@article{oai:nagasaki-u.repo.nii.ac.jp:00019111, author = {Akiyama, Tomitaro and Kawasaki, Chisato and Tsurusaki, Toshiya and Ogi, Shohei and Kusano,, Mineko and Tanigawa, Mihoko and Oshima, Yoshihide and Senju, Hideaki and Goto, Yoshiko and Kawaguchi, Yukiyoshi and Brazelton, T. Berry}, journal = {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}, month = {Mar}, note = {長崎大学小児科未熟児室で集中管理を受けた在胎28週から35週のAFD16例を研究対象とした。 NBAS評価は36、40、44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。 1、睡眠のリズムと生活環境が1才時点での運動および精神発達指数に大きく影響していた。2、明らかな発達遅滞児2例、脳性麻痺1例を除いた1才時点での発達指数は、運動102.8±7.4、精神105.6±6.1と標準値に達しており、NBASを用いた早期介入がAFDの発達促進に有効であったと推測される。3、発達遅滞児、脳性麻痺児はNBAS補足項目と反射項目で低値を示し、high risk児の評価に有効であった。, It has constantly been observe that cerebral palsy and/or mental retardation develops among premature and high risk infants .Assessment using Neonatal Behavioral Assessment Scale (NBAS)immediately after birth and longitudinal study on development during the first postnatal year were performed on 16 AFD (appropriate for dates )infants whose normal development was anticipated and 21 mature infants, in order to improve the security of early assessment and early habilitation of handicapped children. NBAS assessment was effective as a means of early intervention ,whereby development Was enhanced in both AFD and mature infants. Of the 13 AFD infants who reached one year of age 1 case was hemiplegic cerebral palsy and 2 cases were motor delay. They showed abnormal values in NBAS supplementary items and reflexes at the neonatal period .These itmes were Effective for a screening test of high risk infants. The mental development index (MDI) and psychomotor development index (PDI) were closely associate with the quality of sleep-waking ryhthm and the degree of mother's interaction., 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. 1990, 3, p.1-12}, pages = {1--12}, title = {Neonatal Behavioral Assessment of AFD Infants and Longitudinal Study of Their Development - During One Postnatal Year -}, volume = {3}, year = {1990} }