疼痛评估工具的研究进展  

Research progress on pain assessment tools

作　　者：李慧[1] 陈兵 黄河 段光友 LI Hui;CHEN Bing;HUANG He;DUAN Guang-you(Department of Anesthesiology,Second Affiliated Hospital of Chongqing Medical University,Chongqing 400072,China)

机构地区：[1]重庆医科大学附属第二医院麻醉科,重庆400072

出　　处：《局解手术学杂志》2025年第3期263-267,共5页Journal of Regional Anatomy and Operative Surgery

基　　金：国家自然科学基金面上项目(821712101003769)。

摘　　要：准确的疼痛评估是疼痛管理的前提,但疼痛是一种较为主观的感受,受到环境、学历、情绪状态的极大影响。因此在进行疼痛诊疗时,不仅需要评估患者的主观感受,更要有稳定可靠的客观指标以评判不同患者的疼痛状态。目前临床评定和监测疼痛的工具较多,本文介绍了常用的主观评估工具(单维度疼痛程度评估量表、多维度疼痛程度评估量表)和客观评估工具(手术体积描记指数、镇痛与伤害性刺激指数、伤害性水平指数、生物标志物),并分析其优劣,以期对未来临床疼痛评定提供参考。Accurate pain assessment is a prerequisite for pain management.However,pain is a relatively subjective feeling greatly affected by the environment,education,and emotional state.Therefore,in diagnosing and treating pain,it is necessary not only to assess the subjective feelings of patients,but also to have stable and reliable objective indicators to evaluate the pain status of different patients.At present,there are many clinical tools for assessing and monitoring pain.This paper introduces the commonly used subjective assessment tools(single-dimensional pain assessment scale,multi-dimensional pain assessment scale)and objective assessment tools(surgical pleth index,analgesia and nociception index,nociceptive level index,and biomarkers),and analyzes their advantages and disadvantages,so as to provide reference for future clinical pain assessment.

关 键 词：疼痛 镇痛 视觉模拟量表 手术体积描记指数 疼痛行为量表 

分 类 号：R441.1[医药卫生—诊断学]