摘要
目的探讨甲状腺激素水平与司法精神医学鉴定中交通事故所致颅脑外伤患者的关系。方法选取2017年在嘉兴市康慈医院司法鉴定所进行交通事故后,经司法精神医学鉴定存在一定的智力缺损的被鉴定人共298例(其中边缘智力组135例,轻度智力缺损组126例,中度智力缺损组26例,重度智力缺损组11例)进行血清甲状腺激素水平测定。结果不同程度智力受损组间血清T4浓度有明显下降趋势,两两比较,差异有统计学意义(P<0.05);脑外伤患者伤残等级与血清T4、血T3浓度呈正相关(r值分别为0.386、0.257,P<0.05)。结论交通事故所致颅脑外伤患者存在甲状腺激素水平的变化,且与伤残评级相关。故甲状腺功能的测定对交通事故所致颅脑外伤患者进行司法精神医学鉴定具有重要的参考价值。
Objective To explore the relationship between thyroid hormones levels of patients and traumatic brain injury(TBI)due to traffic accident in forensic psychiatry.Methods A total of 298 patients authenticated as dysgnosia due to traffic accident in forensic institute of Kangci Hospital in 2017 were selected to determine their thyroid hormones levels(135 patients in edge intelligence group,126 patients in mild dysgnosia group,26 patients in moderate dysgnosia group and 11 patients in severe dysgnosia group).Results There was statistical significance on the differences at serum levels of T4 among the four groups(P<0.05).There's a positive correlation between the disability rating and serum levels of T4 and T3(P<0.05).Conclusion The changing of thyroid hormones levels existed in TBI patients due to traffic accident,which was also related to the disability rating.There's an important reference value to determine the thyroid function when doing forensic psychiatric expertise.
作者
费玉娥
林勇
濮正平
瞿巍
查显友
FEI Yu-e;LIN Yong;PU Zheng-ping;QU Wei;ZHA Xian-you(Kangci Hospital,Jiaxing,Zhejiang 314501,China)
出处
《中国卫生检验杂志》
CAS
2020年第21期2625-2627,共3页
Chinese Journal of Health Laboratory Technology
基金
桐乡市科技局重点项目(201701011)。
