道路交通事故伤残鉴定中影响智残程度的相关因素分析研究  

The correlation factors of mental disability in the patients of traffic crash victims

作　　者：刘磊峰[1] 刘波[2] 邓小鹏[1] 贺定翠[1] 涂哲明[1] 

机构地区：[1]荆州市精神卫生中心,荆州434000 [2]荆州市第一人民医院

出　　处：《国际精神病学杂志》2015年第4期46-49,共4页Journal Of International Psychiatry

摘　　要：目的研究道路交通事故伤残鉴定中影响智残程度的相关因素。方法 100例交通事故伤残鉴定案例,按照鉴定结论分为轻度组、中度组、重度组;对三组的一般资料、临床病史资料、社会功能和智力进行组间比较,同时以上述资料作为自变量,组别为应变量,进行logistic回归分析。结果 3组一般资料差别不具有显著性(P>0.05);3组的临床病史资料中,颅内出血灶、挫伤处、昏迷时间组间差别均具有显著性(P<0.05),GCS评分差别不具有显著性(P>0.05);3组的伤后鉴定社会功能和智力组间差异具有显著性(P<0.05);颅内出血灶、家庭职能、生活自理、智力进入logistic回归方程。结论临床病史资料中颅内出血灶、社会功能中的家庭职能、生活自理和智力测定中的智商是影响智残程度鉴定的相关因素,可以作为精神伤残鉴定的指标。Objective To analyze the correlation factors of the degree of mental disability in the traffic acci- dents. Methods 100 traffic accident patients were divided into the mild group, the middle group and severe group based on the forensic identification. The demographic, clinical, social function and IQ data were compared the three groups and analyzed by the ordinal logistic regression. Results The demographic data of three groups were no significant difference （P〉0. 05） ; In the aspect of clinical data, the Intracranial hemorrhage, contusion and coma time were statistically difference （P〈0. 05） ; after the injure, the social function an IQ of three groups were signifi- cant difference （P〈0. 05）. Intracranial hemorrhage, family duties, self care and IQ test were chosen to the logistic regression. Conclusion Intracranial hemorrhage, family duties, self care and IQ test were relevant factors in the mental retardation expertise.

关 键 词：交通事故 伤残鉴定 智残 LOGISTIC回归分析 

分 类 号：R749[医药卫生—神经病学与精神病学]