法医学杂志

法医学杂志 ›› 2009, Vol. 0 ›› Issue (6): 428-430.

• 论文 • 上一篇    下一篇

交通事故中脑外伤所致精神障碍与精神伤残相关因素分析

张登科;苏巧荣;张宏卫;葛建荣;张剑;石富娟;   

  1. 绍兴文理学院司法鉴定所;
  • 发布日期:2009-12-25 出版日期:2009-12-28

Related Analysis of Mental Disability and Retardation Due to Traffic Brain Injury

ZHANG DENG-KE, SU QIAO-RONG, ZHANG HONG-WEI, GE JIAN-RONG, ZHANG JIAN, SHI FU-JUAN (FORENSIC JUDICIAL APPRAISAL INSTITUTE, COLLEGE OF SHAOXING ARTS AND SCIENCES, SHAOXING 312000, CHINA)   

  • Online:2009-12-25 Published:2009-12-28

被引次数

26

摘要： 目的分析交通事故致颅脑损伤后精神伤残等级评定的相关因素。方法收集157例交通事故致颅脑损伤后精神伤残的鉴定案例,根据鉴定结论分为轻度组、中度组和重度组。对3组的一般人口学资料、临床病史资料、鉴定资料进行比较,并以上述资料为自变量,以组别为应变量,进行logistic回归分析。结果3组一般人口学资料的差异均无统计学意义(P>0.05),而昏迷时间、颅内出血区域大小、工作能力、家庭职能、社交功能、生活自理能力、智商的差异有统计学意义(P<0.05)。颅内出血灶、家庭职能、社交功能、生活自理进入logistic回归方程。结论颅脑损伤的严重程度对后遗精神伤残有一定影响,鉴定时伤者的家庭职能、社交功能和生活自理是决定伤残等级的主要因素。

关键词: 司法精神病学, 颅脑损伤, 事故, 交通, 精神伤残

Abstract: Objective To analyze the relevant factors of determing the degree of mental disability after brain injuries in the traffic accidents. Methods A total of 157 forensic psychiatry cases involving the assessment of mental disability caused by traffic accidents were collected and divided into three groups (mild, moderate and severe) according to the conclusion of the forensic identification. The demographic, clinical and forensic data were compared in the three groups and analyzed with ordinal logistic regression. Results There was no statistically significant difference in the demographic data among three groups(P>0.05). While there was statistically significant difference in the coma duration, severity of intracranial hemorrhage, working capacity, family duties, social functions, self care capacity and intelligence quotient(P<0.05) among the groups. Intracranial hemorrhage, family duties, social functions and self care capacity were chosen as the factors in the logistic regression equation. Conclusion The degree of the brain damage influenced the mental disability. Family duties, social functions and self care capacity are the major factors for determing the degree of mental disability after injured.

Key words: forensic psychiatry, brain injuries, accidents, traffic, mental impairment