Pilates运动配合仿生物电刺激治疗产后腹直肌分离患者的应用效果

Effect of Pilates Exercise Combined with Biomimetic Electrical Stimulation in the Treatment of Patients with Postpartum Rectus Abdominis Muscle Separation

目的:探讨Pilates运动配合仿生物电刺激在治疗产后腹直肌分离中的临床应用。方法:选取广州市第一人民医院南沙医院2019年9月至2020年9月期间收治的60例产后腹直肌分离患者,通过随机数字表法分为对照组和观察组,各30例。对照组采取常规仿生物电刺激治疗,观察组采取Pilates运动配合仿生物电刺激治疗,记录两组患者临床疗效,观察两组患者治疗前后腹直肌分离距离、下腰背疼痛改善情况及患者满意度情况。结果:治疗后两组患者的脐上腹直肌分离宽度和脐下腹直肌分离间距均有不同程度缩短,且治疗后观察组患者的肚脐上腹直肌分离宽度和肚脐下腹直肌分离间距短于对照组,差异具有统计学意义(P<0.05)。治疗后两组患者的腰背疼痛占比均有不同程度降低,且治疗后观察组患者的腰背疼痛占比低于对照组,差异具有统计学意义(P<0.05)。观察组患者的满意度为93.33 %,高于对照组的73.33 %,差异具有统计学意义(P<0.05)。结论:Pilates运动结合仿生物电刺激可提高产后腹直肌分离患者整体的治疗效果,有效降低下腰背痛程度,改善腹直肌分离间距及腰围恢复,增加整体满意度。

Objective To investigate the clinical application of Pilates exercise combined with biomimetic electrical stimulation in the treatment of postpartum rectus muscle separation.Methods A total of 60 patients with postpartum rectus abdominis separations admitted to Nansha Hospital of the First People’s Hospital of Guangzhou from September 2019 to September 2020 were selected and divided into control group and observation group by random number table method,with 30 patients in each group.The control group received conventional bioelectric stimulation treatment,and the observation group received Pilates exercise combined with bioelectric stimulation treatment.The clinical efficacy of the two groups were recorded.The separation distance of rectus abdominis muscle,the improvement of low back pain of patient satisfaction before and after treatment were observed in the two groups.Results After treatment,the separation width of the superior rectus abdominis muscle and the separation distance between the inferior rectus abdominis muscle in the two groups were shortened to varying degrees,and the separation width of the superior rectus abdominis muscle and the separation distance between the inferior rectus abdominis muscle in the observation group were shorter than those in the control group,with statistical significances (P < 0.05).After treatment,the proportion of lumbago and back pain in both groups decreased to varying degrees,and the proportion of lumbago and back pain in the observation group was lower than that in the control group,the difference was statistically significant (P < 0.05).The satisfaction of the observation group was 93.33%,which was higher than 73.33% of the control group,and the difference was statistically significant (P < 0.05).Conclusion Pilates exercise combined with bioelectric stimulation can improve the overall therapeutic effect of patients with postpartum rectus abdominis muscle separation,effectively reduce the degree of low back pain,improve the separation distance of rectus abdominis muscle and waist circumference recovery,and increase the overall satisfaction.