Dawes Thomas Richard, Eden-Green Ben, Rosten Claire, Giles Julian, Governo Ricardo, Marcelline Francesca, Nduka Charles
Department of Anaesthesia, Queen Victoria Hospital, East Grinstead, West Sussex RH19 3DZ, UK.
School of Health Sciences, University of Brighton, Falmer BN1 6PP, UK.
Pain Manag. 2018 Mar;8(2):105-113. doi: 10.2217/pmt-2017-0049. Epub 2018 Feb 22.
Currently, clinicians observe pain-related behaviors and use patient self-report measures in order to determine pain severity. This paper reviews the evidence when facial expression is used as a measure of pain. We review the literature reporting the relevance of facial expression as a diagnostic measure, which facial movements are indicative of pain, and whether such movements can be reliably used to measure pain. We conclude that although the technology for objective pain measurement is not yet ready for use in clinical settings, the potential benefits to patients in improved pain management, combined with the advances being made in sensor technology and artificial intelligence, provide opportunities for research and innovation.
目前，临床医生通过观察与疼痛相关的行为并使用患者自我报告的测量方法来确定疼痛的严重程度。本文回顾了将面部表情用作疼痛测量指标时的相关证据。我们回顾了相关文献，这些文献报告了面部表情作为一种诊断测量方法的相关性、哪些面部动作表明疼痛以及这些动作是否可以可靠地用于测量疼痛。我们得出的结论是，尽管客观疼痛测量技术尚未准备好在临床环境中使用，但在改善疼痛管理方面给患者带来的潜在益处，再加上传感器技术和人工智能方面取得的进展，为研究和创新提供了机会。
