Smith Michelle D, Russell Anne, Hodges Paul W
Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, St. Lucia, QLD 4072, Australia.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):205-11. doi: 10.1007/s00192-007-0421-x. Epub 2007 Jul 31.
The aims of this study were to compare prevalence of back pain in parous, nulliparous, pregnant and non-pregnant women and to determine whether there is an association between incontinence and back pain in pregnant women. Associations between back pain, pregnancy, parity and incontinence were assessed in 14,779 younger and 14,099 mid-age women using chi-squared analysis. The odds of back pain were modelled with multinomial logistic regression. Back pain was more frequent in parous than nulliparous (p < 0.001) and pregnant than non-pregnant (p < 0.001) younger women. However, no associations were seen for mid-aged women. Pregnant women who had incontinence had increased odds ratios for 'often' and 'rarely or sometimes' having back pain (8.5 and 3.8, respectively). This study suggests that pregnancy may lead to earlier development of back pain, without affecting long-term prevalence. Incontinence and back pain may be related because of contribution of the trunk muscles to continence and lumbopelvic control.
本研究的目的是比较经产妇、未产妇、孕妇和非孕妇背痛的患病率，并确定孕妇尿失禁与背痛之间是否存在关联。采用卡方分析评估了14779名年轻女性和14099名中年女性背痛、妊娠、产次和尿失禁之间的关联。采用多项逻辑回归对背痛的几率进行建模。在年轻女性中，经产妇的背痛发生率高于未产妇（p<0.001），孕妇的背痛发生率高于非孕妇（p<0.001）。然而，中年女性未发现此类关联。有尿失禁的孕妇“经常”和“很少或有时”背痛的几率增加（分别为8.5和3.8）。本研究表明，怀孕可能导致背痛更早出现，但不影响长期患病率。尿失禁和背痛可能有关联，因为躯干肌肉对控尿和腰骶部控制有作用。
