| 李玲霞,苏鸿莉,王 敏,胡 彬,贺 芬.自然分娩和剖宫产发生产后腰背痛的差异及相关因素分析[J].,2017,17(15):2937-2940 |
| 自然分娩和剖宫产发生产后腰背痛的差异及相关因素分析 |
| Comparison of the Postoperative Back Pain between Natural Delivery and Cesarean Section and Its Related Factors |
| 投稿时间：2017-01-06 修订日期：2017-01-26 |
| DOI：10.13241/j.cnki.pmb.2017.15.036 |
| 中文关键词: 自然分娩 剖宫产 腰背痛 影响因素分析 |
| 英文关键词: Natural delivery Cesarean section Back pain Influencing factors |
| 基金项目:陕西省延安市科学技术局基金项目（2015HM-01-05） |
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| 中文摘要: |
| 摘要 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。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the incidence of postoperative back pain between natural delivery and cesarean section and its related factors. Methods: 400 maternals treated in our hospital from October, 2014 to October, 2016 were enrolled in the present study. According to the different delivery ways, they were divided into the natural delivery group and the cesarean sections group, with 200 cases in each group. The incidence of postoperative back pain at 2, 3, 4 month after delivery and the corresponding VAS score were compared between the two groups, the related factors were discussed through logistic regression analyses. Results: The incidence of postoperative back pain after 2, 3, 4 month of cesarean sections group were significantly higher than those of natural group (P＜0.05); the approaching VAS score were observed after 2 month, and the VAS score after 3, 4 month of cesarean sections group were significantly higher than natural group (P＜0.05); the number of birth≥3, history of back pain and cesarean section were positive related to the incidence of post- operative back pain. Conclusion: Maternal with cesarean sections was more vulnerable to postoperative back pain, and the history of back pain, delivery ways, the number of birth and the weight of baby were the related influencing factors of postoperative back pain. |
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