瞳孔测量在危重症患者疼痛评估中的应用进展

doi:10.3761/j.issn.2096-7446.2026.05.019

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (5): 631-635.doi: 10.3761/j.issn.2096-7446.2026.05.019

瞳孔测量在危重症患者疼痛评估中的应用进展

臧瑞津¹(), 李玲玲¹, 郑苗², 钟娟平³, 南锐伶⁴, 王兴蕾⁵, 豆欣蔓¹^,^*()

¹ 兰州大学护理学院兰州市 730000
² 兰州大学第二医院眼科兰州市 730030
³ 兰州大学第二医院血管通路门诊兰州市 730030
⁴ 兰州大学第二医院神经内科ICU 兰州市 730030
⁵ 兰州大学第二医院心血管内科兰州市 730030

收稿日期:2025-05-22 出版日期:2026-05-10 发布日期:2026-04-28
通讯作者: *豆欣蔓，E-mail：douxm@lzu.edu.cn
作者简介:臧瑞津：女，本科（硕士在读），护士，E-mail：Zangrj1216@163.com
第一联系人：作者贡献声明
臧瑞津：文献检索、论文撰写；李玲玲：文献检索；郑苗、钟娟平、南锐伶、王兴蕾：研究指导、论文修改；豆欣蔓：论文指导、基金支持
基金资助:
2024年甘肃省卫生健康行业科研项目(GSWSQN2024-06)

Advances in the application of pupillometry for pain assessment in critically ill patients

ZANG Ruijin¹(), LI Lingling¹, ZHENG Miao², ZHONG Juanping³, NAN Ruiling⁴, WANG Xinglei⁵, DOU Xinman¹^,^*()

¹ School of Nursing， Lanzhou University， Lanzhou 730000， China
² Department of Ophthalmology， the Second Hospital of Lanzhou University， Lanzhou 730030， China
³ Vascular Access Clinic， the Second Hospital of Lanzhou University， Lanzhou 730030， China
⁴ Neurological Intensive Care Unit， the Second Hospital of Lanzhou University， Lanzhou 730030， China
⁵ Department of Cardiovascular Medicine， the Second Hospital of Lanzhou University， Lanzhou 730030， China

Received:2025-05-22 Online:2026-05-10 Published:2026-04-28
Contact: *DOU Xinman，E-mail：douxm@lzu.edu.cn
Supported by:
Scientific Research Project of Health Industry in Gansu Province，2024(GSWSQN2024-06)

摘要/Abstract

摘要：

精准识别危重症患者疼痛感受是实施疼痛管理的关键。瞳孔测量作为一种客观量化疼痛感受的技术，可通过捕捉瞳孔动态变化的过程，精准识别患者疼痛感受并评估其镇痛需求。该文综述了瞳孔测量在危重症患者疼痛评估中的常用工具、应用人群及应用价值等内容，旨在为医护人员评估危重症患者疼痛感受提供新视角。建议后续研究建立标准化的瞳孔测量评估方案与操作流程，以推动临床应用。

关键词: 疼痛, 瞳孔反射, 危重病护理, 综述文献专题

Abstract:

Accurate identification of pain perception in critically ill patients is critical for effective pain management. Pupillometry，as a technology capable of objectively quantifying pain-related responses，captures dynamic pupillary changes to accurately assess pain perception and analgesic needs. This review summarizes the commonly used tools，target populations，and clinical application value of pupillometry for pain assessment in critically ill patients. It aims to provide healthcare professionals with a novel approach for evaluating pain in critically ill patients. Future research should focus on establishing standardized pupillometry assessment protocols and operational procedures to enhance its clinical utility.

Key words: Pain, Pupillary Reflex, Critical Care Nursing, Review Literature as Topic

臧瑞津, 李玲玲, 郑苗, 钟娟平, 南锐伶, 王兴蕾, 豆欣蔓. 瞳孔测量在危重症患者疼痛评估中的应用进展[J]. 中华急危重症护理杂志, 2026, 7(5): 631-635.

ZANG Ruijin, LI Lingling, ZHENG Miao, ZHONG Juanping, NAN Ruiling, WANG Xinglei, DOU Xinman. Advances in the application of pupillometry for pain assessment in critically ill patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 631-635.

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瞳孔测量在危重症患者疼痛评估中的应用进展

Advances in the application of pupillometry for pain assessment in critically ill patients

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