产后骨盆痛患者耻骨联合分离与疼痛的关系初探_乔杰.pptx

乔杰1张军2△董晓俊1张慧2刘强2

［摘要］目的：初步探讨产后骨盆痛患者耻骨联合分离间距与疼痛程度之间的关系。方法：回顾性分析32例产后骨盆痛患者临床资料，以初诊时骨盆正位X线平片耻骨联合间距分为A组(6mm≤间距<12mm,11人）、B组(12mm≤间距<20mm,15人）、C组(20≤间距<30mm,8人）。比较3组患者初诊时一般情况和疼痛视觉模拟评分(VisualAnalogueScale,VAS),并观察2月后复诊时耻骨联合间距与VAS的变化。结果：初诊时3组VAS组间比较差异无统计学意义(P>0.05);与初诊时相比复诊时3组VAS均明显降低(P<0.05);C组耻骨联合间距较前减小(P<0.05),A组、B组耻骨联合间距较前均无显著改变(P>0.05)。结论：产后骨盆痛患者耻骨联合分离间距与疼痛程度无明显一致性。

［关键词］产后骨盆痛；耻骨联合；疼痛；相关性

［中图分类号］R681.6［文献标识码］A［文章编号］1005-0205(2015)01-0007-03

RelationshipofPubicSymphysisSeparationandPainonPostpartumPelvicGirdlePainPatients

QIAOJie1ZHANGJun2DONGXiaojun1ZHANGHui2LIUQiang21DepartmentofOrthopaedics,WuhanHospitalofTraditionalChineseMedicine,Wuhan430014,China

2WangjingHospitalofChinaAcademyofTraditionalChineseMedicalScience,Beijing100700,china

AbstractObjective:ToinvestigatetherelationshipofPubicsymphysisseparationandthedegreeofpainonPostpartumPelvicGirdlePainpatients.Methods:Aretrospectiveanalysisoftheclinicaldataof32patientswithPostpartumPelvicGirdlePain(PPGP).Allpatientsweredividedintothreegroupsaccordingtopubicsymphysisseparation,groupA(6~11mm),groupB(12~20mm),groupC(21~30mm).Comparedthegeneralconditionandvisualanaloguescale(VAS)inthe3groupsatfirsthospitalizationaswellaschangesinseparationdistanceandVASofthepubicsymphysisaftertwomonths.Results:VASshowednosignificantdifferenceamongthethreegroupsatthefirstvisit(P>0.05).VASofthreegroupswereallsignificantlylowerthanthatatthefirstvisit(P<0.05).ThepubicsymphysisseparationofgroupCwaslowerthanthatatthefirstvisit(P<0.05)andtherewasnosignificantlydifferencebetweengroupAandgroupB(P>0.05).Conclusion:Therewasnoobviousrelationshipbetweenpubicsymphysisseparationandthedegreeofpainfeelinginp