The levels of some biomolecules and ions in the body are usually related to the structural and functional changes of cells, tissues, organs, etc., which directly affect the prevention, diagnosis, and treatment of diseases. Therefore, in vivo bioassays of these substances are of great significance in medical and healthcare fields. The nano fluorescent probes consisted of rare earth nano materials have advantages of high sensitivity, simplicity, efficiency, and strong anti-interference ability, thus showing great potential in bioassays. The functionalization of aptamers on rare earth nanomaterials can further provide better specific recognition ability and biocompatibility for nano fluorescent probes, thereby enhancing their bioassays ability in complex samples. In this paper, the research progress of aptamer-functionalized rare earth nanomaterials as nano fluorescent probes in the field of bioassays is reviewed, and the main types, properties, detection mechanisms and detection substances are briefly introduced.