NIHSS评分-天坛杜万良.pdf

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1、NIHSS评分杜万良北京天坛医院神经内科2017.2.22NIHSS的历史NIHSS之前的量表NIHSS的版本ü原始版üTorontoStrokeScaleü现行版üOxburyInitialSeverityScaleü修订版(mNIHSS)üCincinnatiStrokeScaleü大陆中文版ü台湾中文版原始版Alert0Normal0l.a.LevelofDrowsy1Equivocal1ConsciousnessStuporous28.PlantarReflexExtensor2Coma3Bilateralextensor3Answersbothc

2、orrectly0l.b.LOCAbsent0Answersonecorrectly1QuestionsIncorrect29.LimbAtaxiaPresentinupperorlower1Obeysbothcorrectly0Presentinboth21.c.LOCObeysonecorrectly1Normal0CommandsIncorrect210.SensoryPartialloss1Bothreactive0Denseloss22.PupillaryResponseOnereactive1Noneglect0Neitherreactive2

3、11.NeglectPartialneglect1Normal0Completeneglect23.BestGazePartialgazepalsy1Normalarticulation0Forceddeviation2Novisualloss0Mildtomoderate14.BestVisualPartialhemianopia112.DysarthriadysarthriaCompletehemianopia2Nearunintelligibleor2Normal0worseMinor1Noaphasia05.FacialPalsyPartial21

4、3.BestMildtomoderateaphasia1Complete3LanguageSevereaphasia2NOdrift0Mute36.BestMotorDrift1SameSArmCan'tresistgravity214.ChangefromNoeffortagainstgravity3PreviousExamBetterBNOdrift0WorseW7.BestMotorDrift1SameS15.ChangefromLegCan'tresistgravity2BetterBBaselineNoeffortagainstgravity3W

5、orseWStroke1989;20:864-870现行版1aLevelofconsciousness3Visualfields6aLeftmotorleg9Language0=Alert0=Novisualloss0=Nodrift0=Normal1=Notalert,arousable1=Partialhemianopsia1=Driftbefore5s1=Mildaphasia2=Notalert,obtunded2=Completehemianopsia2=Fallsbefore5s2=Severeaphasia3=Unresponsive3=Bil

6、ateralhemianopsia3=Noeffortagainstgravity3=Muteorglobalaphasia4=Nomovement1bQuestions4Facialpalsy6bRightmotorleg10Dysarthria0=Answersbothcorrectly0=Normal0=Nodrift0=Normal1=Answersonecorrectly1=Minorparalysis1=Driftbefore5s1=Mild2=Answersneithercorrectly2=Partialparalysis2=Fallsbef

7、ore5s2=Severe3=Completeparalysis3=Noeffortagainstgravity4=Nomovement1cCommands5aLeftmotorarm7Ataxia11Extinction/inattention0=Performsbothtasks0=Nodrift0=Absent0=Normalcorrectly1=Driftbefore10s1=Onelimb1=Mild1=Performsonetask2=Fallsbefore10s2=Twolimbs2=Severecorrectly3=Noeffortagains

8、tgravity2=Performsneithertask4=No