| 评分 | 卒中严重程度 |
|---|---|
| 0 | 无卒中症状 |
| 1-4 | 轻度 |
| 5-15 | 中度 |
| 16-20 | 中~重度 |
| 21-42 | 重度 |
NIHSS用于评估卒中引起的功能损害程度,一共由11项测试组成,评分范围0~42。评分越高提示卒中越严重,并与卒中引起的脑损害的体积成正相关。
NIHSS在临床上主要用于:
1、基线评估:卒中后即刻评估严重程度;
2、评价治疗效果:治疗后定期进行重新评估;
3、评估患者预后:基线评估>16分的患者很有可能死亡;而基线评估<6分的患者则很有可能恢复良好;每增加1分,患者有良好转归的可能性就降低17%。
NIHSS中语言功能所占比例很高(7分),提示其对左脑损害的评估价值更高(98%的语言处理在左脑进行)。
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