颅脑损伤所致精神伤残的影响因素分析

目的:探讨颅脑损伤后精神伤残与其影响因素如受伤部位、颅脑损伤程度、昏迷状况、智商等相关性。方法:对400例颅脑损伤者的临床资料进行回顾性研究,分析年龄、伤前受教育程度、受伤部位、颅脑损伤程度、昏迷状况、认知功能、后遗症等多种与精神残疾伤残程度相关的客观因素,进行多因素二元Logistic回归分析,筛查对伤残等级有重要影响的因素。结果:昏迷时间、GCS评分、损伤性质、人格改变、精神病性症状、软化灶、全量表智商与伤残等级有显著性相关,且GCS评分和全量表智商与伤残等级呈正相关,其他因素与伤残等级呈负相关;(P0.05或P0.01)。结论:昏迷时间、GCS评分、损伤性质、人格改变、精神病性症状、软化灶、脑积水、脑萎缩、全量表智商可以作为评定伤残等级的重要依据。

Analysis of the influencing factors of mental disability caused by craniocerebral injury

Objective:To explore the influencing factors of mental disability due to craniocerebral inju-ry,such as coma,intelligence quotient and so on. Method:Using retrospective study,data of 400 subjects with cranio cerebral injury were collected. Age,education,injury location,the degree of craniocerebral injury and coma,IQ and a variety of cognitive dysfunction degree of disability were analyzed. Logistic regression analysis was used to search important influence factors. Results:Coma time,GCS score,the nature of injury,personali-ty changes,psychiatric symptoms,softening range,the whole scale IQ were significantly related to disability lev-el,and the GCS score and total score were positively correlated with disability rating,other factors were negative-ly correlated with disability level. (P<0. 05 or P<0. 01) Conclusion:Coma time,GCS score,the nature of in-jury,personality changes, psychiatric symptoms, the soften range, hydrocephalus, encephalatrophy and the full scale IQ can be used as an important basis for assessing the level of disability.