临床常用昏迷量表的应用  

Common used coma scales in clinical

作　　者：张昊驹 杨艺[1] 夏小雨[1] 谢秋幼[2] 李广罡[1] 吴月奎[1] 党圆圆[1] 尹霄霄 何江弘[1] 焦辉[1] 虞容豪[2] 黄勇华[1] 徐如祥[1] 

机构地区：[1]北京军区总医院附属八一脑科医院,北京100700 [2]广州军区总医院神经外科,广州2510010

出　　处：《中华神经创伤外科电子杂志》2016年第1期51-53,共3页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

基　　金：全军青年培育基金孵化项目(15QNP006);国自然青年项目(81200959)

摘　　要：近年来随着医疗水平的快速发展,尤其是重症医学水平的提升,使一些诸如颅脑外伤及严重脑血管事件的患者得以生存下来。他们中有很多在脑部受损后到意识恢复这段时期里会出现不同程度的意识障碍(DOC)。近几年临床上开发了许多量表以有效评估意识水平,帮助确立正确的诊断和评估患者意识恢复情况。常用的有格拉斯哥量表(GCS)、FOUR量表、CRS-R量表、WHIM量表、SMART量表等。那么这些量表分别有哪些优势和不足,在临床工作中又该如何选择,本文就这一问题作简要阐述。Patients once died from craniocerebral trauma and cerebrovascular event nowadays are probably survive thanks to the development of medicine, especially the Intensive care unit.Many of them suffer from disorder of consciousness in varying degrees during the recovery period of the injury. Some scales have been formulated to diagnose and to help assess the recovery of consciousness. The most commom Scales are GCS, FOUR, CRS-R, WHIM, SMART, etc.What advantages and disadvantages do these scales have and how to chose in clinical work？ Here are some advices.

关 键 词：意识障碍 植物状态 最小意识状态 昏迷量表 

分 类 号：R741[医药卫生—神经病学与精神病学]