国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (5): 579-583.

• 产科生理及产科疾病 综述 • 上一篇    下一篇

产后腰椎-骨盆复合体疼痛综合征的研究进展

李振,张喜林   

  1. 200437  上海中医药大学附属岳阳中西医结合医院推拿科
  • 收稿日期:2020-02-03 修回日期:2020-04-15 出版日期:2020-10-15 发布日期:2020-10-27
  • 通讯作者: 张喜林,E-mail:xilinz@163.com E-mail:1248947203@qq.com
  • 基金资助:
    上海申康医院发展中心临床科技创新项目(SHDC12016128);上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)项目[ZY(2018-2020)-FWTX-2005]

Progress in Research on Postpartum Lumbopelvic Pain

 LI Zhen,ZHANG Xi-lin   

  1. Tuina Department,Yueyang Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China
  • Received:2020-02-03 Revised:2020-04-15 Published:2020-10-15 Online:2020-10-27
  • Contact: ZHANG Xi-lin,E-mail:xilinz@163.com E-mail:1248947203@qq.com

摘要: 产后腰椎-骨盆复合体疼痛(PLPP)是以腰椎及骨盆带疼痛为主要表现,可伴有下肢酸胀不适的临床综合征。尽管很多妇女在分娩后的最初几个月腰椎骨盆疼痛的发生率有所降低,但仍有相当一部分妇女在产后2~3年内出现持续性腰椎骨盆疼痛。PLPP的发病机制尚不明确,目前主要认为与内分泌系统、循环系统、生物力学、神经功能改变有关。但是长期以来PLPP一直被视为女性产后的正常生理反应,未得到重视,因此很多产后妇女未能得到及时有效和规范化的治疗,导致其不能正常回归家庭和社会,对产后女性的身心健康造成严重损害。现对PLPP的诊断、发病机制及治疗研究现状进行总结,旨在对PLPP的进一步研究提供理论基础。

关键词: 产后腰椎-骨盆复合体疼痛;, 诊断;, 治疗;, 运动疗法;, 针灸疗法;, 推拿;, 功能恢复

Abstract: Postpartum lumbopelvic pain (PLPP) is a clinical manifestation of lumbar spine and pelvic band pain, which can be accompanied by discomfort in the lower extremities. Although many women have a reduced prevalence of lumbar pelvic pain in the first few months after delivery, a considerable number of women experience persistent lumbar pelvic pain within 2 to 3 years after delivery. The pathogenesis of PLPP is not clear, and it is mainly related to changes in endocrine system, circulatory system, biomechanics, and neural function. However, for a long time, PLPP has been regarded as a normal postpartum physiological response of women and has not been taken seriously. Therefore, postpartum women have not been able to receive timely, effective and standardized diagnosis and treatment. As a result, postpartum women cannot return to the family and society normally, causing serious damage to the physical and mental health of postpartum women. Therefore, it is planned to summarize the diagnosis, pathogenesis and treatment of PLPP, in order to provide a theoretical basis for further research on PLPP.

Key words: Postpartum lumbopelvic pain, Diagnosis;, Therapy;, Exercise therapy;, Acupuncture-moxibustion;, Tuina;, Recovery of function