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妊娠相关腰骨盆痛的多中心城市患者人群:患病率及危险因素。

Lumbopelvic Pain in Pregnancy in a Diverse Urban Patient Population: Prevalence and Risk Factors.

机构信息

Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, New York, USA.

Public Sector Department, SymphonyAI, Palo Alto, California, USA.

出版信息

J Womens Health (Larchmt). 2022 Dec;31(12):1736-1741. doi: 10.1089/jwh.2022.0077. Epub 2022 Aug 30.

Abstract

Pregnancy lumbopelvic pain (PLPP) is a common ailment during pregnancy with physical, psychosocial, and economic consequences. Prior literature has focused on majority Caucasian patient populations; none have focused on Hispanic populations, especially in the United States. The purpose of this study was to determine the proportion of pregnant people who experience PLPP in mostly Hispanic population. Cross-sectional survey Setting: Academic medical center Patients: All pregnant people attending a prenatal visit in obstetrical offices from July 2018 through March 2020 were asked to complete a questionnaire compiling demographic, socioeconomic information as well as describe any pain symptoms. Furthermore, the Pregnancy Mobility Index (PMI), Pelvic Girdle Pain Questionnaire (PGQ), and the Questionnaire for Urinary Incontinence Diagnosis (QUID) were included. In a cohort ( = 851) that was 62% Hispanic, we found a 63% point-prevalence rate for PLPP. Pregnant people who reported PLPP were further along in their pregnancy, did have significantly higher scores for the PMI and PGQ, indicating a greater level of disability, and reported issues with incontinence (QUID). Results of the logistic regression found that a higher PMI score and financial instability were factors influencing PLPP. In a cohort of majority Hispanic people, we found that 63% of respondents had PLPP. Our study found that a higher PMI score and financial instability were factors influencing PLPP. Clinicians should be alert to pregnant people who express their difficulties with activities of daily living as they may be at risk of PLPP, and could benefit from further evaluation and treatment.

摘要

妊娠腰骨盆疼痛(PLPP)是妊娠期间的一种常见疾病,会对身体、心理社会和经济造成影响。先前的文献主要关注的是白种人患者群体;没有专门针对西班牙裔人群的研究,尤其是在美国。本研究旨在确定在以西班牙裔为主的人群中,经历 PLPP 的孕妇比例。

研究设计

横断面调查

研究地点

学术医疗中心

研究对象

2018 年 7 月至 2020 年 3 月期间,在妇产科办公室就诊的所有孕妇都被要求填写一份问卷,内容包括人口统计学、社会经济信息以及描述任何疼痛症状。此外,还包括妊娠活动指数(PMI)、骨盆带疼痛问卷(PGQ)和尿失禁诊断问卷(QUID)。

在一个 62%为西班牙裔的队列中( = 851),我们发现 PLPP 的点患病率为 63%。报告有 PLPP 的孕妇妊娠时间更长,PMI 和 PGQ 评分明显更高,表明残疾程度更高,并且报告存在尿失禁问题(QUID)。逻辑回归的结果发现,较高的 PMI 评分和财务不稳定是影响 PLPP 的因素。

在一个以西班牙裔为主的人群队列中,我们发现 63%的受访者有 PLPP。我们的研究发现,较高的 PMI 评分和财务不稳定是影响 PLPP 的因素。临床医生应该对那些表达日常生活困难的孕妇保持警惕,因为她们可能有 PLPP 的风险,可以从进一步的评估和治疗中获益。

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