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目的 探索道路交通事故伤残评定中脑外伤所致精神障碍的临床症状特点、影响因素及鉴定中应注意的问题。 方法 回溯即往一年半的鉴定资料 ,根据CCMD -3器质性精神障碍的症状分类对被鉴定人临床表现进行整理归纳 ,整理被鉴定人颅脑受伤的类型 ,统计分析评定时机及评定结论。 结果 65例样本纳入本研究 ,平均评定时机10 .2 3± 7.2个月 ,临床主要表现为智能和记忆损害 ,人格改变和神经症样综合征占有较大的比例 ,精神病性障碍和情感障碍较少 ,未见意识障碍和癔症样障碍 ,Logistic回归分析显示智能损害的严重程度及精神病性障碍与伤残等级负相关。 结论 智能和记忆障碍在脑外伤所致精神障碍的道路交通事故伤残评定中具有重要的地位 ,一般应在伤后六个月才宜进行伤残评定。
Objective To explore the clinical symptom characteristics, influencing factors and problems that should be noticed in the assessment of road traffic accident disability assessment of mental disorders caused by traumatic brain injury. Methods The data of one and a half years were retrospectively analyzed. According to the symptom classification of CCMD - 3, the clinical manifestations of the identified persons were summarized and summarized. The type of craniocerebral injury, the timing and the conclusion of the assessment were statistically analyzed. Results 65 cases were included in the study, with an average time of 10.23 ± 7.2 months. The main clinical manifestations were intellectual and memory impairment, personality changes and neurosis-like syndrome occupy a larger proportion, and psychotic disorders and affective disorders Logistic regression analysis showed that the severity of mental impairment and psychiatric disorders were negatively correlated with disability grade. Conclusions Intelligence and memory disorders play an important role in the evaluation of road traffic accidents and disability assessment of mental disorders caused by traumatic brain injury. Disability assessment should generally be conducted six months after injury.