核心稳定性训练联合低频电刺激康复方案治疗产后腹直肌分离产妇的临床疗效

Clinical Efficacy of Core Stability Training Combined with Low-frequency Electrical Stimulation Rehabilitation in the Treatment of Postpartum Rectus Abdominis Muscle Separation in Women

【目的】探讨核心稳定性训练联合低频电刺激康复方案治疗产后腹直肌分离产妇的临床疗效。【方法】选取2021年1月至2023年1月本院收治的80例产后腹直肌分离产妇,根据信封法分为对照组(接受低频电刺激康复方案治疗,n=39)和观察组(接受核心稳定性训练联合低频电刺激康复方案治疗,n=41)。比较两组产妇治疗总有效率、腹直肌间距、腹围、背部视觉模拟评分法(visual analogue scale,VAS)评分、肌纤维肌力、腹直肌最大自主等长收缩振幅均方根(RMS)、症状消失率及满意率。【结果】观察组产妇治疗总有效率为97.56%,显著高于对照组的84.62%,差异有统计学意义(P<0.05)。治疗后,两组脐上围、脐下围、脐围以及腹直肌间距均小于治疗前(P<0.05),且观察组上述指标小于对照组(P<0.05)。治疗后,两组背部VAS评分低于治疗前(P<0.05),且观察组背部VAS评分低于对照组(P<0.05)。治疗后,两组产妇Ⅰ类肌纤维肌力最大值、Ⅱ类肌纤维肌力平均值及腹直肌RMS均大于治疗前,且观察组上述指标大于对照组(P<0.05)。两组产妇满意率比较,差异无统计学意义(P>0.05)。治疗1个月后,观察组症状消失率为92.68%,显著高于对照组的76.92%,差异有统计学意义(P<0.05)。【结论】核心稳定性训练联合低频电刺激康复方案治疗产后腹直肌分离产妇效果显著,可明显缩小产妇腹围,减轻产妇背部疼痛,值得临床推广。

【Objective】To explore the clinical efficacy of a combination of core stability training and low-frequency electrical stimulation therapy in the treatment of postpartum women with rectus abdominis muscle separation.【Methods】A total of 80 postpartum women with rectus abdominis muscle separation admitted to our hospital from January 2021 to January 2023 were selected and divided into a control group(receiving low-frequency electrical stimulation therapy,n=39)and an observation group(receiving core stability training combined with low-frequency electrical stimulation therapy,n=41)according to the envelope method.The total effective rate of treatment,rectus abdominis distance,abdominal circumference,visual analog scale(VAS)score,muscle fiber strength,root mean square(RMS)of maximum autonomous isometric contraction amplitude of rectus abdominis muscle,symptom disappearance rate,and satisfaction rate were compared between the two groups of women.【Results】The total effective rate of maternal treatment in the observation group was 97.56%,significantly higher than the control group's 84.62%,and the difference was statistically significant(P<0.05).After treatment,the umbilical circumference,umbilical circumference,and rectus abdominis distance in both groups were smaller than before treatment(P<0.05),and the above indicators in the observation group were smaller than those in the control group(P<0.05).After treatment,the back VAS scores of both groups were lower than before treatment(P<0.05),and the back VAS scores of the observation group were lower than those of the control group(P<0.05).After treatment,the maximum muscle strength of typeⅠmuscle fibers,the average muscle strength of typeⅡmuscle fibers,and the RMS of rectus abdominis muscle in both groups of parturients were higher than before treatment,and the above indicators in the observation group were higher than those in the control group(P<0.05).There was no statistically significant difference in the satisfaction rate between the two groups of parturients(P>005).After one month of treatment,the symptom disappearance rate in the observation group was 92.68%,significantly higher than the 76.92%in the control group,and the difference was statistically significant(P<0.05).【Conclusion】The combination of core stability training and low-frequency electrical stimulation therapy has a significant effect on the treatment of postpartum rectus abdominis separation in women.It can significantly reduce the abdominal circumference and alleviate back pain in women,and is worthy of clinical promotion and application.