摘要
目的观察盆底神经肌肉电刺激(NMES)结合悬吊训练(SET)对产后腹直肌分离的临床疗效。方法2019年9月至12月,产后腹直肌分离>2 cm、盆底肌肌力Ⅲ级以上患者90例,随机分为三组,分别接受单纯盆底NMES(A组)、NMES结合SET(B组)和单纯SET(C组)治疗,共4周。治疗前、治疗2周、治疗4周、治疗结束后4周,测量腹直肌分离距离。结果治疗后,各组腹直肌分离距离均明显缩小(F>8.327,P<0.01);治疗后各时间点,B组腹直肌分离距离最小(F>8.327,P<0.01);多重比较,A组与C组无显著性差异(P>0.05)。结论盆底NMES和SET均可有效改善产后腹直肌分离,两种方法结合疗效更佳。
Objective To observe the effect of pelvic floor neuromuscular electrical stimulation(NMES)and sling exercise training(SET)on diastasis recti abdominis after parturition.Methods From September to December,2019,90 patients with rectus abdominis separation>2 cm and pelvic floor muscle strength above grade III were randomly divided into three groups,accepting simple pelvic floor NMES(group A),pelvic floor NMES and SET(group B),and simple SET(group C),respectively,for four weeks.The separation distance of rectus abdominis was measured before treatment,two weeks and four weeks after treatment,and four weeks follow-up.Results The separation distance of rectus abdominis decreased in each group after treatment(F>8.327,P<0.01);and it was the least in group B(F>8.327,P<0.01),while the multiple comparison results showed that there was no significant difference between group A and group C(P>0.05).Conclusion Both pelvic floor NMES and SET can similarly relieve the diastasis recti abdominis after parturition,and it is more effective in combination.
作者
邹燕齐
张光正
安礼
陈新明
陈俊琦
程吟
徐晓菲
ZOU Yan-qi;ZHANG Guang-zheng;AN Li;CHEN Xin-ming;CHEN Jun-qi;CHENG Yin;XU Xiao-fei(Health School,Dongguan Polytechnic,Dongguan,Guangdong 523186,China;Department of Rehabilitation,Dongguan Humen Hospital,Dongguan,Guangdong 441900,China;Department of Acupuncture and Massage,Jinan Central Hospital Affiliated to Shandong First Medical University,Jinan,Shandong 250013,China;Department of Rehabilitation,the Third Affiliated Hospital of Southern Medical University,Guangzhou,Guangdong 510515,China;Guangdong Medical University the Second Clinical College,Dongguan,Guangdong 523000,China;Xinglongzhuang Coal Mine Hospital,Jining,Shandong 272102,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第11期1353-1357,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
东莞市科学技术局项目课题(No.201950715003313)。
关键词
产后康复
腹直肌分离
盆底神经肌肉电刺激
悬吊训练
postpartum rehabilitation
diastasis recti abdominis
pelvic floor neuromuscular electrical stimulation
sling exercise training