目的 探讨语音随访系统的研发方法及在高血压和糖尿病患者中的接受度及实用性。方法 根据医院近5年的高血压、糖尿病患者的4 087人次的人工电话随访资料建立医学知识库，形成话术模板，以智能语音技术为依托，构建语音随访系统。遴选2022年4月至2023年3月内科诊断高血压和糖尿病的出院患者为研究对象，应用语音随访系统来代替传统的人工随访方式，评价患者随访成功率、资料采集准确率、人机对答准确率和随访满意度。结果 随访总数1 489人次，随访成功率为73.7%。从随访成功患者中随机抽取500例患者进行随访录音资料分析，不同年龄组患者随访成功率差异有统计学意义（χ²=38.861，P<0.001）；既往有无随访经历的患者资料采集准确率（χ²=4.970，P=0.026）和人机对答准确率（χ²=7.010，P=0.008）差异有统计学意义；不同文化程度（χ²=13.467，P=0.001）、不同年龄组（χ²=15.062，P=0.002）的患者人机对答准确率差异有统计学意义；随访满意度为91.2%。结论 语音随访系统在高血压和糖尿病患者中具有良好的接受度及实用性，能够节省人力，提高随访效率，更适用于年龄偏小、文化程度较高、熟悉医院随访流程的人群，值得推广应用。

Objective To construct and explore the implementation effect of a voice follow-up system among patients with hypertension and diabetes. Methods A medical knowledge base was established based on the manual telephone follow-up data of 4 087 patients with hypertension and diabetes in the hospital in the past 5 years. A speech template was formed and a voice follow-up system based on intelligent speech technology was constructed. Patients discharged from the Department of Internal Medicine with diagnosis of hypertension and diabetes mellitus from April 2022 to March 2023 were recruited as the study participants. The voice follow-up system was applied to replace the traditional manual follow-up method among these patients. Effect of patient follow-up，the accuracy of data collection，the accuracy of man-machine answering，and the satisfaction of follow-up was collected. Results The total number of follow-up visits was 1 489，and the follow-up success rate was 73.7%. Five hundred patients were randomly selected from the group of follow-up successful patients for the analysis of follow-up recording data. The difference in the follow-up success rate of patients with different age was statistically significant（χ²=38.861，P<0.001）. Besides，the accuracy rate of data collection for patients with or without previous follow-up experience（χ²=4.970，P=0.026） and the accuracy rate of man-machine answering（χ²=7.010，P=0.008） differences were both statistically significant. In addition，different literacy levels（χ²=13.467，P=0.001），and age groups（χ²=15.062，P=0.002），accuracy of patients’ human-computer responses were statistically significant and the satisfaction rate of the follow-up visit was 91.2%. Conclusion The voice follow-up system has good acceptance and practicability among hypertensive and diabetic patients，can save manpower，improve the efficiency of follow-up，and is more suitable for people with younger age，higher education level，and familiar with the hospital follow-up process. The voice follow-up system is worthy of popularization and application in the future.