| 燃煤污染型氟中毒病区儿童智力调查及法医学意义 |
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| 引用本文： | 骆艳,马荣荣,刘子龙,官志忠,楼迪栋,郑丹. 燃煤污染型氟中毒病区儿童智力调查及法医学意义[J]. 中国法医学杂志, 2018, 0(6): 590-593 |
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| 作者姓名： | 骆艳 马荣荣 刘子龙 官志忠 楼迪栋 郑丹 |
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| 作者单位： | 贵阳市妇幼保健院;新乡医学院三全学院;华中科技大学同济医学院法医学系;贵州医科大学地方病与少数民族疾病教育部重点实验室;贵州医科大学法医学院法医病理学教研室 |
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| 基金项目： | 国家自然科学基金(81460483) |
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| 摘 要： | 目的探讨燃煤污染型氟中毒病区8～12岁儿童智力水平及其与染氟量之间的关系,为慢性氟中毒致中枢神经损伤的相关研究提供人群数据资料,为氟病区人群智力残疾鉴定提供修正参考值。方法采用《中国修订韦氏学龄期儿童智力量表(WISC-CR)》测试99名8～12岁小学生(包括氟斑牙组55人,对照组44人)的智力水平,比较氟斑牙组与对照组儿童智力水平差异,并对染氟儿童智力水平与染氟量之间的相关性进行分析。结果氟斑牙组的言语智商(85.64±16.53)、操作智商(94.87±12.73)、总智商(88.51±12.77)均低于对照组(言语智商94.34±16.04、操作智商99.23±12.44、总智商96.64±11.70),其中,两组的言语智商和总智商差异有统计学意义(P=0.002,P=0.01)。氟斑牙组与对照组的言语智商中各项分测验均显著低于对照组,差异有统计学意义(P<0.05)。操作智商中各项分测验除积木测验和译码检测外,差异有统计学意义(P<0.05)。结论燃煤污染型氟中毒儿童可出现智力损害,对言语智力的损伤较为明显;对患儿进行智力残疾鉴定时,应考虑修正智力评测的结果。
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| 关 键 词： | 法医临床学 儿童氟中毒 智商 智力量表 |
Investigation of children's intelligence in coal-burning fluorosis areas and the significance of Forensic Medicine |
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| Luo Yan,Ma Rongrong,Liu Zilong,Guan Zhizhong,Lou Didong,Zheng Dan. Investigation of children's intelligence in coal-burning fluorosis areas and the significance of Forensic Medicine[J]. Chinese Journal of Forensic Medicine, 2018, 0(6): 590-593 |
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| Authors: | Luo Yan Ma Rongrong Liu Zilong Guan Zhizhong Lou Didong Zheng Dan |
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| Affiliation: | (Maternal and Child Health Hospital of Guiyang Province,Guizhou Guiyang 550000;Sanquan College Of Xinxiang Medical College,Henan Xingxiang 453000;Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430003;Key Laboratory of endemic diseases and minority diseases Ministry of Education ,Guizhou Guiyang 550004;Department of Legal Medicine in Guizhou Medical University,Guizhou Guiyang 550004) |
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| Abstract: | Luo Yan;Ma Rongrong;Liu Zilong;Guan Zhizhong;Lou Didong;Zheng Dan(Maternal and Child Health Hospital of Guiyang Province,Guizhou Guiyang 550000;Sanquan College Of Xinxiang Medical College,Henan Xingxiang 453000;Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430003;Key Laboratory of endemic diseases and minority diseases Ministry of Education ,Guizhou Guiyang 550004;Department of Legal Medicine in Guizhou Medical University,Guizhou Guiyang 550004) |
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| Keywords: | forensic clinical medicine fluorosis in children IQ intelligence scale |
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