中医推拿联合神经肌肉电刺激治疗产后腹直肌分离患者的效果

Effects of TCM massage combined with neuromuscular electrical stimulation on postpartum diastasis recti abdominis

目的:观察中医推拿联合神经肌肉电刺激治疗产后腹直肌分离患者的效果。方法:选取2021年1月至2022年1月该院收治的60例产后腹直肌分离患者进行前瞻性研究,按随机数字表法将其分为研究组和对照组各30例。对照组给予神经肌肉电刺激治疗,研究组在对照组基础上联合中医推拿治疗。比较两组治疗前后腹直肌分离间距、腹围、腰痛程度[Oswestry功能障碍指数(ODI)]评分和中医证候积分。结果:治疗后,两组腹直肌分离间距、腹围均小于治疗前,且研究组小于对照组,差异有统计学意义(P<0.05);两组ODI评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组中医证候积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:中医推拿联合神经肌肉电刺激治疗产后腹直肌分离患者可缩小腹直肌分离间距与腹围,降低ODI评分与中医证候积分,其效果优于单纯神经肌肉电刺激治疗。

Objective:To observe effects of TCM massage combined with neuromuscular electrical stimulation on postpartum diastasis recti abdominis.Methods:A prospective study was conducted on 60 patients with postpartum diastasis recti abdominis admitted to the hospital from January 2021 to January 2022.According to the random number table method,they were divided into study group and control group,30 cases in each group.The control group was treated with neuromuscular electrical stimulation,while the study group was treated with TCM massage on the basis of that of the control group.The distance between rectus abdominis,the abdominal circumference,the Oswestry dysfunction index(ODI)score,and the TCM syndrome score were compared between the two groups before and after the intervention.Results:After the treatment,the separation distance of rectus abdominis and abdominal circumference in the two groups were smaller than those before the treatment,that in the study group was smaller than that in the control group,and the differences were statistically significant(P<0.05).The ODI scores of the two groups were lower than those before the treatment,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the TCM syndrome scores of the two groups were lower than those before the treatment,that in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:TCM massage combined with neuromuscular electrical stimulation in the treatment of postpartum diastasis recti abdominis can reduce the separation distance of rectus abdominis and the abdominal circumference,and reduce the ODI scores and the TCM syndrome scores.Moreover,it is superior to single neuromuscular electrical stimulation.