{"created":"2025-08-13T01:12:37.980538+00:00","id":2000679,"links":{},"metadata":{"_buckets":{"deposit":"e656d11d-5130-4d3b-af22-9f8d6b4cef89"},"_deposit":{"created_by":14,"id":"2000679","owner":"14","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"2000679"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:02000679","sets":["81:1754982863854"]},"author_link":[],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2025-07-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"29","bibliographicPageStart":"21","bibliographicVolumeNumber":"52","bibliographic_titles":[{"bibliographic_title":"Dokkyo Journal of Medical Sciences"}]}]},"item_10001_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"極低出生体重児・超低出生体重児および超早産児は，出生後の様々な問題点に対してNICU での集中管理が必要である．これらの児は2007 年以降，出生数が年々減少傾向であり，その原因として出生数全体の減少の影響，産科の妊娠継続技術の向上，多胎の減少が考えられる．超低出生体重児および超早産児の生存退院率は年々上昇しているが，退院後の3 歳時全国調査によれば，脳性麻痺・視覚障害・聴覚障害・知的障害（発達遅滞）の合併が大きな問題である．特に脳性麻痺・視覚障害・知的障害については在胎週数が短いほどその合併率が高いことが報告されている．さらに，自閉症スペクトラム障害などの発達障がいの合併率も高い．極低出生体重児・超低出生体重児で出生した児では，これらの神経学的合併症についての経時的な長期フォローアップが必要である．6 歳以降の知能指数については，9 歳時は6歳時に比べて知能指数が上昇しているという報告がいくつかある．また，神経学的合併症の他にも，DOHaD 仮説を踏まえた青年期～成人期の慢性腎臓病・インスリン抵抗性・高血圧にも注意が必要である．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Very-low-birth-weight infants （VLBWI），extremely-low- birth-weight infants （ELBWI），and extremely premature infants require intensive care after birth to deal with various problems. Since 2007, the number of births of these infants has been decreasing year by year, and this is thought to be due to the overall decrease in the number of births, improvements in obstetric pregnancy continuation techniques, and a decrease in multiple births. The survival and discharge rate of ELBWI and extremely premature infants is increasing year by year, but according to a nationwide survey of infants at age 3 after discharge, the comorbidity of cerebral palsy, visual impairment, hearing impairment, and intellectual disability （developmental delay） are major problems. It has been reported that the comorbidity rate of cerebral palsy, visual impairment, and intellectual disability is particularly high the shorter the gestational age. In addition, the comorbidity rate of developmental disorders such as autism spectrum disorder is also high. Long-term follow-up of these neurological complications over time is necessary for infants born as VLBWI and ELBWI. There are several reports that IQ increases at age 9 compared to age 6 after age 6. In addition to neurological complications, attention should also be paid to chronic kidney disease, insulin resistance, and hypertension in adolescent and adulthood by considering DOHaD hypothesis.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"獨協医学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-5023","subitem_source_identifier_type":"PISSN"}]},"item_10001_text_29":{"attribute_name":"特集名(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"周産期医療の進歩と今後の展望（前編）"}]},"item_10001_text_30":{"attribute_name":"特集名(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Advances in Perinatal Medicine and Future Prospects（Part1）"}]},"item_10001_text_33":{"attribute_name":"記事種別","attribute_value_mlt":[{"subitem_text_value":"総説"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"鈴村, 宏","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-08-13"}],"filename":"DJMS-52-1-5.pdf","filesize":[{"value":"715 KB"}],"format":"application/pdf","url":{"url":"https://dmu.repo.nii.ac.jp/record/2000679/files/DJMS-52-1-5.pdf"},"version_id":"55535954-ae37-46e7-a42f-dcb9e4e1ce75"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"超早産児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"極低出生体重児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"超低出生体重児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"脳性麻痺","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"very-low-birth-weight infants","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"extremelylow- birth-weight infants","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"extremely premature infants","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cerebral palsy","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"超早産児・極低出生体重児の予後","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"超早産児・極低出生体重児の予後","subitem_title_language":"ja"},{"subitem_title":"Prognosis of Extremely Premature Infants and Very-Low-Birth-Weight Infants","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"14","path":["1754982863854"],"publish_date":"2025-08-13","publish_status":"0","recid":"2000679","relation_version_is_last":true,"title":["超早産児・極低出生体重児の予後"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2025-08-20T00:54:32.350194+00:00"}