[Diagnosis and treatment of pelvic girdle pain].
[Diagnosis and treatment of pelvic girdle pain].
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骨盆带疼痛的诊断与治疗[J].
DOI：
10.4045/tidsskr.09.0702
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
B. Stuge
中科院分区：
文献类型：
--
作者：
B. Stuge
背景
盆腔腰带痛(PGP)通常出现在怀孕期间。大约25%的孕妇和5%的妇女患有产后腰盆痛，导致她们寻求医疗帮助。本文就PGP的可能原因、诊断及治疗进行讨论。
材料和方法
这篇论文是基于在PubMed、Medline、Embase、Cinahl和Cochrane上通过非系统搜索找到的文献。只有随机对照试验才能考虑治疗效果。
结果
可能的潜在机制是激素、生物力学、运动控制不足和韧带结构的应力。诊断应基于疼痛部位和几项临床检查。典型的症状是走路、站立和坐着都有问题。有证据表明存在需要不同治疗的PGP亚群。个体化理疗侧重于身体意识和特定的功能训练，具有良好和持久的效果。PGP患者可能受益于基于病史和临床检查的令人放心的信息。当需要时，患者可能会被转介到有针对性的个性化理疗，并不断进行评估。似乎很少有全面或稳定演习的效果。
释义
一般的或稳定的运动似乎对许多女性有更好的效果。
BACKGROUND
Pelvic girdle pain (PGP) usually presents during pregnancy. About 25% of all pregnant women and 5% of all women suffer from postpartum lumbopelvic pain causing them to seek medical help. This article discusses possible causes, diagnostic aspects and treatment of PGP.
MATERIAL AND METHOD
The paper is based on literature identified through non-systematic searches in PubMed, Medline, Embase, Cinahl and Cochrane. Only randomized controlled trials were considered for effect of treatment.
RESULTS
Possible underlying mechanisms are hormonal, biomechanical, inadequate motor control and stress of ligament structures. The diagnosis should be based on pain location and several clinical tests. Characteristic signs are problems with walking, standing and sitting. There is evidence for the existence of PGP subgroups that require different treatment. It is well documented that individualized physiotherapy focused on body awareness and specific functional training, has a good and long-lasting effect. Patients with PGP may benefit from reassuring information based on medical history and clinical examination. When needed, patients may be referred to targeted individualized physiotherapy which is continuously evaluated. Few seem to have effect of general or stabilizing exercises.
INTERPRETATION
General or stabilizing exercises seem to have miner effect in a number of women.