Page 118 - 《中国药房》2025年17期
P. 118

DeepSeek-V3-0324大模型在药学门诊用药教育中的应用初探
                                                                                                        Δ


                                                #
                *
          钱凤丹 ,贾婷婷,张 蝶,张立超,薛 亚(上海中医药大学附属市中医医院药学部,上海 200071)
          中图分类号  R95;TP18      文献标志码  A      文章编号  1001-0408(2025)17-2192-05
          DOI  10.6039/j.issn.1001-0408.2025.17.19


          摘   要  目的  探索临床药师通过 DeepSeek-V3-0324 大模型构建动态 HTML 网页,为药学门诊提供智能化用药教育的新模式。
          方法  临床药师将患者基本情况、用药史和用药注意事项等关键临床信息进行实时整合,并通过DeepSeek-V3-0324大模型和人工
          复核处理后生成标准化用药教育单。结果  将DeepSeek-V3-0324大模型应用于药学门诊生成个性化用药教育单,能有效解决传
          统药学门诊在面对复杂病例时,用药教育标准化程度不足、药师个体化经验差异导致的药学指导不统一以及部分特殊人群在接受
          用药宣教后遗忘或记忆错误导致的用药差错等问题。结论  人工智能技术在药学门诊的转化应用,是对药学门诊服务手段的革
          新,可为患者提供即时、个性化的用药教育,提高药学服务的品质。但也需正视其数据库更新的滞后性及风险管理缺失,以及用药
          教育单多元化的缺乏问题。
          关键词  人工智能;药学服务;药学门诊;合理用药;DeepSeek


          Preliminary  exploration  of  the  application  of  the  DeepSeek-V3-0324  large-scale  model  in  medication
          education in pharmaceutical outpatient clinics
          QIAN Fengdan,JIA Tingting,ZHANG Die,ZHANG Lichao,XUE Ya(Dept.  of  Pharmacy,  Shanghai  Municipal
          Hospital  of  Traditional  Chinese  Medicine  Affiliated  to  Shanghai  University  of  Traditional  Chinese  Medicine,
          Shanghai 200071, China)

          ABSTRACT    OBJECTIVE  To  explore  a  new  model  of  intelligent  medication  education  for  pharmaceutical  outpatient  clinics  by
          constructing  dynamic  HTML  web  pages  through  the  DeepSeek-V3-0324  large-scale  model.  METHODS  Clinical  pharmacists
          integrated key clinical information such as patients’ basic information, medication history and medication precautions in real time,
          and  generated  a  standardized  medication  education  list  through  the  DeepSeek-V3-0324  large-scale  model  and  manual  review.
          RESULTS The DeepSeek-V3-0324 large-scale model was applied in the pharmaceutical outpatient clinics to generate a personalized
          medication education list, which could effectively solve the disunity of pharmacy guidance caused by the lack of standardization of
          medication  education  and  the  difference  of  individualized  experience  of  pharmacists  in  the  traditional  pharmaceutical  outpatient
          clinics  in  the  face  of  complex  cases,  and  medication  errors  caused  by  forgetting  or  misremembering  information  among  certain
          special  patient  populations  after  receiving  medication  education.  CONCLUSIONS  The  transformation  and  application  of  artificial
          intelligence technology in pharmaceutical outpatient clinics is an innovation of pharmaceutical outpatient service means, which can
          provide patients with immediate and personalized medication education and improve the quality of pharmaceutical care. However, it
          is  also  necessary  to  face  the  lag  of  database  update  and  the  lack  of  risk  management,  as  well  as  the  lack  of  diversification  of
          medication education lists.
          KEYWORDS     artificial intelligence; pharmaceutical services; pharmaceutical clinics; rational drug use; DeepSeek


              近年来,随着人工智能(artificial intelligence,AI)技         息化规划的通知》明确指出,要加快推动健康医疗大数
                                                                                                   [1]
          术在医疗行业的不断深入应用,药学服务模式也进入了                            据与“互联网+医疗健康”模式的创新与进步 。同时,在
          一个全新的发展阶段。2022 年 11 月,国家卫生健康委                      “新医改”大背景下,为贯彻“以患者为中心、以合理用药
          员会等部门联合发布的《关于印发“十四五”全民健康信                           为核心”的服务理念,我国药学服务模式正在探索大胆
                                                              且创新的转型路径,越来越多医疗机构药学部门的工作
              Δ 基金项目 上海申康医院发展中心市级医院诊疗技术推广及优                   由供应保障逐步向主动临床服务转换。药学门诊的设
          化管理项目(No.SHDC22024202)                              立更是拉近了药师与患者之间的距离,药师通过为患者
             *第一作者 主管药师,硕士。研究方向:临床药学、慢病管理。
                                                              提供用药指导和实施药学监护,提高了患者用药依从
          E-mail:qianfengdan@126.com
                                                              性,规避和减少了药品不良反应的发生,提高了药物治
              # 通信作者 主管药师。研究方向:临床中药学、信息药学。
          E-mail:549451017@qq.com                             疗效果   [2―3] 。然而,目前药学门诊的开展率和公众的满


          · 2192 ·    China Pharmacy  2025 Vol. 36  No. 17                            中国药房  2025年第36卷第17期
   113   114   115   116   117   118   119   120   121   122   123