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目的:比较自然分娩和剖宫产产妇术后发生腰背痛的情况差异及其相关影响因素。方法:选择2014年10月~2016年10月于我院就诊的400例产妇。按照分娩方式的不同分为自然分娩组和剖宫产组,每组各200例。比较两组产妇产后2、3、4个月腰背痛的发生率及疼痛(VAS)评分,并通过logistic回归分析探讨发生产后腰背痛的影响因素。结果:剖宫产组术后2、3、4个月产妇腰背痛的发生率均明显高于自然分娩组(P<0.05);术后2个月,两组产妇腰背痛的VAS评分接近,术后3、4月剖宫产组产妇的VAS评分均显著高于自然分娩组(P<0.05);生育超过3次、腰背痛史、剖宫产与产后腰背痛的发生密切相关(P<0.05)。结论:剖宫产后腰背痛的发病率显著高于采取自然分娩方式的产妇,既往腰背痛史、分娩方式、生育次数、胎儿体重均与是产后腰背痛相关影响因素。
Objective: To compare the differences of low back pain between spontaneous delivery and cesarean section and the related factors. Methods: From October 2014 to October 2016, 400 pregnant women were selected for treatment in our hospital. In accordance with the different modes of delivery is divided into natural delivery group and cesarean section group, 200 cases in each group. The incidence of postpartum low back pain and pain (VAS) scores were compared between the two groups at 2, 3, and 4 months postpartum. The influencing factors of postpartum back pain were analyzed by logistic regression analysis. Results: The incidence of low back pain was significantly higher in the cesarean section group than in the spontaneous delivery group at 2, 3, 4 months after operation (P <0.05). At 2 months after operation, the VAS score (P <0.05). The VAS score of cesarean section group was significantly higher than that of spontaneous delivery group (P <0.05). The incidence of postpartum back pain and cesarean section were close Related (P <0.05). Conclusion: The incidence of low back pain after cesarean section was significantly higher than that of the mode of spontaneous delivery. The history of back pain, mode of delivery, number of births and fetal weight were all related to postpartum low back pain.