目的：研究颅脑损伤部位及程度与日常生活活动能力的相关性，为提高鉴定意见的准确性提供理论依据。方法选取颅脑损伤被鉴定人501例，详细记录其伤前情况、损伤部位及程度、治疗方式、教育程度，应用日常生活活动能力量表（Barthel指数）对被鉴定人进行测验，统计损伤部位及程度与Barthel指数的相关性。结果轻度颅脑损伤组各损伤部位Barthel指数差异无统计学意义（P>0.05）；中度颅脑损伤组蛛网膜下腔出血与其他脑叶损伤，顶、枕叶损伤与额叶损伤，顶、枕叶损伤与颞叶损伤间Barthel指数差异均具有统计学意义（P0.05）；重度颅脑损伤不论手术与否，各颅脑损伤部位的Barthel指数两两之间差异均有统计学意义（P0.05).Inmoderate TBIgroup, there were significant differences in B arthel index between subarachnoid hem orrhage and cerebral lobe injury, also between parietal, occipital lobes injury and frontal lobe injury, parietal, occipital lobes injury and temporallobe(P0.05).In severe TBI,there were significant differences in Barthel index between every two different locations (P<0.05). Conclusion T here is som e correlation between the location of TBI and B arthel index, which provides an im portant reference value for analyzing and deter-m ining daily living activities after TBI.
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