腹部仿生物低频电刺激+WAFF运动训练修复产后腹直肌分离临床效果观察

Clinical observation of low frequency abdominal mimics electrical stimulation+WAFF exercise training to repair the separation of rectus abdominis after delivery

目的探究腹部仿生物低频电刺激+WAFF运动训练在产后腹直肌分离(DRA)修复中的应用效果。方法选取2020年7月至2022年12月东莞市妇幼保健院产后DRA患者300例,随机数字表法分为两组,对照组接受WAFF运动训练,研究组采取腹部仿生物低频电刺激+WAFF运动训练。观察两组疗效、干预前后腰背部疼痛(GPS)评分及不同状态下剑突与脐中点、脐水平位点腹直肌间距(IRD)和腹白线弹性评分、生活质量(WHOQOL-BREF)、腹部美观度、不良反应。结果研究组总有效率98.00%(147/150)高于对照组81.33%(122/150)(P<0.05);干预12周后研究组GPS各维度评分均低于对照组(P<0.05);干预12周后与对照组相比,研究组屈曲状态、静息状态、呼吸末状态下脐水平位点、剑突与脐中点IRD短于对照组,腹白线弹性评分高于对照组(P<0.05);干预12周后研究组WHOQOL-BREF量表中社会关系领域、生理领域、心理领域评分高于对照组(P<0.05);研究组腹部美观度的总满意度为93.33%(140/150),高于对照组的84.67%(127/150)(P<0.05)。结论腹部仿生物低频电刺激+WAFF运动训练可促进DRA患者腹直肌分离恢复,增强腹白线弹性,提升腹部美观度,还能降低腰背疼痛程度,提高患者生活质量,效果可靠且安全性高,值得临床推广。

Objective To explore the application effect of abdominal mimicry low frequency electrical stimulation and WAFF exercise training in the repair of postpartum rectus abdominis dissociation(DRA).Methods A total of 300 postpartum patients with DRA in Dongguan Maternal and Child Health Care Hospital from July 2020 to December 2022 were selected and divided into two groups by random number table method.The control group received WAFF exercise training,and the research group received abdominal bioimitation low-frequency electrical stimulation+WAFF exercise training.Efficacy,low back pain(GPS)score before and after intervention,rectus abdominis distance(IRD)between xiphoid process and midumbilical point,umbilical level site,abdominal elasticity score,quality of life(WHOQOL-BREF),abdominal beauty and adverse reactions were observed in the two groups.Results The total effective rate of the study group was 98.00%(147/150)higher than that of the control group 81.33%(122/150)(P<0.05).After 12 weeks of intervention,the GPS scores of the research group were lower than those of the control group(P<0.05).After 12 weeks of intervention,compared with the control group,IRD at the umbilical level,xiphoid process and midumbilical point in the study group was shorter than that in the control group at flexion,resting state and end breathing state,and the abdominal line elasticity score was higher than that in the control group(P<0.05).After 12 weeks of intervention,the scores of social relation field,physiological field and psychological field in the study group were higher than those in the control group(P<0.05).The total satisfaction of abdominal aesthetics in the study group was 93.33%(140/150),which was higher than that in the control group 84.67%(127/150)(P<0.05).Conclusion Abdominal biobimetic low-frequency electrical stimulation+WAFF exercise training can promote the recovery of rectus abdominis separation in patients with DRA,enhance the elasticity of abdominal linea alba,improve abdominal beauty,reduce the degree of lumbago and back pain,improve the quality of life of patients,the effect is reliable and safe,worthy of clinical promotion.