摘要
目的：探讨颅脑损伤所致智能损害患者的司法精神病学鉴定特征。方法回顾分析2013年-2015年在泸州科正司法鉴定中心进行鉴定的431例颅脑损伤案例的鉴定资料，根据智能损害的鉴定结论将431例被鉴定者分为轻度及以下组和中度及以上组，对两组数据进行比较分析。结果两组在昏迷时长（χ^2＝1.034，P ＝0.596）、格拉斯哥昏迷评分（ GCS）（t ＝1.942，P ＝0.054）和颅脑损伤性质（χ^2＝2.265，P ＝0.687）方面差异均无统计学意义；两组在住院天数（t ＝4.344，P ＜0.01）、有无开颅手术（χ^2＝9.094，P ＜0.05）、大脑损伤位置分布（χ^2＝13.156，P ＜0.01）、智商值（t ＝18.997，P ＜0.01）和智商与鉴定结论的一致性（χ^2＝63.350，P ＜0.01）方面差异均有统计学意义。结论颅脑损伤所致智能损害的程度可能与住院天数、有无开颅手术和大脑损伤位置分布等有关；轻度及以下智能损害患者的智商与鉴定结论的一致性优于中度及以上智能损害患者。
Objective To investigate the characteristics of judicial psychiatric appraisal with intelligent damage by craniocerebralinjury. Methods A retrospective study of 431 cases were identified as craniocerebral injury cases from Luzhou Kezheng JudicialAuthentication Center on 2013 to 2015. According to the appraisal conclusion, all cases were divided into mild and the followingintelligence damage group and moderate above intelligence damage group, the datas in the two groups were compared and analyzed.Results In two groups, the differences of during coma time （X^2 = 1. 034, P = 0 .596） , Glasgow Coma Scale （ GCS） score （t =1. 942,P = 0. 054 ） and the nature of craniocerebral injury （X^2 = 2. 265,P = 0. 687 ） were not statistical significance ; the differences ofhospitalization days （t =4. 344, P 〈0. 01） , with or without craniotomy （X^2= 9. 094 ,P 〈0. 05） , brain damage location （X^2 =13. 156 ,P 〈0. 01） , IQ （t = 18. 997 , P 〈 0. 01） and the consistency of intelligence with the appraisal conclusion （X^2= 63. 350, P 〈 0. 01）were statistical significant. Conclusion The degree of intelligent damage by craniocerebral injury may be associated with thehospitalization days, with or without craniotomy, the locations of brain damage. The mild and the following intelligence damage group isbetter than the moderate and above intelligence damage group in the consistency of intelligence and expert conclusion.
出处
《四川精神卫生》
2016年第3期265-269,共5页
Sichuan Mental Health
关键词
颅脑损伤
智能损害
司法精神病学鉴定
Craniocerebral injury
Intellectual impairment
Forensic psychiatric epertise
