本文選題：修改版昏迷恢復(fù)量表 + 植物狀態(tài)　； 參考：《臨床神經(jīng)病學(xué)雜志》2014年05期

【摘要】：目的探討修改版昏迷恢復(fù)量表(CRS-R)對(duì)意識(shí)障礙患者預(yù)后的評(píng)估價(jià)值。方法對(duì)29例重癥腦部病變意識(shí)障礙患者進(jìn)行CRS-R評(píng)分,根據(jù)評(píng)分分為植物狀態(tài)(VS)和最小意識(shí)狀態(tài)(MCS)。在患者出院≥3個(gè)月后進(jìn)行格拉斯哥結(jié)局量表(GOS)評(píng)分;并對(duì)兩個(gè)量表評(píng)分的相關(guān)性進(jìn)行分析。結(jié)果本組VS患者20例、MCS患者9例,二者CRS-R評(píng)分分別為(5.15±2.35)分和(11.88±4.01)分。VS患者GOS評(píng)分≤3分(預(yù)后差)的比率(95%,19/20)顯著高于MCS患者(44.4%,4/9)(P0.05)。Pearson相關(guān)分析顯示,CRS-R評(píng)分與GOS評(píng)分呈正相關(guān)(r=0.558,P0.05)。CRS-R評(píng)分的子項(xiàng)中,運(yùn)動(dòng)、言語和交流與GOS評(píng)分呈正相關(guān)(r=0.663,r=0.637,r=0.424,均P0.05);而聽覺、視覺和喚醒度與GOS評(píng)分無關(guān)。結(jié)論意識(shí)障礙患者CRS-R評(píng)分越高,預(yù)后越好。
[Abstract]:Objective to evaluate the prognostic value of CRS-R in patients with consciousness disorders. Methods 29 patients with severe brain disease consciousness disorder were assessed by CRS-R, which were divided into vegetative state and minimal conscious state. Glasgow outcome scale (Glasgow outcome scale) score was performed after discharge 鈮，

本文編號(hào)：1785422