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重新考虑静脉/眼部运动查对脑震荡的截止分数
Margaret M Weightman1, Laurie A King2, Peter C Fino3
1Courage Kenny Research Center, Allina Health, Minneapolis, MN 55407, USA.
Military medicine
|October 19, 2023
概括
视野/眼部运动查 (VOMS) 在健康成年人中显示出差异. 重新考虑VOMS解释标准可能会改善平民和军事人员的轻度创伤性脑损伤诊断.
科学领域:
- 神经科学是一个神经科学.
- 运动医学 运动医学
- 眼科医生 眼科 眼科
背景情况:
- 视野/眼部运动查 (VOMS) 对于识别急性轻度创伤性脑损伤至关重要.
- 现有的VOMS研究主要集中在青少年和年轻人身上,对老年人和军事人员的数据有限.
研究的目的:
- 记录VOMS在健康的平民成年人和50岁以下的现役军人中发现的结果.
- 为了比较VOMS在平民和军事人口之间的结果.
主要方法:
- 77名健康的平民 (18-50岁) 和40名健康的现役服役人员 (18-50岁) 参加.
- 收集的数据包括人口统计数据,神经行为症状库存得分,近点收 (NPC) 距离的平均值和VOMS总症状变化 (TSS) 得分.
主要成果:
- 民用平均NPC距离为4.98厘米;军事平均NPC距离为6.17厘米.
- 民用平均TSS为1.2,其中19.5%报告两种或更多症状;军事平均TSS为0.20,其中7.5%报告两种或更多症状.
- 在这两组中,年龄与NPC距离或TSS无关.
结论:
- 这项研究建议重新考虑军事急性脑震荡评估,版本2对异常平均NPC距离的截止值,以提高成年人群的诊断准确性.
- 为了提高诊断实用性,可能需要重新评估VOMS TSS解释标准,特别是针对平民.
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