产后腹直肌分离诊疗专家共识

Expert consensus on diagnosis and treatment of postpartum diastasis recti abdominis

产后腹直肌分离(DRA)是分娩后的常见疾病。受临床研究不够深入、宣教工作不够规范等因素影响,多数患者和医护人员对产后DRA的认识不足,其相关功能障碍和伴随症状易被忽略或与其他疾病混淆。本专科共识认为产后DRA的发病率和危害性仍被严重低估。本编写组通过对产后DRA相关基础理论和病理生理机制的深入研究,全面总结临床规范化诊疗经验,阐明相关解剖学基础、生物力学特征及影响因素;创建产后DRA的诊断标准、分型和分类标准;创立手法按摩治疗路径的技术流程、服务规范、质量标准、安全质控和疗效标准;建立规范化临床综合康复治疗方案和科学合理的疗效评判标准;多项规范和标准填补了国内空白,对指导和规范产后DRA的诊疗具有重要的意义。

Postpartum diastasis recti abdominis(DRA)is a common disease after delivery.Influenced by factors such as inadequate clinical researches and non-standard propaganda and education,most patients and medical staff have insufficient understanding of postpartum DRA,and its related dysfunction and accompanying symptoms are easily ignored or confused with other diseases.The expert consensus believes that the incidence rate and harmfulness of postpartum DRA are still seriously underestimated.Through in-depth study on the basic theory and pathophysiological mechanism of postpartum DRA,this compiling group comprehensively summarized the clinical standardized diagnosis and treatment experience,clarified the relevant anatomical basis,biomechanical characteristics and influencing factors,and created diagnostic criteria,typing and classification criteria for postpartum DRA.Besides,we established the technical process,service specification,quality standard,quality control of safety and efficacy standard of manual massage therapeutic approach,created standardized clinical comprehensive rehabilitation therapeutic plan and scientific and reasonable evaluation standard for curative effect.A number of norms and standards have filled the gap in our country,and are of great significance to guide and standardize the diagnosis and treatment of postpartum DRA.