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产后日本女性腰骨盆疼痛的患病率与就诊率之间存在差距。

Gap between the prevalence of and consultation rate for lumbopelvic pain in postnatal Japanese women.

机构信息

Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan; Faculty of Medicine, Oita University, Oita, Japan.

出版信息

J Orthop Sci. 2024 Nov;29(6):1353-1358. doi: 10.1016/j.jos.2023.10.006. Epub 2023 Nov 3.

DOI:10.1016/j.jos.2023.10.006
PMID:37926616
Abstract

BACKGROUND

We aimed to assess the prevalence of lumbopelvic pain (LPP), including low back pain (LBP) and/or pelvic girdle pain (PGP), consultation rate, and desire for treatment of postnatal Japanese women.

METHODS

We performed a cross-sectional study of 98 postnatal Japanese women within 1 year of childbirth. We retrospectively evaluated the prevalence of LBP before and during pregnancy and the prevalence of LPP after childbirth using a self-administered questionnaire. We used the distribution of pain to differentiate LBP and/or PGP after childbirth and its intensity was assessed using a visual analogue scale. The effects of LPP on daily life were assessed using the Oswestry disability index (ODI). In addition, we assessed the consultation rate for LPP and the desire to consult a healthcare professional, using self-administered questionnaires.

RESULTS

The prevalence of LPP after childbirth was 66%. Women with a history of LBP before and during pregnancy were more likely to have LPP following childbirth (both P < 0.001). The consultation rate among the postnatal women with LPP was 9%, but 56% of the women wished to consult a healthcare professional. The ODI score was significantly higher in postnatal women who wanted to consult a healthcare professional than in those who did not (P < 0.01).

CONCLUSIONS

Two thirds of the postnatal Japanese women who participated in this study had LPP, but the consultation rate was low. However, more than half of these women had the desire to consult a healthcare professional.

摘要

背景

我们旨在评估产后日本女性腰痛(LBP)和/或骨盆带疼痛(PGP)、就诊率和治疗意愿的流行情况。

方法

我们对 98 名产后 1 年内的日本女性进行了横断面研究。我们使用自我管理问卷回顾性评估了妊娠前和妊娠期间 LBP 的患病率以及产后 LPP 的患病率。我们使用疼痛分布来区分产后的 LBP 和/或 PGP,并使用视觉模拟评分法评估其强度。使用 Oswestry 残疾指数(ODI)评估 LPP 对日常生活的影响。此外,我们使用自我管理问卷评估了 LPP 的就诊率和寻求医疗保健专业人员咨询的意愿。

结果

产后 LPP 的患病率为 66%。妊娠前和妊娠期间有 LBP 病史的女性产后更有可能发生 LPP(均 P < 0.001)。有 LPP 的产后女性就诊率为 9%,但 56%的女性希望咨询医疗保健专业人员。希望咨询医疗保健专业人员的产后女性的 ODI 评分明显高于不希望咨询的女性(P < 0.01)。

结论

本研究中三分之二的产后日本女性患有 LPP,但就诊率较低。然而,这些女性中有一半以上有寻求医疗保健专业人员咨询的意愿。

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