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一项关于妊娠后持续性背痛的前瞻性研究。

A prospective study of persistent back pain after pregnancy.

作者信息

Turgut F, Turgut M, Cetinşahin M

机构信息

Department of Gynecology and Obstetrics, Aydin Maternity Hospital, Turkey.

出版信息

Eur J Obstet Gynecol Reprod Biol. 1998 Sep;80(1):45-8. doi: 10.1016/s0301-2115(98)00080-3.

Abstract

OBJECTIVES

To determine the prevalence of back pain after delivery and its relationship to individual factors.

STUDY DESIGN

A cohort of 88 pregnant women, aged 14-46 years, who had suffered from back pain during pregnancy, and delivered at Aydin Maternity Hospital was selected. They had been followed up through pregnancy, and 6 months post partum filled out a questionnaire. The data were analyzed statistically.

RESULTS

Follow-up showed that back pain at the time of delivery and 6 months post partum was reported by 59.1% and 43.2% of the women, respectively. The difference in prevalence of back pain between young women and older ones was statistically significant (P=0.000). The number of previous pregnancies increased the risk of back pain (P=0.000), but there was no difference in prevalence of back pain between women with heavy work and without heavy work before pregnancy (P=0.310). Furthermore, women with a history of back pain before pregnancy were found to experience more intense pain at 6 months post partum compared to those without a history of back pain before pregnancy (2.1+/-1.0 and 0.4+/-0.4. respectively. P=0.000).

CONCLUSION

These results indicate that pregnant women with a previous history of back pain had a higher prevalence of back pain, especially in young multigravid patients.

摘要

目的

确定产后背痛的患病率及其与个体因素的关系。

研究设计

选取了88名年龄在14至46岁之间、孕期患有背痛且在艾登妇产医院分娩的孕妇。在整个孕期对她们进行随访,并在产后6个月让她们填写一份问卷。对数据进行统计学分析。

结果

随访显示,分别有59.1%和43.2%的女性在分娩时和产后6个月报告有背痛。年轻女性和年长女性背痛患病率的差异具有统计学意义(P = 0.000)。既往怀孕次数增加了背痛的风险(P = 0.000),但孕前从事重体力劳动和不从事重体力劳动的女性背痛患病率没有差异(P = 0.310)。此外,发现孕前有背痛史的女性在产后6个月比孕前无背痛史的女性经历更剧烈的疼痛(分别为2.1±1.0和0.4±0.4,P = 0.000)。

结论

这些结果表明,既往有背痛史的孕妇背痛患病率较高,尤其是年轻的经产妇。

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