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目的 研究因失语或气管切开而难以用经典格拉斯歌昏迷评分 (GCS)卒中患者的评分方法。方法我们对 5 6例急性卒中患者前瞻性地进行GCS评分 ,记录出院前后的评价 ,并同时评价Bathel指数 (BI)。对GCS总分和三个亚项及三种方法做Logistic回归处理。结果 仅做睁眼和运动评分和缩减量表应用于急性期的卒中患者与完整的GCS量表 (即包括眼动、运动、言语 )效果相同。结论 对于失语和气管切开的卒中患者 ,我们建议做缩减量表评分。
Objective To study the scoring method of patients with stroke that is difficult to be traced by the classic GCS (GCS) due to aphasia or tracheotomy. METHODS: We prospectively performed GCS scores on 56 acute stroke patients, and recorded pre-and post-hospital evaluations and Bathel index (BI) at the same time. Logistic regression was performed on GCS total score, three sub-items and three methods. Results Only open-eyes and motor score and reduction scales Acute stroke patients had the same effect as a complete GCS scale (ie including eye movement, exercise, speech). Conclusions For stroke patients with aphasia and tracheostomy, we recommend a reduction scale score.