顱腦損傷患者的社會功能分析_《中國循證醫學雜志》

作者：

陶華 ¹ , 胡澤卿 ¹² , 黃思慶 ³ , 劉協和 ² , 霍克鈞 ¹

1. 四川大學華西醫學中心司法精神病學教研室,成都,6100412. 四川大學華西醫院心理衛生中心3. 四川大學華西醫院腦外科;

關鍵詞：

顱腦損傷社會功能精神損傷法醫精神病學

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目的　比較有和無器質性損傷的顱腦損傷患者的社會功能,探討其作為精神損傷鑒定的價值.
方法　采用社會功能缺陷篩查量表(SDSS)、大體評定量表(GAS)和功能大體評定量表(GAF)對56例無腦器質性損傷和55例有腦器質性損傷的顱腦損傷患者進行評估.
結果　用SDSS評定,無腦器質性損傷組患者的社會功能缺陷發生率為33.9%(19/56),有腦器質性損傷組為45.5%(25/55),兩組間比較其差異無統計學意義(X2=1.544,P=0.214).兩組的GAS評分結果無顯著性差異(t=0.021,P=0.983);兩組的GAF評分比較也無顯著性差異(t=0.391,P=0.697).
結論　本研究提示,顱腦損傷患者的社會功能缺陷發生率較高,但有或無腦器質性損傷患者的社會功能損害發生率及社會功能受損程度間并無顯著性差異.建議把社會功能受損程度作為評定精神損傷嚴重程度的重要指標之一.

引用本文： 陶華,胡澤卿,黃思慶,劉協和,霍克鈞. 顱腦損傷患者的社會功能分析. 中國循證醫學雜志, 2004, 04(8): 537-540. doi: 復制

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7.	［6］Fabiano RJ, Daughtery J. Rehabilitation considerations following mild traumatic craniocerebral injury[J]. J Rehabil,1998;64(4) :9 -14.
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10.	［9］Yuan SX. Forensic assessment of mental disorder after head trauma: analyses of 204 cases[J]. J Law Med,1999;6(3):105 - 109.
11.	袁尚賢.頭部外傷后精神損傷的法醫學鑒定(附204例分析)[J].法律與醫學雜志,1999;6(3):105-109.
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13.	［11］Thomhill S, Teasdale GM, Murray GD, Ewen JM, Roy CW,Penny IK. Disability in young people and adults one year after head injury: prospective cohort study[J ]. Brit Med J,2000;320(7250) :1631 - 1635.
14.	［12］Osetrov AS. The social adaptation of patients with the sequelae of craniocerebral trauma[J]. Zh Nevropatol Psikhiatr Im S S Korsakova,1994; 94(3) :77 -81.
15.	［13］Friedland JF, Dawson DR. Function after motor vehicle accidents: a prospective study of mild head injury and posttraumatic stress[J]. J Nerv Ment Dis,2001; 189(7) :426 -434.

1. ［1］Long CJ, Webb WL. Psychological sequelae of head trauma [M]. 3rd ed. New York: Oxford University Press; 1995.p. 35 -77.
2. ［2］Morton MV, Wehman P. Psychosocial and emotional sequelae of individuals with traumatic craniocerebral injury: A literature review and recommendations [J]. Craniocerebral Inj,1995; 9(1) :81 -92.
3. ［3］Hu ZQ, Huang SQ, Zhang QT, Li Y, Kong B, Huang SX. Study on the Intelligence and Memory of Patients with Road Traffic Trauma[J]. J Law Meal,2001 ;8(3) :165 -167.
4. 胡澤卿,黃思慶,張欽廷,李焱,孔斌,黃思興.道路交通傷患者的智力和記憶研究[J].法律與醫學雜志,2001;8(3):165-167.
5. ［4］Deb S, Lyons I, Koutzoukis C. Rate of psychiatric illness 1 year after traumatic craniocerebral injury[J]. Am J Psychiatry,1999 ;156(3) :374 - 379.
6. ［5］Meyer C, Markgraf E. Hidden wounds after accident injuries [J]. Zentralbl Chir, 2000;125(9) :710 -716.
7. ［6］Fabiano RJ, Daughtery J. Rehabilitation considerations following mild traumatic craniocerebral injury[J]. J Rehabil,1998;64(4) :9 -14.
8. ［7］Casey P. The importance of social function in psychiatry [M]. Petersfield: Wrightson Biomedical Publishing Ltd;1993.
9. ［8］Temkin NR, NachamerJE, Dikmen SS. Correlates of Functional Status 3-5 Years after Traumatic craniocerebral Injury with CT Abnormalities [J]. J Neurotrauma, 2003; 20 ( 3 ):229 - 241.
10. ［9］Yuan SX. Forensic assessment of mental disorder after head trauma: analyses of 204 cases[J]. J Law Med,1999;6(3):105 - 109.
11. 袁尚賢.頭部外傷后精神損傷的法醫學鑒定(附204例分析)[J].法律與醫學雜志,1999;6(3):105-109.
12. ［10］Pelczar M, Politynska B. Pathogenesis and psychosocial consequences of post-concussion syndrome [J]. Neurol Neurochir Pol,1997; 31 (5) :989 -998.
13. ［11］Thomhill S, Teasdale GM, Murray GD, Ewen JM, Roy CW,Penny IK. Disability in young people and adults one year after head injury: prospective cohort study[J ]. Brit Med J,2000;320(7250) :1631 - 1635.
14. ［12］Osetrov AS. The social adaptation of patients with the sequelae of craniocerebral trauma[J]. Zh Nevropatol Psikhiatr Im S S Korsakova,1994; 94(3) :77 -81.
15. ［13］Friedland JF, Dawson DR. Function after motor vehicle accidents: a prospective study of mild head injury and posttraumatic stress[J]. J Nerv Ment Dis,2001; 189(7) :426 -434.

《中國循證醫學雜志》

顱腦損傷患者的社會功能分析

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《中國循證醫學雜志》

顱腦損傷患者的社會功能分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料