核心稳定性训练联合神经肌肉电刺激对产后腹直肌分离的效果分析

Effect Analysis of Core Stability Training Combined with Neuromuscular Electrical Stimulation on Postpartum Rectus Abdominis Separation

目的分析核心稳定性训练联合神经肌肉电刺激对产后腹直肌分离的作用效果。方法选取2021年4月—2023年4月福建晋江市医院收治的80例产后腹直肌分离患者为研究对象,根据不同的治疗方法分为对照组(神经肌肉电刺激)和研究组(神经肌肉电刺激联合核心稳定性训练),各40例。比较两组腹围、腹直肌间距、盆底肌肌力。结果治疗后,两组腹围、腹直肌间距均小于治疗前,并且研究组脐上围、脐下围、腹直肌间距均小于对照组,差异有统计学意义(P均<0.05)。研究组恢复正常盆底肌肌力人数占比为72.50%(29/40),高于对照组的45.00%(18/40),差异有统计学意义(χ^(2)=6.241,P<0.05)。结论在产后腹直肌分离治疗中应用核心稳定性训练联合神经肌肉电刺激,可有效缩小患者的腹围与腹直肌间距,提高其盆底肌肌力,促进产后恢复。

Objective To analyze the effect of core stability training combined with neuromuscular electrical stimulation on postpartum rectus abdominis separation.Methods A total of 80 patients with postpartum rectus abdominis separation admitted to Fujian Jinjiang City Hospital from April 2021 to April 2023 were selected as the research objects.According to different treatment methods,they were divided into control group(neuromuscular electrical stimulation)and study group(neuromuscular electrical stimulation combined with core stability training),with 40 cases in each group.The abdominal circumference,rectus abdominis spacing and pelvic floor muscle strength were compared between the two groups.Results After treatment,the abdominal circumference and rectus abdominis spacing of the two groups were smaller than those before treatment,and the upper umbilical circumference,lower umbilical circumference and rectus abdominis spacing of the study group were smaller than those of the control group,and the differences were statistically significant(all P<0.05).The proportion of patients who returned to normal pelvic floor muscle strength in the study group was 72.50%(29/40),which was higher than that of 45.00%(18/40)in the control group,and the difference was statistically significant(χ^(2)=6.241,P<0.05).Conclusion The application of core stability training combined with neuromuscular electrical stimulation in the treatment of postpartum rectus abdominis separation can effectively reduce the distance between abdominal circumference and rectus abdominis,improve the muscle strength of pelvic floor muscle and promote postpartum recovery.