智力测验在病残儿医学鉴定中的应用

A Practice of intelligence test on Medical Identifica-tion of Retard Children.

本文回顾性分析了240例采用中国—韦氏儿童(幼儿)智力量表(WISC、WYCSI)及《丹佛智能发育简化筛选表》(DDST—R)等不同智力测验方法对不同年龄组,不同临床表现的“智力低下”儿进行智力测验和评估。智商分级方法参考美国MR协会(1983)规定进行分级。结果表明不同智力测定方法适用于不同年龄和临床类型。大部分因诊断为“智力低下”的患儿通过智力测验确定,实际不符合率占24％(30/240)。病残儿疾病种类及所致的严重程度亦用智力测验进行了分析。智力测验在医学鉴定中有一定作用,但智力测验的结果受其他因素的干扰较大,尤其是医学病残儿鉴定的特殊性,智力测验的结果往往来源于“病残儿”父母的各种暗示。故进行该类鉴定时要考虑采用适当的、多种方法,必要时结合临床表现和社会调查综合评估。对不肯定的结果可定期复查,以便尽量给予准确、客观的结论。

A retrospective analysis on 240 retard children with different ages and clinical manifestation were studied in this article. The methods which were applied were different intelligence tests, including Chinese - Wechsler intelligence Scale for Children (Infant) and Denver Developmental Screening. The results showed that the retard children with different ages and different manifestation should not be used the same intelligence tests, Most of retard children who had been diagnosed as 'mental retard 'clinically were used to byrawn opposite results after intelligence tests. The rate of disaccord was 24% (30/ 240). Intelligence test paids an important role in medical identification, but the results of intelligence test were some what interfered by the other factors Exact, multiple intelligence test methods should be considered before a conclusion was draw, and it would be also necessary to combine the clinical manifestation and social investigation Atiming -follow up intelligence test should be set in order to get an exact ,objective conclusion.