盆底神经肌肉电刺激联合核心运动训练对产后腹直肌分离康复的影响

Effect of pelvic floor neuromuscular electrical stimulation combined with core exercise training on postpartum diastasis recti abdominis rehabilitation

目的探讨盆底神经肌肉电刺激联合核心运动训练干预对产后腹直肌分离(DRA)康复的影响。方法选取2019年9月至2021年9月在东营市东营区人民医院就诊的125例产后DRA患者作为研究对象,根据临床干预方式的不同分为对照组(n=62例)与观察组(n=63)。对照组给予常规干预联合盆底神经肌肉电刺激,观察组在对照组的基础上联合核心运动训练,比较两组干预前后DRA距离、腹围(脐围、脐上围、脐下围)恢复情况及腰背疼痛情况。结果干预前,两组DRA距离比较差异无统计学意义;干预1个月时,两组DRA距离均小于干预前,且观察组小于对照组,差异有统计学意义(P<0.05)。干预前,两组脐围、脐上围及脐下围比较差异无统计学意义;干预1个月时,两组脐围、脐上围及脐下围均小于干预前,且观察组小于对照组,差异有统计学意义(P<0.05)。干预前,两组视觉模拟评分法(VAS)评分比较差异无统计学意义;干预1个月时,两组VAS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论盆底神经肌肉电刺激联合核心运动训练干预可缩小产后患者DRA距离,促进腹围恢复,改善腰背疼痛。

Objective To investigate the effect of pelvic floor neuromuscular electrical stimulation combined with core exercise training on post-partum diastasis recti abdominis(DRA)rehabilitation.Methods 125 postpartum DRA patients who were treated in Dongying District People's Hos-pital of Dongying City from September 2019 to September 2021 were selected as the research subjects,and they were divided into the control group(n=62)and the observation group(n=63)according to the different clinical intervention methods.The control group was given routine intervention combined with pelvic floor neuromuscular electrical stimulation,and the observation group was combined with core exercise training on the basis of the control group,the DRA distance,abdominal circumference(umbilical circumference,upper umbilical circumference,lower umbilical circumfer-ence)recovery and low back pain were compared between the two groups before and after intervention.Results Before intervention,there was no significant difference in DRA distance between the two groups;at 1 month of intervention,the DRA distance of the two groups was less than that be-fore intervention,and the observation group was less than that the control group,the differences were statistically significant(P<0.05).Before inter-vention,there were no significant differences in umbilical circumference,upper umbilical circumference and lower umbilical circumference between the two groups;at 1 month of intervention,the umbilical circumference,upper umbilical circumference and lower umbilical circumference of the two groups were smaller than those before intervention,and the observation group was smaller than the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in visual analogue scale(VAS)score between the two groups;At 1 month of intervention,the VAS scores of the two groups were lower than those before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion Pelvic floor neuromuscular electrical stimulation combined with core exercise training intervention can reduce the DRA distance of postpartum patients,promote the recovery of abdominal circumference,and im-prove low back pain.