盆底神经肌肉电刺激治疗在产后腹直肌分离产妇中的应用效果

Effect of pelvic floor neuromuscular electrical stimulation treatment of maternal with diastasis recti abdominis after parturition

目的探讨盆底神经肌肉电刺激治疗在产后腹直肌分离产妇中的应用效果。方法选取2018年8月~2020年8月广州市番禺区第六人民医院收治的94例产后腹直肌分离产妇作为研究对象,采用随机数字表法分为对照组和观察组,每组各47例。对照组采取常规康复治疗,观察组在对照组的基础上实施盆底神经肌肉电刺激治疗。比较两组干预前和干预10 d后腹直肌分离情况、疼痛[视觉模拟评分法(VAS)]评分、腹围恢复情况,调查产妇治疗依从性。结果干预前,两组的腹直肌分离距离、VAS评分、腹围恢复情况比较,差异无统计学意义(P>0.05)。干预后,观察组腹直肌分离距离小于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组脐上围、脐围、脐下围均短于对照组,差异有统计学意义(P<0.05)。观察组的治疗依从性高于对照组,差异有统计学意义(P<0.05)。结论盆底神经肌肉电刺激治疗能够缩短腹直肌分离距离,减轻产妇疼痛,促进治疗依从性提高,从而促进腹围恢复正常。

Objective To explore the effect of pelvic floor neuromuscular electrical stimulation treatment of maternal with diastasis recti abdominis after parturition.Methods A total of 94 maternal with diastasis recti abdominis after parturition in Panyu District Sixth People′s Hospital of Guangzhou from August 2018 to August 2020 were selected as the research object and divided into the control group and the observation group according to random number table method,with 47cases in each group.The control group received conventional rehabilitation treatment,and the observation group received pelvic floor neuromuscular electrical stimulation basis on the control group.The condition of diastasis recti abdominis,pain(visual analogue scale[VAS])score and abdominal circumference recovery were compared between the two groups before and after 10 days of intervention,and the compliance of maternal treatment was investigated.Results There were no significant differences in the distance of diastasis recti abdominis,VAS score and abdominal circumference recovery between the two groups before intervention(P>0.05).After the intervention,the distance of diastasis recti abdominis of the observation group was smaller than that of the control group,the VAS score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).After intervention,the upper umbilical circumference,umbilical circumference and Infraumbilical circumference of the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).The treatment compliance of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Pelvic floor neuromuscular electrical stimulation could be shorten the distance of diastasis recti abdominis,reduce the pain of parturient,improve the treatment compliance,and restore the abdominal circumference to normal.