单一肢体损伤的功能评定

摘要

Objective To explore themethod for the objective evaluation of single lim b function after in-jury in forensic m edical practice. Methods The score of activities of daily living (ADL ) w ere graded for a single lim b function after injury from 47 cases.Allcases w ere sim ultaneously evaluated using the differentmethods including Fugl-M eyer m otor function assessm ent (FM A ), w eighting, look-up table (LUT). The correlation w ere com pared betw een ADL and the other threemethods. Results Injured part and the score using the threemethods w ere correlated w ith ADL score (P<0.05). The correlation coeffi-cient (|r| value) show ed highest using LUTmethod, and low est using FM Amethod. Conclusion The loss function of lim b is affected by the injuried parts. Themethods of FM A , w eighting and LUTshow a good accuracy for evaluating the lim b function after injury and the correlation presents higher using LUTmethod.%目的：探讨能客观反映单一肢体损伤功能评定的法医学评价方法。方法收集47例单一肢体损伤案件进行日常生活活动能力（activities of daily living，ADL）评分，获得单一肢体损伤的功能情况。每个案例均同时采用Fugl-Meyer运动功能评分分级法（简称FMA法）、加权法、查表法进行评估，比较ADL与三种评价方法的相关性。结果损伤部位、FMA法、加权法、查表法评分结果与ADL评分相关（P<0.05），就相关系数（｜r｜值）比较，查表法最高，FMA法最低。结论肢体损伤部位对功能丧失程度有影响。FMA法、加权法、查表法均能较准确地评定单一肢体损伤后的功能，但查表法与单一肢体损伤后功能丧失的相关性更高。