交通事故伤者智残评定的方法学研究

目的 探讨交通事故致颅脑外伤伤者智残评定的最佳方法。方法 采用4种智力评估方法对被鉴定人的智力和认知状况进行评估。结果 与智力迟滞诊断作为金标准相比较,事件相关电位P300评定结果呈显著正相关(125例,r(?)=0.952,P<0.01),成人智残评定量表结果呈显著正相关(129例,r(?)=0.963,P<0.01),韦氏成人智力测量总智商(IQ)评定结果呈无明显相关(4例,r(?)=0.099,P>0.05)。结论 根据智力迟滞诊断、事件相关电位测定P300、成人智残量表评定、韦氏成人智力测量等多种方法进行综合分析,可准确评定被鉴定者智残水平。如被评定者有伪装倾向,则不宜采用韦氏智力测量方法进行评估。

Study on the methodology of assessing the intelligence disablility of victims in traffic accidents

Objective The aim of the present study is to establish a method for assessing intelligence disability of victims in traffic accidents. Method Professional people assessed intelligence to patient with traumatic brain injury in traffic accidents by using 4 kinds of methods. Results P300, was related to the results of assessment by Intellectual Retardation diagnosis (125 case, rs = 0.952, P < 0.01). The results of assessing by the Adult Intelligence Disability Scale were related to the results of assessment by Intellectual Retardation diagnosis (129 case, rs = 0.963, P < 0.01). Intellectual Quotient(IQ) by Wechsler Adult Intelligence Scale was not related with the results of assessment by Intellectual Retardation diagnosis (4 case, rs = 0.099, P > 0.05). Conclusion Intellectual Retardation diagnosis according to the Chinese Classify of Mental Disorders, PM, Adult Intelligence disability Scale and IQ were useful to assess the intelligence disability in patients with traumatic brain injury in traffic accidents. Wechsler Adult Intelligence Scale was not good enough to assess patient' s intelligence disability when the victims in traffic accidents camouflages.