基于“气机升降”针刺结合盆底肌电刺激治疗腹直肌分离的临床研究

Clinical Study of Acupuncture Combined with Pelvic Floor Electrical Stimulationin Treatment of DRA Based on Ascending and Descending of Qi Movement

目的:本研究基于气机升降理论,以针刺结合盆底肌电刺激治疗产后腹直肌分离(DRA),探究针刺结合盆底肌电刺激治疗对DRA的临床疗效。方法:选取本院2021年12月—2022年12月就诊的201名产妇为研究对象。随机分为两组,治疗组98例、对照组103例。两组均采用盆底肌电刺激治疗,治疗组结合针刺治疗,共10次。观察两组产妇治疗前后脐环水平、脐上2 cm及脐下2 cm水平的腹直肌间距(IRD)、腰围、腹围和中医症候积分变化。采用SPSS25.0软件进行数据的统计分析。结果:治疗组各水平的IRD、腰围、腹围及乏力和腰痛的中医症候积分均优于对照组,差异具有统计学意义(P<0.01)。结论:针刺结合盆底肌电刺激治疗可有效改善产妇产后腹直肌分离状况,促进产妇腰围、腹围的恢复,同时改善其乏力、腰痛等症状。

Objective:To explore the clinical efficacy of acupuncture combined with pelvic floor electrical stimulation in treatment of diastasis recti abdominis(DRA)based on ascending and descending of Qi movement theory.Methods:201 postpartum women who met the criteria were randomly divided into the treatment group(n=98)and the control group(n=103).Both groups were treated with pelvic floor electrical stimulation,on which basis,the treatment group was also treated with acupuncture.The postpartum women were treated 3 times a week for 10 times in total.The inter-recti distance(IRD)of the naval level,2 cm above and 2 cm below the navel,waist circumference,abdominal circumference,and TCM symptom scores were recorded in the two groups.The data was analyzed with SPSS25.0 software.Results:The indexes of IRD,waist circumference,abdominal circumference,TCM scores of fatigue and lower back pain were all better in the treatment group than those in the control group after the treatment(P<0.01).Conclusion:Acupuncture combined with pelvic floor electrical stimulation can effectively improve the pospartum DRA,promote the recoveries of waist circumference,abdominal circumference,simultaneously improve the symptoms of fatigue and lower back pain.