不同声音刺激对严重意识障碍患者声源定位评分的影响  

The effects of different sound stimuli onpatients with disorders of consciousness in locating the source of sound

作　　者：应丽美[1] 张瑛[1] 程丽娟[1] 王付言[1] 聂云智[1] 徐存来[1] 梅婷婷[1] 钱小棋[1] 沈燕[1] 樊蓓琼[1] 狄海波[1] 

机构地区：[1]杭州师范大学国际植物状态和意识科学研究所,浙江杭州310036

出　　处：《健康研究》2012年第5期328-330,333,共4页Health Research

基　　金：浙江省科技厅重大资助项目(KZ09037)

摘　　要：目的比较严重意识障碍患者对唤名刺激和铃铛刺激的朝向反应敏感性的差异,为标准化听觉刺激的选择提供参考。方法随机选择50例严重意识障碍(DOC)患者,采用The JFK Coma Recovery Scale-Revise(JFK改进的昏迷恢复量表,以下简称CRS-R)对其进行床边测量。对于声源定位项,分别记录患者对唤名和铃铛刺激的朝向反应,比较反应的差异性。结果 DOC患者总体(n=50)及VS(n=23)患者对铃铛和唤名的敏感性无显著差异(P>0.05),而其中的MCS/EMCS(Emergency from MCS)(n=27)患者对唤名更敏感(P<0.05)。结论唤名刺激比铃铛等简单刺激可能更适合成为CRS-R量表中声源定位项的标准化刺激。Objective A comparison of the response of patients with severe disorders of consciousness to the uttering of his/her own namewas compared with their response to bell ringingwas conducted in order to provide a frame of reference forchoosing standard auditory stimuli.Method CRS-R scale was used for clinical measurement of consciousness inrandomly selected 50 DOC patients.As to the item of sound location,we recorded the patients＇ location response to bell ringing and to the uttering of his/her own name and compared the sensitivity to both in DOC patients.Findings Location responses tothe uttering of a subject＇s own name and bell ringing in 50 DOC patients were displayed in table 1.In MCS/EMCS（Emergency from MCS） patients（n=27）.The comparison showed that the patients were more sensitive to the uttering of his/her own name than to bell ringing（p0.05）,while in VS and in all DOC,there was no significant difference.Conclusion Own name uttering as stimuli can work better than bell ringingas standard orientation item of auditory subscale in CRS-R.

关 键 词：昏迷恢复量表 最小意识状态 植物状态 声源定位 

分 类 号：R339.16[医药卫生—人体生理学]