医学与社会2024,Vol.37Issue(2) :118-123.DOI:10.13723/j.yxysh.2024.02.019

神经外科手术机器人临床应用的伦理探析

Ethical Analysis on the Clinical Application of Neurosurgical Robots

王紫合 寇楠楠
医学与社会2024,Vol.37Issue(2) :118-123.DOI:10.13723/j.yxysh.2024.02.019

神经外科手术机器人临床应用的伦理探析

Ethical Analysis on the Clinical Application of Neurosurgical Robots

王紫合 1寇楠楠2
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作者信息

  • 1. 首都医科大学附属北京朝阳医院,北京,100020
  • 2. 首都医科大学医学人文学院,北京,100069;首都医科大学医学人文中心,北京,100069
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摘要

神经外科是最早应用手术机器人的亚专科之一.近年来,随着人工智能的发展,神经外科手术机器人的临床应用越来越广泛,呈现出数量迅猛增长、种类日益丰富的趋势.由于人脑的特殊性和复杂性,神经外科手术机器人在临床应用中也面临着更多的伦理学挑战,包括存在与不伤害原则相冲突的可能、获取患者知情同意的挑战、判断责任主体的困境以及对社会公平性的影响.从提升应用安全保障、确保信息的告知与理解、强化伦理监管与明确责任以及促进患者的公平受益4个方面提出应对之策,以期在促进神经外科手术机器人临床应用的同时,最大限度保障患者安全,维护患者权益.

Abstract

Neurosurgery is one of the earliest subspecialties to adopt surgical robots.With the advancement of artificial intelli-gence,the use of neurosurgical robots in clinical settings has significantly increased,both in diversity and quantity.Due to the u-nique complexity of the human brain,neurosurgical robots face numerous ethical challenges in their clinical application.These chal-lenges include potential conflicts with the principle of non-maleficence,difficulties in obtaining informed consent from patients,di-lemmas in assigning responsibility,and concerns regarding social equity.This paper proposes strategies addressing these ethical is-sues from four perspectives:enhancing the safety of applications,ensuring effective communication and patient understanding of in-formation,reinforcing ethical oversight and responsibility clarification,and promoting equitable patient benefits.The aim is to maxi-mize patient safety and protect their rights and interests while advancing the clinical application of neurosurgical robots.

关键词

医学伦理/手术机器人/责任主体/公平性/神经外科

Key words

Medical Ethics/Surgical Robot/Subject of Responsibility/Equity/Neurosurgery

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基金项目

高校人文社会科学重点研究基地重大项目(22JJD720019)

出版年

2024
医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
参考文献量32
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