产后下背痛的相关因素和盆底表面肌电的评估与分析  

The Related Factors of Postpartum Low Back Pain and the Evaluation and Analysis of Pelvic Floor Surface Electromyography

作　　者：王雨薇 董琴 罗家麒 顾婷婷 吴勤峰 张润李 徐嫣然 WANG Yuwei;DONG Qin;LUO Jiaqi;GU Tingting;WU Qinfeng;ZHANG Runli;XU Yanran(Suzhou Hospital,Affiliated Hospital of Medical School,Nanjing University,Suzhou,Jiangsu 215153;Xuzhou Medical University,Xuzhou,Jiangsu 221004;Suzhou Vocational Health College,Suzhou,Jiangsu 215009)

机构地区：[1]南京大学医学院附属苏州医院,江苏苏州215153 [2]徐州医科大学,江苏徐州221004 [3]苏州卫生职业技术学院,江苏苏州215009

出　　处：《中医康复》2025年第3期25-29,共5页Traditional Chinese Medicine Rehabilitation

基　　金：南京医科大学姑苏学院科研项目(GSKY20210239)。

摘　　要：目的:探讨产后下背痛的相关因素及产后盆底功能的评估与产后下背痛发生的相关性。方法:选取2021年1月~2022年12月于本院分娩并进行产后复查的产妇278例,对其住院分娩时的检查资料、外周血生化指标及产后复查盆底肌电检查进行回顾性分析。结果:非下背痛组158例,下背痛组120例。下背痛组新生儿体重高于非下背痛组,两组差异有统计学意义(P<0.05)。产后复查的盆底表面肌电分析结果发现,下背痛组后静息阶段平均值和后静息阶段(腹肌)平均值低于非下背痛组,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果表明,新生儿体重和产后发生下背痛的风险呈正相关,而后静息阶段平均值和产后发生下背痛的风险呈负相关。结论:下背痛组的新生儿体重高于非下背痛组。下背痛组在盆底表面肌电检测过程中腹肌参与程度较低,收缩后肌肉放松的能力更优。新生儿体重和后静息阶段平均值与产后下背痛有一定的相关性,还需进一步研究。Objective:To explore the related factors of postpartum low back pain,and the correlation between the evaluation of postpartum pelvic floor function and the occurrence of postpartum low back pain.Methods:A total of 278 pregnant women who gave birth in our hospital from January 2021 to December 2022 and underwent postpartum reexamination were selected.The examination data,peripheral blood biochemical indexes and postpartum pelvic floor electromyography were retrospectively analyzed.Results:There were 158 cases in the non-low back pain group and 120 cases in the low back pain group.The neonatal weight of the low back pain group was higher than that of the non-low back pain group,and the difference between the two groups was statistically significant(P<0.05).The results of the pelvic floor surface electromyography analysis after postpartum review showed that the average value of post-rest stage and the average value of post-rest stage(abdominal muscle)in the low back pain group were lower than those in the non-low back pain group,and the difference was statistically significant(P<0.05).The results of multivariate Logistic regression analysis showed that neonatal weight was positively correlated with the risk of postpartum low back pain,and then the average value of post-rest stage was negatively correlated with the risk of postpartum low back pain.Conclusion:The neonatal weight in the low back pain group was higher than that in the non-low back pain group.The low back pain group had a lower degree of abdominal muscle participation in the pelvic floor surface electromyography detection process,and the ability of muscle relaxation after contraction was better.The neonatal weight and the average value of the post-rest stage have a certain correlation with postpartum low back pain,which needs further study.

关 键 词：产后 下背痛 盆底表面肌电 危险因素 

分 类 号：R714[医药卫生—妇产科学]