ChatGPT在临床医学中的应用进展及探讨  

Application progress and discussion of ChatGPT in clinical medicine

作　　者：蒲喆 贺晓松 赵江 PU Zhe;HE Xiaosong;ZHAO Jiang(The Second Affiliated Hospital of Army Medical University,Chongqing 400037,China;Chongqing Institute of Engineering)

机构地区：[1]陆军军医大学第二附属医院,重庆400037 [2]重庆工程学院

出　　处：《中国数字医学》2025年第5期37-45,共9页China Digital Medicine

基　　金：国家自然科学基金面上项目(81974101)。

摘　　要：ChatGPT作为一种强大的自然语言处理模型,在临床医疗领域展现了广泛的应用前景。本文综述了ChatGPT在辅助临床决策支持、护理实践优化、医疗智能问答及医疗文书生成等方面的应用现状。探讨了以ChatGPT为代表的生成式预训练变换模型(GPT)在数据时效性、专业术语理解、医疗风险评估及法律风险和责任认定等方面的局限性,并提出应用规范建议。展望了其未来可能在个性化医疗服务、药物研发及远程医疗等方向的发展前景,以期促进人工智能技术与临床医学的深度融合。As a powerful natural language processing model,ChatGPT demonstrates broad application prospects in the field of clinical medicine.This article summarizes the current clinical application status of ChatGPT in assisting clinical decision support,nursing practice optimization,medical intelligent Q&A,medical documents generation,etc.It also explores the limitations of generative pre-trained transformer(GPT)models represented by ChatGPT in data timeliness,understanding of medical terminology,medical risk assessment,legal risk and liability determination,and provides corresponding application standard suggestions.Finally,the potential future developments of ChatGPT in personalized healthcare services,drug research,and telemedicine are prospected,aiming to promote the deep integration of artificial intelligence technology with clinical medicine.

关 键 词：ChatGPT 临床医学 应用进展 

分 类 号：R197.3[医药卫生—卫生事业管理] R319[医药卫生—公共卫生与预防医学]