[目的]为推动VCT工作在我国的开展,提高咨询员咨询知识、技巧,规范咨询过程。[方法]以已证实有效的行为干预理论为基础,使用VB作为开发工具,以ACCESS为后台数据库,采用面向对象的思想设计开发一套技术和知识水平较高的专家决策辅助系统。[结果]使用软件辅助咨询后,隐私保障提及率、性伴危险行为问及率、随访建议率、转诊安排建议率等指标均高于传统咨询,且差异有统计学意义。[结论]软件对规范咨询过程,提高咨询质量是有益的,值得进一步试用和研究。 [Objective] In order to promote the work of VCT in our country, enhance consultant knowledge, skills and standard consultation process. [Methods] Based on the proven theory of behavioral intervention, using VB as the development tool and ACCESS as the back-end database, an object-oriented design and development of a set of expert decision support system with high level of knowledge and knowledge was designed. [Results] After using software-assisted counseling, the indicators such as privacy referral rate, sex partner risk behavior rate, follow-up recommendation rate and referral referral rate were all higher than those of traditional counseling, and the differences were statistically significant. [Conclusion] The software is beneficial to regulate the consultation process and improve the quality of consultation, which is worth further trial and research.