初产妇产后腰背痛现状及其风险因素分析

Analysis of current status and risk factors of postpartum low back pain in primiparas

目的:探讨初产妇妊娠相关产后腰背痛的风险因素,为预防及管理产后腰背痛风险提供依据。方法:选取广西医科大学第一附属医院产科2020年3~8月收治的536例初产妇,建立档案并追踪观察产后1个月、3个月、6个月腰背痛情况,筛选出产后慢性腰背痛的相关风险因素。结果:536例初产妇产后1个月、3个月、6个月腰背痛发生率分别为50.37%(270/536)、43.84%(235/536)、39.18%(210/536);多因素Logistic回归分析显示,产妇高体重指数(Ibm)、妊娠期间腰痛史、剖宫产分娩方式、产妇为婴儿主要护理者是初产妇产后慢性腰背痛的独立风险因素(均P<0.05)。结论:初产妇产后腰背痛发生率较高,并受产妇Ibm、妊娠期间腰痛史、分娩方式、为婴儿主要护理者等因素的影响,在围产期管理服务过程中,尽早识别有产后慢性腰背痛风险因素的妇女,根据相关风险因素进行围产期保健管理和治疗计划,改善产妇发生产后腰背痛的现状。

Objective:To explore the risk factors of pregnancy-related postpartum low back pain in primiparas,and to provide evidence for women to prevent and manage the risk of low back pain.Methods:A total of 536 primiparous women were enrolled.The archives were established and the low back pain at 1 month,3 months and 6 months postpartum were followed up and observed to identify risk factors associated with postpartum chronic low back pain.Results:The incidence of low back pain at 1 month,3 months and 6 months postpartum were50.37%(270/536),43.84%(235/536),39.18%(210/536),respectively.Multiple factors Logistic regression analysis showed that maternal high body mass index,history of low back pain during pregnancy,cesarean delivery method,and maternal being the main caregiver for the baby were independent risk factors for postpartum chronic low back pain.Conclusion:The incidence of postpartum low back pain in primipara is relatively high,and it is affected by factors such as the maternal body mass index,the history of low back pain during pregnancy,the way of delivery,and being the primary caregiver of the baby.