Gotoh O, Tamura A, Yasui N, Nihei H, Manaka S, Suzuki A, Hadeishi H, Sano K
Department of Neurosurgery, Toshiba General Hospital, Tokyo, Japan.
No To Shinkei. 1995 Jan;47(1):49-55.
The value of the 10-grade Japan Coma Scale (JCS) as a means of evaluating patients undergoing early aneurysm surgery was assessed in terms of its relationship to surgical outcome. The 13-grade Glasgow Coma Scale (GCS) was also assessed, and comparisons were made between the two. A series of 765 patients who underwent aneurysm surgery within 7 days after hemorrhage were evaluated both by JCS and GCS immediately prior to surgery, and outcome was assessed by the Glasgow Outcome Scale (GOS) 6 months postoperatively. Both the JCS and GCS scores were significantly correlated with surgical outcome (JCS vs GOS: rs = 0.586, GCS vs GOS: rs = 0.615, p < 0.001). There was no significant difference between the correlation coefficients for outcome of the JCS and GCS. In general, the better the JCS or GCS score was, the better the surgical outcome was, however, outcome among those with a JCS score of 3 was poorer than among those with a score of 10, 20, or 30. The results of this study indicate that both JCS and GCS are useful in predicting surgical outcome, but the GCS may be better than the JCS because of the problem with the score of 3 in the latter.
通过评估10级日本昏迷量表（JCS）与手术结果的关系，来评定其作为早期动脉瘤手术患者评估手段的价值。同时也对13级格拉斯哥昏迷量表（GCS）进行了评估，并对两者进行比较。对765例出血后7天内接受动脉瘤手术的患者，在手术前即刻采用JCS和GCS进行评估，并在术后6个月采用格拉斯哥预后量表（GOS）评估预后。JCS和GCS评分均与手术结果显著相关（JCS与GOS：rs = 0.586，GCS与GOS：rs = 0.615，p < 0.001）。JCS和GCS预后的相关系数之间无显著差异。总体而言，JCS或GCS评分越高，手术结果越好，然而，JCS评分为3分者的预后比评分为10、20或30分者差。本研究结果表明，JCS和GCS在预测手术结果方面均有用，但由于JCS中3分的问题，GCS可能比JCS更好。
