Flexi-bar运动训练联合神经肌肉电刺激治疗产后腹直肌分离的效果  

Therapeutic effects of Flexi-bar exercise combined with neuromuscular electrical stimulation on postpartum diastasis recti abdominis

作　　者：张秋君[1] 李哲[2] ZHANG Qiujun;LI Zhe(Department of Gynecology and Obstetrics,the Fifth Affiliated Hospital,Zhengzhou University,Zhengzhou 450052;Department of Rehabilitation Medicine,the Fifth Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第五附属医院妇产科,郑州450052 [2]郑州大学第五附属医院康复医学科,郑州450052

出　　处：《郑州大学学报（医学版）》2022年第2期284-288,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省医学科技攻关计划项目(2018020231)。

摘　　要：目的:探讨Flexi-bar运动训练联合神经肌肉电刺激(NMES)对产后腹直肌分离的治疗效果。方法:选取2019年1月至2020年12月在郑州大学第五附属医院分娩后发生腹直肌分离的产妇288例,随机数字表法分为3组,每组96例。A组患者接受NMES治疗,30 min/次,3次/周;B组接受Flexi-bar运动训练,1次/d;C组进行Flexi-bar运动训练,然后行NMES;共治疗6周。治疗前后测量腹围和腹直肌间距,利用表面肌电仪检测腹直肌最大自主等长收缩振幅的均方根(RMS)值,利用神经肌肉刺激治疗仪检测盆底Ⅰ类肌纤维最大值及Ⅱ类肌纤维平均值。结果:与治疗前比较,3组患者治疗后腹围和腹直肌间距均降低(P<0.05),腹直肌RMS值升高(P<0.05),盆底Ⅰ类肌纤维最大值和Ⅱ类肌纤维平均值均升高(P<0.05);C组上述指标改善程度大于其他两组(P<0.05)。结论:Flexi-bar运动训练联合NMES可有效促进产后腹直肌分离的恢复。Aim:To investigate the therapeutic effects of Flexi-bar exercise combined with neuromuscular electrical stimulation on diastasis recti abdominis after parturition.Methods:A total of 288 cases of patients who had diastasis recti abdominis after parturition were selected in our hospital from January 2019 to December 2020.All patients were randomly allocated into 3 groups,and 96 in each group.Group A received low-frequency neuromuscular electrical stimulation(30 min/time and 3 times in one week),Group B received Flexi-bar exercise training(1 time/day),Group C received low-frequency neuromuscular electrical stimulation after Flexi-bar exercise training,and treated for 6 weeks.Before and after treatment,the abdominal circumference and the separation distance of the rectus abdominis were measured,and the root mean square(RMS)of the maximum voluntary isometric contraction amplitude of the rectus abdominis was detected by a surface electromyography instrument,and the maximum value of typeⅠmuscle fibers and the average value of typeⅡmuscle fibers of the pelvic floor were detected by the neuromuscular stimulation therapy instrument.Results:Compared with those before treatment,the abdominal circumference and the separation distance of the rectus abdominis of patients in the 3 groups after treatment were reduced(P<0.05),the RMS of the rectus abdominis increased(P<0.05),and the maximum value of typeⅠmuscle fiber and the average value of typeⅡmuscle fiber of the pelvic floor increased(P<0.05);the improvement of the indexes mentioned above were more significantly in group C than in Group A and Group B(P<0.05).Conclusion:The Flexi-bar exercise combined with low-frequency neuromuscular electrical stimulation could promote the recovery of the diastasis recti abdominis after parturition.

关 键 词：腹直肌分离 产后康复 Flexi-bar运动训练 神经肌肉电刺激 

分 类 号：R714.7[医药卫生—妇产科学]