Back pain in pregnancy: 1-year follow-up of untreated cases
Back pain in pregnancy: 1-year follow-up of untreated cases
复制标题
孕期背痛：对未治疗病例的 1 年随访
DOI：
10.1007/s00586-004-0712-6
复制
发表时间：
2005-03-01
影响因子：
2.8
通讯作者：
Tonali, P
中科院分区：
文献类型：
--
作者：
Padua, L;Caliandro, P;Tonali, P
腰痛（BP）是妊娠后期最常见的症状之一，在一些研究中已经描述了其高发病率。到目前为止，还没有关于妊娠后血压自然过程的广泛、多中心和前瞻性临床研究。我们对孕妇样本进行了一项多中心随访研究，使用意大利验证版罗兰问卷来评估妊娠后血压的演变并确定预后因素。每个中心必须重新评估至少75%的最初登记的妇女，分娩后潜伏期为1年。在随访中，我们获得了大量的产后临床资料。症状演变评价采用Roland问卷。在随访中，53%的重新评估的妇女没有血压症状。此外，在分娩后出现BP的妇女中，以患者为导向的评估也有显著改善。关于预测因素，孕前血压的存在意味着分娩后改善的可能性高出3.1倍。综上所述，孕前无BP病史且在孕期有这些症状的女性需要更多的关注，因为她们改善的可能性较低。相反，在有BP病史的妇女中，妊娠期表现为症状的短暂恶化，可能是由于暂时性的超生理机械状况。
Back Pain (BP) is one of the most frequent symptoms during the last period of pregnancy, and high incidence has been described in several studies. Until now no wide, multicenter and prospective clinical studies on the natural course of BP after pregnancy have been available. We performed a multicenter follow-up study in a sample of pregnant women using the Italian validated version of the Roland questionnaire to assess the evolution of BP after pregnancy and identify prognostic factors. Each center had to re-evaluate at least 75% of the initially enrolled women, with latency of 1 year after delivery. At the follow-up, we acquired substantial clinical data concerning the post-delivery period. The evaluation of symptom evolution was based on the Roland questionnaire. At follow-up, 53% of re-evaluated women had no BP symptoms. Moreover, there was a significant improvement of patient-oriented assessment in women who suffered BP after delivery. With regard to the predictive factors, the presence of BP before pregnancy implied a 3.1-fold higher probability of improvement after delivery. In conclusion, women without history of BP before pregnancy and who complain of these symptoms during pregnancy require greater attention, because they have a lower possibility for improvement. Conversely, in women with a history of BP, pregnancy represents a transient period of worsening symptoms, probably due to the temporary para-physiological mechanical condition.