单一肢体损伤的功能评定  

Assessment of Function of a Single Limb after Injury

作　　者：孙会艳[1] 

机构地区：[1]赤峰学院附属医院司法鉴定中心,内蒙古赤峰024000

出　　处：《法医学杂志》2015年第5期356-358,共3页Journal of Forensic Medicine

摘　　要：目的探讨能客观反映单一肢体损伤功能评定的法医学评价方法。方法收集47例单一肢体损伤案件进行日常生活活动能力(activities of daily living,ADL)评分,获得单一肢体损伤的功能情况。每个案例均同时采用Fugl-Meyer运动功能评分分级法(简称FMA法)、加权法、查表法进行评估,比较ADL与三种评价方法的相关性。结果损伤部位、FMA法、加权法、查表法评分结果与ADL评分相关(P<0.05),就相关系数(|r|值)比较,查表法最高,FMA法最低。结论肢体损伤部位对功能丧失程度有影响。FMA法、加权法、查表法均能较准确地评定单一肢体损伤后的功能,但查表法与单一肢体损伤后功能丧失的相关性更高。Objective To explore the method for the objective evaluation of single limb function after in- jury in forensic medical practice. Methods The score of activities of daily living （ADL） were graded for a single limb function after injury from 47 cases. All cases were simultaneously evaluated using the different methods including Fugl-Meyer motor function assessment （FMA）, weighting, look-up table （LUT）. The correlation were compared between ADL and the other three methods. Results Injured part and the score using the three methods were correlated with ADL score （P〈0.05）. The correlation coeffi- cient （Irl value） showed highest using LUT method, and lowest using FMA method. Conclusion The loss function of limb is affected by the injuried parts. The methods of FMA, weighting and LUT show a good accuracy for evaluating the limb function after injury and the correlation presents higher using LUT method.

关 键 词：法医学 创伤和损伤 四肢 功能评定 

分 类 号：R658[医药卫生—外科学]