道路交通事故颅脑损伤后伤残相关因素分析
Related Analysis on Disability after Craniocerebral Injury Caused by Road Traffic Accident
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摘要: 目的 分析道路交通事故颅脑损伤后影响伤残的相关因素.方法 收集486道路交通事故颅脑损伤案例资料进行整理录入,先通过单因素分析找出与伤残有关的影响因素,再进行多因素Logistic回归分析,筛选出影响伤残的相关重要危险因素.结果 颅脑损伤程度、酒后驾驶、年龄和事故类型是影响道路交通事故颅脑损伤后伤残的重大影响因素,酒后驾驶和年龄与伤残等级呈正相关(B>0),颅脑损伤程度和事故类型呈负相关(B<0).结论 加强对道路交通事故颅脑损伤后伤残相关因素的干预将有助于减少伤残的发生,减轻社会负担.Abstract: Objective To investigate influencing factors of disability after craniocerbral injury caused by road traffic accident. Methods We collected 486 cases with craniocerebral injury caused by traffic accident, and conducted analysis. Factors related to disability were found by univariate analysis, and multivariate logistic regression analysis was conducted to filter the most important factors. Results Degrees of brain injury, drunk driving, age and types of accident were the major influencing factors. Drunk driving and age were positively related with disability grade while the degree of brain injury and type of accident were negatively related. Conclusion It is helpful to reduce disability and the burden on society by taking intervening measures on the related factors of disability after brain injury in road traffic accident
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Key words:
- Road traffic accident /
- Craniocerebral injury /
- Forensic medicine /
- Disabillity
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[1]王正国.道路交通伤的现状和未来[J].创伤外科杂志,2011,13(3):19. [2]袁苏涛.交通事故致颅脑外伤的流行病学现状[J].创伤与急诊电子杂志,2013,1(1):3-7. [3]徐鑫.我国道路交通事故规律特点及预防对策分析[J].中国安全科学学报,2013,23(11):120-125. [4]金会庆.中国车祸流行病学研究与展望[J].中华流行病学杂志,2004,25(3):190-192. [5]麻妙群,施勇.地区交通事故伤流行病学特点和调查研究[J].浙江创伤外科,2013,18(2):199-201. [6]刘德亮,区学明,刘平文.广东省佛山市南海区交通事故致颅脑损伤的流行病学分析(2010年~2012年)[J].吉林医学,2013,34(30):6305-6307. [7]刘文华,李丽萍,周指明,等.深圳市宝安区2004年至2011年道路交通事故伤的特点分析[J].北京大学学报(医学版),2012,44(6):901-904. [8]张丽霞,刘涛,潘福全,等.驾驶员因素对道路交通事故指标的影响分析[J].中国安全科学学报,2014,24(5):79-84. [9] 王艳华,彭建平,张振军,等.北京市2009年道路交通事故伤的特点分析[J].北京大学学报(医学版),2011,43(5):735-738. [10]詹萌,张冬先,李利华.昆明市365例摩托车交通事故流行病学特点分析[J].昆明医科大学学报,2009,S2(3B)22-25. [11] [11]ZHAO H,YANG G,ZHU F,ETC.An investigation on the head injuries of adult pedestrians by passenger cars in China[J].Traffic Inj Prev,2013,14(7):712-717. [12]李蕊,赵丽华.交通事故影响因素分析[J].数理医药学杂志,2014,27(6):634-636. [13] [13]CHUMPAWADEE U,HOMCHAMPA P,THONGKRAJAI P ETC.Factors related to motorcycle accident risk behavior among university students in northeastern Thailand[J].Southeast Asian J Trop Med Public Health,2015,46(4):805-821. [14] [14]AL-KUWAITI A,HEFNY AF,BELLOU A,ETC.Epidemiology of head injury in the United Arab Emirates[J].Ulus Travma Acil Cerrahi Derg,2012,18(3):213-218. [15]孔令铮.交通事故致因中的人为因素分析[J].中国安全科学学报,2013,23(1):28-34. [16]徐代化,余松,李志宏.道路交通事故伤残状况及其影响因素[J].中国司法鉴定,2008,48(5):63-66. [17]张岩滨,宋春联,孔德荣,等.交通事故导致颅脑损伤后智能损害相关因素分析[J].中国实用神经疾病杂志,2014,17(20):68-69. [18]彭艳霞,唐柱生,赵丽萍,等.道路交通事故颌面部损伤伤残评定的相关因素分析[J].昆明医科大学学报,2015,36(12):139-141. [19]姚静,孙学礼,王洪明.正常成人认知功能与年龄、性别、受教育程度的关系[J].中国临床心理学杂志,2004,12(4):414-416. [20]刘磊峰,刘波,邓小鹏,等.道路交通事故伤残鉴定中影响智残程度的相关因素分析研究[J].国际精神病学杂志,2015,42(4):46-49. [21] 张勇,阮海根,张玲莉,等.颅脑损伤认知功能障碍伤残等级多因素定量研究[J].中国法医学杂志,2012,27(B11):S5-S8. [22]张冬先,洪仕君,赵丽萍,等.摩托车交通事故所致死亡的法医学损伤特征分析[J].昆明医科大学学报,2012,33(11):86-89. [23]时俊新,张静,王增珍,等.道路交通事故致颅脑损伤预后影响因素及预测模型建立的探讨[J].中国卫生统计,2007,24(5):519-520. [24] [24]MCINTOSH A S,LAI A.Motorcycle helmets:head and neck dynamics in helmeted and unhelmeted oblique impacts[J].Traffic Inj Prev,2013,14(8):835-844. [25]李亚军.道路交通事故中的人体特征性损伤研究[J].医学与法学,2013,5(6):53-56. [26] 祁翼,刘岳霖.道路交通事故颅脑损伤机制及法医学应用[J].中国伤残医学,2015,23(23):40-41. [27] [27]TRAN TM,FULLER AT,KIRYABWIRE J ETC.Distribution and characteristics of severe traumatic brain injury at Mulago National Referral Hospital in Uganda[J].World Neurosurg,2015,83(3):269-277. [28]黄万麒,李利华,曾晓锋,等.交通事故中机械性损伤与自身疾病关系的法医学鉴定1例报道[J].昆明医科大学学报,2015,36(1):154-156. [29] [29]ABRAMOVICI F.Medicine and driving:Alcohol and other toxins[J].Presse Med,2015,44(10):1048-1054. [30]李乐,洪仕君,李树华,等.涉嫌酒后驾驶交通事故人体损伤与驾驶员血中乙醇质量浓度关系研究[J].中国司法鉴定,2013,70(5):32-36.
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