产妇体成分及收腹理疗效果分析

An analysis of body component of puerperae and observation of effect of physiotherapy on abdomen reduction

目的了解产妇体质状况，总结产后收腹效果及其影响因素。方法对4299名产妇进行体成分的测定，其中743名产妇接受YS-1产后恢复治疗仪或联合精油按摩、肌肉振动腹部减脂物理疗法，治疗前后分别进行腹围的测量。结果全身脂肪量正常的产妇仅占26．19％（1126／4299），双下肢肌力正常者占38．75％，双下肢肌肉量正常者占57．01％；影响收腹效果的因素有产妇的年龄、康复理疗方式及理疗次数（X2分别为9．0643、39．9941、17．8464，均P〈0．01）。产妇初始腹围及开始理疗的产后天数经比较无统计学意义（X2分别为0．0161、1．9312，均P〉0．05）。结论产褥期的妇女体质较差，有必要开展康复训练，联合理疗方式及足够的疗程可增强产妇收腹效果，促进体形早日恢复。

Objective To investigate physique of women in puerperal period, observe effect of postpartum abdomen reduction and analyse its influencing factors. Methods The physical components of 4 299 puerperae were measured. 743 of them were treated with lactation promoting system YS-1 combined with abdominal massage with essence oil and abdomonal muscle vibration for fat reduction. The abdominal circumference of the puerpera was measured before and after treatment. Results The body fat of only 26.19% （ 1 126/4 299） of puerperae was well-balanced. The strength of two lower limbs of 38.75% of puerperae was normal. 57.01% of puerperare had normal muscle quantity in two limbs. The factors influencing effect of abdomen reduction included age of the puerperae, method and frequency of physiotherapy （X2 =9. 0643, 17. 8464 and 39. 9941 respectively, all P 〈0.01 ）. The baseline abdominal circumference of the puerperare before physiotherapy and the postpartum days when the puerperare started physiotherapy were both not correlated with effect of abdomen reduction （X2 = 0.0161 and 1. 9312 respectively, both P 〉 0.05 ）. Conclusion Since the puerperae are weak, it is necessary to perform postpartum rehabilitation physiotherapy on them. Combined physiotherapies and enough treatment course can enhance the effect of abdomen reduction and promote recovery of their figure.