592例妊娠期腰痛孕妇分娩方式与产后腰痛关系分析  

Analysis of the relationship between caesarean section with chronic postpartum low back pain in 592 cases of pregnant women

作　　者：王岚[1] 张媛[1] 张华[1] 陶兰[1] 蒋秋静[1] 张高东[1] 

机构地区：[1]重庆市妇幼保健院,400013

出　　处：《重庆医学》2011年第30期3019-3021,共3页Chongqing medicine

摘　　要：目的探讨妊娠期腰痛足月孕妇分娩方式与产后腰痛的关系。方法对孕36周有腰痛的592例孕妇分别在孕36周时和产后6个月时进行问卷调查,调查内容包括腰痛、活动障碍及对腰痛可能产生影响的相关因素等,根据分娩方式分为社会因素剖宫产组(A组),有手术指针剖宫产组(B组),顺产组(C组)。结果三组产妇产后6个月母乳喂养、抑郁的比例及产后休息时间长短差异无统计学意义。产后6个月,三组腰痛及活动障碍评分较孕36周时均有下降,A组的腰痛下降差异无统计学意义,B、C组差异有统计学意义,但三组活动障碍的下降差异有统计学意义。在产后6月各组间的比较中,A组的腰痛及活动障碍评分均较B、C组高,差异有统计学意义,而B、C组之间差异无统计学意义。结论有手术指针剖宫产与产后腰痛关系不大,其发生率与顺产一致,而社会因素剖宫产与产后腰痛有密切关系。Objective To investigate the relationship between the mode of delivemy with postpartum low back pain in pregnant women. Methods It was a follow-up study about 592 women who reported LBP during pregnancy. They were sent questionnaires at 36 weeks of gestation and approximately 6 months after delivery, respectively. And they were divided into three groups including group A submitted to elective caesarean section and group 13 submitted to emergency caesarean section while, and group C submitted to vaginal birth. The survey recorded the health history, LBP, function disability and other related factors about these women. Re- sults There was no significant difference of breastfeding,the proportion of depression and postpartum rest time in the three groups of pregnant women. 6 months after delivery, the score of hackpain and morement disorder in the three groups were decreased com- pared with that at 36 weeks of gestation. There was significant difference of backpain in the group B and C,while there was no dif- fernee in group A. But there was no difference in group A. But there was no significant difference of movement disorder in the three groups. The score of baekpain and morement discorder in group A was significantly higher than that in group B and C, but the difference between group B and C was no statistically significant. Conclusion The incidence of postpum low back pain no relation- ship with emergenay casearean section and vaginal birth, hut it had in the group of elective caesarean section.

关 键 词：腰痛 妊娠 剖宫产术 

分 类 号：R714.3[医药卫生—妇产科学]