腦卒中常用量表(編輯修改稿)
2024-09-11 23:38 本頁面
【文章內(nèi)容簡介】 r paralysis (flattened nasolabial fold) 2 =部分癱瘓（下面部完全或幾乎完全癱瘓） Partial paralysis (total or neartotal paralysis of lower face) 3 =完全癱瘓 Complete paralysis ? 5. 上肢運動 Motor Arm: 將肢體放至指定位置：伸展上肢（手掌向下） 90度（坐位） ? 或 45度（仰臥位）。上肢 10秒前下落記錄為滑動。 ? The limb is placed in the appropriate position: extend the arms (palms down) 90176。 (sitting) or 45176。 (supine). Drift is scored if the arm falls before 10 seconds. ? 量表定義 Scale Definition: ? 0 =無下落 No drift ? 1 =下落，肢體在 90（或 45）度能維持不超過 10秒，下落 ? Drift。 limb holds 90176。 (or 45176。 ) but drifts down ? 2 =能對抗一些重力，但不能達到或維持 90（或 45）度 ? Some effort against gravity。 limb cannot get to or maintain (if cued) 90176。 (or 45176。 ) ? 3 =不能對抗重力 No effort against gravity ? 4 =無運動 No movement 6. 下肢運動 Motor Leg: 將肢體放至指定位置：伸展下肢 30度（只測仰臥位）。下肢 5秒前下落記錄為滑動。 0 =無下落動 No drift 1 =下落，下肢不能維持 5秒；下落不撞擊床 Drift。 leg falls by the end of the 5 second period but does not hit the bed 2 =能對抗一些重力， 5秒內(nèi)下落到床上 Some effort against gravity。 leg falls to bed by 5 seconds 3 =不能對抗重力 No effort against gravity 4 =無運動 No movement 美國國立衛(wèi)生院腦卒中量表 NIH Stroke Scal 7. 共濟失調(diào) Limb Ataxia: 雙側(cè)指鼻、跟膝脛試驗，共濟失調(diào)與無力明顯不成比例時記分。 The fingernosefinger and heelshin tests are performed on both sides, ataxia is scored only if present out of proportion to weakness. 量表定義 Scale Definition: 0 =沒有共濟失調(diào) Absent 1 =一側(cè)肢體有共濟失調(diào) Present in one limb 2 =兩側(cè)肢體有共濟失調(diào) Present in two limbs ? 8. 感覺 Sensory: 用針尖刺激 /撤除刺激觀察昏迷或失語患者的感覺和表情。 ? Sensation or grimace to pinprick when tested, or withdrawal from noxious stimulus in the obtunded or aphasic patient. ? 量表定義 Scale Definition: ? 0 =正常 (Normal) ? 1 =輕到中度感覺缺失，患側(cè)針刺感不明顯或為鈍性或 僅有觸覺 ? Midtomoderate sensory loss。 patient feels pinprick is less sharp or is dull on the affected side ? 2 =嚴重到完全感覺缺失，面、上肢、下肢無觸覺 Severe to total sensory loss。 patient is not aware of being
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