@article{oai:nayoro.repo.nii.ac.jp:00001808,
 author = {Cieko,KATO and Yoko,HIROHASHI and Takahiko,ISHIKAWA and Yoko,SASAKI and Shoko,MINAMIYAMA and Toshiko,SASAKI, and Hiroaki,HASEGAWA and Yoshiko,YUKI and 加藤, 千恵子 and 廣橋, 容子 and 石川, 貴彦 and 笹木, 葉子 and 南山, 祥子 and 佐々木, 俊子 and 長谷川, 博亮 and 結城, 佳子},
 journal = {紀要},
 month = {Mar},
 note = {120006472485, application/pdf, 妊婦100 人を対象にマイナートラブルの症状と指尖脈波の非線形解析の手法を用いて，妊娠前期，中期，後期の特徴を検証した。指尖脈波は，心の外部適応力（元気さ）の指標となる最大リアプノフ指数（ LLE： Largest Lyapunov Exponent） と，交感神経と副交感神経の状態から自律神経バランス（ Autonomic Nerve Balance）でストレスとリラックスの状態がわかる。その結果から，「理想ゾーン」36.3％，「準理想ゾーン」51.0％，「憂鬱ゾーン」3.9％，「本能のままゾーン」2.0％ ，「気が張り詰めているゾーン」2.9％，「気が緩んでいるゾーン」3.9％ の6 つの領域に分類できた。高ストレス者は3.0％ が該当した。LLE 値の平均値は，妊娠前期5.18，中期4.84，後期4.05 で，妊娠経過に伴い心の元気度が有意に低下していた（ｐ＝ 0.010）。また，疲労と抑鬱の測定値は有意に増加し（ｐ＝ 0.027， ｐ＝0.006），リスクは増していた。妊娠初期のつわりの症状が，「倦怠感」「胃の不快」「面倒さ」に影響したことが示唆された。妊娠後期，一部の者は，経済的負担感が増していた。過去１か月間の疲労・不安・抑鬱の症状を自覚する割合に比べ， 現在の指尖脈波の測定値の方が有意に高く，疲労・不安・抑鬱のリスクは増していた。
妊娠初期から人的・経済的基盤を中心とした支援を強化する必要がある。今後，妊婦健診などで指尖脈波やマイナートラブル評価尺度を活用して，可視化・客観視できる結果をもとに妊婦と共に振り返り，活用することが重要である。, As the object for this study, 100 pregnant women were observed, using the technique of non-linear analysis of Fingertip Pulse Wave. The authors inspected features of pregnancy during the early/mid/late terms. Using the Largest Lyapunov Exponent (LLE) as an index, the Fingertip Pulse Wave analysis shows mental adaptability (wellness), and the state of stress and relaxation due to the Autonomic Nerve Balance (ANB) of the sympathetic nerve and parasympathetic nerve. The results of both LLE and ANB showed 6 patterns. Breakdown of the above data is as follows: “ideal zones” were 36.3%, “associate ideal zones” were 51.0%, “depression zones” were 3.9%, “instinct zones” were 2.0%, “strained zones” were 2.9%, and “relaxed zones” were 3.9%. Of the subjects, 3.0% were considered as “high-stress” persons. The average of LLE was 5.18 in early pregnancy, 4.84 in mid-term pregnancy, and 4.05 in late pregnancy. The “wellness”factor showed a significant decrease throughout the progression of the pregnancy (p = 0.010). In addition, the measurements of fatigue and depression showed a marked increase (p = 0.027, p = 0.006), and risk factors increased as well. It was suggested that the symptom of morning sickness in early pregnancy influenced feelings of “physical weariness”, “upset stomach”, and “troublesomeness”. In late pregnancy, some people experienced an additional feeling of financial burden. Compared to measurements from one month past, when observing the ratio of women who felt an awareness of fatigue, uneasiness, and depression, the current Fingertip Pulse Wave readings were markedly higher, and the risks of fatigue, uneasiness, and depression increased. It is necessary to strengthen the support of the core issues of human resources and the economic base from early pregnancy on. In the future, we believe it is important to utilize the Fingertip Pulse Wave and Minor Trouble Evaluation Scale in prenatal examinations, to work together with pregnant women in visualization and objective evaluation of the results as a basis for healthy prenatal care.},
 pages = {63--76},
 title = {妊婦が自覚したマイナートラブルと指尖脈波から明らかにした妊娠前期，中期，後期の特徴},
 volume = {12},
 year = {2018},
 yomi = {カトウ, チエコ and ヒロハシ, ヨウコ and イシカワ, タカヒコ and ササキ, ヨウコ and ミナミヤマ, ショウコ and ササキ, トシコ and ハセガワ, ヒロアキ and ユウキ, ヨシコ}
}