QUANTITATIVE DESCRIPTION OF SUBJECTIVE SYMPTOMS IN PREGNANT WOMEN AND THEIR CHANGES DURING THE PERINATAL PERIOD
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概要
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妊産婦の自覚所見が作る症候空間の妊娠進行に伴う変化を明らかにするために, 妊娠全期間一定の25アイテム, カテゴリー3または4水準からなるチェックリストを作成した. 対象は当院の産科外来を受診した162人で1,773件の検診を行つた. この中には死産, 妊娠35週未満の早産, 出生時体重2,000グラム以下の症例は含まれていない. 結果は, 妊娠時期毎の単純集計から, これまでの妊娠進行に伴う妊婦の自覚症状の変化の記述と一致した. 外的基準を設定せずに行つた多変量解析 (バイプロット分析, 潜在構造分析) から, 妊娠中の自覚症状による症候空間の構造が五つの妊娠時期で変化した. つまり, 妊娠12週以前, 妊娠13週から妊娠20週, 妊娠21週から妊娠28週, 妊娠29週から妊娠34週, 妊娠35週以降で変化し, 妊娠29週と妊娠30週, 妊娠34週と妊娠35週の間の変化以外は全てダイナミックな質的な変化を示した. 以上より, 日常臨床データをもとにした周産期医療情報処理の究極の目的であるハイリスク妊娠のマススクリーニングのためには, 自覚所見によるフィルターをこの5妊娠時期毎に用意する必要がある.
- 1988-05-01
著者
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OGA Masayuki
Department of Obstetrics and Gynecology, Saga Medical School
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SHOUNO Hideaki
Department of Obstetrics and Gynecology, Saga Medical School
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YAMASAKI Miyoshi
Department of Obstetrics and Gynecology, Saga Medical School
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ITOU Yuuji
Department of Obstetrics and Gynecology, Izuhara Hospital
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SUGIMORI Hajime
Department of Obstetrics and Gynecology, Saga Medical School
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Itou Yuuji
Department Of Obstetrics And Gynecology Izuhara Hospital
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Oga Masayuki
Department Of Obstetrics And Gynecology Saga Medical School
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Oga Masayuki
Department Of Obstetrics And Gynecology Medical College Of Oita
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Shouno Hideaki
Department Of Obstetrics And Gynecology Saga Medical School
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Sugimori Hajime
Department Of Obstetrics And Gynecology Saga Medical School
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Yamasaki Miyoshi
Department Of Obstetrics And Gynecology Saga Medical School
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