脑卒中评价量表 (2).ppt

指导 Instruction: 6. 下肢运动 Motor Leg:将肢体放至指定位置：伸展下肢30度（只测仰卧位）。下肢5秒前下落记录为滑动。 The limb is placed in the appropriate position: hold the leg at 30° (always tested supine). Drift is scored if the leg falls before 5 seconds. 量表定义 Scale Definition: 0 =无下落动 No drift 1 =下落，下肢不能维持5秒；下落不撞击床 Drift; leg falls by the end of the 5 second period but does not hit the bed 2 =能对抗一些重力，5秒内下落到床上 Some effort against gravity; leg falls to bed by 5 seconds 3 =不能对抗重力 No effort against gravity 4 =无运动 No movement 美国国立卫生院脑卒中量表NIH Stroke Scale * ppt课件 指导 Instruction: 7. 共济失调 Limb Ataxia:双侧指鼻、跟膝胫试验，共济失调与无力明显不成比例时记分。 The finger-nose-finger and heel-shin tests are performed on both sides, ataxia is scored only if present out of proportion to weakness. 量表定义 Scale Definition: 0 =没有共济失调 Absent 1 =一侧肢体有共济失调 Present in one limb 2 =两侧肢体有共济失调 Present in two limbs 美国国立卫生院脑卒中量表NIH Stroke Scale * ppt课件 指导 Instruction: 8. 感觉 Sensory:用针尖刺激/撤除刺激观察昏迷或失语患者的感觉和表情。 Sensation or grimace to pinprick when tested, or withdrawal from noxious stimulus in the obtunded or aphasic patient. 量表定义 Scale Definition: 0 =正常 (Normal) 1 =轻到中度感觉缺失，患侧针刺感不明显或为钝性或 仅有触觉 Mid-to-moderate sensory loss; patient feels pinprick is less sharp or is dull on the affected side 2 =严重到完全感觉缺失，面、上肢、下肢无触觉 Severe to total sensory loss; patient is not aware of being touched 美国国立卫生院脑卒中量表NIH Stroke Scale * ppt课件 指导 Instruction: 9. 命名、阅读测试 Best Language:请患者描述图片中发生的事情，叫出物品名称、读出句子。 The patient is asked to describe what is happening in the attached picture, to name the items on the attached naming sheet and to read from the attached list of sentences. 量表定义 Scale Definition: 0 =正常,无失语 (No asphasia) 1 =轻到中度失语：流利程度和理解能力有一些缺损，但表达无明显受限。 Mild-to-moderate aphasia: some obvious loss of fluency or facility of comprehension, without significant limitation on ideas expressed or form of expression 2 =严重失语，所有交流是通过患者破碎的语言表达 Severe asphasia; all communication is through fragmentary expression 3 =哑或完全失语 (Mute, glo