Baroni M A
University of Wisconsin-Madison, School of Nursing 53792.
J Dev Behav Pediatr. 1991 Jun;12(3):154-61.
This research was an exploratory follow-up study of 51 infants who had experienced an "apparent life-threatening event" (ALTE) characterized by apnea and subsequent home cardiorespiratory monitoring. The purpose was to (1) describe relationships among perinatal characteristics, birth status, recurrent apnea, and ratings of the home environment, and (2) relate these measures to infant growth and developmental outcomes. The method included home visits and assessments of infant outcomes at 10 to 14 months, followed by retrospective review of obstetric and infant medical records. Perinatal characteristics, birth status, and recurrent apnea were interrelated correlates of both growth and developmental outcomes. The ratings of the home environment (HOME [Home Observation for Measurement of the Environment] Scale) were related to developmental outcomes and to a lesser extent to physical growth status. Hierarchical regression analysis entering gestational age, obstetric and postnatal complications, apnea, and HOME subscale 4 (provision of appropriate play materials) significantly enhanced the predictability of mental and psychomotor development. Future longitudinal research is necessary to explore whether the association between apnea and specific infant outcomes attenuates over time and whether the relationship is direct or mediated by parental perception of infant vulnerability and altered caregiving style.
本研究是一项对51名经历过以呼吸暂停及随后的家庭心肺监测为特征的“明显危及生命事件”（ALTE）的婴儿进行的探索性随访研究。目的是：（1）描述围产期特征、出生状况、复发性呼吸暂停和家庭环境评分之间的关系，以及（2）将这些指标与婴儿生长和发育结果联系起来。方法包括在婴儿10至14个月时进行家访和对婴儿结局的评估，随后对产科和婴儿医疗记录进行回顾性审查。围产期特征、出生状况和复发性呼吸暂停是生长和发育结果的相互关联的相关因素。家庭环境评分（HOME[家庭环境测量观察]量表）与发育结果相关，在较小程度上与身体生长状况相关。纳入胎龄、产科和产后并发症、呼吸暂停以及HOME分量表4（提供适当的游戏材料）的分层回归分析显著提高了心理和精神运动发育的可预测性。未来有必要进行纵向研究，以探讨呼吸暂停与特定婴儿结局之间的关联是否会随时间减弱，以及这种关系是直接的还是由父母对婴儿易感性的认知和改变的养育方式介导的。
