道路交通事故轻度精神伤残者智能损害评定

Intellectual Impairment Assessment of Patients with Mild Psychiatric Impairment Due to Road Traffic Accident

目的探索道路交通事故轻度精神伤残者智能损害评定方法和价值。方法通过分析智商测定在轻度精神伤残者评定中的运用,探索智商测定在轻度精神伤残者智能损害评定中的运用价值。结果不同性质颅脑损伤组间不同智能损害程度构成比有统计学差异(P<0.05);量表智商与颅脑损伤性质有关(P<0.05),除继发全面性与继发局部性损害(P<0.05)、继发局部性与混合性损害之间(P<0.01)有统计学差异外,其余各组两两之间均无统计学差异;不同颅脑损伤程度组间不同智能损害程度构成比无统计学差异;量表智商与颅脑损伤程度呈负相关(P<0.01),除中型与重型损伤之间无统计学差异外,其余各组两两之间均具有统计学差异;智能损害程度、量表智商均与精神伤残等级呈正相关(P<0.01);量表智商并非评价智能损害的唯一指标,智能损害也并非精神伤残唯一的构成因素。结论智商测定对评价智能损害与精神伤残具有一定参考价值,精神伤残评定需根据颅脑损伤性质与程度、智能损害或精神障碍程度以及生活、社会功能状况综合评定。

Objective To explore the methods to assess the intellectual impairment of patients with mild psychiatric impairment due to traffic accidents. Methods The value of intelligence test in the intellectual impairment assessment of patients with mild psychiatric impairment was explored and analyzed. Results There was significant difference of intelligence impairment constituent ratio among groups in different characteristics of brain injury. Scale IQ was related with the brain injury. Differences were only observed between the diffuse secondary injury group and the local secondary injury group, as well as the local secondary injury group and the mixed injury group. And there was no significant difference of intelligence impairment constituent ratio among groups of different levels of brain injury. Scale IQ was inversely proportional to the level of brain injury, and there were significant differences between all the different groups, except the moderate and severe ones. Besides, both the intelligence damage and the Scale IQ were proportional to the level of mental impairment. But Scale IQ was not the only standard to evaluate intelligence impairment. Neither was the intelligence impairment the only source to mental impairment. Conclusion Intelligence test has a certain reference value on the evaluation of intelligence impairment and mental impairment. But the evaluation should also take other facts, such as brain injury, mental disorder, life and social function, etc., into consideration.