临床医师应用智能平台交互辅助中医诊疗的影响调查
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国家重点研发计划项目(2022YFC3502300,2022YFC3502304,2019YFC1710400,2019YFC1710403);青年人才托举工程项目[CAST-(2020-QNRC1-04)];中国中医药循证医学中心“业务研究室主任专项”项目(2020YJSZX-1);中国中医科学院基本科研业务费优秀青年科技人才(创新类)培养专项项目(ZZ14-YQ-038)


Impact of Clinical Physicians' Interaction with Intelligent Platforms in Assisting Traditional Chinese Medicine Diagnosis and Treatment Decision-making:A Survey
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    目的:通过应用医师与中医智能辅助诊疗平台的人机信息交互模式,并调查其对临床诊疗决策产生的影响和价值,为辅助诊疗类中医平台的应用推广提供参考。方法:基于前期构建的中医智能辅助诊疗云平台,邀请8名青年医师针对30例脑梗死和30例头晕的患者进行辅助诊疗工具的使用,并采用Likert 5级量表评估医师对平台推荐结果的态度。结果:在脑梗死病例中,平台证候预测的结果中有70.00%被认可能增强医师诊疗的信心,平台推送有关处方病机思路的结果有80%被医师认为能对其决策起到提示作用;在头晕病例中,平台的方药与病机思路推荐有70%以上的结果均能对医师起到提示或增强信心的作用。结论:本智能辅助诊疗平台对医师起到了一定的诊疗提示与增进信心作用,初步验证了该平台以主客观信息互参为基础的人机交互水平,未来将进一步完善人机信息互参的流程机制和知识支持。

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    To explore the impact and value of a human-computer information interaction model between physicians and a traditional Chinese medicine(TCM) intelligent auxiliary diagnostic and treatment platform,and to provide reference for the application and promotion of such platforms in TCM clinical practice.Methods:Based on a previously constructed TCM intelligent auxiliary diagnostic and treatment cloud platform,eight junior physicians were invited to use the platform for assisting in the diagnosis and treatment of 30 cases of cerebral infarction and 30 cases of dizziness.The physicians' attitudes toward the platform's recommendations were assessed using a Likert 5-point scale.Results:In the cerebral infarction cases,70% of the syndrome predictions made by the platform were acknowledged by physicians as boosting their confidence in clinical decision-making.Additionally,80% of the prescription and pathogenesis suggestions provided by the platform were considered helpful in guiding the physicians' decisions.In the dizziness cases,over 70% of the platform's prescription and pathogenesis suggestions were found to enhance the physicians' confidence or offer helpful guidance.Conclusion:The intelligent auxiliary diagnostic and treatment platform has a positive effect on physicians by providing diagnostic suggestions and boosting their confidence.This preliminary validation demonstrates the platform's potential for human-computer interaction based on both subjective and objective information.Further improvements in the human-computer information interaction processes and knowledge support systems are planned for future development.

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张心怡,关之玥,李文龙,刘春玲,赵梦竹,魏旭煦,蒋寅,胡明智,赵晨,商洪才.临床医师应用智能平台交互辅助中医诊疗的影响调查[J].世界中医药,2024,(21).

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  • 收稿日期:2024-09-25
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  • 在线发布日期: 2025-01-20
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