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    基于大语言模型的重大慢病健康管理信息系统构建

    Constructing Health Management Information System for Major Chronic Diseases Based on Large Language Model

    • 摘要: 随着全球人口老龄化和生活方式的变化,慢性病(慢病)的管理和治疗变得日益重要. 慢病包括心血管疾病、糖尿病、慢性呼吸系统疾病等,它们通常需要长期甚至终身的健康管理,其核心在于制定和执行长期的健康计划,包括合理饮食、适量运动、定期检查和用药管理等. 近年来,大语言模型在医疗领域取得了一定的进展,但并未关注慢病健康管理领域,因此在个性化健康管理建议方面缺乏对中国特定饮食习惯和文化背景的深入理解,在处理数字信息方面的能力有限. 为解决这些问题,构建了基于大语言模型的重大慢病健康管理信息系统. 其中,通过整合慢病基础知识、健康管理指导原则以及实际的健康管理计划作为领域数据,训练蜻蜓大模型作为系统的核心,用于健康相关问题的有效回答. 此外,系统引入了工具增强策略,通过调用工具增强蜻蜓大模型对健康数据中数字信息的处理能力. 同时,系统采用了基于不确定性知识图谱的检索增强生成技术,进一步提升蜻蜓大模型在答复慢性病管理相关问题时的精确性和可信度. 对基于大语言模型的重大慢病健康管理信息系统的测试实验显示,蜻蜓大模型在健康管理对话中的表现明显优于其他大语言模型,并验证了工具增强与检索增强方法的有效性.

       

      Abstract: With the global population aging and lifestyle changing, the management and treatment of chronic diseases become increasingly important. Chronic diseases include cardiovascular diseases, diabetes, chronic respiratory diseases, etc. They require long-term or even lifelong health management, the core of which is to design and implement long-term health plans, including balanced dieting, appropriate exercising, regular inspection, and medication management. In recent years, large language models make progress in the medical field but do not focus on chronic disease health management. Therefore, they lack understanding of Chinese dietary habits and culture. These medical large language models also have limited capabilities in handling numerical information. To address these issues, this paper constructs a chronic disease health management information system based on large language model. By integrating foundational knowledge of chronic diseases, health management guidelines, and actual health management plans as domain data, this paper trains the QingTing large language model as the core of the system for effectively answering health-related questions. Additionally, the system introduces a tool enhancement strategy, improving the QingTing’s ability to handle numerical information in health data by invoking tools. The system also adopts a retrieval-augmented generation technology based on uncertain knowledge graph to enhance the accuracy and reliability of QingTing. Experiments on the chronic disease health management information system based on a large language model demonstrate that QingTing significantly outperforms other baseline large language models in health management dialogues, and verify the effectiveness of the designed tool enhancement and retrieval-augmented methods.

       

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