两种仿生物电刺激治疗方案对产妇腹直肌分离的效果评价  

Evaluation of the efficiency of two types of biomimetic electrical stimulation on rectus abdom⁃inis separation

作　　者：凌静[1] 姜雄春[1] 徐明[1] 周贞伶 周芸[1] 覃彭静 葛圆 Ling Jing;Jiang Xiongchun;Xu Ming;Zhou Zhenling;Zhou Yun;Qin Pengjing;Ge Yuan(Department of Obstetrics,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;School of Nursing,Guangxi University of Chinese Medicine,Nanning 530200,China)

机构地区：[1]广西医科大学第一附属医院产科,南宁530021 [2]广西中医药大学护理学院,南宁530200

出　　处：《广西医科大学学报》2022年第6期937-941,共5页Journal of Guangxi Medical University

基　　金：广西高校中青年教师基础能力提升项目(No.2018KY0291)。

摘　　要：目的:探讨两种仿生物电刺激治疗方案对产妇腹直肌分离的临床疗效。方法:将2019年3月至2020年6月在广西医科大学第一附属医院产后42 d确诊为产后腹直肌分离的产妇120例,根据产妇间断或连续到医院治疗时间安排分为观察1组和观察2组,每组60例;另选不进行仿生物电刺激的产妇60例作为对照组;3组产妇均进行产后自主康复锻炼;观察1组采用连续仿生物电刺激治疗方案,观察2组采用间断仿生物电刺激治疗方案,比较3组产妇背部疼痛和腹直肌分离恢复等情况。结果:3组产妇年龄、体重指数、新生儿体重、治疗前腹直肌分离距离、背部疼痛情况等方面差异无统计学意义(均P>0.05);与治疗前比较,治疗后观察1组和观察2组产妇背部疼痛缓解、腹围缩小、腹直肌分离距离减小(均P<0.05);观察1组治疗腹直肌分离效果优于观察2组,差异有统计学意义(P<0.05)。结论:产妇产后应常规进行自主康复锻炼指导;仿生物电刺激治疗治疗产后腹直肌分离产妇效果明显,且连续仿生物电刺激治疗方案优于间断刺激治疗方案。Objective:To investigate the clinical effect of two biomimetic electrical stimulation treatment on separation of rectus abdominis muscle after postpartum.Methods:A total of 120 parturients who were diagnosed with postpartum rectus abdominis muscle separation 42 days after delivery in the First Affiliated Hospital of Guangxi Medical University from March 2019 to June 2020 were divided into observation group 1 and observation group 2 according to the schedule of intermittent or continuous hospital treatment,there were 60 cases in each group.Another 60 cases of parturient without biomimetic electrical stimulation was selected as the control group.The three groups of parturient all perfomed postpartum self-rehabilitation exercise.Group 1 was treated with continuous biomimetic electrical stimulation,and group 2 was treated with intermittent biomimetic electrical stimulation.The recovery of back pain and rectus abdominis separation was compared among the three groups.Results:There were no significant differences in maternal age,body mass index,fetal weight,separation distance of rectus abdominis before treatment,and back pain among the three groups(P>0.05).Compared with before treatment,the group 1 and group 2 had relieved back pain,decreased abdominal circumference,and decreased rectus abdominis separation distance after treatment,and the differences were statistically significant(P<0.05).The treatment effect of group 1 was better than group 2,and the differences were statistically significant(P<0.05).Conclusion:Postpartum women should regularly carry out autonomous rehabilitation exercise guidance.Bioelectric stimulation treatment is effective in treating puerperal rectus muscle separation.The continuous biomimetic electrical stimulation treatment is better than the intermittent stimulation treatment.

关 键 词：治疗方案 电刺激疗法 腹直肌 产妇 产后康复 

分 类 号：R271.43[医药卫生—中医妇科学]