面部表情                  表现出皱眉、眉毛放低、眼眶紧绷和提肌收缩                                    紧张                   1

                          以上所有面部变化加上眼睑轻度闭合                                            扮鬼脸                 2

身体运动                  不动(并不表示不存在疼痛)                                                     无体动                 0

                          缓慢谨慎的运动，碰触或抚摸疼痛部位，通过运动寻求关注                        保护性体动             1

                          拉拽管道，试图坐起来，运动肢体/猛烈摆动，不听从指挥，攻击工作人员           烦躁不安               2

肌肉紧张                  对被动的运动不做抵抗                                                        放松                   0

（通过被动的弯曲和        对被动运动做抵抗                                                            紧张和肌肉紧张         1

伸展上肢来评估)           对被动运动剧烈抵抗，无法将其完成                                            非常紧张或僵硬         2

对呼吸机的顺应性          无警报发生，舒适的接受机械通气                                              耐受呼吸机或机械通气   0

                          警报自动停止                                                                咳嗽但是耐受           1

                          不同步；机械通气阻断；频繁报警                                              对抗呼吸机             2

或发声                    用正常腔调讲话或不发声                                                      正常腔调讲话或不发声   0

(拔管后的患者)             叹息，呻吟                                                                  叹息，呻吟             1

                          喊叫，哭泣                                                                  喊叫，哭泣             2