超声主导的瞳孔评估在ICU中的应用进展  

Application progress of ultrasound-guided pupillary assessment in ICU

作　　者：曹岚[1] 张丽娜[2] 邓露茜 刘琪 孙杨[2] 田盾 钟平[2] 杨清[2] CAO Lan;ZHANG Li'na;DENG Luxi;LIU Qi;SUN Yang;TIAN Dun;ZHONG Ping;YANG Qing(Teaching and Research Section of Clinical Nursing,Xiangya Hospital,Central South University&Critical Care Ultrasound Study Group,National Clinical Research Center for Geriatric Disorders,Changsha 410008,Hunan,China;Department of Critical Medicine,Xiangya Hospital,Central South University,Changsha 410008,Hunan,China)

机构地区：[1]中南大学湘雅医院临床护理学教研室国家老年疾病临床医学研究中心重症超声研究组,湖南长沙410008 [2]中南大学湘雅医院重症医学科,湖南长沙410008

出　　处：《护士进修杂志》2024年第3期260-263,共4页Journal of Nurses Training

基　　金：中南大学研究生教育教学改革项目(编号:2022JGB124)。

摘　　要：瞳孔评估是重症患者病情监测的重要手段,超声主导的瞳孔评估可克服传统瞳孔评估存在的误差,为由于创伤性脑水肿致眶周软组织水肿而无法睁眼的患者提供准确的瞳孔评估,有助于及时、精确地进行病情观察,更客观地监测镇痛水平。本文对超声主导的瞳孔评估在ICU的应用进展进行综述,旨在为重症患者的临床诊疗和护理干预提供客观依据和参考。Objective Pupillary assessment was an important method for monitoring the condition of critically ill patients.Ultrasound-guided pupillary assessment overcome the limitations of traditional methods and provides accurate evaluation for patients who are unable to open their eyes due to traumatic brain edema and periorbital soft tissue edema,and helped facilitate timely and accurate clinical observations,and enabled objective monitoring of the level of analgesia.This review article aimed to provide an overview of the application,progress,and limitations of ultrasound-guided pupillary assessment in ICU,with the intention of offering objective evidence and references for the clinical diagnosis,treatment,and nursing interventions of critically ill patients.

关 键 词：重症监护 危重症护理 超声 瞳孔 综述 

分 类 号：R473[医药卫生—护理学]