糖尿病及并发症纵向多模态标准化数据库和知识库平台的建立:RAG增强DeepDR-LLM问答系统作为院内结构化教育环节对糖尿病患者血糖控制的有效性研究

注册号:

Registration number:

ChiCTR2600118083 

最近更新日期:

Date of Last Refreshed on:

2026-02-02 10:10:44 

注册时间:

Date of Registration:

2026-02-02 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

糖尿病及并发症纵向多模态标准化数据库和知识库平台的建立:RAG增强DeepDR-LLM问答系统作为院内结构化教育环节对糖尿病患者血糖控制的有效性研究

Public title:

The establishment of a platform with longitudinal, multimodal, standardized databases and knowledge banks on diabetes and related complications: effect of RAG-augmented DeepDR-LLM system as a structured education component on glycemic control in patients with diabetes

注册题目简写:

English Acronym:

研究课题的正式科学名称:

糖尿病及并发症纵向多模态标准化数据库和知识库平台的建立:RAG增强DeepDR-LLM问答系统作为院内结构化教育环节对糖尿病患者血糖控制的有效性研究

Scientific title:

The establishment of a platform with longitudinal, multimodal, standardized databases and knowledge banks on diabetes and related complications: effect of RAG-augmented DeepDR-LLM system as a structured education component on glycemic control in patients with diabetes

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

包玉倩 

研究负责人:

包玉倩 

Applicant:

Yuqian Bao 

Study leader:

Yuqian Bao 

申请注册联系人电话:

Applicant telephone:

+86 21 6436 9181

研究负责人电话:

Study leader's
telephone:

+86 21 6436 9181

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

byq522@163.com

研究负责人电子邮件:

Study leader's E-mail:

byq522@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

中国上海市徐汇区宜山路600号

研究负责人通讯地址:

中国上海市徐汇区宜山路600号

Applicant address:

No. 600 Yishan Road, Xuhui District, Shanghai, China

Study leader's address:

No. 600 Yishan Road, Xuhui District, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

上海交通大学医学院附属第六人民医院

Applicant's institution:

Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

研究负责人所在单位:

上海交通大学医学院附属第六人民医院

Affiliation of the Leader:

Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2024-KY-193(K)-2

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

上海市第六人民医院伦理委员会

Name of the ethic committee:

Ethics Committee of Shanghai Sixth People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2026-01-29 00:00:00

伦理委员会联系人:

庞路阳

Contact Name of the ethic committee:

Luyang Pang

伦理委员会联系地址:

中国上海市徐汇区宜山路600号

Contact Address of the ethic committee:

No. 600 Yishan Road, Xuhui District, Shanghai, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 6436 9181

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

上海交通大学医学院附属第六人民医院

Primary sponsor:

Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

研究实施负责(组长)单位地址:

上海市徐汇区宜山路600号

Primary sponsor's address:

No. 600 Yishan Road, Xuhui District, Shanghai, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海交通大学医学院附属第六人民医院

具体地址:

中国上海市徐汇区宜山路600号

Institution
hospital:

Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Address:

No. 600 Yishan Road, Xuhui District, Shanghai, China

经费或物资来源:

癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项

Source(s) of funding:

Noncommunicable Chronic Diseases-National Science and Technology Major Project

研究疾病:

糖尿病  

Target disease:

Diabetes

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

主要目的:比较采用RAG-DeepDR LLM系统的糖尿病教育方式与院内标准化教育在改善糖尿病患者血糖控制方面的效果。次要目的:评估患者对RAG-DeepDR LLM系统教育的总体满意度。  

Objectives of Study:

Primary objective: To compare the effectiveness of education with RAG-DeepDR LLM and standard in-hospital education in improving glycemic control among patients with diabetes. Secondary objectives: To explore the satisfaction level of patients to RAG-DeepDR LLM.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 终末期肾病; 2. 近半年内发生过心血管事件(如发生过心肌梗死、植入支架、不稳定型心绞痛、心衰、心功能不全等)或脑血管疾病(如脑出血、脑缺血等); 3. 未控制的甲状腺功能亢进或甲状腺功能减退、垂体肾上腺功能异常等其他内分泌疾病; 4. 使用甲状腺激素或糖皮质激素药物; 5. 妊娠、处于哺乳期或计划妊娠; 6. 患有精神障碍类疾病、认知障碍或沟通障碍,无法配合完成研究流程; 7. 预期依从性差; 8. 已经参加其他临床研究。

Exclusion criteria:

1. End-stage renal disease; 2. History of cardiovascular events (such as myocardial infarction, stent implantation, unstable angina, heart failure, cardiac dysfunction, etc.) or cerebrovascular diseases (such as cerebral hemorrhage, cerebral ischemia, etc.) within the past six months; 3. Uncontrolled hyperthyroidism or hypothyroidism, pituitary-adrenal dysfunction, or other endocrine disorders; 4. Use thyroid hormones or glucocorticoid medication; 5. Pregnant, breastfeeding women or women planning to get pregnant; 6. Participants with mental disorders, cognitive impairment, or communication barriers who cannot cooperate; 7. Poor expected compliance; 8. Current participation in another clinical study.

研究实施时间:

Study execute time:

From 2026-03-01 00:00:00 To 2028-07-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-03-01 00:00:00 To 2026-08-30 00:00:00

干预措施:

Interventions:

组别:

标准化教育组

样本量:

80

Group:

Standardized education group

Sample size:

干预措施:

Education with RAG-DeepDR LLM

干预措施代码:

Intervention:

Standardized in-hospital diabetes education

Intervention code:

组别:

RAG-DeepDR LLM教育组

样本量:

80

Group:

RAG-DeepDR LLM group

Sample size:

干预措施:

RAG-DeepDR LLM教育

干预措施代码:

Intervention:

Education with RAG-DeepDR LLM

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海交通大学医学院附属第六人民医院 

单位级别:

三甲 

Institution
hospital:

Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

糖化血红蛋白

指标类型:

主要指标

Outcome:

Hemoglobin A1c

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

12周时HbA1c < 7.0%的患者比例

指标类型:

次要指标

Outcome:

Proportion of patients with HbA1c < 7.0% at 12 weeks

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血糖控制情况

指标类型:

次要指标

Outcome:

Glycemic control

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血脂变化

指标类型:

次要指标

Outcome:

Change in lipid profiles

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

身体组分变化

指标类型:

次要指标

Outcome:

Change in body composition

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

吸烟情况的变化

指标类型:

次要指标

Outcome:

Change in smoking

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

饮酒情况的变化

指标类型:

次要指标

Outcome:

Change in alcohol use

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

自我血糖监测频率的变化

指标类型:

次要指标

Outcome:

Change in self-monitoring frequency of blood glucose

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低血糖发生率

指标类型:

次要指标

Outcome:

Incidence rate of hypoglycemia

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生活质量评分变化

指标类型:

次要指标

Outcome:

Change in quality of life score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

药物依从性的变化

指标类型:

次要指标

Outcome:

Change in medication adherence

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

饮食的改变

指标类型:

次要指标

Outcome:

Change in dietary habit

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

运动的变化

指标类型:

次要指标

Outcome:

Change in exercise

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者满意度

指标类型:

次要指标

Outcome:

Patient satisfaction with the experience

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

N/A

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 70 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

通过区组随机法,将参与者按照1:1的比例随机分配到标准教育或RAG-DeepDR LLM组;并利用中央随机系统实施中央随机法以实现分配隐藏。

Randomization Procedure (please state who generates the random number sequence and by what method):

Participants were randomly assigned to either the standardized education or RAG-DeepDR LLM group in a 1:1 ratio by means of the block randomization method; and the central randomization method was implemented using a central randomization system to achieve allocation concealment.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

对结局评估者采用盲法

Blinding:

Outcome assessor will be masked.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

在研究期间使用病历记录表进行数据采集,CRF中记录的数据为本研究的原始数据。研究人员应保持文件完整,将其保存在固定的地方并上锁。所有数据都将由双人输入至电子表格中,经盲查确认无误后,数据库被锁定,不能修改。根据我们的GCP规则,原始文件至少应保存5年。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The CRF will be used to collect information during the study. The data recorded in CRF by researchers is the raw data of this study. Researchers should keep files intact, store in a fixed place and locked. All data will be double-entered by researchers into a spreadsheet. After establishing and regarding as correct in review, the database will be locked, and no alteration can be made. According to our GCP rules, original files should be kept for 5 years at least.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-02-02 10:10:38