盆底神经肌肉电刺激配合康复按摩促进产后腹直肌分离疗效的研究  被引量:74

Study on the promoting effect of pelvic floor neuromuscular electrical stimulation combined with rehabilitation massage on postpartum diastasis recti abdominis

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作  者:韦瑞敏[1] 肖霞[1] 吕丽清[1] 罗宇迪[1] 邓贤新[1] 

机构地区:[1]玉林市妇幼保健院,广西玉林537000

出  处:《中国妇幼保健》2016年第21期4361-4364,共4页Maternal and Child Health Care of China

基  金:玉林市科学研究与技术开发计划项目(1421048)

摘  要:目的探讨盆底神经肌肉电刺激配合康复按摩促进产后腹直肌分离疗效。方法选择2014年5月-2015年8月在该院分娩的孕足月产妇,出院42 d后恶露干净后回院由专门培训的人员用手法检查腹直肌分离≥2 cm,盆底肌力≥Ⅲ级,共160例,分为实验组和对照组各80例,实验组接受盆底神经肌肉电刺激配合康复按摩治疗,对照组未予治疗干预。观察并比较两组产妇腹直肌分离愈合情况。结果实验组疗效明显优于对照组,差异有统计学意义(P<0.01)。结论盆底神经肌肉电刺激配合康复按摩促进产后腹直肌分离疗效显著,使产妇减轻后背疼痛,恢复平坦的小腹,增加肌肉的弹性和活动性,促进产妇身体尽快恢复等方面的临床意义。Objective To explore the promoting effect of pelvic floor neuromuscular electrical stimulation combined with rehabilitation massage on postpartum diastasis recti abdominis. Methods A total of 160 full-term pregnant women giving birth to their babies in the hos- pital from May 2014 to August 2015 were selected, the distance of diastasis reeti abdominis was 2 cm or more than 2 cm when lochia was clean after 42 days of discharge, pelvic floor muscle strength was grade Ⅲ or more than grade Ⅲ, all the pregnant women were divided into experimental group and control group, 80 pregnant women in each group. The pregnant women in experimental group were treated by pelvic floor neuromuscular electrical stimulation combined with rehabilitation massage, while the pregnant women in control group did not receive in- terventional therapy. The healing situations of diastasis recti abdominis in the two groups were observed and compared. Results The cura- tive effect in experimental group was statistically significantly better than that in control group ( P〈0.01 ) . Conclusion The promoting effect of pelvic floor neuromuscular electrical stimulation combined with rehabilitation massage on postpartum diastasis recti abdominis is sig- nificant, the method can relieve back pain, restore flat stomach, increase muscle flexibility and mobility, and promote recovery of pregnant women.

关 键 词:盆底神经肌肉 电刺激 康复按摩 腹直肌分离 

分 类 号:R714.6[医药卫生—妇产科学]

 

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