Starmark J E, Lindgren S
Acta Neurochir Suppl (Wien). 1986;36:103-5.
The difficulties in defining a general conscious level are discussed as exemplified by Glasgow Coma Scale and Reaction Level Scale, a new scale recommended by Swedish neurosurgeons. Precise definitions of stimuli and of responses are needed since several studies have shown ambiguity of assessment within the same patient. Some of the difficulties arising from summing up and grouping levels of the Glasgow Coma Scores are discussed and as a consequence a new level for defining coma with a better reliability is proposed. We also briefly discuss the difficulty when to stop assessing conscious level.
本文讨论了定义一般意识水平的困难，以格拉斯哥昏迷量表和瑞典神经外科医生推荐的新量表——反应水平量表为例。由于多项研究表明同一患者的评估存在模糊性，因此需要对刺激和反应进行精确的定义。文中讨论了格拉斯哥昏迷评分水平汇总和分组时出现的一些困难，并因此提出了一个定义昏迷的新水平，其可靠性更高。我们还简要讨论了何时停止评估意识水平的困难。
