产后早期医疗体操联合神经肌肉电刺激治疗产后腹直肌分离的临床效果

Clinical effect of early postpartum medical gymnastics combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis separation

目的探讨产后早期医疗体操配合神经肌肉电刺激治疗产后腹直肌分离的临床效果。方法选取2019年8月至2020年6月江苏省淮安市妇幼保健院接受治疗的产后腹直肌分离患者68例为研究对象,采取随机数字表法将其分为A组(PHENIX神经肌肉电刺激治疗,34例)、B组(早期医疗体操+PHENIX神经肌肉电刺激治疗,34例)。比较两治疗前、治疗第2周后、治疗第5周后腹直肌分离距离、腹直肌肌力、腹直肌肌电值及腹上角角度。结果两组不同时间点腹直肌分离距离、腹直肌肌电值、腹上角角度比较,差异有统计学意义(P<0.05)。治疗第2、5周后,B组腹直肌分离距离、腹上角角度小于A组;腹直肌肌力优于A组;腹直肌肌电值高于A组,差异有统计学意义(P<0.05)。结论产后早期医疗体操配合神经肌肉电刺激治疗产后腹直肌分离可明显缩小腹直肌分离距离、腹上角角度,更快更好地恢复腹直肌肌力,提高腹直肌肌电值。

Objective To explore the clinical effect of early postpartum medical gymnastics combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis separation.Methods A total of 68 patients with postpartum rectus abdominis separation who received treatment in Huaian Maternal and Child Health Hospital of Jiangsu Province from August 2019 to June 2020 were selected as the research objects.They were divided into group A(PHENIX neuromuscular electrical stimulation treatment,34 cases)and group B(early medical gymnastics+PHENIX neuromuscular electrical stimulation therapy,34 cases)by random number table method.The rectus abdominis separation distance,rectus abdominis muscle strength,rectus abdominis myoelectric value and the angle of upper abdomen angle were compared between two groups before treatment,the second week after treatment,and the fifth week after treatment.Results The rectus abdominis separation distance,rectus abdominis myoelectric value,and the angle of upper abdomen angle were compared between two groups at different time points,and the differences were statistically significant(P<0.05).The second and the fifth week after treatment,rectus abdominis separation distance and the angle of upper abdomen angle in group B were smaller than those in group A;rectus abdominis muscle strength was better than that of group A;rectus abdominis myoelectric value was higher than that of group A,and the differences were statistically significant(P<0.05).Conclusion Early postpartum medical gymnastics combined with neuromuscular electrical stimulation for postpartum rectus abdominis separation can significantly reduce the rectus abdominis separation distance and the angle of the upper abdomen angle,restore the rectus abdominis muscle strength faster and better,and increase the rectus abdominis myaelectric value.