摘要目的 探讨2011年版中国南京持续植物状态(persistent vegetative stat,PVS)评分量表临床应用.方法 选择我院2011年2月22日至2014年5月30日入院治疗的301例PVS/植物状态(vegetative state,VS)/最小意识状态(minimally conscious state,MCS)患者,应用2011年版中国南京PVS评分量表评定病情及疗效.结果 入院时,VS 109例,PVS 65例,MCS 127例;出院时,VS 8例,PVS 72例,MCS 91例,Ⅲ(能执行较复杂指令)130例;显效164例,好转31例,无效106例.意识恢复达Ⅲ者130例.结论 2011年中国南京PVS评分量表(CNPVSS),临床5项评分即肢体运动、眼球运动、听觉功能、进食、情感.细化了罗马数字Ⅱ即MCS最小意识状态的内容,其代表更多意识恢复的可能性,应采取积极的方法治疗.该评分量表能反应病情的变化过程,有简单明了、要点突出、符合临床实际、容易掌握、便于操作的特点.中国南京PVS评分量表(CNPVSS)可应用于临床.

abstractsObjective To investigate the clinical application of the 2011 edition of China Nanjing Persistent Vegetative State (NPVSS 2011).Methods Three hundred and one patients with vegetative state (VS),persistent vegetative state (PVS) and minimally conscious state (MCS) admitted into hospital from February 22,2011 to May 30,2014 were chosen for the study.Patient conditions and treatment efficacy were assessed by using the NPVSS 2011.Results With regard to conscious state at admission into hospital,109 cases were in VS,65 were in PVS and 127 were in MCS.When discharged from hospital,there were 8 VS cases,72 PVS cases,91 MCS cases,and 130 Ⅲ cases that could carry out more complicated instructions.Of all the cases,164 cases had prominent efficacy,31 were improved,106 were invalid,and 130 cases that had consciousness recovery to the state of Ⅲ.Conclusions The CNPVSS could reflect the changing processes of patient conditions,having the features of being simple and clear,conforming to clinical practice,and above all being easy to master and operate.With this reason,it could be applied to clinical practice.