腹部仿生物低频电刺激配合筋膜松解手法在产后腹直肌分离中的应用效果及安全性探究

Investigation on the Application Effect and Safety of Abdominal Biomimetic Low-frequency Electrical Stimulation Combined with Fascia Release Manipulationin in Patients with Postpartum Rectus Abdominis Separation

目的:探究腹部仿生物低频电刺激配合筋膜松解手法在产后腹直肌分离中的应用效果及安全性。方法:选取2020年7月-2022年1月东莞市妇幼保健院的300例产后腹直肌分离患者为研究对象,依据随机数字表法将其分为A组、B组及C组,每组100例。A组进行腹部仿生物低频电刺激配合筋膜松解手法治疗,B组进行腹部仿生物低频电刺激治疗,C组进行自主训练。比较三组治疗1、2个月后的总有效率、不良反应发生率、治疗前后的视觉模拟量表(VAS)评分、脐上及脐下腹直肌分离距离。结果:治疗1、2个月后,A组的总有效率均显著高于B组及C组,B组总有效率均显著高于C组,差异均有统计学意义(P<0.05);三组的不良反应发生率比较,差异无统计学意义(P>0.05);治疗前,三组的VAS评分、脐上及脐下腹直肌分离距离比较,差异均无统计学意义(P>0.05),治疗2个月后,A组的VAS评分、脐上及脐下腹直肌分离距离均显著优于B组及C组,B组则均显著优于C组,差异均有统计学意义(P<0.05)。结论:腹部仿生物低频电刺激配合筋膜松解手法在产后腹直肌分离中的效果较好,安全性较高,在产后腹直肌分离患者中的应用价值较高。

Objective:To investigate the application effect and safety of abdominal biomimetic low-frequency electrical stimulation combined with fascia release manipulationin in patients with postpartum rectus abdominis separation.Method:A total of 300 patients with postpartum rectus abdominis separation in Dongguan Maternal and Child Health Care Hospital from July 2020 to January 2022 were chosen as the study objects,and they were divided into group A,group B and group C by the random number table,with 100 cases in each group.Group A was treated with abdominal biomimetic low-frequency electrical stimulation combined with fascia release manipulationin,group B was treated with abdominal biomimetic low-frequency electrical stimulation,group C was treated with autonomous training.The total effective rates of the three groups after 1 and 2 months of treatment,adverse reaction rate,visual analogue scale(VAS)score,separation distance of superior umbilical and inferior umbilical rectus abdominis before and after the treatment of three groups were compared.Result:After 1 and 2 months of treatment,the total effective rate of group A were significantly higher than those of group B and group C,and the total effective rate of group B were significantly higher than those of group C,the differences were statistically significant(P<0.05);there was no significant difference in the incidence of adverse reactions among the three groups(P>0.05);before treatment,there were no significant differences in VAS score and separation distance of superior umbilical and inferior umbilical rectus abdominis among the three groups(P>0.05),after 2 months of treatment,VAS score and separation distance of superior umbilical and inferior umbilical rectus abdominis in group A were significantly better than those in group B and C,while those in group B were significantly better than those in group C,the differences were statistically significant(P<0.05).Conclusion:The effect of abdominal biomimetic low-frequency electrical stimulation combined with fascia release manipulationin in patients with postpartum rectus abdominis separation is better,and its safety is high,so its application value in the patients with postpartum rectus abdominis separation is higher.