Title: NIHSS training course and testing NIHSS ??????
1NIHSS training course and testing NIHSS ??????
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- ????? ??
- ??? ??? ??
- 2008-9-5
2NIH Stroke Scale
- ??1983?,??????????????
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- ?????????,?????????????
- ?????,?????
- ??????,??????????????
- ?????
- ???0?42?,????????????????
- ?????????? 58 ?? (lt 10??)?
3NIH Stroke Scale
- NIHSS ??15 ???
- ???????(1a)?
???????????????(1b)?
??????????????????(1c) - ????
- ??
- ????
- ?(?)???? (5aL , 5bR)
- ?(?)???? (6aL , 6bR)
- ??????
- ????(??????????)
- ????
- ????
- ????
4- 1a. ????
- 0 ??
- 1 ??
- 2 ??(???? ??)
- 3 ??
- ????????????????
- 1. ?????
- 2. ??????
- 3. ?????????
51b ???? ???? (?????? ?????? ) 0
???? 1 ???? 2 ?????
6 ????? ????????? ?????????
???????? ??????????? ??????????????,?2?
??????????????? ????????????(?????)
???????1?
71c ???? ?????? (??????? )
0????? 1????? 2????? ?????
??????????????? ????????? ??????
????????,??????,????????? ????????,??????????
?????? ????????,???????????,????
8- 2. ????
- ??????????????????
- (Oculocephalic, dolls eye)
- 0 ?? (?????????)1 ???? ((????????????)
- 2 ????????(??????????)?????
- ?????
- ??????(conjugate deviation) ,
- ??????????????????,?1?
- ???????? (CN III, IV,VI)??,? 1?
-
9- 3. ????
- ????????????
- 0 ??? 1 ???? 2 ???? 3 ??????
- ?????
- ??????,????,??1?
- ?????????,? 3 ?
- ??????????,
- ???????????,?????????,
- ????? 1?,???? 11 ???
10- 4. ????
- 0 ??1 ???? (???????????
- ?????????)2 ????
(?????????????)3 ?????? (??????????) - ?????,??,??,
- ????????????,
- ??????????????
- ?????????,????
11- 5. ???? (5aL ???, 5bR ??? )
- ????? 90? (???,??45?)
- ??10?,??
- 0 ??1 ????(??) 2 ??????? (????)
- 3 ?????? (??????)
- 4 ????
- a --- ????
- b --- ????
12- 6. ???? (6aL ???, 6bR ??? )
- ????,?? 30 ?,?? 5?,??
- 0 ??1 ???? (?????)2 ??????? (????) 3
?????? (??????) - 4 ????
-
- ????,? 96 ????
13- 7. ???????
- 0 ????????1 ???????2 ????????
- ?????????????????,???
- ???,??????,????????
14- 8. ????(??????????)
- ??????????(?? ?? ?? ?)
- 0 ???? (?????????????) 1 ??????2 ??????
(??) - ????????,???????1??0?
- ??????????,?2?
- ??????????,?2?
- ????? (1a 3) ,?? ?2?
15- 9.????
- ???????(??????)?
- ?????(?????????????)?
- ????????? (???????)
- 0 ??1 ???????2 ????? -- ????? ????
- ?????????????????3 ??????--?????(global
aphasia) - ????????
169.???? ????? ??????????? ??????
???(1a 3)??? 3 ? ?????????,????????,
????????,???????, ????????3?
17- 10. ???? (????????)
- ????????
- 0 ??1 ?????? (???????,
- ?????)2 ??????
(??????????, - ?????????)
- ?????,??????????????
- ????????????????,??96?
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18- 11.????
- ?????????,????????????
- ???????????????????
- (???????????) ?
- 0 ???? 1 ???? -- ??????????,
- ????????????
- 2 ???? -- ?????????,
- ????????,
- ????????????,
- ???????????
- ??????????
19NIHSS
- ??????????????????????
- ????????????? (r t-PA)???????
- ?????????,?2008??????,???????????? (r
t-PA)??????????NIHSS???,?? NIHSS? 4 (???6)
,??????r t-PA? - ?? 4 ???????????????
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