低频神经肌肉电刺激联合手法按摩对产后腹直肌分离的疗效

Effects of low frequency neuromuscular electrical stimulation combined with manual massage on postpartum diastasis recti abdominis

目的:探讨低频神经肌肉电刺激联合手法按摩对产后腹直肌分离的治疗效果。方法:选择2020年9月至2021年2月梅州市妇幼保健计划生育服务中心收治的产后腹直肌分离患者50例,按照随机数字表法,分为观察组和对照组,每组25例。对照组以低频神经肌肉电刺激治疗,观察组在对照组基础上联合中医手法按摩治疗。比较两组的疗效、腹围变化、疼痛程度、生活质量变化。结果:观察组治疗有效率为92.0%,对照组为60.0%(x^(2)=7.018,P=0.008)。与治疗前比较,治疗后两组患者脐围、脐上围、脐下围均缩小(P<0.05);治疗后,观察组脐围、脐上围、脐下围均小于对照组(P<0.05)。与治疗前比较,治疗后两组患者VAS评分降低(P<0.05),WHOQOL-BREF评分升高(P<0.05)。治疗后,观察组VAS评分低于对照组(P<0.05),WHOQOL-BREF评分高于对照组(P<0.05)。结论:低频神经肌肉电刺激联合手法按摩治疗产后腹直肌分离,有较好的治疗效果,对腹围的恢复有明显促进作用,有助于腹部、背部疼痛的改善和生活质量的提升。

Objective:To explore the efficacy of low-frequency neuromuscular electrical stimulation combined with manual massage in the treatment of postpartum diastasis recti abdominis.Methods:Fifty patients with postpartum diastasis recti abdominis in Meizhou Maternal and Child Health and Family Planning Service Center from September 2020 to February 2021 were randomly divided into observation group and control group,25 cases in each group.The patients was treated with low-frequency neuromuscular electrical stimulation in the control group,manual massage of traditional Chinese medicine on the basis of the control group in the observation group.The curative effect,abdominal circumference,pain degree and quality of life of the two groups were compared.Results:The effective rate was 92.0% in the observation group and 60.0% in the control group(x^(2)=7.018,P=0.008).Compared with before the treatment,the umbilical circumference,upper umbilical circumference and lower umbilical circumference of the two groups were reduced after the treatment(P<0.05).After the treatment,the umbilical circumference,upper umbilical circumference and lower umbilical circumference in the observation group were all smaller than those in the control group(P<0.05).Compared with before the treatment,the VAS score of the two groups decreased(P<0.05)after the treatment,while the WHOQOL-BREF score increased(P<0.05).After the treatment,the VAS score was lower in the observation group than that in the control group(P<0.05),and the WHOQOL-BREF score was higher than that in the control group(P<0.05).Conclusion:Low-frequency neuromuscular electrical stimulation combined with manual massage has a good therapeutic effect on postpartum diastasis recti abdominis,which can obviously promote the recovery of abdominal circumference and contribute to the improvement of abdominal and back pain and quality of life.