颅脑损伤后昏迷与社会和生活功能的相关性研究

›› 2013 ›› Issue (5): 37-39.

颅脑损伤后昏迷与社会和生活功能的相关性研究

李春晓¹,张运阁¹,管国富¹,刘伟丽²,陈溪萍²,陶陆阳²

1. 常州市德安医院司法鉴定所
2. 苏州大学司法鉴定所

收稿日期:2013-01-17 修回日期:2013-06-29 出版日期:2013-09-15 发布日期:2013-10-14
通讯作者: 陈溪萍
基金资助:
国家自然科学基金;常州市科技局社会发展科技计划项目

A study on the correlation between coma and social ability as well as daily living activity after traumatic brain injury

Received:2013-01-17 Revised:2013-06-29 Published:2013-09-15 Online:2013-10-14

摘要/Abstract

摘要： 摘要：目的研究颅脑损伤后格拉斯哥昏迷（Glasgow Coma Scale,GCS）评分及昏迷时间与社会功能缺陷筛选量表（Social Disability Screening Schedule,SDSS）值及日常生活活动能力评价表（Activity of Daily Living Scale,ADL）值的相关性。方法：选取本所及苏州大学司法鉴定所颅脑外伤被鉴定人269例，详细记录损伤部位、损伤程度、昏迷时间、GCS评分，是否手术治疗，是否多发伤；同时分别应用SDSS量表及ADL量表对被鉴定人进行测验，统计其相关性。结果： GCS评分与颅脑损伤6个月后SDSS值低度相关，与ADL值中度相关；昏迷时间与颅脑损伤6个月后SDSS值低度相关，与ADL高度相关。结论：颅脑损伤后GCS评分及昏迷时间与ADL具有相关性，对法医司法鉴定实践具有重要的指导意义。

关键词: font-size: 10.5pt, mso-bidi-font-size: 10.0pt, mso-ascii-font-family: 'Times New Roman', mso-hansi-font-family: 'Times New Roman', mso-bidi-font-family: 'Times New Roman', mso-font-kerning: 1.0pt, mso-ansi-language: EN-US, mso-fareast-language: ZH-CN, mso-bidi-language: AR-SA">司法精神病学；格拉斯哥评分；昏迷时间；社会功能缺陷筛选量表；日常生活活动能力评价表

Abstract: Abstract: Objective: To investigate the correlation between Glasgow coma scale (GCS) together with duration of coma, and social disability screening schedule (SDSS) values, as well as activity of daily living scale (ADL) values after traumatic brain injury(TBI). Methods: 269 appraisal patients with TBI were abtained from Suzhou University forensic appraiser and our appraiser. Detailed information of the patients consisted of injury site, severity, duration of coma, GCS score, surgery history, and whether surffered multiple injuries. Meanwhile, the appraisal patients were tested by application of the SDSS scale and the ADL scale, respectively, and the correlation was analyzed by SPSS 10.0 software. Results: There is a low correlation between the GCS scores and the SDSS values 6 months after TBI, while a moderate correlation exists between the GCS scores and the ADL values. In addition, there is a low correlation between duration of coma and the SDSS values six months after TBI, while a high correlation exists between duration of coma and the ADL values. Conclusion: The correlation between the GCS scores or duration of coma and the ADL values after TBI have important guiding significance for forensic practice.

李春晓张运阁管国富刘伟丽陈溪萍陶陆阳. 颅脑损伤后昏迷与社会和生活功能的相关性研究[J]. , 2013(5): 37-39.

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