Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Usefulness of Korean Infant Developmental Screening Test in Premature Infants

미숙아에서 한국형 영유아 발달검사의 유용성

  • Shin, Dong Han (Department of Pediatrics, Korea University, School of Medicine) ;
  • Lee, Hee Sun (Department of Pediatrics, Korea University, School of Medicine) ;
  • Lee, Jee Yeon (Department of Pediatrics, Kwang Myung Sungae Hospital) ;
  • Choi, Byung Min (Department of Pediatrics, Korea University, School of Medicine) ;
  • Eun, Baik-Lin (Department of Pediatrics, Korea University, School of Medicine) ;
  • Hong, Young Sook (Department of Pediatrics, Korea University, School of Medicine) ;
  • Lee, Joo Won (Department of Pediatrics, Korea University, School of Medicine)
  • 신동한 (고려대학교 의과대학 소아과학교실) ;
  • 이희선 (고려대학교 의과대학 소아과학교실) ;
  • 이지연 (광명성애병원 소아과) ;
  • 최병민 (고려대학교 의과대학 소아과학교실) ;
  • 은백린 (고려대학교 의과대학 소아과학교실) ;
  • 홍영숙 (고려대학교 의과대학 소아과학교실) ;
  • 이주원 (고려대학교 의과대학 소아과학교실)
  • Received : 2005.09.21
  • Accepted : 2005.09.21
  • Published : 2005.12.15
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Abstract

Purpose : This study aimed to evaluate the usefulness of Korean Infant Development Screening Test in predicting delayed development in premature infants. Methods : A total of 74 children with histories of prematurity, who visited the pediatric neurology clinic of Korean University Ansan Hospital from August, 2002 to July, 2004, were examined, using the Korean Infant Development Screening Test. They were divided into two groups; a normal group and a patient(neurologically compromised) group. Results : At 7 months of conceptional age, the normal and patient groups differed significantly in the fine motor, cognitive-adaptive sections. At 12 months of conceptional age both group, differed significantly in the gross motor, fine motor, personal-social, language and cognitive-adaptive sections. At 18-24 months, the group, differed significantly in gross motor, fine motor, personal-social, language and cognitive-adaptive sections. Conclusion : The Korean Developmental Screening Test was useful in predicting developmental delay in premature infants.

목 적 : 한국형 영유아 발달검사는 발달 선별 검사의 하나로 조대운동, 미세운동, 개인-사회성, 언어, 인지-적응 등의 5가지 영역으로 검사가 이루어지며 본 연구에서는 한국형 영유아 발달검사를 미숙아에게 실시하여 발달지연의 추적 관찰에 있어서 선별 검사로 사용할 수 있는지를 검토하고자 하였다. 방 법 : 2002년 8월부터 2004년 7월까지 고려대학교 의과대학 안산병원에서 태어난 미숙아를 대상으로 하였으며, 한국형 영유아 발달검사를 1번 이상 시행한 환아 74명을 대상으로 하였다. 후에 신경학적 이상이 있는 것으로 판명된 경우(환아군)와 아닌 경우(정상군) 두 그룹으로 나누어 4개월, 7개월, 12개월, 18-24개월에 발달지수를 비교하였으며 80점 미만인 경우 비정상으로 판정하였다. 결 과 : 정상아군과 환아군에서 7개월경에는 미세운동(P<0.05)과 조대운동영역(P<0.01)에서 유의한 차이를 나타내었다. 12개월 및 12개월 이후에는 미세운동, 조대운동, 개인-사회성, 언어, 인지-적응 등 5가지 영역에서 환아군에서 유의한 차이를 나타내었다(P<0.05). 결 론 : 본 연구에서는 미숙아에서 한국형 영유아 발달검사가 후에 영유아의 신경학적 이상을 예측하는데 선별검사로 의미가 있는지를 알아본 결과 지속적인 관찰과 반복검사로 유용하게 사용될 수 있겠다.

Keywords

Acknowledgement

Supported by : 보건복지부

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