Application of electrophysiological examination conclusions in clinical forensic medicine for mild traumatic brain injury
轻型颅脑损伤电生理检查结论在临床法医学上的应用研究

摘要

目的 探讨电生理检查在轻型颅脑损伤临床法医学中的应用价值。方法 选取2023年6月至2024年6月期间，在我院接受治疗的100例轻型颅脑损伤患者作为观察组，选组同时段的100例健康体检者作为对照组，两组均接受电生理检查。结果 两组在Ⅰ、Ⅲ、Ⅴ、Ⅰ-Ⅲ、Ⅲ-Ⅴ以及Ⅰ-Ⅴ方面无统计学差异（P＞0.05），观察组在Ⅰ-Ⅲ峰间潜伏期（IPL）显著延长，与对照组存在统计学差异（P<0.05）。结论 证实了电生理检查在揭示轻型颅脑损伤后特定脑功能改变方面的高度敏感性，为临床法医学评估轻型颅脑损伤程度、判定预后及指导治疗策略提供了科学、客观的量化依据。

Abstract

Objective To explore the application value of electrophysiological examination in clinical forensic medicine of mild traumatic brain injury.
Methods 100 patients with mild traumatic brain injury who received treatment in our hospital from June 2023 to June 2024 were selected as the observation group, and 100 healthy individuals who underwent physical examinations during the same period were selected as the control group. Both groups underwent electrophysiological examinations.
Results There was no statistical difference between the two groups in terms of I, III, V, I-III, III-V, and I-V (P>0.05). The observation group showed a significant prolongation of the peak to peak latency (IPL) in I-III, which was statistically different from the control group (P<0.05).
Conclusion   The high sensitivity of electrophysiological examination in revealing specific brain function changes after mild traumatic brain injury has been confirmed, providing a scientific and objective quantitative basis for clinical forensic evaluation of the degree of mild traumatic brain injury, judgment of prognosis, and guidance of treatment strategies.