脑电图在轻度精神伤残评定中的运用价值  

Applied Value of Electroencephalogram in Assessment of Mild Psychiatry Impairment

作　　者：汪建君 李豪喆 樊慧雨 陈琛 张盛宇 刘超 王俊杰 蔡伟雄[1] 张钦廷 WANG Jian-jun;LI Hao-zhe;FAN Hui-yu;CHEN Chen;ZHANG Sheng-yu;LIU Chao;WANG Jun-jie;CAI Wei-xiong;ZAHNG Qin-ting(Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China;Wenzhou Medical University, Wenzhou 325035, China;Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China)

机构地区：[1]司法鉴定科学研究院上海市法医学重点实验室上海市司法鉴定专业技术服务平台,上海200063 [2]温州医科大学,浙江温州325035 [3]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《法医学杂志》2017年第5期501-505,共5页Journal of Forensic Medicine

基　　金："十三五"国家重点研发计划资助项目(2016YFC0800701);国家自然科学基金资助项目(81001354);中央级科研院所基本科研业务费资助项目(GY2014G05;GY2016Z03);国家社会科学基金项目(13BFX054);上海市法医学重点实验室资助项目(14DZ2270800;17DZ2273200);上海市司法鉴定专业技术服务平台资助项目(16DZ2290900)

摘　　要：目的探索脑电图(electroencephalogram,EEG)在脑外伤所致精神障碍者轻度精神伤残评定中的应用价值。方法入组符合ICD-10脑外伤所致精神障碍的诊断标准,进行精神伤残评定的271名。使用日常生活能力量表(Activity of Daily Living Scale,ADL)、功能活动调查表(Functional Activities Questionnaire,FAQ)、社会功能缺陷筛选量表(Social Disability Screening Schedule,SDSS)进行评估,完成韦氏智力测验及EEG检查。结果 215名患者完成研究。格拉斯哥昏迷指数(Glasgow Coma Scale,GCS)、脑外伤的严重程度、FAQ、SDSS及ADL总分在EEG异常程度不同的患者之间差异有统计学意义(P<0.05),EEG异常程度不同者在精神伤残等级之间差异有统计学意义(P<0.05)。结论 EEG可以反映脑外伤的严重程度,辅助评估脑外伤所致精神障碍者社会功能及日常生活能力,并较为有效地区分轻度精神伤残等级,在精神伤残评定中具有一定的参考价值。Objective To explore the applied value of electroencephalogram(EEG)in assessment of psychiatric impairment among patients with mental disorders due to traumatic brain injury.Methods According to the ICD-10,a total of271subjects were enrolled and assessed with the criterion of mental disorders due to traumatic brain injury.Activity of Daily Living Scale(ADL),Functional Activities Questionnaire(FAQ)and Social Disability Screening Schedule(SDSS)were used to evaluate the severity of patients.All the participants were tested by Wechsler Adult Intelligence Scale(WAIS)and examined by EEG.Results Totally215patients accomplished the study.The results of Glasgow Coma Scale(GCS),the severity of craniocerebral injury and the scores of FAQ,SDSS and ADL showed significant difference among the patients with different severity of EEG(P<0.05).The grades of psychiatric impairment showed significant difference among the patients with different abnormal EEG(P<0.05).Conclusion EEG can reflect the severity of craniocerebral injury,assist evaluate the social function and activity of daily living of patients with mental disorders due to traumatic brain injury,and distinguish the mild psychiatric impairment grades,which suggest that EEG has a certain reference value in the assessment of psychiatric impairment.

关 键 词：法医学 司法精神病学 脑电图 颅脑损伤 精神障碍 

分 类 号：DF795.3[医药卫生—法医学]