Brinkmann R, Von Cramon D, Schulz H
J Neurol Neurosurg Psychiatry. 1976 Aug;39(8):788-93. doi: 10.1136/jnnp.39.8.788.
The level of coma can be measured by the assessment of changes of behaviour after different intensities of stimulation. Two additive scales (Guttman scales) for susceptibility to stimulation and reactivity were developed, constituting the Munich Coma Scale (MCS). The findings of previous investigations were repeated in a new sample of 67 comatose patients. Implications of the additivity of reactivity are discussed and related to the concept of 'behavioural arousal' advanced in the recent literature.
昏迷程度可通过评估不同强度刺激后行为的变化来衡量。针对刺激易感性和反应性制定了两个累加量表(古特曼量表),构成了慕尼黑昏迷量表(MCS)。在67名昏迷患者的新样本中重复了先前调查的结果。讨论了反应性累加性的意义,并将其与近期文献中提出的“行为觉醒”概念相关联。