脊髓损伤神经学分类国际标准检查表最新修订及解读

摘要

目的：探讨最新版脊髓损伤神经学分类国际标准(ISNCSCI-2013)检查表的修订之处及其意义。方法通过详细对比ASIA国际标准委员会提供的最新版ISNCSCI-2013检查表(英文版)与ISNCSCI-2011检查表(英文版)，找出修订之处，同时根据ISNCSCI-2011检查表使用体会，分析其修订意义。结果与ISNCSCI-2011检查表相比，ISNCSCI-2013共有11处改动。新版的检查表更便于区分和强调某些条目，同时对某些条目进行了细化。结论 ASIA标准委员会根据应用ISNCSCI-2011检查表的实践体会，对该检查表进行较大的修改，提出了更加科学的记录方法，使之能更加直观、清楚地反映出检查结果。本次修订更有利于脊髓损伤神经功能评估结果的记录和判定。%Objective To study the modification of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) worksheet (2013 version) and the significance for clinical practice. Methods The latest English version of ISNCSCI work-sheet-2013 was compared with the previous version to find the advantages of current version and analyze its significance according to the ex-perience from using the worksheet-2011. Results 11 modifications were found in ISNCSCI-2013, in which some were just discrimination, some were for emphasis, and the others were detailing. Conclusion The ASIA International Standards Committee made prudent modifica-tions according to the practical experience of the ISNCSCI-2011 to make the worksheet more scientific and clear for recording. The modifi-cation will be more beneficial to record and determine the evaluation results of neurological examination of spinal cord injury in clinical practice.