Abstract: Objective To explore the construction and practice of artificial intelligence in the pre-review system of children's inpatient medical orders. Methods A total of 100 hospitalized children in Children's Hospital of Zhengzhou University from January 2019 to April 2020 were select as a control group, and received routine pre-review of medical orders; 100 hospitalized children from May 2020 to May 2021 were select as an observation group, and received pre-review of medical orders based on artificial intelligence system. The observation group was (4.52±1.12) years old, including 76 males and 24 females; the control group was (4.96±1.45) years old, including 77 males and 23 females. The safety of drug use was compared between the two groups. Independent sample t test was used for measurement data, and χ2 test was used for count data. Results The proportion of irrational medical orders in the observation group was 32.00% (32/ 100), which was lower than 50.00% (50/100) in the control group (P<0.05). The satisfaction degree of family members in the observation group was 95.00% (95/100), which was higher than 70.00% (70/100) in the control group (P<0.05). Conclusion Artificial intelligence has a high application value in the pre-review system of children's inpatient medical orders, which can promote the clinical rational use of drugs, improve the safety of children's drug use, and has a good application effect.

Key words: Artificial intelligence, Hospitalization, Medical orders, Pre-review system

摘要： 目的 探究人工智能在儿童住院医嘱前置审核系统中的构建及实践。方法 选择 2019年1月至 2020年4月郑州大学附属儿童医院100例住院儿童作为对照组，实施常规医嘱前置审核；以 2020年5月至 2021年5月100例住院儿童作为观察组，在医嘱前置审核中应用人工智能系统。 观察组年龄（4.52±1.12）岁，其中男 76例、女 24例；对照组年龄（4.96±1.45）岁，其中男 77例、女 23例。 对比两组用药安全性的差异性。计量资料采用独立样本t检验，计数资料采用χ2检验。结果 观察组不合理医嘱数量占比 32.00%（32/100），低于对照组的 50.00%（50/100）（P<0.05）。观察组家属满意度 95.00%（95/100），高于对照组的 70.00%（70/100）（P<0.05）。结论 人工智能在儿童住院医嘱前置审核系统中具有较高应用价值，能够促进临床合理用药，提高儿童用药安全性，应用效果较好。

关键词: 人工智能, 住院, 医嘱, 前置审核系统