孕妇在孕中期的骨盆带疼痛与尿失禁之间的关联。
The association between pelvic girdle pain and urinary incontinence among pregnant women in the second trimester.
机构信息
Rehabilitation Institute of Chicago Women's Health Rehabilitation Program, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, USA.
出版信息
Int J Gynaecol Obstet. 2012 Jun;117(3):248-50. doi: 10.1016/j.ijgo.2012.01.014. Epub 2012 Mar 28.
OBJECTIVE
To examine the association among pelvic girdle pain (PGP), urinary incontinence (UI), and pelvic floor muscle (PFM) function in pregnant women in the second trimester.
METHODS
Fifty-five pregnant women (29 with PGP and 26 without) were enrolled. Urinary incontinence was measured via the International Consultation on Incontinence Questionnaire-Short Form. Vaginal examination assessed PFM contract-relax patterns and muscle strength.
RESULTS
Overall, 51 women (26 with PGP and 25 without) were included in the final analyses. After controlling for PFM muscle strength, women with PGP were significantly more likely to have UI (P=0.03). After controlling for pain status, having little or no PFM contraction was significantly associated with UI (P=0.03). There was no association between PGP and PFM weakness.
CONCLUSION
There was an association between PGP and UI and between UI and PFM weakness among the study participants. Lack of PFM weakness in women with PGP during pregnancy may reflect acuity of pain or measurement error.
目的
研究妊娠中期骨盆带疼痛（PGP）、尿失禁（UI）和盆底肌（PFM）功能之间的关系。
方法
纳入 55 名孕妇（29 名 PGP 孕妇和 26 名非 PGP 孕妇）。采用国际尿失禁咨询委员会问卷-短表评估尿失禁情况。阴道检查评估 PFM 收缩-松弛模式和肌肉力量。
结果
共 51 名女性（26 名 PGP 孕妇和 25 名非 PGP 孕妇）纳入最终分析。控制 PFM 肌肉力量后，PGP 孕妇发生 UI 的可能性显著更高（P=0.03）。控制疼痛状态后，PFM 收缩微弱或无收缩与 UI 显著相关（P=0.03）。PGP 与 PFM 无力之间无关联。
结论
在研究参与者中，PGP 与 UI 之间存在关联，UI 与 PFM 无力之间存在关联。妊娠期间 PGP 孕妇 PFM 无力可能反映疼痛的严重程度或测量误差。
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