法医学杂志2012，Vol.28Issue(6)：441-444,4.DOI:10.3969/j.issn.1004-5619.2012.06.011
听力障碍法医学鉴定355例分析
Forensic Medical Identification of 355 Cases with Hearing Impairment
摘要
Abstract
Objective To analyze the difference of subjective hearing threshold and objective hearing threshold, and to discuss the importance of standard for hearing evaluation in forensic medicine. Methods Three hundred and fifty-five cases (387 ears) of forensic medical identification with hearing impairment were retrospectively analyzed including the items entrusted and hearing test results. All cases were collected from 2004 to 2012 in the forensic science center. Results In the 387 ears, 218 ears (56.3%) were evaluated the degree of disability and 106 ears (27.4%) were identified the degree of damage. In the disability degree evaluation, the subjective hearing threshold and the objective hearing threshold were significant different in 120 ears (55.0%), while in damage degree evaluation, the subjective hearing threshold and the objective hearing threshold were significant different in 69 ears (65.1%). Conclusion Because of camouflaging or exaggerating the hearing impairment by the wounded, the subjective hearing threshold can't accurately assess the existence and the degree of hearing impairment. In the forensic identification, auditory brainstem response, 40 Hz auditory event related potential and auditory steady -state response should be combined in the application to evaluate the hearing impairment for the wounded in order to ensure the reliability of the evaluation of hearing impairment.关键词
法医学/听力障碍/案例分析Key words
forensic medicine/ hearing disorders/ cases analysis分类
社会科学引用本文复制引用
杨小萍,周晓蓉,董大安,范利华..听力障碍法医学鉴定355例分析[J].法医学杂志,2012,28(6):441-444,4.基金项目
"十二五"国家科技支撑计划项目(2012BAK16B03) （2012BAK16B03）
