仿生物电刺激疗法治疗产后腹直肌分离疗效的研究

Study on efficacy of simulating biological electrical stimulation therapy in treating postpartum diastasis recti abdominis

目的探讨仿生物电物刺激疗法对产后腹直肌分离患者的临床疗效。方法选择产后42 d门诊复查的腹直肌分离距离>2.0~5.0 cm的231例产妇为研究对象,按照产妇意愿分为对照组、干预组1和干预组2,分别为70例、76例和85例,对照组不进行运动锻炼及仿生物电刺激,干预组1进行核心运动训练,干预组2采用仿生物电刺激疗法进行治疗,10 d后分别对3组产妇腹直肌分离距离及干预有效率进行评价。结果干预10 d后,干预组2的腹直肌分离距离小于对照组及干预组1,干预显效率(68.24%)高于对照组(8.57%)及干预组1(22.67%),差异有统计学意义(P<0.05);干预10 d后,干预组1的腹直肌分离距离、干预显效率分别小于、高于对照组,差异有统计学意义(P<0.05)。结论应用仿生物电刺激疗法和核心运动训练均能够提高腹直肌分离的康复疗效,从而促进产妇身体康复。腹直肌分离产妇需接受临床干预治疗,且单用仿生物电刺激的效果优于单用核心运动训练。

Objective To investigate the efficacy of simulating biological electrical stimulation therapy in treating postpartum diastasis recti abdominis.Methods A total of 231 postpartum diastasis recti abdominis women with a distance of oveR2~5 cm rechecked on the 42 nd postpartum day in outpatient department were enrolled in the study,and were divided into three groups based on theiRwillingness.The intervention group 1(n=76)implemented core training,the intervention group 2(n=85)received simulating biological electrical stimulation therapy,while the control group(n=70)received no intervention.The curative efficacy and separation distance of diastasis recti abdominis were evaluated afteR10 d treatment.Results AfteR10 days of intervention,the separation distance of rectus abdominis in intervention group 2 was less than that in the routine control group and the intervention group 1,and its effective rate(68.24%)was significantly higheRthan that of routine control group(8.57%)and the intervention group 1(22.67%)(P<0.05).AfteR10 days of intervention,intervention group 1 had significantly shorteRseparation distance of rectus abdominis and higheRefficacy than that of the control group(P<0.05).Conclusion Simulating biological electrical stimulation therapy and core training can promote the curative efficacy in postpartum diastasis recti abdominis,and the postpartum recovery.It is necessary to accept clinical intervention foRwomen with postpartum diastasis recti abdominis,and efficacy of simulating biological electrical stimulation therapy alone is betteRthan core training alone.