83例道路交通事故受伤人员精神伤残鉴定分析

发布时间：2018-11-25 12:54

【摘要】：目的探讨在道路交通事故致颅脑损伤后精神障碍的伤残评定中精神障碍类型、伤残等级及其影响因素方面的差异,为脑外伤所致精神障碍的司法鉴定工作提供有益的参考依据,以便在实践中更好地把握规范。方法对内蒙古自治区精神卫生中心司法鉴定所2014年4月1日至2016年3月30日涉及道路交通事故致颅脑损伤后精神障碍的伤残评定案例在临床症状、精神障碍类型分布、智力损害程度、脑损伤程度、受伤时间据鉴定时间、伤残等级等进行归纳整理、回顾性分析。结果共有83例样本纳入本研究,平均评定时机(10.35±6.8)个月,临床主要表现为意识障碍和记忆、语言功能损害。原发损伤部位较易发生的部位在额、颞两叶,不同部位精神损伤类型的比较存在统计学意义(χ2=41.83,P0.01),Logistic回归分析显示头颅CT/MRI结果(r=-0.382)、精神障碍表现(r=-0.476)、智商测定值(r=-0.358)、原发损伤程度(r=-0.491)与精神伤残等级呈负相关,均具有统计学意义(P0.01)。结论道路交通事故致颅脑损伤后精神障碍的伤残评定应把握恰当的鉴定时机,原发损伤程度、精神障碍表现及脑影像学检查在评定中具有重要的地位,智能损害在精神伤残等级评定中应慎重。
[Abstract]:Objective to explore the differences in the types of mental disorders, disability grades and their influencing factors in the assessment of mental disorders after craniocerebral injury caused by road traffic accidents, so as to provide a useful reference for the judicial identification of mental disorders caused by brain injuries. In order to better grasp the norms in practice. Methods from April 1, 2014 to March 30, 2016, the Institute of Forensic expertise of Mental Health Center of Inner Mongolia Autonomous region was used to evaluate the clinical symptoms and types of mental disorders in patients with mental disorders after road traffic accidents. The degree of mental impairment, the degree of brain injury, the time of injury according to the time of identification, the grade of disability and so on were summarized and analyzed retrospectively. Results A total of 83 cases were included in this study. The average time of assessment was (10.35 卤6.8) months. The main clinical manifestations were disturbance of consciousness, memory and language impairment. There was significant difference in the types of mental injury between frontal and temporal lobes (蠂 ~ 2: 41.83), Logistic regression analysis showed that the cranial CT/MRI results were significant (r = -0.382). Mental disorders (r-0.476), intelligence quotient (r-0.358) and primary injury (r-0.491) were negatively correlated with mental disability (P0.01). Conclusion the evaluation of mental disorders after craniocerebral injury caused by road traffic accident should be carried out at the right time, the degree of primary injury, the manifestation of mental disorder and the examination of brain imaging play an important role in the evaluation. Intelligences should be carefully assessed in the rating of mental disability.
【作者单位】：内蒙古自治区精神卫生中心;
【分类号】：D919.3

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