法医学杂志

法医学杂志 ›› 2012, Vol. 28 ›› Issue (6): 441-444.DOI: 10.3969/j.issn.1004-5619.2012.06.011

• 案例分析 • 上一篇    下一篇

听力障碍法医学鉴定355例分析

杨小萍，周晓蓉，董大安，范利华   

  1. （司法部司法鉴定科学技术研究所 上海市法医学重点实验室，上海 200063）
  • 发布日期:2012-12-25 出版日期:2012-12-28
  • 作者简介:杨小萍（1966—），女，陕西西安人，副主任法医师，主要从事法医临床学的鉴定与研究；E-mail：yangxp@ssfjd.cn
  • 基金资助:

    “十二五”国家科技支撑计划项目（2012BAK16B03）

Forensic Medical Identification of 355 Cases with Hearing Impairment

YANG XIAO-PING, ZHOU XIAO-RONG, DONG DA-AN, FAN LI-HUA   

  1. （Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai 200063, China）
  • Online:2012-12-25 Published:2012-12-28

被引次数

1

摘要： 目的 分析主观听阈与客观听阈检查结果的差异性，探讨规范法医学听力检查的重要意义。 方法 对本所鉴定中心2004—2012年涉及听力障碍鉴定的355例（387耳）案例进行回顾性分析，主要包括委托事项和听力学检验结果等。 结果 在收集的387耳鉴定中，委托进行伤残等级鉴定的有218耳（56.3%）、损伤程度鉴定的有106耳（27.4%）。在伤残等级鉴定中，主观听阈与客观听阈不一致的有120耳（55.0%），而在损伤程度鉴定中，主观听阈与客观听阈不一致的有69耳（65.1%）。 结论 由于伤者存在伪装或夸大听力障碍的情形，单纯依据主观听阈不能准确评定伤者是否存在听力障碍以及听力障碍的程度。在法医学鉴定中应该联合应用听性脑干反应、40 Hz听觉相关电位、听性稳态反应等多种方法，确保听力障碍评定的可靠性。

关键词: 法医学, 听力障碍, 案例分析

Abstract: Objective To analyze the difference of subjective hearing threshold and objective hearing threshold, and to discuss the importance of standard for hearing evaluation in forensic medicine. Methods Three hundred and fifty-five cases （387 ears） of forensic medical identification with hearing impairment were retrospectively analyzed including the items entrusted and hearing test results. All cases were collected from 2004 to 2012 in the forensic science center. Results In the 387 ears, 218 ears （56.3%） were evaluated the degree of disability and 106 ears （27.4%） were identified the degree of damage. In the disability degree evaluation, the subjective hearing threshold and the objective hearing threshold were significant different in 120 ears （55.0%）, while in damage degree evaluation, the subjective hearing threshold and the objective hearing threshold were significant different in 69 ears （65.1%）. Conclusion Because of camouflaging or exaggerating the hearing impairment by the wounded, the subjective hearing threshold can’t accurately assess the existence and the degree of hearing impairment. In the forensic identification, auditory brainstem response, 40 Hz auditory event related potential and auditory steady-state response should be combined in the application to evaluate the hearing impairment for the wounded in order to ensure the reliability of the evaluation of hearing impairment.

Key words: forensic medicine, hearing disorders, cases analysis

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