产后女性腹直肌分离的高频超声评估及针灸电针治疗效果分析  

High Frequency Ultrasound Evaluation of Diastasis Recti Abdominis of Postpartum Women and Curative Effect Analysis of Acupuncture and Electroacupuncture

作　　者：钟华[1] 周玉婷 曾梅青 何舜卿 骆婕 卢秉慧[2] ZHONG Hua;ZHOU Yuting;ZENG Meiqing;HE Shunqing;LUO Jie;LU Binghui(Ultrasound Diagnosis Department,Guangdong Pharmaceutical University The First Affiliated Hospital,Guangzhou,Guangdong 510800;Traditional Chinese Medicine Department,Guangdong Pharmaceutical University The First Affiliated Hospital,Guangzhou,Guangdong 510800)

机构地区：[1]广东药科大学附属第一医院超声诊断科,广东广州510800 [2]广东药科大学附属第一医院中医科,广东广州510800

出　　处：《智慧健康》2023年第11期175-179,共5页Smart Healthcare

基　　金：广东省中医药局科研项目《超声多模态成像量化评价电针治疗产后早期腹直肌分离疗效的临床研究》(项目编号:20212109);广东省中医药局科研项目《生物电阻抗法分析PGLA埋线结合易医脐针治疗腹型肥胖的临床疗效观察》(项目编号:20192044)。

摘　　要：目的 分析高频超声评估针灸电针治疗产后女性腹直肌分离(diastasis recti abdominis,DRA)的效果。方法 选取2020年1月-2020年9月产后42d在本院门诊复查的DRA产后女性178例,按照治疗方法的不同分为对照组(未采取任何治疗措施)55例、观察A组(给予常规治疗,如仿生物电刺激治疗)61例、观察B组(在常规治疗的基础上给予针灸电针治疗)62例。采用高频超声测量患者的腹直肌间距(IRD),比较三组患者治疗前后的IRD、腹围恢复情况,以及治愈率。结果 重复测量显示,IRD以时点、组间、时点和组间交互作用比较,差异均有统计学意义(P<0.05);事后LSD-t显示,三组IRD比较:治疗3个疗程<治疗2个疗程<治疗1个疗程<对照组,且治疗1个疗程、2个疗程、3个疗程观察B组<观察A组<对照组,差异均有统计学意义(P<0.05)。治疗后三组脐上围、脐围、脐下围比较:观察B组<观察A组<对照组,差异均有统计学意义(P<0.05)。三组治愈率比较:观察B组(59.68%)>观察A组(31.15%)>对照组(9.09%),差异均有统计学意义(P<0.05)。结论在常规治疗的基础上给予针灸电针治疗产后DRA产后女性,可有效提高腹围恢复情况,提高治愈率;高频超声能够评估产后腹直肌的分离情况,可评估为针灸电针治疗疗效,为针灸治疗提供参考。Objective To evaluate effect of acupuncture and electroacupuncture on separation of diastasis recti abdominis(DRA)of postpartum women by high-frequency ultrasound.Methods The paper chose 178 postpartum women with DRA reexamined in outpatient department of our hospital 42 days after delivery from January 2020 to September 2020,and divided them into control group(with no treatment measures)of 55 cases,observation group A(with routine treatment,including imitation bioelectricity stimulation treatment)of 61 cases,observation group B(with acupuncture and electroacupuncture treatment on the basis of routine treatment)of 62 cases according to different treatment methods.Distance between rectus abdominis(IRD)of patients was measured with highfrequency ultrasound,IRD,abdominal circumference recovery,and cure rate of three groups before and after treatment was compared.Results Repeated measurements showed,there were statistically significant difference in IRD at time points,between groups,between time points,and among group interactions(P<0.05).Afterwards,LSD-t showed,IRD comparison among three groups:treatment for 3 courses<treatment for 2 courses<treatment for 1 course<control group,treatment for 1 course,2 courses,and 3 courses,of group B<observation group A<control group,difference was statistically significant(P<0.05).After treatment,umbilical circumference,umbilical circumference,and umbilicus circumference comparison among three groups:observation group B<observation group A<control group,difference was statistically significant(P<0.05).Cure rate comparison among three groups:observation group B(59.68%)>observation group A(31.15%)>control group(9.09%),with statistically significant difference(P<0.05).Conclusion On the basis of routine treatment,acupuncture and electroacupuncture can effectively improve recovery of abdominal circumference and cure rate of postpartum women with DRA,high frequency ultrasound can evaluate separation of diastasis recti abdominis after delivery,curative effect of acupuncture and electroac

关 键 词：高频超声 针灸电针 腹直肌分离 

分 类 号：R246.3[医药卫生—针灸推拿学]