中国修订韦氏成人智力量表简式在脑外伤伤残评定中的应用.docx

生国垄经煎盐瘗疸苤壹兰QQZ生筮!!鲞箜!!塑657·论著·中国修订韦氏成人智力量表简式在 脑外伤伤残评定中的应用王莲娥”沈丽华“张娟+李婷”【摘要】目的探讨中国修订韦氏成人智力量表(wAIs—Rc)简式在脑外伤智力残疾评定中的应用。方法246例交通事故脑外伤后智力伤残评定病例均完成wAIs—Rc全套测验，分别计算全式智商及简式智商(三合一、五合一、六合一)，简式智商以回归法计算。检验3种不同组合简式智商的效度。结果3种简式智商与全式智商相关性均较高(r=0．90～0．97，P0．叭)，智商均值比较差异均有统计学意义(P0．01)，智商等级划分符合率60％～62％。按全式智商等级分组后分析，边缘智力及智力低下组的简式与全式智商相关(r=0．22～0．64，JP0．叭)， 智商均值比较差异均有统计学意义(P0．01)，智商等级划分符合率为42％～56％；而正常智力组简式与全式智商 相关(r=0．70～0．88，P0．01)，智商均值比较差异无统计学意义，智商等级划分符合率在70％以上。结论现有 的wAIs—Rc简式用法基本不适用于脑外伤后智力伤残评定，但对于智力受损不严重的病人可以考虑采用。【关键词】韦氏成人智力量表简式智商脑外伤【中图分类号】DF795．3【文献标识码】AApplingwechslerIntemgenceScaleforAdult．ChiIIeseReVised(wAIS-RC)shortfo眦sinappraisalpatients砌thbraini珂ury．蹦ⅣG三i口n’e，Js嬲Ⅳ三i^uo，Z础ⅣG．，“彻．，Ⅱ死增．D如蠡如n旷P驴危o，础川∞．‰，h卿舶印础of旷五似ing，134Ga“quaIlRoad，wuzhen．314501．Tel：0573—8712241．【Abst阳ct】objective T0investigatethe印plicabilityofwAIs—Rcshonfo肌sin intell远entdisability印pmisalofbmininjury．MethodsAnappmisalsampleof246casessufferingf如mbraininjuryduetotramcaccidentswereevaluatedwjthcompletewAIs—Rc．，nleintelegencequotients(IQs)offullscaleaJldof threesh矾fo瑚s(t11ree-subtest，矗ve删btestandsix-subtest)werecalculatedrespectively．RegressionfornlulawasusedtocalculateIQs of shortfoms．ThevalidityofthreeunitedshonformsIQsweretestedrespectively．ResllltsEachshortf0彻IQshadhighcon．elationtofullscaleIQs(r=0．90～0．97，P0．01)．ThemeanIQsof eachfonIlappearedstatisticallys培nificantdifference(P0．01)．Thecon—cordantratesofintell培encelevelclassmcationwerebetween60％～62％．Clas8ifiedintelegencelevelbythefullscaleIQs，theshortfo珊sIQswerecorrelatedtothefuUscaleIQs in boarderlineIQgroupandlowIQ目．oup(r=0．22～0．64，P0．01)butdifferedin means(P0．01)andconcordantratebetween42％～56％．Inno珊alIQgroup，itwascorrelatedbetweenshonfollIlsIQs andfullscaleIQs(厂=0．70～O．88，尸0．01)withnosjgn洒cal】tdi脑encein meansofIQs．Theconcordantrateofintelligenceclassificationwereabove70％．ConcI吣io璐TheexistentWAIS—RCshortfoms arenota—d印tforappraisaJofmostintelligencedisabilityduetobraininjury，butmaybe印pliedtothosewithlittleintelligenceim—paiⅡnent．【Keywords】wAIs—Rcshortfo丌IlIn