DEVELOPMENT OF EMOTIONAL SWEATING IN THE NEWBORN-INFANT

DEVELOPMENT OF EMOTIONAL SWEATING IN THE NEWBORN-INFANT
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DOI:
10.1136/adc.57.9.691
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发表时间:
1982-01-01
影响因子:
5.2
通讯作者:
RUTTER, N
RUTTER, N
中科院分区:
医学2区
文献类型:
--
作者:
HARPIN, VA;RUTTER, N

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手掌和脚底的出汗与环境温度无关,但受情绪因素的影响,因此提供了一种有用的客观情绪状态衡量标准。通过测量掌心水分丢失并将其与婴儿S的唤醒状态联系起来,研究了新生儿这种情绪性出汗的发展。对124例胎龄25~41wk和出生后15h~9wk的婴儿进行了433次个体测量。对22例足跟穿刺者连续记录掌侧失水情况,进行常规采血。在怀孕37周或更长时间的婴儿中,从出生之日起,掌心水分丢失与唤醒之间存在明显的关系,到第3周时,大声哭闹的水平与焦虑的成年人相当。不太成熟的婴儿在出生时没有表现出情绪性出汗;无论成熟度如何,第一次出现这种情况是在相当于36-37周妊娠的时候。连续的录音证实了横断面数据,并说明了反应的突然性质。情绪出汗可作为评估新生儿情绪状态的有用工具。
Sweating from the palm and sole occurs independently of ambient temperature but is influenced by emotional factors thus providing a useful objective measure of emotional state. The development of this emotional sweating in the newborn was investigated by measuring palmar water loss and relating it to the infant''s state of arousal. Altogether 433 individual measurements were made on 124 babies of gestational age 25-41 wk and postnatal age 15 h to 9 wk. Palmar water loss was also recorded continuously in 22 infants undergoing heel prick for routine blood sampling. In babies of 37 wk gestation or more, there was a clear relationship between palmar water loss and arousal from the day of birth, and by the 3rd wk levels on vigorous crying were comparable with those of an anxious adult. Less mature babies did not show emotional sweating at birth; it was first seen at the equivalent of 36-37 wk gestation regardless of maturity. Continuous recordings confirmed the cross-sectional data and illustrated the abrupt nature of the response. Emotional sweating could be a useful tool for the assessment of emotional state of the newborn.