患有子宫内膜异位症的女性下骨盆综合体的肌肉骨评估:一个病例对照研究
Adriana Silva de Barros1, Germana Mesquita Magalhães1, Luana Darc de Menezes Braga1
1Federal University of Ceara, Brasil.
概括
患有子宫内膜异位症和慢性盆腔疼痛的女性比健康人群表现出更多的肌肉骨疾病,减少灵活性和更高的疼痛敏感性. 这突显了子宫内膜异位症在妇科症状之外的重大身体影响.
科学领域:
- 妇科健康 妇科健康
- 疼痛管理 疼痛管理
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 在子宫内膜异位症中,慢性盆腔疼痛 (CPP) 有多种来源,包括肌肉骨因素.
- 与子宫内膜异位症相关的CPP可能导致持续的肌肉收缩,改变姿势和二次组织损伤.
- 关于子宫内膜异位症和CPP的特定肌肉骨影响的数据有限.
研究的目的:
- 通过使用临床疼痛测量工具,研究和比较患有子宫内膜异位症和没有子宫内膜异位症的妇女的盆腔和腰部肌肉骨疾病的患病率.
- 评估患有子宫内膜异位症和没有子宫内膜异位症的妇女之间疼痛值,肌肉灵活性,运动恐惧症和残疾的差异.
主要方法:
- 对71名妇女进行了病例控制研究 (41名子宫内膜异位症患者,30名对照患者).
- 数据收集包括问卷,物理治疗评估,疼痛映射,压力疼痛值,运动恐惧症和残疾测量.
- 斯皮尔曼的Rho测试用于统计分析.
主要成果:
- 与对照组 (CG) 相比,子宫内膜异位症组 (EG) 呈现出 lumbopelvic触发点的较低疼痛值变化和肌肉灵活性降低.
- EG报告了更高的运动恐惧症得分,而最常见的疼痛区域是下胃 (EG) 和左腰部 (CG).
- 在CG的腰部盆腔区域中,观察到运动恐惧症和压力疼痛值之间存在弱相关性.
结论:
- 与健康女性相比,患有子宫内膜异位症和CPP的女性显示肌肉骨疾病的患病率更高.
- 子宫内膜异位症患者表现出较低的疼痛值,腰部运动范围下降,运动恐惧症和残疾增加.
- 这些发现强调了与子宫内膜异位症相关的慢性骨盆疼痛的显著肌肉骨组成部分.
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