母乳喂养对子宫内膜异位症相关疼痛影响  

Effect of breastfeeding on endometriosis related pain

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作  者:王婷君 WANG Tingjun(Women's and children's health care center,the third people's Hospital of Shangqiu City,Shangqiu,Henan,476000,China)

机构地区:[1]商丘市第三人民医院妇女儿童保健中心,河南商丘476000

出  处:《新疆医学》2024年第2期200-202,227,共4页Xinjiang Medical Journal

摘  要:目的评估母乳喂养对子宫内膜异位症患者痛经、性交困难和慢性盆腔痛(CPP)影响。方法研究对象为48例子宫内膜异位症孕妇,分娩后根据母乳喂养持续时间分为3个亚组:1-2个月(A组)(n=14)、3-5个月(B组)(n=15)和6-8个月(C组)(n=19)。分别在妊娠前(T0)、分娩后3个月(T3)、6个月(T6)、12个月(T12)和24个月(T24),采用10点视觉模拟量表(VAS)评估患者痛经、性交困难和CPP疼痛强度。结果与妊娠前相比,A组、B组和C组患者分娩后VAS痛经评分均降低,其中A组和B组患者仅仅在分娩后3和6个月痛经评分改善有统计学差异(所有P<0.05);而C组患者在随访期间评分改善均有统计学差异(所有P<0.05)。痛经改善与母乳喂养时间成正相关(r=0.628;P=0.017)。A组、B组和C组患者CPP评分均有所改善,但只有C组患者在分娩后3、6和12个月降低有统计学差异(所有P<0.05)。CPP改善与母乳喂养时间成正相关(r=0.714;P=0.021)。结论母乳喂养可使子宫内膜异位症患者痛经和CPP改善,并且与母乳喂养持续时间成比例。Objective To evaluate the effects of breastfeeding on dysmenorrhea,dyspareunia,and chronic pelvic pain(CPP)in patients with endometriosis.Methods Forty-eight pregnant women with endometriosis were divided into three subgroups based on duration of breastfeeding after delivery:1-2 months(group A)(n=14),3-5 months(group B)(n=15),and 6-8 months(group C)(n=19).Dysmenorrhea,dyspareunia,and CPP pain intensity were assessed by 10-point visual analog scale(VAS)before pregnancy(T0),3(T3),6(T6),12(T12),and 24(T24)months after delivery,respectively.Results Compared with before pregnancy,VAS dysmenorrhea scores of group A,group B and group C decreased after delivery,and the improvement of dysmenorrhea scores of group A and GROUP B was statistically significant only at 3 and 6 months after delivery(all P<0.05).The score improvement of group C was statistically significant during the follow-up period(all P<0.05).The improvement of dysmenorrhea was positively correlated with the duration of breastfeeding(r=0.628;P=0.017).CPP scores improved in groups A,B and C,but decreased only in group C at 3,6 and 12 months after delivery(all P<0.05).CPP improvement was positively correlated with duration of breastfeeding(r=0.714;P=0.021).Conclusion Breastfeeding improves dysmenorrhea and CPP in endometriosis patients in proportion to the duration of breastfeeding.

关 键 词:子宫内膜异位症 母乳喂养 痛经 性交困难 慢性盆腔痛 

分 类 号:R714.3[医药卫生—妇产科学]

 

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