Abstract：Objective To evaluate the degree of disorders of consciousness by 3 different clinical consciousness scales, and to compare the sensitivities of the 3 scales so as to provide better evidence for its clinical utilization. Methods We selected 97 patients in the vegetative state (VS) from rehabilitation Center, the General Hospital of Chinese PLA from September, 2011 to June, 2013, and all the patients were scored by Glasgow Coma Scale (GCS), Coma Recovery Scale-Revised (CRS-R) and Chinese Vegetative State Scale (CVSS) respectively. The assessment finished in 24 weeks or till the time when patients emerged from minimally conscious state (MCS). The diagnostic sensitivity and the sensitivity of each sub-scale in CRS-R were evaluated when the patients with MCS emerged from VS. Results The sensitivity analysis of the 3 scales showed that the diagnosis sensitivity of CRS-R was significantly higher than those of GCS and CVSS (χ2=29.35, P=0.000; χ2=44.34, P=0.000), and the sensitivity of the visual sub-scale was the highest among all the CRS-R sub-scales. The correlation analysis of total scores of the 3 scales showed that the score of CRS-R was significantly correlated with that of GCS in the acute and chronic stages (P<0.05), but only correlated with that of CVSS in the acute stage (P<0.05). Conclusions The visual sub-scale of CRS-R is a more sensitive tool for detecting MCS during recovery process in the disorders of consciousness. As to the patients with deep unconsciousness and without significant recovery, the 3 scales are in good agreement to determine the degree of disorders of consciousness. It is suggested that CRS-R can be widely used to assess the level of disorders of consciousness in various stages.
邓新,刘嘉胜,王璐,乔军,付丽娜,刘睿. 三种意识量表评估对植物状态患者意识障碍程度的敏感性分析[J]. 实用预防医学, 2017, 24(4): 465-467.
DENG Xin, LIN Jia-sheng, WANG Lu, QIAO Jun, FU Li-na, LIU Rui. Sensitivities of 3 different consciousness scales in evaluating the degree of disturbance of consciousness in patients in the vegetative state. , 2017, 24(4): 465-467.
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2017, Vol. 24 
