关键词: 脊髓损伤, 神经功能评估, 临床应用

Abstract: Objective To refine and optimize the paper-based assessment tool for evaluating neurological function in spinal cord injury patients,and to explore its impact on clinical practice．Methods A comprehensive review of existing literature on neuromotor function assessment in spinal cord injury patients was conducted,complemented by discussions among members of this study．This led to the integration of a preliminary evaluation framework．Subsequently,a two-round Delphi consensus process involving experts was undertaken to finalize the content of the assessment project．Based on this,a paper-based evaluation system was developed and converted into an electronic format by computer professionals．This system was then tested in a clinical setting,where it was administered to 120 spinal cord injury patients at the Spine Surgery Department of Guangzhou First People’s Hospital between 1 August 2021 and 31 May 2023．Patients were randomly assigned to either an experimental group or a control group,allowing for a comparison of accuracy,efficiency,and convenience in clinical application．Results The experimental group demonstrated a notable improvement in assessment accuracy over the control group,with a significant reduction in error rate from 20.3% to 4.7% and a decrease in omission rate from 32.0% to 5.0%．Furthermore,the average assessment time was shortened by 6.0 minutes,markedly enhancing the efficiency of the evaluation process．Conclusions The optimized neurological function assessment system for spinal cord injury patients has proven effective in enhancing both the accuracy and efficiency of assessments,while significantly minimizing subjective errors．This system holds considerable potential for widespread clinical adoption and application．

Key words: spinal cord injury, neurological assessment, clinical application