妊娠相关性腰骨盆痛在上海地区发病率调查及影响因素分析  

Prevalence and influencing factors of pregnancy-related lumbopelvic pain in Shanghai

作　　者：闫蔷 赵茹茹 胡津铨 周红娣 YAN Qiang;ZHAO Ru-ru;HU Jin-quan;ZHOU Hong-di(the First Maternity and Infant Health Hospital Affiliated to Tongji University,Shanghai,201204,China;Department of Orthopedics,Shanghai Changzheng Hospital Affiliated to Naval Military Medical University,Shanghai 200003,China)

机构地区：[1]同济大学附属第一妇婴保健院,上海200092 [2]海军军医大学附属上海长征医院骨科,上海200003

出　　处：《颈腰痛杂志》2022年第3期322-325,共4页The Journal of Cervicodynia and Lumbodynia

基　　金：国家自然科学青年科学基金项目(编号:81901560)。

摘　　要：目的调查上海地区产妇妊娠相关性腰骨盆痛(lumbopelvic pain,LBPP)的发病率,并分析其相关影响因素。方法回顾分析2020年1月~2020年12月于上海第一妇婴保健院医院分娩的上海地区女性孕产妇389例,通过电话及问卷调查,统计其疼痛严重程度、年龄、孕前BMI、受教育年限、孕前腰骨盆痛病史,通过Oswestry功能障碍指数问卷表(Oswestry disability index,ODI)评价生活质量,并通过中文版压力知觉量表(Chinese Perceived Stress Scale,CPSS)和特质应对方式问卷(trait coping style questionnaire,TCSQ)评价妊娠期间的心理压力及应对方式。研究采用疼痛视觉模拟评分(visual analogue scores,VAS)对患者进行分组。对照组为VAS评分0~2分,或3分且疼痛累计时间小于1周者;疼痛组为VAS评分≥3分且疼痛累计1周以上者。结果调查提示近51%女性在妊娠期间经历了腰骨盆痛。相比于对照组,腰骨盆痛组患者的受教育年限短,多存在孕前腰骨盆痛病史,生活质量较差,同时有较高的心理压力和消极应对状态(P<0.05);而两组间的年龄、孕前BMI没有明显差异(P>0.05)。结论本次调查显示,上海地区LBPP的发病率较高,研究观察到的一些生理及心理相关因素,为其早期发现、早期治疗提供了新的思路。Objective To investigate the incidence rate of pregnancy-related lumbopelvic pain(LBPP)in women of Shanghai,and to analyze its physiological and psychological factors.Methods This study reviewed a total of 389 women who gave birth in Shanghai First Maternity and Infant Health Hospital from January 2020 to December 2020.The severity of pain,age,BMI and LBPP before pregnancy,and years of education were statistically analyzed through telephone and questionnaire survey.Quality of life was assessed by the Oswestry disability index(ODI),and life stress and coping style during pregnancy were evaluated by Chinese Perceived Stress Scale(CPSS)and trait coping style questionnaire(TCSQ).Patients were grouped by visual analogue scores(VAS).In the control group,the VAS score was 0~2,or 3,and the cumulative time of pain was less than 1 week;In the pain group,VAS score≥3 and pain accumulated for more than 1 week.Results Nearly 51%of the women experienced LBPP during pregnancy.Compared with the control group,patients in the LBPP group had shorter years of education,had a higher proportion of history of low back pain,and had higher psychological stress and negative psychological state(P<0.05).There were no significant differences in age,BMI before pregnancy between the two groups(P>0.05).Conclusion This investigation shows that the incidence rate of pregnancy-related LBPP is relatively high in Shanghai.Some possible physiological and psychological factors observed in the study provide new treatment ideas for its early detection and early treatment.

关 键 词：腰骨盆痛 上海地区 妊娠 心理压力 

分 类 号：R441.1[医药卫生—诊断学]