摘要
目的:观察解肌提韧手法、生物刺激反馈仪联合腹直肌训练在产后腹直肌分离修复中的应用效果。方法:选择2022年6月—2024年2月台州市妇幼保健院收治的70例产后腹直肌分离患者,采用随机数字表法分为对照组和观察组各35例。对照组剔除、脱落3例,观察组剔除、脱落4例。对照组予以生物刺激反馈仪联合腹直肌训练,观察组在对照组基础上加用解肌提韧手法。比较2组腹围恢复情况、腹直肌分离恢复情况、腹部筋膜疼痛视觉模拟评分法(VAS)评分、腹直肌间距(IRD)值。结果:治疗后,2组脐上围、脐围、脐下围较治疗前缩小(P<0.05);且观察组脐上围、脐围、脐下围小于对照组(P<0.05)。治疗后,观察组的腹直肌分离恢复优于对照组(P<0.05)。2组治疗后的疼痛VAS评分随着治疗次数的增多逐渐降低(P<0.05);治疗3次、5次、10次后,观察组VAS评分均低于同期对照组(P<0.05)。治疗后,2组脐上、脐环、脐下IRD值较治疗前减少(P<0.05),且观察组脐上、脐环、脐下IRD值小于对照组(P<0.05)。结论:解肌提韧手法、生物刺激反馈仪联合腹直肌训练有利于促进产后腹直肌分离的恢复,改善产后腹围,减轻产妇腹部筋膜疼痛。
Objective:To observe the application effect of muscle-relaxing and ligament-lifting manipulation,bio-stimulation feedback device combined with rectus abdominis training in the repair of postpartum diastasis recti abdominis.Methods:A total of 70 patients with postpartum diastasis recti abdominis admitted to Taizhou Maternal and Child Health Hospital from June 2022 to February 2024 were selected and randomly divided into a control group and an observation group(n=35 per group)using a random number table method.Three cases were excluded or dropped out in the control group,and four cases were excluded or dropped out in the observation group.The control group received bio-stimulation feedback device combined with rectus abdominis training,while the observation group received muscle-relaxing and ligament-lifting manipulation in addition to the control group's regimen.The recovery of abdominal circumference,the recovery of diastasis recti abdominis,the Visual Analogue Scale(VAS)score for abdominal fascial pain,and the inter-rectus distance(IRD)value were compared between the two groups.Results:After treatment,the upper umbilical circumference,umbilical circumference,and lower umbilical circumference decreased in both groups compared with those before treatment(P<0.05),and the observation group had smaller upper umbilical circumference,umbilical circumference,and lower umbilical circumference than the control group(P<0.05).After treatment,the recovery of diastasis recti abdominis was better in the observation group than in the control group(P<0.05).The pain VAS scores in both groups gradually decreased with the increase of treatment times(P<0.05),and the VAS scores in the observation group were lower than those in the control group after 3,5,and 10 treatments(P<0.05).The IRD values at the upper umbilical,umbilical ring,and lower umbilical areas decreased in both groups compared with those before treatment(P<0.05),and the observation group had smaller IRD values than the control group(P<0.05).Conclusion:Muscle-relaxing and ligament-lifting manipulation,bio-stimulation feedback device combined with rectus abdominis training is beneficial for promoting the recovery of postpartum diastasis recti abdominis,improving postpartum abdominal circumference,and alleviating abdominal fascial pain in parturients.
作者
刘水清清
陈海龙
李易蓉
安大伟
LIU Shuiqingqing;CHEN Hailong;LI Yirong;AN Dawei(Taizhou Maternal and Child Health Hospital,Taizhou Zhejiang 318000,China;Central Health Center of Youxi Town,Linhai City,Linhai Zhejiang 317025,China;Department of Medical Education,Linhai Hospital of Traditional Chinese Medicine,Linhai Zhejiang 317000,China)
出处
《新中医》
2025年第23期80-84,共5页
New Chinese Medicine
基金
2023年度浙江省中医药科技计划项目(2023ZL779)。
关键词
产后腹直肌分离
解肌提韧手法
生物刺激反馈仪
腹直肌训练
修复效果
视觉模拟评分法
腹直肌间距
Postpartum diastasis recti abdominis
Muscle-relaxing and ligament-lifting manipulation
Bio-stimulation feedback device
Rectus abdominis training
Repair effect
Visual Analogue Scale
Inter-rectus distance
