682例活体损伤鉴定的特征及影响因素分析  

Characteristics and factors analysis of 682 cases in injury identification in living individuals

作　　者：王子平 游欣怡 陈雨欣 柯建林 向明亮 张伟[3] 邓小冬[3] WANG Zi-ping;YOU Xin-yi;CHEN Yu-xin;KE Jian-lin;XIANG Ming-liang;ZHANG Wei;DENG Xiao-dong(Lizhou District Branch of Guangyuan Public Security Bureau,Guangyuan 628017;Department of Medical Imaging;Department of Forensic Medicine,North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]广元市公安局利州区分局,四川广元628017 [2]川北医学院医学影像学院 [3]川北医学院法医学系,四川南充637000

出　　处：《川北医学院学报》2021年第11期1519-1523,共5页Journal of North Sichuan Medical College

基　　金：四川省南充市市校科技战略合作专项(18SXHZ0172、20SXQT0212)。

摘　　要：目的:探讨活体损伤鉴定的特征及影响因素。方法:回顾性分析682例活体损伤程度被鉴定人的人口学特征、案件资料(作案动机、发生场所、案发时间等)、致伤工具、损伤特征(部位、类型等)及损伤程度等,采用单因素和多因素Logistic回归分析其差异及影响因素。结果:被鉴定人以男性(74.34%)、18~44岁的青壮年(62.61%)为主;案发主要原因为临时口角(84.02%);娱乐场所多见(55.43%);8月份案件发生最多,且18∶00~24∶00时间段常见(37.28%)。钝器伤占比最高(80.06%),且以徒手伤为主(87.36%);损伤部位主要分布在颜面部(31.52%)和颅脑(27.57%),以骨折(35.34%)、创(33.87%)和擦挫伤(20.53%)为主。多因素Logistic回归分析发现,损伤类型(OR=3.113,95%CI=2.308~4.2,P=0.001)及损伤部位(OR=1.119,95%CI=1.051~1.190,P=0.001)是轻伤及以上的独立危险因素;致伤物(OR=2.195,95%CI=1.011~4.768,P=0.047)是重伤二级的独立危险因素。结论:损伤程度与被鉴定人特征、损伤类型、损伤部位及致伤物有内在关联。Objective:To analyze the characteristics and related factors of injury degree in the living individuals.Methods:The characteristics of the identified persons,case background data(crime motive,place of occurrence,time of crime,etc.)injury tools,injury characteristics(location,type,etc.)and injury characteristics from 682 cases of injury identification were retrospectively analyzed.Univariate and multivariate logistic regression were used to analyze the differences and influencing factors.Results:Male(74.34%)and young adults(18-44 years old,62.61%)were easy to get involved in injured cases in August from 18∶00~24∶00(37.28%)in entertainment places(55.43%)due to temporary altercation(84.02%).Blunt force injuries accounted for the highest proportion(80.06%),and bare hand injuries were the main ones(87.36%).The injury anatomic site was mainly distributed in the face(31.52%)and brain(27.57%).Fracture(35.34%),wound(33.87%)and contusions(20.53%)were the main injuries.Type of injury(OR=3.113,95%CI=2.308-4.2,P=0.001)and site of injury(OR=1.119,95%CI=1.051-1.190,P=0.001)were the independent risk factor for minor injury and above.Instrument causing the trauma(OR=2.195,95%CI=1.011-4.768,P=0.047)was the independent risk factor for serious injury.Conclusion:The degree of injury is related to characteristics of the identified persons,injury type,site and instrument causing the trauma.

关 键 词：活体损伤 损伤程度 人口学特征 损伤类型 损伤部位 致伤工具 

分 类 号：D919.4[医药卫生—法医学]