电针联合Flexi-bar运动康复训练对产后腹直肌分离患者的影响

Effect of Electroacupuncture Combined with Flexi-bar Exercise Rehabilitation Training on Postpartum Patients with Diastasis Recti Abdominis

目的:探究电针联合Flexi-bar运动康复训练对产后腹直肌分离(DRA)患者的影响。方法:本研究选取2020年12月-2021年12月在福建中医药大学附属第三人民医院就诊的90例产后DRA患者为研究对象,采用抽签法分为对照组和试验组各45例。对照组给予常规盆底神经肌肉电刺激,试验组在对照组基础上给予电针联合Flexi-bar运动康复训练,治疗6周。分别测量两组干预前后DRA距离、脐围、脐上围、脐下围,监测盆底Ⅰ类和Ⅱ类肌纤维电位,记录尿失禁发生率、临床疗效及生活质量评分。结果:干预后,试验组DRA距离、脐围、脐上围、脐下围均明显低于对照组,盆底Ⅰ类和Ⅱ类肌纤维电位值均高于对照组,尿失禁发生率低于对照组,治疗总有效率高于对照组,生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论:将电针联合Flexi-bar运动康复训练应用于产后DRA患者中,可有效改善DRA患者腹直肌、腹围恢复等情况,提高腹直肌及盆底肌的电位,降低尿失禁发生率,提升患者生活质量。

Objective:To explore the effect of electroacupuncture combined with Flexi-bar exercise rehabilitation training on postpartum diastasis recti abdominis(DRA)patients.Method:A total of 90 patients with postpartum DRA treated in the Third People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from December 2020 to December 2021 were selected as the research object,and were divided into control group and experimental group by drawing lots,with 45 cases in each group.The control group was given routine pelvic floor muscle electrical stimulation,and the experimental group was given electroacupuncture combined with Flexi-bar exercise rehabilitation training on the basis of the control group,treated for 6 weeks.The DRA distance,umbilical circumference,upper umbilical circumference and lower umbilical circumference of the two groups were measured before and after the intervention.The muscle fiber potential value of classⅠand classⅡof the pelvic floor was monitored,and the incidence of urinary incontinence,clinical efficacy and the scores of quality of life were recorded.Result:After the intervention,the DRA distance,umbilical circumference,upper umbilical circumference and lower umbilical circumference of the experimental group were significantly lower than the control group,the potential value of pelvic floor muscle fibers of classⅠand classⅡwere higher than those of the control group,the incidence of urinary incontinence of the experimental group was lower than the control group,the total effective rate of the experimental group was higher than the control group,and the scores of quality of life were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:The application of electroacupuncture combined with Flexi-bar exercise rehabilitation training in postpartum DRA patients can effectively improve the recovery of rectus abdominis and abdominal circumference,improve the muscle strength of rectus abdominis and pelvic floor muscle,reduce the incidence of urinary incontinence and improve the quality of life of patients.