Aiming at the problem of multi-UAV pursuit-evasion confrontation, a UAV cooperative maneuver method based on an improved multi-agent deep reinforcement learning(MADRL) is proposed. In this method, an improved Comm Net...Aiming at the problem of multi-UAV pursuit-evasion confrontation, a UAV cooperative maneuver method based on an improved multi-agent deep reinforcement learning(MADRL) is proposed. In this method, an improved Comm Net network based on a communication mechanism is introduced into a deep reinforcement learning algorithm to solve the multi-agent problem. A layer of gated recurrent unit(GRU) is added to the actor-network structure to remember historical environmental states. Subsequently,another GRU is designed as a communication channel in the Comm Net core network layer to refine communication information between UAVs. Finally, the simulation results of the algorithm in two sets of scenarios are given, and the results show that the method has good effectiveness and applicability.展开更多
Cooperative autonomous air combat of multiple unmanned aerial vehicles(UAVs)is one of the main combat modes in future air warfare,which becomes even more complicated with highly changeable situation and uncertain info...Cooperative autonomous air combat of multiple unmanned aerial vehicles(UAVs)is one of the main combat modes in future air warfare,which becomes even more complicated with highly changeable situation and uncertain information of the opponents.As such,this paper presents a cooperative decision-making method based on incomplete information dynamic game to generate maneuver strategies for multiple UAVs in air combat.Firstly,a cooperative situation assessment model is presented to measure the overall combat situation.Secondly,an incomplete information dynamic game model is proposed to model the dynamic process of air combat,and a dynamic Bayesian network is designed to infer the tactical intention of the opponent.Then a reinforcement learning framework based on multiagent deep deterministic policy gradient is established to obtain the perfect Bayes-Nash equilibrium solution of the air combat game model.Finally,a series of simulations are conducted to verify the effectiveness of the proposed method,and the simulation results show effective synergies and cooperative tactics.展开更多
This paper proposes an optimal maneuver strategy to improve the observability of angles-only rendezvous from the perspective of relative navigation.A set of dimensionless relative orbital elements(ROEs)is used to para...This paper proposes an optimal maneuver strategy to improve the observability of angles-only rendezvous from the perspective of relative navigation.A set of dimensionless relative orbital elements(ROEs)is used to parameterize the relative motion,and the objective function of the observability of anglesonly navigation is established.An analytical solution of the optimal maneuver strategy to improve the observability of anglesonly navigation is obtained by means of numerical analysis.A set of dedicated semi-physical simulation system is built to test the performances of the proposed optimal maneuver strategy.Finally,the effectiveness of the method proposed in this paper is verified through the comparative analysis of the objective function of the observability of angles-only navigation and the performances of the angles-only navigation filter under different maneuver schemes.Compared with the cases without orbital maneuver,it is concluded that the tangential filtering accuracy with the optimal orbital maneuver at the terminal time is increased by 35%on average,and the radial and normal filtering accuracy is increased by 30%on average.展开更多
The space constellation of the BeiDou navigation satellite system(BDS) is a hybrid constellation containing medium earth orbit(MEO) satellites, geostationary earth orbit(GEO) satellites, and inclined geosynchronous or...The space constellation of the BeiDou navigation satellite system(BDS) is a hybrid constellation containing medium earth orbit(MEO) satellites, geostationary earth orbit(GEO) satellites, and inclined geosynchronous orbit(IGSO) satellites. Due to the geosynchronous characteristics of GEO and IGSO, GEO satellites and IGSO satellites often need to perform orbital maneuvers, which can affect the signal-inspace(SIS) availability performance of BeiDou satellites. A two-step detection method for BeiDou satellite orbital maneuvers has been proposed in this paper. The first step is to identify orbital maneuvers based on time series analysis of broadcast ephemeris, and the second step is to verify orbital maneuvers based on bidirectional orbit prediction. The two-step detection method was used to detect the orbital maneuvers of BeiDou satellites in 2019. Through the double guarantees of identification and verification,the detection accuracy of BeiDou satellite orbital maneuvers has been effectively improved. And the orbital maneuver detection results are continued to be used to assess the SIS availability of BeiDou satellites. The results show that the availability loss of GEO satellite orbital maneuvers is about 0.45%-1.07%, and the availability loss of IGSO satellite orbital maneuvers is about 0.12%-0.19%.展开更多
Spacecraft orbit evasion is an effective method to ensure space safety. In the spacecraft’s orbital plane, the space non-cooperate target with autonomous approaching to the spacecraft may have a dangerous rendezvous....Spacecraft orbit evasion is an effective method to ensure space safety. In the spacecraft’s orbital plane, the space non-cooperate target with autonomous approaching to the spacecraft may have a dangerous rendezvous. To deal with this problem, an optimal maneuvering strategy based on the relative navigation observability degree is proposed with angles-only measurements. A maneuver evasion relative navigation model in the spacecraft’s orbital plane is constructed and the observability measurement criteria with process noise and measurement noise are defined based on the posterior Cramer-Rao lower bound. Further, the optimal maneuver evasion strategy in spacecraft’s orbital plane based on the observability is proposed. The strategy provides a new idea for spacecraft to evade safety threats autonomously. Compared with the spacecraft evasion problem based on the absolute navigation, more accurate evasion results can be obtained. The simulation indicates that this optimal strategy can weaken the system’s observability and reduce the state estimation accuracy of the non-cooperative target, making it impossible for the non-cooperative target to accurately approach the spacecraft.展开更多
Target maneuver trajectory prediction is an important prerequisite for air combat situation awareness and maneuver decision-making.However,how to use a large amount of trajectory data generated by air combat confronta...Target maneuver trajectory prediction is an important prerequisite for air combat situation awareness and maneuver decision-making.However,how to use a large amount of trajectory data generated by air combat confrontation training to achieve real-time and accurate prediction of target maneuver trajectory is an urgent problem to be solved.To solve this problem,in this paper,a hybrid algorithm based on transfer learning,online learning,ensemble learning,regularization technology,target maneuvering segmentation point recognition algorithm,and Volterra series,abbreviated as AERTrOS-Volterra is proposed.Firstly,the model makes full use of a large number of trajectory sample data generated by air combat confrontation training,and constructs a Tr-Volterra algorithm framework suitable for air combat target maneuver trajectory prediction,which realizes the extraction of effective information from the historical trajectory data.Secondly,in order to improve the real-time online prediction accuracy and robustness of the prediction model in complex electromagnetic environments,on the basis of the TrVolterra algorithm framework,a robust regularized online Sequential Volterra prediction model is proposed by integrating online learning method,regularization technology and inverse weighting calculation method based on the priori error.Finally,inspired by the preferable performance of models ensemble,ensemble learning scheme is also incorporated into our proposed algorithm,which adaptively updates the ensemble prediction model according to the performance of the model on real-time samples and the recognition results of target maneuvering segmentation points,including the adaptation of model weights;adaptation of parameters;and dynamic inclusion and removal of models.Compared with many existing time series prediction methods,the newly proposed target maneuver trajectory prediction algorithm can fully mine the prior knowledge contained in the historical data to assist the current prediction.The rationality and effectiveness of the proposed algorithm are verified by simulation on three sets of chaotic time series data sets and a set of real target maneuver trajectory data sets.展开更多
An impact point prediction(IPP) guidance based on supervised learning is proposed to address the problem of precise guidance for the ballistic missile in high maneuver penetration condition.An accurate ballistic traje...An impact point prediction(IPP) guidance based on supervised learning is proposed to address the problem of precise guidance for the ballistic missile in high maneuver penetration condition.An accurate ballistic trajectory model is applied to generate training samples,and ablation experiments are conducted to determine the mapping relationship between the flight state and the impact point.At the same time,the impact point coordinates are decoupled to improve the prediction accuracy,and the sigmoid activation function is improved to ameliorate the prediction efficiency.Therefore,an IPP neural network model,which solves the contradiction between the accuracy and the speed of the IPP,is established.In view of the performance deviation of the divert control system,the mapping relationship between the guidance parameters and the impact deviation is analysed based on the variational principle.In addition,a fast iterative model of guidance parameters is designed for reference to the Newton iteration method,which solves the nonlinear strong coupling problem of the guidance parameter solution.Monte Carlo simulation results show that the prediction accuracy of the impact point is high,with a 3 σ prediction error of 4.5 m,and the guidance method is robust,with a 3 σ error of 7.5 m.On the STM32F407 singlechip microcomputer,a single IPP takes about 2.374 ms,and a single guidance solution takes about9.936 ms,which has a good real-time performance and a certain engineering application value.展开更多
BACKGROUND Alveolar recruitment maneuvers(ARMs)may lead to transient hypotension,but the clinical characteristics of this induced hypotension are poorly understood.We investigated the characteristics of ARM-related hy...BACKGROUND Alveolar recruitment maneuvers(ARMs)may lead to transient hypotension,but the clinical characteristics of this induced hypotension are poorly understood.We investigated the characteristics of ARM-related hypotension in patients who underwent laparoscopic colorectal cancer resection.AIM To investigate the characteristics of ARM-related hypotension in patients who underwent laparoscopic colorectal cancer resection.METHODS This was a secondary analysis of the PROtective Ventilation using Open Lung approach Or Not trial and included 140 subjects.An ARM was repeated every 30 min during intraoperative mechanical ventilation.The primary endpoint was ARM-related hypotension,defined as a mean arterial pressure(MAP)<60 mmHg during an ARM or within 5 min after an ARM.The risk factors for hypotension were identified.The peri-ARM changes in blood pressure were analyzed for the first three ARMs(ARM_(1,2,3))and the last ARM(ARMl_(ast)).RESULTS Thirty-four subjects(24.3%)developed ARM-related hypotension.Of all 1027 ARMs,37(3.61%)induced hypotension.More ARMs under nonpneumoperitoneum(33/349,9.46%)than under pneumoperitoneum conditions(4/678,0.59%)induced hypotension(P<0.01).The incidence of hypotension was higher at ARM_(1)points than at non-ARM_(1)points(18/135,13.3%vs 19/892,2.1%;P<0.01).The median percentage decrease in the MAP at ARM1 was 14%.Age≥74 years,blood loss≥150 mL and peak inspiratory pressure under pneumoperitoneum<24 cm H_(2)O were risk factors for ARM-related hypotension.CONCLUSION When the ARM was repeated intraoperatively,a quarter of subjects developed ARM-related hypotension,but only 3.61%of ARMs induced hypotension.ARM-related hypotension most occurred in a hemodynamically unstable state or a hypovolemic state,and in elderly subjects.Fortunately,ARMs that were performed under pneumoperitoneum conditions had less impact on blood pressure.展开更多
In order to improve the performance of UAV's autonomous maneuvering decision-making,this paper proposes a decision-making method based on situational continuity.The algorithm in this paper designs a situation eval...In order to improve the performance of UAV's autonomous maneuvering decision-making,this paper proposes a decision-making method based on situational continuity.The algorithm in this paper designs a situation evaluation function with strong guidance,then trains the Long Short-Term Memory(LSTM)under the framework of Deep Q Network(DQN)for air combat maneuvering decision-making.Considering the continuity between adjacent situations,the method takes multiple consecutive situations as one input of the neural network.To reflect the difference between adjacent situations,the method takes the difference of situation evaluation value as the reward of reinforcement learning.In different scenarios,the algorithm proposed in this paper is compared with the algorithm based on the Fully Neural Network(FNN)and the algorithm based on statistical principles respectively.The results show that,compared with the FNN algorithm,the algorithm proposed in this paper is more accurate and forwardlooking.Compared with the algorithm based on the statistical principles,the decision-making of the algorithm proposed in this paper is more efficient and its real-time performance is better.展开更多
目的 探讨肺复张治疗急性A型主动脉夹层(acute type A aortic dissection,ATAAD)术后低氧血症的疗效及安全性。方法 选取2019年11月至2022年5月广西医科大学第一附属医院ATAAD术后低氧血症患者56例,将其随机分为肺复张组(n=36)及常规治...目的 探讨肺复张治疗急性A型主动脉夹层(acute type A aortic dissection,ATAAD)术后低氧血症的疗效及安全性。方法 选取2019年11月至2022年5月广西医科大学第一附属医院ATAAD术后低氧血症患者56例,将其随机分为肺复张组(n=36)及常规治疗组(n=20)。常规治疗组患者在肺保护性通气基础上行常规机械通气,肺复张组患者采用呼气末正压通气(positive end expiratory pressure,PEEP)递增法进行肺复张。比较两组患者治疗前后的动脉血气分析、呼吸力学指标、血流动力学指标和血清白细胞介素(interleukin,IL)-6及IL-10水平。结果 治疗后12h、24h,两组患者的动脉血氧分压(arterial partial pressure of oxygen,PaO_(2))、氧合指数(oxygenation index,OI)、肺静态顺应性(C_(stat))及肺动态顺应性(C_(dyn))均显著高于本组治疗前,肺泡动脉氧分压差[PO_(2)(A-a)]、呼吸指数(respiratory index,RI)、气道峰压(P_(peak))及气道平台压(P_(plat))均显著低于本组治疗前(P<0.05);肺复张组患者的PaO_(2)、OI、C_(stat)及C_(dyn)均显著高于常规治疗组,PO_(2)(A-a)、RI、P_(peak)及P_(plat)均显著低于常规治疗组(P<0.05)。肺复张组患者肺复张过程中收缩压及平均动脉压有所下降(P<0.05),中心静脉压有所升高(P<0.05),肺复张结束后均恢复至基线水平。治疗后12h,两组患者的血清IL-6和IL-10水平均显著低于本组治疗前(P<0.05)。结论 PEEP递增法肺复张可改善ATAAD术后低氧血症患者的氧合及肺顺应性,但对血流动力学存在一过性影响,治疗时应进行严密监测。展开更多
美国定向能机动近程防空(directed energy maneuver-short range air defense,DE M-SHORAD)计划通过击伤、摧毁或压制旋转翼无人机、固定翼无人机以及火箭弹、火炮炮弹、迫击炮弹(rockets,artillery and mortar,RAM)等威胁目标,为机动...美国定向能机动近程防空(directed energy maneuver-short range air defense,DE M-SHORAD)计划通过击伤、摧毁或压制旋转翼无人机、固定翼无人机以及火箭弹、火炮炮弹、迫击炮弹(rockets,artillery and mortar,RAM)等威胁目标,为机动部队提供伴随防空,对抗新兴威胁,属于美国陆军防空反导现代化的优先项目之一。首先介绍了DE M-SHORAD研制计划;其次详细分析了系统结构,并由系统参数评估了系统的作战性能;最后梳理了系统的研制进展。通过综合分析可知,DE M-SHORAD系统采用最佳组件,通过快速原型方法实现激光武器系统在装甲车上的集成;为降低技术风险,该计划在发展方式上分为两个阶段,首先集成、测试2 kW~5 kW机动实验型高能激光器(mobile experimental high-energy laser,MEHEL),然后再研制50 kW级的多任务高能激光器(multi-mission high-energy laser,MMHEL)。经计算可得:MEHEL和MMHEL对无人机的最大射程分别约为0.77 km、4.8 km。展开更多
基金supported in part by the National Key Laboratory of Air-based Information Perception and Fusion and the Aeronautical Science Foundation of China (Grant No. 20220001068001)National Natural Science Foundation of China (Grant No.61673327)+1 种基金Natural Science Basic Research Plan in Shaanxi Province,China (Grant No. 2023-JC-QN-0733)China IndustryUniversity-Research Innovation Foundation (Grant No. 2022IT188)。
文摘Aiming at the problem of multi-UAV pursuit-evasion confrontation, a UAV cooperative maneuver method based on an improved multi-agent deep reinforcement learning(MADRL) is proposed. In this method, an improved Comm Net network based on a communication mechanism is introduced into a deep reinforcement learning algorithm to solve the multi-agent problem. A layer of gated recurrent unit(GRU) is added to the actor-network structure to remember historical environmental states. Subsequently,another GRU is designed as a communication channel in the Comm Net core network layer to refine communication information between UAVs. Finally, the simulation results of the algorithm in two sets of scenarios are given, and the results show that the method has good effectiveness and applicability.
基金supported by the National Natural Science Foundation of China(Grant No.61933010 and 61903301)Shaanxi Aerospace Flight Vehicle Design Key Laboratory。
文摘Cooperative autonomous air combat of multiple unmanned aerial vehicles(UAVs)is one of the main combat modes in future air warfare,which becomes even more complicated with highly changeable situation and uncertain information of the opponents.As such,this paper presents a cooperative decision-making method based on incomplete information dynamic game to generate maneuver strategies for multiple UAVs in air combat.Firstly,a cooperative situation assessment model is presented to measure the overall combat situation.Secondly,an incomplete information dynamic game model is proposed to model the dynamic process of air combat,and a dynamic Bayesian network is designed to infer the tactical intention of the opponent.Then a reinforcement learning framework based on multiagent deep deterministic policy gradient is established to obtain the perfect Bayes-Nash equilibrium solution of the air combat game model.Finally,a series of simulations are conducted to verify the effectiveness of the proposed method,and the simulation results show effective synergies and cooperative tactics.
基金supported by the China Aerospace Science and Technology Corporation 8th Research Institute Industry-University-Research Cooperation Fund(SAST 2020-019)。
文摘This paper proposes an optimal maneuver strategy to improve the observability of angles-only rendezvous from the perspective of relative navigation.A set of dimensionless relative orbital elements(ROEs)is used to parameterize the relative motion,and the objective function of the observability of anglesonly navigation is established.An analytical solution of the optimal maneuver strategy to improve the observability of anglesonly navigation is obtained by means of numerical analysis.A set of dedicated semi-physical simulation system is built to test the performances of the proposed optimal maneuver strategy.Finally,the effectiveness of the method proposed in this paper is verified through the comparative analysis of the objective function of the observability of angles-only navigation and the performances of the angles-only navigation filter under different maneuver schemes.Compared with the cases without orbital maneuver,it is concluded that the tangential filtering accuracy with the optimal orbital maneuver at the terminal time is increased by 35%on average,and the radial and normal filtering accuracy is increased by 30%on average.
基金This research was funded by the Shandong Provincial Natural Science Foundation(ZR2022QD100,ZR2022QE221)the Weifang University of Science and Technology Doctoral Research Startup Fund(2021KJBS16).
文摘The space constellation of the BeiDou navigation satellite system(BDS) is a hybrid constellation containing medium earth orbit(MEO) satellites, geostationary earth orbit(GEO) satellites, and inclined geosynchronous orbit(IGSO) satellites. Due to the geosynchronous characteristics of GEO and IGSO, GEO satellites and IGSO satellites often need to perform orbital maneuvers, which can affect the signal-inspace(SIS) availability performance of BeiDou satellites. A two-step detection method for BeiDou satellite orbital maneuvers has been proposed in this paper. The first step is to identify orbital maneuvers based on time series analysis of broadcast ephemeris, and the second step is to verify orbital maneuvers based on bidirectional orbit prediction. The two-step detection method was used to detect the orbital maneuvers of BeiDou satellites in 2019. Through the double guarantees of identification and verification,the detection accuracy of BeiDou satellite orbital maneuvers has been effectively improved. And the orbital maneuver detection results are continued to be used to assess the SIS availability of BeiDou satellites. The results show that the availability loss of GEO satellite orbital maneuvers is about 0.45%-1.07%, and the availability loss of IGSO satellite orbital maneuvers is about 0.12%-0.19%.
基金supported by the National Key R&D Program of China (2020YFA0713502)the Special Fund Project for Guiding Local Scientific and Technological Development (2020ZYT003)+1 种基金the National Natural Science Foundation of China (U20B2055,61773021,61903086)the Natural Science Foundation of Hunan Province (2019JJ20018,2020JJ4280)。
文摘Spacecraft orbit evasion is an effective method to ensure space safety. In the spacecraft’s orbital plane, the space non-cooperate target with autonomous approaching to the spacecraft may have a dangerous rendezvous. To deal with this problem, an optimal maneuvering strategy based on the relative navigation observability degree is proposed with angles-only measurements. A maneuver evasion relative navigation model in the spacecraft’s orbital plane is constructed and the observability measurement criteria with process noise and measurement noise are defined based on the posterior Cramer-Rao lower bound. Further, the optimal maneuver evasion strategy in spacecraft’s orbital plane based on the observability is proposed. The strategy provides a new idea for spacecraft to evade safety threats autonomously. Compared with the spacecraft evasion problem based on the absolute navigation, more accurate evasion results can be obtained. The simulation indicates that this optimal strategy can weaken the system’s observability and reduce the state estimation accuracy of the non-cooperative target, making it impossible for the non-cooperative target to accurately approach the spacecraft.
基金the support of the Fundamental Research Funds for the Air Force Engineering University under Grant No.XZJK2019040。
文摘Target maneuver trajectory prediction is an important prerequisite for air combat situation awareness and maneuver decision-making.However,how to use a large amount of trajectory data generated by air combat confrontation training to achieve real-time and accurate prediction of target maneuver trajectory is an urgent problem to be solved.To solve this problem,in this paper,a hybrid algorithm based on transfer learning,online learning,ensemble learning,regularization technology,target maneuvering segmentation point recognition algorithm,and Volterra series,abbreviated as AERTrOS-Volterra is proposed.Firstly,the model makes full use of a large number of trajectory sample data generated by air combat confrontation training,and constructs a Tr-Volterra algorithm framework suitable for air combat target maneuver trajectory prediction,which realizes the extraction of effective information from the historical trajectory data.Secondly,in order to improve the real-time online prediction accuracy and robustness of the prediction model in complex electromagnetic environments,on the basis of the TrVolterra algorithm framework,a robust regularized online Sequential Volterra prediction model is proposed by integrating online learning method,regularization technology and inverse weighting calculation method based on the priori error.Finally,inspired by the preferable performance of models ensemble,ensemble learning scheme is also incorporated into our proposed algorithm,which adaptively updates the ensemble prediction model according to the performance of the model on real-time samples and the recognition results of target maneuvering segmentation points,including the adaptation of model weights;adaptation of parameters;and dynamic inclusion and removal of models.Compared with many existing time series prediction methods,the newly proposed target maneuver trajectory prediction algorithm can fully mine the prior knowledge contained in the historical data to assist the current prediction.The rationality and effectiveness of the proposed algorithm are verified by simulation on three sets of chaotic time series data sets and a set of real target maneuver trajectory data sets.
基金supported by the National Natural Science Foundation of China (Grant No.62103432)supported by Young Talent fund of University Association for Science and Technology in Shaanxi, China(Grant No.20210108)。
文摘An impact point prediction(IPP) guidance based on supervised learning is proposed to address the problem of precise guidance for the ballistic missile in high maneuver penetration condition.An accurate ballistic trajectory model is applied to generate training samples,and ablation experiments are conducted to determine the mapping relationship between the flight state and the impact point.At the same time,the impact point coordinates are decoupled to improve the prediction accuracy,and the sigmoid activation function is improved to ameliorate the prediction efficiency.Therefore,an IPP neural network model,which solves the contradiction between the accuracy and the speed of the IPP,is established.In view of the performance deviation of the divert control system,the mapping relationship between the guidance parameters and the impact deviation is analysed based on the variational principle.In addition,a fast iterative model of guidance parameters is designed for reference to the Newton iteration method,which solves the nonlinear strong coupling problem of the guidance parameter solution.Monte Carlo simulation results show that the prediction accuracy of the impact point is high,with a 3 σ prediction error of 4.5 m,and the guidance method is robust,with a 3 σ error of 7.5 m.On the STM32F407 singlechip microcomputer,a single IPP takes about 2.374 ms,and a single guidance solution takes about9.936 ms,which has a good real-time performance and a certain engineering application value.
基金the Medical Scientific Research Foundation of Guangdong Province,No.A2017045。
文摘BACKGROUND Alveolar recruitment maneuvers(ARMs)may lead to transient hypotension,but the clinical characteristics of this induced hypotension are poorly understood.We investigated the characteristics of ARM-related hypotension in patients who underwent laparoscopic colorectal cancer resection.AIM To investigate the characteristics of ARM-related hypotension in patients who underwent laparoscopic colorectal cancer resection.METHODS This was a secondary analysis of the PROtective Ventilation using Open Lung approach Or Not trial and included 140 subjects.An ARM was repeated every 30 min during intraoperative mechanical ventilation.The primary endpoint was ARM-related hypotension,defined as a mean arterial pressure(MAP)<60 mmHg during an ARM or within 5 min after an ARM.The risk factors for hypotension were identified.The peri-ARM changes in blood pressure were analyzed for the first three ARMs(ARM_(1,2,3))and the last ARM(ARMl_(ast)).RESULTS Thirty-four subjects(24.3%)developed ARM-related hypotension.Of all 1027 ARMs,37(3.61%)induced hypotension.More ARMs under nonpneumoperitoneum(33/349,9.46%)than under pneumoperitoneum conditions(4/678,0.59%)induced hypotension(P<0.01).The incidence of hypotension was higher at ARM_(1)points than at non-ARM_(1)points(18/135,13.3%vs 19/892,2.1%;P<0.01).The median percentage decrease in the MAP at ARM1 was 14%.Age≥74 years,blood loss≥150 mL and peak inspiratory pressure under pneumoperitoneum<24 cm H_(2)O were risk factors for ARM-related hypotension.CONCLUSION When the ARM was repeated intraoperatively,a quarter of subjects developed ARM-related hypotension,but only 3.61%of ARMs induced hypotension.ARM-related hypotension most occurred in a hemodynamically unstable state or a hypovolemic state,and in elderly subjects.Fortunately,ARMs that were performed under pneumoperitoneum conditions had less impact on blood pressure.
基金supported by the Natural Science Basic Research Program of Shaanxi(Program No.2022JQ-593)。
文摘In order to improve the performance of UAV's autonomous maneuvering decision-making,this paper proposes a decision-making method based on situational continuity.The algorithm in this paper designs a situation evaluation function with strong guidance,then trains the Long Short-Term Memory(LSTM)under the framework of Deep Q Network(DQN)for air combat maneuvering decision-making.Considering the continuity between adjacent situations,the method takes multiple consecutive situations as one input of the neural network.To reflect the difference between adjacent situations,the method takes the difference of situation evaluation value as the reward of reinforcement learning.In different scenarios,the algorithm proposed in this paper is compared with the algorithm based on the Fully Neural Network(FNN)and the algorithm based on statistical principles respectively.The results show that,compared with the FNN algorithm,the algorithm proposed in this paper is more accurate and forwardlooking.Compared with the algorithm based on the statistical principles,the decision-making of the algorithm proposed in this paper is more efficient and its real-time performance is better.
文摘目的 探讨肺复张治疗急性A型主动脉夹层(acute type A aortic dissection,ATAAD)术后低氧血症的疗效及安全性。方法 选取2019年11月至2022年5月广西医科大学第一附属医院ATAAD术后低氧血症患者56例,将其随机分为肺复张组(n=36)及常规治疗组(n=20)。常规治疗组患者在肺保护性通气基础上行常规机械通气,肺复张组患者采用呼气末正压通气(positive end expiratory pressure,PEEP)递增法进行肺复张。比较两组患者治疗前后的动脉血气分析、呼吸力学指标、血流动力学指标和血清白细胞介素(interleukin,IL)-6及IL-10水平。结果 治疗后12h、24h,两组患者的动脉血氧分压(arterial partial pressure of oxygen,PaO_(2))、氧合指数(oxygenation index,OI)、肺静态顺应性(C_(stat))及肺动态顺应性(C_(dyn))均显著高于本组治疗前,肺泡动脉氧分压差[PO_(2)(A-a)]、呼吸指数(respiratory index,RI)、气道峰压(P_(peak))及气道平台压(P_(plat))均显著低于本组治疗前(P<0.05);肺复张组患者的PaO_(2)、OI、C_(stat)及C_(dyn)均显著高于常规治疗组,PO_(2)(A-a)、RI、P_(peak)及P_(plat)均显著低于常规治疗组(P<0.05)。肺复张组患者肺复张过程中收缩压及平均动脉压有所下降(P<0.05),中心静脉压有所升高(P<0.05),肺复张结束后均恢复至基线水平。治疗后12h,两组患者的血清IL-6和IL-10水平均显著低于本组治疗前(P<0.05)。结论 PEEP递增法肺复张可改善ATAAD术后低氧血症患者的氧合及肺顺应性,但对血流动力学存在一过性影响,治疗时应进行严密监测。