neural network Multidimensional and nonlinear characteristic.
This research establishes prediction model, and the cross validation in different queues.It may from not concentric data It will form an independent prognostic model.However, artificial neural network is related to a reasoning process, drawn with reducing by new data set The mistake risen.As a result, final table provides accurate 28 days and 90 days mortality risks, higher Score on Prediction HBV- The higher mortality risk of ACLF.
28 days HBV-ACLF and 90 days are predicted based on the model of ANN in conclusion the embodiment of the present invention constructs one The death rate, it show compared to traditional points-scoring system based on meld superiority.
The processing method of the prediction death rate provided in an embodiment of the present invention, passes through the preset model that will be constructed based on ANN Result is exported as anticipated mortality of the patient to be predicted in preset number of days as a result, it is possible to improve by virus B hepatitis phase Close the precision of prediction of the death rate of the patient in preset number of days caused by acute-on-chronic liver failure.
On the basis of the above embodiments, the method also includes:
It is trained in advance to based on the preset model that ANN is constructed.
Specifically, device is trained to based on the preset model that ANN is constructed in advance.It can refer to above-described embodiment, no longer It repeats.
The processing method of the prediction death rate provided in an embodiment of the present invention, is further able to improve by virus B hepatitis The precision of prediction of the death rate of the patient caused by related acute-on-chronic liver failure in preset number of days.
It is on the basis of the above embodiments, described to be trained in advance to based on the preset model that ANN is constructed, comprising:
It is trained using back-propagation algorithm to based on the preset model that ANN is constructed.
Specifically, device is trained using back-propagation algorithm to based on the preset model that ANN is constructed.It can refer to above-mentioned Embodiment repeats no more.
The processing method of the prediction death rate provided in an embodiment of the present invention, is further able to improve by virus B hepatitis The precision of prediction of the death rate of the patient caused by related acute-on-chronic liver failure in preset number of days.
On the basis of the above embodiments, the method also includes:
Sample data is respectively divided into training data and verify data.
Specifically, sample data is respectively divided into training data and verify data by device.It can refer to above-described embodiment, no It repeats again.
It completes to the training data to verify the training number for completing training using the verify data after training According to.
Specifically, device is completed to the training data to verify using the verify data after training and complete instruction Experienced training data.It can refer to above-described embodiment, repeat no more.
The processing method of the prediction death rate provided in an embodiment of the present invention, is further able to improve by virus B hepatitis The precision of prediction of the death rate of the patient caused by related acute-on-chronic liver failure in preset number of days.
Fig. 2 is the processing device structure diagram that the embodiment of the present invention predicts the death rate, as shown in Fig. 2, the present invention is implemented Example provides a kind of processing unit for predicting the death rate, including acquiring unit 201 and predicting unit 202, in which:
Acquiring unit 201 is used to obtain age and the Testing index parameter of patient to be predicted;The Testing index parameter packet It includes alkaline phosphatase, glutamyl transpeptidase, hepatitis B E antigen, hepatic encephalopathy, serum sodium, factor activity whether occur Degree and total bilirubin;Predicting unit 202 is used to input the age and the Testing index parameter to preset model, will be described pre- If anticipated mortality result of the output result of model as the patient to be predicted in preset number of days;The preset model is Based on ANN building;Wherein, the anticipated mortality by virus B hepatitis correlation acute-on-chronic liver failure the result is that caused 's.
Specifically, acquiring unit 201 is used to obtain age and the Testing index parameter of patient to be predicted;The Testing index Parameter includes alkaline phosphatase, glutamyl transpeptidase, hepatitis B E antigen, hepatic encephalopathy, serum sodium, fibrin ferment whether occurs Former mobility and total bilirubin;Predicting unit 202 is incited somebody to action for inputting the age and the Testing index parameter to preset model Anticipated mortality result of the output result of the preset model as the patient to be predicted in preset number of days;It is described default Model is constructed based on ANN;Wherein, the anticipated mortality is the result is that by the related slow extra urgaent dispatch liver failure of virus B hepatitis Caused by exhausting.
The processing unit of the prediction death rate provided in an embodiment of the present invention, passes through the preset model that will be constructed based on ANN Result is exported as anticipated mortality of the patient to be predicted in preset number of days as a result, it is possible to improve by virus B hepatitis phase Close the precision of prediction of the death rate of the patient in preset number of days caused by acute-on-chronic liver failure.
On the basis of the above embodiments, described device is specifically used for: carrying out in advance to the preset model constructed based on ANN Training.
Specifically, described device is specifically used for: being trained in advance to based on the preset model that ANN is constructed.
The processing unit of the prediction death rate provided in an embodiment of the present invention, is further able to improve by virus B hepatitis The precision of prediction of the death rate of the patient caused by related acute-on-chronic liver failure in preset number of days.
On the basis of the above embodiments, described device is specifically used for: using back-propagation algorithm to being constructed based on ANN Preset model is trained.
Specifically, described device is specifically used for: being instructed using back-propagation algorithm to based on the preset model that ANN is constructed Practice.
The processing unit of the prediction death rate provided in an embodiment of the present invention, is further able to improve by virus B hepatitis The precision of prediction of the death rate of the patient caused by related acute-on-chronic liver failure in preset number of days.
On the basis of the above embodiments, described device is specifically used for: by sample data be respectively divided into training data and Verify data;It completes to the training data to verify the training number for completing training using the verify data after training According to.
Specifically, described device is specifically used for: sample data is respectively divided into training data and verify data;It completes After training to the training data, the training data for completing training is verified using the verify data.
The processing unit of the prediction death rate provided in an embodiment of the present invention, is further able to improve by virus B hepatitis The precision of prediction of the death rate of the patient caused by related acute-on-chronic liver failure in preset number of days.
The processing unit of the prediction death rate provided in an embodiment of the present invention specifically can be used for executing above-mentioned each method and implement The process flow of example, details are not described herein for function, is referred to the detailed description of above method embodiment.
Fig. 3 is electronic equipment entity structure schematic diagram provided in an embodiment of the present invention, as shown in figure 3, the electronic equipment It include: processor (processor) 301, memory (memory) 302 and bus 303;
Wherein, the processor 301, memory 302 complete mutual communication by bus 303;
The processor 301 is used to call the program instruction in the memory 302, to execute above-mentioned each method embodiment Provided method, for example, obtain age and the Testing index parameter of patient to be predicted;The Testing index parameter includes Whether alkaline phosphatase glutamyl transpeptidase, hepatitis B E antigen, there is hepatic encephalopathy, serum sodium, Prothrombin activity And total bilirubin;The age and the Testing index parameter are inputted to preset model, by the output result of the preset model As anticipated mortality result of the patient to be predicted in preset number of days;The preset model is constructed based on ANN;Its In, the anticipated mortality is the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.
The present embodiment discloses a kind of computer program product, and the computer program product includes being stored in non-transient calculating Computer program on machine readable storage medium storing program for executing, the computer program include program instruction, when described program instruction is calculated When machine executes, computer is able to carry out method provided by above-mentioned each method embodiment, for example, obtains patient's to be predicted Age and Testing index parameter;The Testing index parameter include alkaline phosphatase, glutamyl transpeptidase, hepatitis B E antigen, Whether hepatic encephalopathy, serum sodium, Prothrombin activity and total bilirubin are occurred;Input the age and Testing index ginseng Number is pre- as the death rate of the patient to be predicted in preset number of days using the output result of the preset model to preset model Survey result;The preset model is constructed based on ANN;Wherein, the anticipated mortality is the result is that by virus B hepatitis Caused by related acute-on-chronic liver failure.
The present embodiment provides a kind of non-transient computer readable storage medium, the non-transient computer readable storage medium Computer instruction is stored, the computer instruction makes the computer execute method provided by above-mentioned each method embodiment, example It such as include: age and the Testing index parameter for obtaining patient to be predicted;The Testing index parameter includes alkaline phosphatase, paddy ammonia Whether acyl transpeptidase hepatitis B E antigen, there is hepatic encephalopathy, serum sodium, Prothrombin activity and total bilirubin;Input The age and the Testing index parameter are to preset model, using the output result of the preset model as the trouble to be predicted Anticipated mortality result of the person in preset number of days;The preset model is constructed based on ANN;Wherein, the death rate is pre- It surveys the result is that as caused by virus B hepatitis correlation acute-on-chronic liver failure.
Those of ordinary skill in the art will appreciate that: realize that all or part of the steps of above method embodiment can pass through The relevant hardware of program instruction is completed, and program above-mentioned can be stored in a computer readable storage medium, the program When being executed, step including the steps of the foregoing method embodiments is executed;And storage medium above-mentioned includes: ROM, RAM, magnetic disk or light The various media that can store program code such as disk.
The embodiments such as electronic equipment described above are only schematical, wherein it is described as illustrated by the separation member Unit may or may not be physically separated, and component shown as a unit may or may not be object Manage unit, it can it is in one place, or may be distributed over multiple network units.It can select according to the actual needs Some or all of the modules therein is selected to achieve the purpose of the solution of this embodiment.Those of ordinary skill in the art are not paying wound In the case where the labour for the property made, it can understand and implement.
Through the above description of the embodiments, those skilled in the art can be understood that each embodiment can It realizes by means of software and necessary general hardware platform, naturally it is also possible to pass through hardware.Based on this understanding, on Stating technical solution, substantially the part that contributes to existing technology can be embodied in the form of software products in other words, should Computer software product may be stored in a computer readable storage medium, such as ROM/RAM, magnetic disk, CD, including several fingers It enables and using so that a computer equipment (can be personal computer, server or the network equipment etc.) executes each implementation Method described in certain parts of example or embodiment.
Finally, it should be noted that the above various embodiments is only to illustrate the technical solution of the embodiment of the present invention, rather than it is right It is limited;Although the embodiment of the present invention is described in detail referring to foregoing embodiments, the ordinary skill of this field Personnel are it is understood that it is still possible to modify the technical solutions described in the foregoing embodiments, or to part Or all technical features are equivalently replaced;And these are modified or replaceed, it does not separate the essence of the corresponding technical solution The range of various embodiments of the present invention technical solution.

Claims (10)

1.一种预测死亡率的处理方法,其特征在于,包括:1. a processing method of predicting mortality, is characterized in that, comprises: 获取待预测患者的年龄和检测指标参数;所述检测指标参数包括碱性磷酸酶、谷氨酰转肽酶、乙型肝炎E抗原、是否出现肝性脑病、血清钠、凝血酶原活动度和总胆红素;Obtain the age and detection index parameters of the patient to be predicted; the detection index parameters include alkaline phosphatase, glutamyl transpeptidase, hepatitis B E antigen, hepatic encephalopathy, serum sodium, prothrombin activity and total bilirubin; 输入所述年龄和所述检测指标参数至预设模型,将所述预设模型的输出结果作为所述待预测患者在预设天数内的死亡率预测结果;所述预设模型是基于ANN构建的;其中,所述死亡率预测结果是由乙型病毒性肝炎相关慢加急性肝衰竭导致的。Input the age and the detection index parameters into the preset model, and use the output result of the preset model as the mortality prediction result of the patient to be predicted within the preset number of days; the preset model is constructed based on ANN ; wherein the mortality prediction result is caused by hepatitis B-related acute-on-chronic liver failure. 2.根据权利要求1所述的方法,其特征在于,所述方法还包括:2. The method according to claim 1, wherein the method further comprises: 预先对基于ANN构建的预设模型进行训练。Pre-trained models based on ANNs are pre-trained. 3.根据权利要求2所述的方法,其特征在于,所述预先对基于ANN构建的预设模型进行训练,包括:3. The method according to claim 2, wherein the pre-training is performed on the preset model constructed based on ANN, comprising: 采用反向传播算法对基于ANN构建的预设模型进行训练。The preset model based on ANN is trained by back-propagation algorithm. 4.根据权利要求2所述的方法,其特征在于,所述方法还包括:4. The method according to claim 2, wherein the method further comprises: 将样本数据分别划分为训练数据和验证数据;Divide the sample data into training data and validation data respectively; 在完成对所述训练数据的训练之后,采用所述验证数据验证完成训练的训练数据。After the training on the training data is completed, the training data for which the training has been completed is verified by using the verification data. 5.一种预测死亡率的处理装置,其特征在于,包括:5. A processing device for predicting mortality, comprising: 获取单元,用于获取待预测患者的年龄和检测指标参数;所述检测指标参数包括碱性磷酸酶、谷氨酰转肽酶、乙型肝炎E抗原、是否出现肝性脑病、血清钠、凝血酶原活动度和总胆红素;an obtaining unit, used to obtain the age and detection index parameters of the patient to be predicted; the detection index parameters include alkaline phosphatase, glutamyl transpeptidase, hepatitis B E antigen, whether there is hepatic encephalopathy, serum sodium, coagulation zymogen activity and total bilirubin; 预测单元,用于输入所述年龄和所述检测指标参数至预设模型,将所述预设模型的输出结果作为所述待预测患者在预设天数内的死亡率预测结果;所述预设模型是基于ANN构建的;其中,所述死亡率预测结果是由乙型病毒性肝炎相关慢加急性肝衰竭导致的。a prediction unit, configured to input the age and the detection index parameter into a preset model, and use the output result of the preset model as the mortality prediction result of the patient to be predicted within a preset number of days; the preset The model is constructed based on ANN; wherein the mortality prediction results are caused by hepatitis B-related acute-on-chronic liver failure. 6.根据权利要求5所述的装置,其特征在于,所述装置具体用于:6. The device according to claim 5, characterized in that, the device is specifically used for: 预先对基于ANN构建的预设模型进行训练。Pre-trained models based on ANNs are pre-trained. 7.根据权利要求6所述的装置,其特征在于,所述装置具体用于:7. The device according to claim 6, wherein the device is specifically used for: 采用反向传播算法对基于ANN构建的预设模型进行训练。The preset model based on ANN is trained by back-propagation algorithm. 8.根据权利要求6所述的装置,其特征在于,所述装置具体用于:8. The device according to claim 6, characterized in that, the device is specifically used for: 将样本数据分别划分为训练数据和验证数据;Divide the sample data into training data and validation data respectively; 在完成对所述训练数据的训练之后,采用所述验证数据验证完成训练的训练数据。After the training on the training data is completed, the training data for which the training has been completed is verified by using the verification data. 9.一种电子设备,其特征在于,包括:处理器、存储器和总线,其中,9. An electronic device, comprising: a processor, a memory and a bus, wherein, 所述处理器和所述存储器通过所述总线完成相互间的通信;The processor and the memory communicate with each other through the bus; 所述存储器存储有可被所述处理器执行的程序指令,所述处理器调用所述程序指令能够执行如权利要求1至4任一所述的方法。The memory stores program instructions executable by the processor, and the processor invokes the program instructions to be able to perform the method as claimed in any one of claims 1 to 4. 10.一种非暂态计算机可读存储介质,其特征在于,所述非暂态计算机可读存储介质存储计算机指令,所述计算机指令使所述计算机执行如权利要求1至4任一所述的方法。10. A non-transitory computer-readable storage medium, characterized in that, the non-transitory computer-readable storage medium stores computer instructions, the computer instructions cause the computer to execute any one of claims 1 to 4. Methods.
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