{"id":28424,"date":"2023-04-27T17:33:49","date_gmt":"2023-04-27T10:33:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28424"},"modified":"2023-04-27T17:33:49","modified_gmt":"2023-04-27T10:33:49","slug":"tim-hieu-ve-thang-diem-hoi-phuc-hon-mecomma-recovery-scale","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/tim-hieu-ve-thang-diem-hoi-phuc-hon-mecomma-recovery-scale\/","title":{"rendered":"T\u00ecm hi\u1ec3u v\u1ec1 thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea(Comma Recovery Scale)"},"content":{"rendered":"

Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea (Coma Recovery Scale) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea<\/a>. Thang \u0111i\u1ec3m n\u00e0y bao g\u1ed3m nhi\u1ec1u ch\u1ec9 s\u1ed1 \u0111o l\u01b0\u1eddng nh\u01b0 tr\u1ea3 l\u1eddi ti\u1ebfng n\u00f3i, chuy\u1ec3n \u0111\u1ed9ng c\u01a1 th\u1ec3, m\u1eaft v\u00e0 t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p. Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea, gi\u00fap cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng cho qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

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Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n<\/figcaption><\/figure>\n

1. T\u1ed5ng quan<\/h2>\n

Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea (Coma Recovery Scale) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea. Thang \u0111i\u1ec3m n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong c\u1ea3 l\u0129nh v\u1ef1c ch\u0103m s\u00f3c \u0111a khoa v\u00e0 nghi\u00ean c\u1ee9u y h\u1ecdc.<\/p>\n

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Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea (Coma Recovery Scale – CRS) \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1eeb n\u0103m 1990 b\u1edfi nh\u00f3m nghi\u00ean c\u1ee9u do ti\u1ebfn s\u0129 Joseph Giacino d\u1eabn \u0111\u1ea7u t\u1ea1i Trung t\u00e2m Nghi\u00ean c\u1ee9u v\u00e0 \u0110i\u1ec1u tr\u1ecb H\u00f4n m\u00ea TBI (Traumatic Brain Injury) thu\u1ed9c B\u1ec7nh vi\u1ec7n Beth Israel Deaconess v\u00e0 \u0110\u1ea1i h\u1ecdc Harvard.<\/p>\n

Ban \u0111\u1ea7u, CRS ch\u1ec9 c\u00f3 8 m\u1ee5c \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea. Tuy nhi\u00ean, sau \u0111\u00f3, CRS \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn v\u00e0 m\u1edf r\u1ed9ng v\u1edbi phi\u00ean b\u1ea3n CRS-R (Coma Recovery Scale – Revised) c\u00f3 23 m\u1ee5c \u0111\u00e1nh gi\u00e1 v\u00e0 phi\u00ean b\u1ea3n CRS-PLUS (Coma Recovery Scale – Plus) c\u00f3 26 m\u1ee5c \u0111\u00e1nh gi\u00e1.<\/p>\n

CRS-R \u0111\u01b0\u1ee3c ph\u00e1t h\u00e0nh l\u1ea7n \u0111\u1ea7u v\u00e0o n\u0103m 2004 v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong l\u00e2m s\u00e0ng v\u00e0 nghi\u00ean c\u1ee9u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea. Phi\u00ean b\u1ea3n CRS-PLUS \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n sau \u0111\u00f3 v\u00e0 b\u1ed5 sung th\u00eam m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 \u0111\u1ec3 c\u1ea3i thi\u1ec7n \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a thang \u0111i\u1ec3m.<\/p>\n

CRS-R v\u00e0 CRS-PLUS l\u00e0 hai phi\u00ean b\u1ea3n c\u1ee7a Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea. C\u00f4ng c\u1ee5 n\u00e0y \u0111\u00e3 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh nh\u00e2n h\u00f4n m\u00ea v\u00e0 cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng cho c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u v\u00e0 chuy\u00ean gia v\u1ec1 h\u00f4n m\u00ea.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

2. Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea (Coma Recovery Scale)<\/h2>\n

Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea bao g\u1ed3m c\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c nhau \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n. C\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y bao g\u1ed3m:<\/p>\n

– M\u1edf m\u1eaft: \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng m\u1edf m\u1eaft c\u1ee7a b\u1ec7nh nh\u00e2n.
\n– T\u1ef1 \u0111\u1ed9ng ph\u1ea3n \u1ee9ng: \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n ph\u1ea3n \u1ee9ng t\u1ef1 \u0111\u1ed9ng v\u1edbi c\u00e1c k\u00edch th\u00edch t\u1eeb m\u00f4i tr\u01b0\u1eddng.
\n– Ph\u1ea3n \u1ee9ng t\u1eadp trung: \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n t\u1eadp trung ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c k\u00edch th\u00edch t\u1eeb m\u00f4i tr\u01b0\u1eddng.
\n– Ph\u1ea3n \u1ee9ng \u0111\u01a1n gi\u1ea3n: \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c k\u00edch th\u00edch \u0111\u01a1n gi\u1ea3n nh\u01b0 ti\u1ebfng n\u00f3i ho\u1eb7c ch\u1ea1m.
\n– Ph\u1ea3n \u1ee9ng ph\u1ee9c t\u1ea1p: \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c k\u00edch th\u00edch ph\u1ee9c t\u1ea1p h\u01a1n nh\u01b0 \u0111\u1ed9ng t\u00e1c ho\u1eb7c l\u1eddi n\u00f3i.
\n– T\u1ef1 ph\u1ee5c v\u1ee5: \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n t\u1ef1 ph\u1ee5c v\u1ee5 cho m\u00ecnh, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u1edf mi\u1ec7ng \u0111\u1ec3 \u0103n u\u1ed1ng ho\u1eb7c th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c c\u01a1 b\u1ea3n \u0111\u1ec3 t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n.<\/p>\n

C\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c k\u00edch th\u00edch t\u1eeb m\u00f4i tr\u01b0\u1eddng, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean quan s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 \u0111\u00e1nh gi\u00e1 chi ti\u1ebft trong phi\u00ean b\u1ea3n CRS-R:<\/p>\n

– Ch\u1ec9 s\u1ed1 di\u1ec5n gi\u1ea3i (c\u00f3 13 m\u1ee5c \u0111\u00e1nh gi\u00e1):<\/p>\n

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  • \u1ea2o gi\u00e1c (Delusion)<\/li>\n
  • S\u1ef1 nh\u1eadn th\u1ee9c (Orientiation)<\/li>\n
  • T\u1ef1 bi\u00ean gi\u1edbi (Self-awareness)<\/li>\n
  • S\u1ef1 nh\u1eadn bi\u1ebft \u0111\u1ed1i t\u01b0\u1ee3ng (Object recognition)<\/li>\n
  • S\u1ef1 nh\u1eadn bi\u1ebft \u00e2m thanh (Sound recognition)<\/li>\n
  • S\u1ef1 nh\u1eadn bi\u1ebft m\u00f9i v\u1ecb (Taste and smell recognition)<\/li>\n
  • S\u1ef1 \u0111\u1ecbnh h\u01b0\u1edbng tr\u1ef1c quan(Visuospatial orientation)<\/li>\n
  • S\u1ef1 nh\u1eadn bi\u1ebft v\u1eadt l\u00fd (Physical awareness)<\/li>\n
  • T\u00ednh ch\u1ea5t c\u1ee7a gi\u1ea5c ng\u1ee7 (Sleep-wake cycle)<\/li>\n
  • S\u1ef1 nh\u1eadn bi\u1ebft c\u1ee7a ng\u00f4n ng\u1eef (Language expression)<\/li>\n
  • S\u1ef1 hi\u1ec3u ng\u00f4n ng\u1eef (Language comprehension)<\/li>\n
  • T\u1ef1 do ng\u00f4n t\u1eeb (Verbalization)<\/li>\n
  • Tr\u1ea3 l\u1eddi c\u00e2u h\u1ecfi (Response to questions)<\/li>\n<\/ul>\n

    – Ch\u1ec9 s\u1ed1 ch\u1ee9c n\u0103ng (c\u00f3 10 m\u1ee5c \u0111\u00e1nh gi\u00e1):<\/p>\n

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    • T\u1ed5ng quan v\u1ec1 chuy\u1ec3n \u0111\u1ed9ng (Motor response)<\/li>\n
    • Chuy\u1ec3n \u0111\u1ed9ng theo h\u01b0\u1edbng ch\u1ec9 th\u1ecb (Obeys commands)<\/li>\n
    • Chuy\u1ec3n \u0111\u1ed9ng \u0111\u01a1n gi\u1ea3n (Localizes pain)<\/li>\n
    • Ph\u1ea3n \u1ee9ng b\u1ea3o v\u1ec7 (Withdrawal to pain)<\/li>\n
    • Ph\u1ea3n \u1ee9ng t\u00e1c \u0111\u1ed9ng (Flexion to pain)<\/li>\n
    • Ph\u1ea3n \u1ee9ng kh\u00f4ng t\u00e1c \u0111\u1ed9ng (Extension to pain)<\/li>\n
    • M\u1edf m\u1eaft t\u1ef1 nhi\u00ean (Spontaneous eye opening)<\/li>\n
    • Ph\u1ea3n \u1ee9ng tr\u01b0\u1edbc \u00e1nh s\u00e1ng (Response to light)<\/li>\n
    • Ph\u1ea3n \u1ee9ng tr\u01b0\u1edbc \u00e2m thanh (Response to sound)<\/li>\n
    • T\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p (Respiration)<\/li>\n<\/ul>\n

      C\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng c\u1ee7a b\u1ec7nh nh\u00e2n trong vi\u1ec7c tr\u1ea3 l\u1eddi ti\u1ebfng n\u00f3i, chuy\u1ec3n \u0111\u1ed9ng c\u01a1 th\u1ec3, m\u1eaft v\u00e0 t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p, gi\u00fap \u0111\u01b0a ra d\u1ef1 \u0111o\u00e1n v\u1ec1 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng CRS \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 kinh nghi\u1ec7m v\u00e0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

      3. \u01afu \u0111i\u1ec3m c\u1ee7a thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea (Coma Recovery Scale)<\/h2>\n

      Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m khi s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

      – Thang \u0111i\u1ec3m n\u00e0y \u0111\u00e1nh gi\u00e1 nhi\u1ec1u kh\u00eda c\u1ea1nh kh\u00e1c nhau c\u1ee7a t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c, t\u1eeb m\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi h\u00f4n m\u00ea \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n. \u0110i\u1ec1u n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c h\u01a1n t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

      – \u0110\u00e2y l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u01a1n gi\u1ea3n v\u00e0 d\u1ec5 s\u1eed d\u1ee5ng, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1edfi c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c trong c\u00e1c t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p.<\/p>\n

      – Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong nghi\u00ean c\u1ee9u y h\u1ecdc, cho ph\u00e9p so s\u00e1nh k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau.<\/p>\n

      4. H\u1ea1n ch\u1ebf<\/h2>\n

      M\u1eb7c d\u00f9 thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf.<\/p>\n

      – Thang \u0111i\u1ec3m n\u00e0y kh\u00f4ng ph\u1ea3n \u00e1nh \u0111\u01b0\u1ee3c t\u1ea5t c\u1ea3 c\u00e1c kh\u00eda c\u1ea1nh c\u1ee7a t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n, ch\u1eb3ng h\u1ea1n nh\u01b0 kh\u1ea3 n\u0103ng nh\u1edb v\u00e0 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng ph\u1ee9c t\u1ea1p.<\/p>\n

      – Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 s\u1ef1 m\u1ec7t m\u1ecfi v\u00e0 r\u1ed1i lo\u1ea1n th\u1ea7n kinh. V\u00ec v\u1eady, c\u1ea7n ki\u1ec3m tra k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh ch\u00ednh x\u00e1c.<\/p>\n

      T\u00f3m l\u1ea1i, thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n r\u1ea5t h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n sau khi tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea. C\u00f4ng c\u1ee5 n\u00e0y \u0111\u00e1nh gi\u00e1 nhi\u1ec1u kh\u00eda c\u1ea1nh kh\u00e1c nhau c\u1ee7a t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong c\u1ea3 l\u0129nh v\u1ef1c ch\u0103m s\u00f3c \u0111a khoa v\u00e0 nghi\u00ean c\u1ee9u y h\u1ecdc. Tuy nhi\u00ean, thang \u0111i\u1ec3m n\u00e0y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea (Coma Recovery Scale) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi h\u1ecd tho\u00e1t kh\u1ecfi t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea. Thang \u0111i\u1ec3m n\u00e0y bao g\u1ed3m nhi\u1ec1u ch\u1ec9 s\u1ed1 \u0111o l\u01b0\u1eddng nh\u01b0 tr\u1ea3 l\u1eddi ti\u1ebfng n\u00f3i, chuy\u1ec3n \u0111\u1ed9ng c\u01a1 th\u1ec3, m\u1eaft v\u00e0 […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nT\u00ecm hi\u1ec3u v\u1ec1 thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea(Comma Recovery Scale)<\/title>\n<meta name=\"description\" content=\"Thang \u0111i\u1ec3m h\u1ed3i ph\u1ee5c h\u00f4n m\u00ea (Coma Recovery Scale) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n sau khi ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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