脊髓损伤神经学分类国际标准检查表最新修订及解读

DOI:10.3969/j.issn.1006-9771.2015.08.002·专题·脊髓损伤神经学分类国际标准检查表最新修订及解读

王一吉1,2a，周红俊1,2a，李建军1,2b，刘根林1,2a，郑樱1,2a，郝春霞1,2a，张缨1,2a，

卫波1,2a，康海琼1,2a，逯晓蕾1,2a，袁媛1,2a

[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。

[关键词]脊髓损伤神经学分类国际标准；版本；修订；解读

Latest Edition and Interpretation of International Standards for Neurological Classification of Spinal Cord Inju-ry Worksheet

WANG Yi-ji1,2a,ZHOU Hong-jun1,2a,LI Jian-jun1,2b,LIU Gen-lin1,2a,ZHENG Ying1,2a,HAO Chun-xia1,2a,ZHANG Ying1,2a,WEI Bo1,2a,KANG Hai-qiong1,2a,LU Xiao-lei1,2a,YUAN Yuan1,2a

1.Capital Medical University School of Rehabilitation Medicine,Beijing100068,China;

2.a.Department of Spi-nal Cord Injury Rehabilitation,b.Department of Spinal and Neural Function Reconstruction,Beijing Bo'ai Hospital, China Rehabilitation Research Center,Beijing100068,China

Abstract:Objective To study the modification of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI)worksheet(2013version)and the significance for clinical practice.Methods The latest English version of ISNCSCI work-sheet-2013was 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.Results11modifications 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-2011to 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.

Key words:International Standards for Neurological Classification of Spinal Cord Injury;version;modification;interpretation

[中图分类号]R651.2[文献标识码]A[文章编号]1006-9771(2015)08-0879-04

[本文著录格式]王一吉，周红俊，李建军，等.脊髓损伤神经学分类国际标准检查表最新修订及解读[J].中国康复理论与实践,2015,21(8):879-882.

CITED AS:Wang YJ,Zhou HJ,Li JJ,et test edition and interpretation of International Standards for Neurological Classification of Spinal Cord Injury Worksheet[J].Zhongguo Kangfu Lilun Yu Shijian,2015,21(8):879-882.

美国脊柱损伤委员会(American Spinal Injury As-sociation,ASIA)在1982年首次提出脊髓损伤神经功能分类标准[1]，并被美国脊柱损伤委员会和国际脊髓学会(International Spinal Cord Society,ISCOS)共同推荐为国际标准。该标准在第6版(2006年修订)增加了检查表[2]，用于规范地记录和辨认查体结果。在2011年

基金项目：中央级公益性科研院所基本科研业务费专项资金(No.2015CZ-7)。

作者单位：1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院，a.脊髓损伤康复科，b.脊柱脊髓损伤功能重建科，北京市100068。作者简介：王一吉(1982-)，男，汉族，湖南衡阳市人，硕士，主治医师，主要研究方向：脊髓损伤康复。通讯作者：周红俊。E-mail:zh87569303@。