法医学杂志

法医学杂志 ›› 2014, Vol. 30 ›› Issue (6): 434-436.DOI: 10.3969/j.issn.1004-5619.2014.06.008

• 论著 • 上一篇    下一篇

颅脑损伤部位及程度与日常生活活动能力的相关性

张运阁1，李春晓1，管国富1，陈兴荣1，方惠民1，王  舟1，陈溪萍2   

  1. （1. 常州市德安医院司法鉴定所，江苏 常州 213003； 2. 苏州大学医学部法医学系，江苏 苏州 215123）
  • 发布日期:2014-12-25 出版日期:2014-12-28
  • 通讯作者: 李春晓，男，副主任法医师，主要从事法医临床学、司法精神病学研究；E-mail：czdasfjd@126.com 陈溪萍，女，主任法医师，主要从事法医临床学及电生理研究；E-mail：xiping.chen@163.com
  • 作者简介:张运阁（1981—），男，河南太康人，主检法医师，主要从事法医临床学、司法精神病学研究；E-mail：zhangyunge_ 2006@163.com
  • 基金资助:

    国家自然科学基金资助项目（81172911）；常州市科技局社会发展科技计划项目（CS20109007）

Correlation of Daily Living Activities with Location and Severity of Traumatic Brain Injury

ZHANG YUN-GE1, LI CHUN-XIAO1, GUAN GUO-FU1, CHEN XING-RONG1, FANG HUI-MIN1, WANG ZHOU1, CHEN XI-PING2   

  1. （1. Institute of Forensic Expertise, Dean Hospital of Changzhou, Changzhou 213003, China; 2. Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China）
  • Online:2014-12-25 Published:2014-12-28

被引次数

5

摘要： 目的 研究颅脑损伤部位及程度与日常生活活动能力的相关性，为提高鉴定意见的准确性提供理论依据。 方法 选取颅脑损伤被鉴定人501例，详细记录其伤前情况、损伤部位及程度、治疗方式、教育程度，应用日常生活活动能力量表（Barthel指数）对被鉴定人进行测验，统计损伤部位及程度与Barthel指数的相关性。 结果 轻度颅脑损伤组各损伤部位Barthel指数差异无统计学意义（P>0.05）；中度颅脑损伤组蛛网膜下腔出血与其他脑叶损伤，顶、枕叶损伤与额叶损伤，顶、枕叶损伤与颞叶损伤间Barthel指数差异均具有统计学意义（P<0.05），额叶损伤与颞叶损伤Barthel指数差异无统计学意义（P>0.05）；重度颅脑损伤不论手术与否，各颅脑损伤部位的Barthel指数两两之间差异均有统计学意义（P<0.05）。 结论 颅脑损伤部位与Barthel指数存在一定相关性，对分析判断颅脑损伤后日常生活活动能力具有重要的参考价值。

关键词: 司法精神病学, 颅脑损伤, 事故, 交通, 日常生活活动能力量表

Abstract: Objective To study the correlation of daily living activities with location and severity of traumatic brain injury （TBI） and to provide a theoretical basis for improving the accuracy of expert opinion. Methods Five hundred and one cases of patients with TBI were selected. Detailed records included following： pre-injury situation, location and severity of injury, treatment and education. Daily living activities scale （Barthel index） was applied to test the subjects’ daily living activities. The relevance among location and severity of TBI and Barthel index was statistically analyzed. Results In mild TBI group, there was no significant difference in Barthel index among each location （P>0.05）. In moderate TBI group, there were significant differences in Barthel index between subarachnoid hemorrhage and cerebral lobe injury, also between parietal, occipital lobes injury and frontal lobe injury, parietal, occipital lobes injury and temporal lobe （P<0.05）, respectively, whereas no significant difference in Barthel index between frontal lobe injury and temporal lobe injury （P＞0.05）. In severe TBI, there were significant differences in Barthel index between every two different locations （P<0.05）. Conclusion There is some correlation between the location of TBI and Barthel index, which provides an important reference value for analyzing and determining daily living activities after TBI.  

Key words: forensic psychiatry, traumatic brain injury, accidents, traffic, Barthel scale

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