我国老一辈脑复苏领域专家编制的中国南京持续性植物状态量表（CNPVSS）在临床应用已有20余年。20多年来随着人们对意识障碍的深入研究，其概念也在不断发生变化，对该量表的解读也在临床研究中不断完善。同时工作中也存在着初学者不能正确理解和运用量表，量表的命名和某些子项目的描述需进一步修订等问题。笔者根据多年来大量意识障碍患者临床病例的量表应用经验，结合国内外有关意识障碍的研究成果，提出了量表的操作方法和结果解读方案，也提出了修订建议，供同行及相关专家评议。

Objective:To explore the predictive value of China Nanjing persistent vegetative state scale (CNPVSS) on the curative effect of the patients with chronic disorder of consciousness, by analyzing the curative effect of the rehabilitation treatment combined with hyperbaric oxygen (HBO) for patients with chronic disorder of consciousness.Methods:A total of 48 patients with chronic disorder of consciousness admitted to Nanjing Zijin Hospital to receive rehabilitation treatment combined with HBO from the September of 2016 to the May of 2019 were selected according with the analytical criteria. Before the treatment, the patients were evaluated by CNPVSS and received electroencephalogram (EEG) and evoked potentials (EPs) examinations. The patients′ consciousness was evaluated again before discharge, the results of CNPVSS and electrophysiological examinations were recorded, and the correlation between the results and the changes of the consciousness was analyzed statistically.Results:The results of CNPVSS was positive correlated with near-term curative effect ( r=0.401, P=0.005); the rate of awakening after treatment was 46.2% among those who were scored as minimally conscious state (MCS) by CNPVSS; the rate of awakening after treatment was 17.1% among those who were at vegetative state (VS) or in a coma; the rate of awakening after treatment of the MCS patients was higher than those of the patients at VS or in a coma ( χ2=4.255, P=0.039). The recordings of right somatosensory evoked potentials (SSEPs) N20 was positive correlated with curative effect ( r=0.312, P=0.031); and the left visual evoked potentials (VEPs) V100 was positive correlated with curative effect ( r=0.285, P=0.049). There were no statistical significance found between other electrophysiological recordings with curative effect. Conclusion:CNPVSS can be an important tool to predict the outcome of the rehabilitation treatment combined with HBO for the patients with chronic disorder of consciousness, and the recordings of SSEPs and VEPs also are of a certain reference value in predicting the prognosis.

目的 观察对中风急性期患者采取早期康复的治疗方法对患者肢体功能的影响.方法 选取2011年至2017年120例在本医院进行治疗的中风患者,将所有患者按病程长短分为对照和治疗两组,每组各60例.对照组为因治疗贻误或病程较长而转入我院的患者,治疗组为中风急性期的患者,给对照组患者给予常规康复治疗,治疗组采用早期康复治疗的方法来进行治疗,对患者Fugl-Meyer评分、Barthel指数评分进行记录,并且记录两组患者在治疗过后的恢复情况,并进行比较.结果 两组患者的Fugl-Meyer评分、Barthel指数评分进行比较,治疗过后评分均有显著的提高,但是治疗组增高的比例大,且差异显著(P<0.05).对照组患者的总有效率为61.67％,治疗组患者的总有效率为91.67％,治疗组患者的恢复情况要好(P<0.05).结论 对中风急性期的患者采取早期康复治疗的介入有利于患者肢体功能的恢复.