[慢性盆腔疼痛的流行病学]
Solène Gouesbet1, Marina Kvaskoff1
1Inserm U1018-CESP, équipe Exposome et hérédité, université Paris-Saclay, hôpital Paul-Brousse, Villejuif, France.
La Revue du praticien
|June 23, 2025
概括
慢性盆腔疼痛 (CPP) 的患病率差异很大,影响高达17.3%的女性. 需要更多的研究来评估男性和女性的发病率和相关心理因素.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 疼痛医学 医学 疼痛医学
背景情况:
- 慢性盆腔疼痛 (CPP) 患病率估计因不同病例定义和研究人群而有很大差异.
- 现有的研究表明,女性患病率范围广泛,为2.1%至30.9%,而2021年法国的一项研究报告为17.3%.
- 在男性中CPP的特定流行数据是有限的,尽管慢性前列腺炎影响估计2.2%至12.2%.
研究的目的:
- 总结一下慢性骨盆疼痛的当前流行病学情况.
- 突出需要更新关于CPP发病率和流行率的数据.
- 识别现有文献中报告的关键相关因素.
主要方法:
- 关于慢性骨盆疼痛的流行病学研究的文献综述.
- 分析来自不同人口的流行率和发病率数据.
- 识别常见的相关心理和历史因素.
主要成果:
- 在女性中,CPP的患病率估计在2.1%至30.9%之间,最近的一项法国研究估计为17.3%.
- 发病率数据很少,一项1999年的研究显示,每月发病率稳定为每1000名女性1.58人.
- 相关因素包括心理因素,如男性的抑郁和焦虑,女性的虐待史.
结论:
- 目前对慢性骨盆疼痛患病率的估计不一致,需要标准化定义和多样化的人口研究.
- 对于男性和女性来说,有必要提供当代的发病率数据,以准确了解CPP的负担.
- 心理困扰和虐待史是需要进一步调查和综合护理方法的重要相关因素.
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