中西医结合临床决策支持系统的关键技术研究  

Research on key technologies of clinical decision support system for integrated traditional Chinese and western medicine

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作  者:温川飙[1] 周力 赵煜[3] 覃旭 慈宏福 谭坤 邓韧 许雅馨 闵新 徐鑫垚 黄朔 WEN Chuanbiao;ZHOU Li;ZHAO Yu;QIN Xu;CI Hongfu;TAN Kun;DENG Ren;XU Yaxin;MIN Xin;XU Xinyao;HUANG Shuo(Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Sichuan Provincial Health Information Center;Chengdu Hospital of Integrated Traditional Chinese and Western Medicine;Pidu District Hospital of Traditional Chinese Medicine;Aba Forestry Center Hospital)

机构地区:[1]成都中医药大学,成都610075 [2]四川省卫生健康信息中心 [3]成都市中西医结合医院 [4]郫都区中医医院 [5]阿坝州林业中心医院

出  处:《中国数字医学》2024年第5期33-39,共7页China Digital Medicine

基  金:国家自然科学基金委员会面上项目-基于数据湖技术的疾病主客观征象及生物信息“分层特征关联网络”的发现及算法研究:糖尿病为例(8217142522)。

摘  要:临床决策支持系统日益成为医务人员的重要工具,但目前多数落地应用集中在合理用药方面,因为在诊断辅助、治疗安全和疗效分析3个重要环节依然存在诸多技术难点,缺乏系统性和工程化解决方案。本文基于中医智能系统性的发展和临床中西医结合的现实需求,探讨中西医结合临床决策支持系统(CDSS)实现闭环的关键技术,即中西医多源异构数据分析与交叉验证;中医知识图谱和算法模型的智能辅助辨证论治;疑难杂症治疗的智能推荐和用药模型构建;疗效分析的语义理解、隐私安全与数据保护机制等。通过部分工程实例,提出中西医结合CDSS关键技术解决方案,为卫生信息管理和研究人员、企业级产品开发和临床实践应用提供参考。Clinical decision support system is increasingly becoming an important tool for medical personnel,but at present most of its applications are focused on rational use of medication.The reason is that there are still a lot of technical obstacles in the three important links of diagnostic assistance,treatment safety and efficacy analysis,and the lack of systematic and engineering solutions.Based on the development of the intelligent systematic Chinese medicine and the practical needs of the clinical integration of traditional Chinese and Western medicine,this paper discusses the key technologies to realize the closed loop of the clinical decision support system(CDSS)for the integration of Chinese and Western medicine:multi-source heterogeneous data analysis and cross-validation;Intelligent assistant syndrome differentiation and treatment of TCM knowledge graph and algorithmic models;the construction of intelligent recommendation and medication model for the treatment of difficult and complicated diseases;and the semantic comprehension of therapeutic efficacy analysis,privacy security and data protection mechanism.and data protection mechanisms,etc.Through some engineering examples,the key technical solutions of CDSS in integrated Chinese and Western medicine are proposed to provide reference for health information management and researchers,enterpriselevel product development and clinical practice applications.

关 键 词:临床决策支持系统 中西医结合 临床数据 

分 类 号:R197.32[医药卫生—卫生事业管理] R319[医药卫生—公共卫生与预防医学]

 

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