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Neonatal Behavioral Assessment of SFD Infants and Longitudinal Study of Their Development -During the First Postnatal Year-


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Title: Neonatal Behavioral Assessment of SFD Infants and Longitudinal Study of Their Development -During the First Postnatal Year-
Other Titles: SFD の新生児行動評価と縦断的発達研究-生後一年間-
Authors: Akiyama, Tomitaro / Ogi, Shohei / Goto, Yoshiko / Fukuda, Masafumi / Kusano, Mineko / Tsurusaki, Toshiya / Inokuchi, Shigeru / Kawasaki, Chisato / Tahara, Hiroyuki / Miyaichi, Kazuko
Authors (alternative): 穐山, 富太郎 / 大城, 昌平 / 後藤, ヨシ子 / 福田, 雅文 / 草野, 美根子 / 鶴崎, 俊哉 / 井口, 茂 / 川崎, 千里 / 田原, 弘幸 / 宮市, 和子
Issue Date: 31-Mar-1992
Citation: 長崎大学医療技術短期大学部紀要 = Bulletin of the School of Allied Medical Sciences, Nagasaki University. 1992, 5, p.41-50
Abstract: 長崎大学附属病院小児科未熟児室で集中管理を受けた在胎31週から41週,平均36週,生下時体重1120gから2300g,平均1675gのSFD18例を研究対象とした. NBAS評価は40,44,48週の計3回施行し,6カ月,12カ月時点での発達評価はBayley乳幼児発達検査を実施し,併せて,生活環境調査もおこなった.さきに調査した成熟児,AFDとも比較検討した. 1.SFDの12カ月時の発達指数はMDI,PDIとも成熟児,AFDと比較して有意に低値を示した. 2.NBAS補足項目中30,33,34,35,36項に反映されるストレス徴候と発達指数との関連性では,ストレス徴候が顕著なほど発達指数は低い傾向にあった.44週時の補足項目では,12カ月時のPDIは5%の危険率でストレス徴候Good群がPoor群より有意に高値を示した. 3.AFD同様,SFD6カ月,1才時のMDI,PDIに,44週時の睡眠‐覚醒リズムの良,不良が深く関与していた. / It has constantly been observed that cerebral palsy and/or mental retardation develops among premature and high risk infants. The incidence of mental retardation is particularly high among SFD (small for dates) infants. Assessment using the Neonatal Behavioral Assessment Scale (NBAS) immediately after birth and a longitudinal study on development during the first postnatal year were performed on 18 SFD infants whose development was anticipated to be normal. In comparison with 21 AFD (appropriate for dates) infants and 21 mature infants, the development indices were lower in SFD infants. Two of the 18 SFD infants at corrected age one showed developmental retardation with mental development index (MDI) or psychomotor development index (PDI) less than 70%. The higher were the stressed signs reflected by NBAS supplementary items 30, 33, 34, 35 and 36, the lower were the development indices. As in AFD infants, MDI and PDI were closely associated with the quality of sleep-waking rhythm at 44 weeks.
Keywords: SFD / NBAS / Bayley scale / Development / First one year
URI: http://hdl.handle.net/10069/18154
ISSN: 09160841
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 5

Citable URI : http://hdl.handle.net/10069/18154

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