摘要
目的探讨颅脑损伤后精神伤残程度的评定方法。方法收集154例颅脑损伤后司法鉴定案例的资料,应用社会功能缺陷筛选量表(SDSS)和改良Barthel指数评定量表(MBI)评估精神伤残。结果颅脑损伤所致精神伤残,精神伤残的轻度、中度、重度与社会功能、日常生活能力、颅脑恢复情况之间的差异有统计学意义(均P<0.05);logistics回归显示社会功能受损和日程生活能力受损与精神伤残程度有统计学意义(均P<0.05),为精神伤残程度分度的危险因素;不同精神伤残程度间SDSS、MBI得分差异均具有统计学意义(均P<0.05),并且SDSS、MBI均对精神伤残严重程度具有良好的区分(均P<0.05)。结论在进行精神伤残评定时,以SDSS量表评定的社会功能受损和以MBI量表评定的日常生活活动能力受损对精神伤残程度进行区分,可为精神伤残等级的评定奠定基础。
Objective To discuss the mental disability level assessment method after craniocerebral injury. Methods Data were collected from 154 cases of craniocerebral injury, social function defect screening scale （SDSS） and the assessment of modified Barthel index （MBI） were used to assess mental disability grade. Results The disabled caused by traumatic brain injury, it was statistically significant between the severity of mental disability and the activity of daily living, social disability, craniocerebral injury recovery （all P 〈 0.05 ）. Logistics regression analysis results showed that there was a significant correlation between social disability, disability of daily living and mental disability severity （ all P 〈 0.05 ） , and social disability and disability of daily living were risk factors for the severity of mental disability. Different levels of mental disability, SDSS and MBI scores were statistically significant（ all P 〈 0.05 ）, and it had a good distinction of the different severity of mental disabilities. Conclusion When we assessed mental disability grade,the SDSS scale as the influence factors of mental disability and the MBI scale as the influence factors of daily living were used for assessing mental disability severity that could lay the foundation for the classification of mental disability grades.
出处
《河南科技大学学报（医学版）》
2017年第2期144-147,共4页
Journal of Henan University of Science & Technology:Medical Science
关键词
颅脑损伤
精神伤残
标准化评定量表
法医临床学
mental disability
craniocerebral injury
forensic clinical
mental status schedule
