意识障碍的评定量表(国外英语资料).doc

意识障碍的评定量表 A rating scale for mental disorders In patients with severe brain injury, the majority of patients go into VS after an acute phase of recovery. At this time, the evaluation of the disease is more comprehensive than the acute phase, and it is possible to be able to respond to the prognosis and return. Coma recovery scale - correction (crs-r) : the Giacino of the New Jersey institute of neuroscience at the New Jersey institute of neuroscience in Edison, USA, and Kalmar, Whyte of the Johnson rehabilitation institute, are the modified version of the JFK Coma recovery scale published in 2004. CRS were developed by Giacino in 1991. It includes 6 aspects such as hearing, vision, movement, verbal response, communication and arousal level. The lowest score represents reflective activity, and the highest is cognitive behavior. CRS is widely used in the us and Europe, and its validity is confirmed by multiple reports, which can be used to determine the prognosis and guide recovery. The current modification of crs-r was proposed in 2004 due to the users feedback and the Aspen working groups proposed and adaptation to the MCS concept and diagnostic criteria. CRS -r from 0 to 23 points and larger amendments were made on the original scale, increase the high sensitivity and good to distinguish the neurobehavioral changes entries, for some items to rename, delete some not suitable for entry. The crs-r is more suitable for identifying MCS and VS, for diagnosis and rehabilitation. Wessex head injury matrix (WHIM) : founded in 2000 by the university of Southampton, rehabilitation research Shiel, Horn and Wilson in Cambridge, according to the previous bulk coma patients with spontaneous act or react to stimulate behavior time observations. 145 behaviors were divided into six subscales of communication, attention, social behavior, attention, visual awareness, and cognition, and then arranged in 62 items. These 62 entries are ranked in order. During the recovery of the coma, th