文章摘要
大语言模型在围术期的应用进展
Advances and prospects of large language models in perioperative period
  
DOI:10.12089/jca.2026.08.013
中文关键词: 人工智能  大语言模型  围术期  临床决策支持  医疗应用  患者管理
英文关键词: Artificial intelligence  Large language models  Perioperative period  Clinical decision support  Healthcare applications  Patient management
基金项目:国家自然科学基金面上项目(82372182)
作者单位E-mail
樊迪 210011,南京医科大学第二附属医院麻醉科  
童建华 210011,南京医科大学第二附属医院麻醉科  
纪木火 210011,南京医科大学第二附属医院麻醉科 jimuhuo2009@sina.com 
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中文摘要:
      随着人工智能(AI)技术的迅猛发展,大语言模型(LLMs)在医学领域的应用逐渐受到重视。围术期管理作为临床医学的重要环节,涵盖术前评估、术中监控及术后恢复等多个方面。围术期的有效管理对于降低手术风险和改善患者预后至关重要。尽管传统的围术期管理模式已取得一定成效,然而围术期管理中面临着数据处理效率低、个性化治疗不足、患者沟通不畅和预后评估不准确等问题。近年来,LLMs凭借其强大的自然语言处理能力和数据分析能力,逐渐被应用于术前评估、术中监测、术后护理和医患沟通等方面。本综述旨在探讨LLMs在围术期的应用进展,通过分析最新研究成果,探讨其在提高诊疗效率、改善医患互动以及优化个性化医疗中的潜在优势,同时也指出了在数据隐私、临床应用可靠性和伦理问题等方面面临的挑战。通过对相关文献的分析,评估LLMs在提升围术期管理效率和质量方面的实际应用效果,并展望未来LLMs在围术期管理中的应用前景,以更好地服务于患者。
英文摘要:
      With the rapid advancement of artificial intelligence (AI), large language models (LLMs) have gained increasing attention in the medical field. As a critical component of clinical medicine, perioperative management encompasses preoperative assessment, intraoperative monitoring, and postoperative recovery. Effective perioperative care is vital for reducing surgical risks, improving patient satisfaction, and enhancing postoperative outcomes and quality of life. While traditional perioperative approaches have achieved certain success, challenges persist, including inefficient data processing, insufficient personalized treatment, suboptimal patient communication, and inaccurate prognostic evaluations. In recent years, LLMs have demonstrated potential in addressing these challenges through their robust natural language processing and data analysis capabilities. This review explores the latest advancements in LLMs for perioperative applications, including preoperative evaluation, intraoperative monitoring, postoperative care, and clinician-patient communication. It highlights their advantages in enhancing diagnostic efficiency, improving patient-provider interactions, and optimizing personalized care. However, challenges such as data privacy, clinical reliability, and ethical concerns are also discussed. By analyzing existing literature, this review evaluates the practical impact of LLMs on perioperative management and envisions their future role in transforming perioperative care. Further research and clinical validation are advocated to maximize their potential in patient-centered healthcare.
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