【摘要】：下腰痛與骨盆痛是妊娠期婦女的常見(jiàn)主訴。該癥狀的病因較為復(fù)雜,而生物力學(xué)的改變是重要的原因之一。腰椎與骨盆周圍組織的生物力學(xué)改變會(huì)影響組織的生化、病理與解剖結(jié)構(gòu)等方面,且�；橐蚬Ｈ焉锲诩に厮降母淖兪箰u骨聯(lián)合、骶髂關(guān)節(jié)和腰椎關(guān)節(jié)突關(guān)節(jié)等部位的肌肉、韌帶松弛,造成脊柱、骨盆失穩(wěn);隨著妊娠的進(jìn)展,子宮不斷增大以及婦女體質(zhì)量的增加,骨盆前傾,腰椎前凸,重心前移,腰椎的軸向負(fù)荷增大,椎間盤被壓縮,可加速椎間盤退變、突出;同時(shí)增大的子宮削弱了腹部的肌肉力量,腰背肌被動(dòng)代償持續(xù)緊張而易疲勞,身體前后力量失衡,由此可引發(fā)妊娠期婦女下腰痛與骨盆痛。
[Abstract]:Low back pain and pelvic pain are common complaints in pregnant women. The etiology of this symptom is more complex, and biomechanical changes are one of the important reasons. The biomechanical changes of lumbar vertebrae and peripelvis tissue will affect the biochemistry, pathology and anatomical structure of the tissue, and often cause and effect each other. With the change of hormone level during pregnancy, the muscles and ligaments of pubic symphysis, sacroilium joint and lumbar facet joint relax, resulting in instability of spine and pelvis. With the progress of pregnancy, the uterus increases and the body mass of women increases, the pelvis tilts forward, the lumbar kyphosis, the center of gravity moves forward, the axial load of lumbar vertebrae increases, and the intervertebral disc is compressed, which can accelerate the degeneration and protruding of intervertebral disc. At the same time, the enlarged uterus weakens the muscle strength of the abdomen, the passive compensation of the lumbar and dorsal muscles continues to be tense and prone to fatigue, and the imbalance of the strength before and after the body can lead to low back pain and pelvic pain in pregnant women.
【作者單位】： 同濟(jì)大學(xué)附屬楊浦醫(yī)院康復(fù)醫(yī)學(xué)科;同濟(jì)大學(xué)附屬東方醫(yī)院康復(fù)醫(yī)學(xué)科;
【分類號(hào)】：R714.2

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