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硬膜外镇痛与分娩后腰痛。

Epidural Analgesia and Back Pain after Labor.

机构信息

Clinic of Infectious Diseases and Dermatovenerology, Vilnius University Faculty of Medicine Institute of Clinical Medicine, Vilnius University Hospital Santaros Klinikos, J. Kairiūkscio 2, LT-08411 Vilnius, Lithuania.

Clinic of Neurology and Neurosurgery, Vilnius University Faculty of Medicine Institute of Clinical Medicine, Vilnius University Hospital Santaros Klinikos, Santariskiu 2, LT-08661 Vilnius, Lithuania.

出版信息

Medicina (Kaunas). 2019 Jul 9;55(7):354. doi: 10.3390/medicina55070354.

Abstract

: The aim of this survey was to assess the impact of epidural analgesia on post-partum back pain in post-partum women. : The questionnaire was completed by post-partum women during the first days after delivery. Six months later, the women were surveyed again. The response rate was 70.66%, a total of 212 cases were included in the statistical analysis. The statistical analysis of the data was conducted using SPSS . Seventy-nine (37.26%) women received epidural analgesia, 87 (41.04%) intravenous drugs, and 46 (21.7%) women gave birth without anesthesia. The prevalence of post-partum back pain was observed in 24 (30.38%) women of the epidural analgesia group, in 24 (27.58%) subjects of the intravenous anesthesia group, and in 14 (30.43%) women attributed to the group of subjects without anesthesia. The correlation between post-partum back pain and the type of anesthesia was not statistically significant ( = 0.907). Six months later, the prevalence of back pain was found in 31.65% of women belonging to the epidural analgesia group, in 28.74% of women with intravenous anesthesia, and in 23.91% of women without anesthesia. The correlation between complaints of back pain six months after delivery and the type of anesthesia applied was not statistically significant ( = 0.654). . The labor pain relief technique did not trigger the increased risk of back pain in the early post-partum period and six months after delivery.

摘要

这项调查的目的是评估硬膜外镇痛对产后妇女产后背痛的影响。调查问卷由产后女性在分娩后几天内填写。六个月后,再次对这些女性进行调查。回复率为 70.66%,共有 212 例纳入统计分析。数据的统计分析使用 SPSS 进行。79 名(37.26%)女性接受了硬膜外镇痛,87 名(41.04%)女性接受了静脉药物,46 名(21.7%)女性未经麻醉分娩。硬膜外镇痛组 24 名(30.38%)、静脉麻醉组 24 名(27.58%)和未麻醉组 14 名(30.43%)女性出现产后背痛。产后背痛与麻醉类型之间无显著相关性(=0.907)。六个月后,硬膜外镇痛组 31.65%、静脉麻醉组 28.74%和未麻醉组 23.91%的女性出现背痛。产后背痛与应用麻醉类型之间无显著相关性(=0.654)。分娩疼痛缓解技术并未增加产后早期和六个月后背痛的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/6681359/6802d46f3f8a/medicina-55-00354-g001.jpg

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