筋膜手法按摩配合内核心肌群训练联合脉管平滑肌电刺激对产后腹直肌分离的临床疗效分析  

Clinical efficacy analysis of fascia massage combined with internal core muscle group training combined with vascular smooth muscle electrical stimulation for postpartum rectus abdominis separation

作　　者：谢谨 卢嘉茵 黎婉仪 Xie Jin;Lu Jiayin;Li Wanyi(Pelvic Floor Rehabilitation Center,The 1oth Affiliated Hospital of Southern Medical University(Dongguan People's Hospital)Dongguan Key Laboratory of Major diseases of Obstetrics and Gynecology Dongguan 523000,China)

机构地区：[1]南方医科大学第十附属医院(东莞市人民医院)/东莞市妇产科重大疾病重点实验室盆底康复中心,广东东莞523000

出　　处：《实用妇科内分泌电子杂志》2023年第26期10-14,共5页Electronic Journal of Practical Gynecological Endocrinology

基　　金：2022年东莞市社会发展科技项目(编号20221800901632)。

摘　　要：目的探讨筋膜手法按摩配合内核心肌群训练联合脉管平滑肌电刺激对产后腹直肌分离的临床疗效。方法选取110例产后42d至1年内复查并确诊为腹直肌分离(≥2cm)的产妇患者为研究对象,根据治疗措施不同分为两组。单纯组52例采用单纯电刺激,联合组58例采用筋膜手法按摩+内核心肌群训练+单纯电刺激,比较两组治疗前后腹围、腹直肌静息肌电位、腹直肌最大肌电位、腹直肌间距及腹直肌肌力维持时间。结果治疗后两组腹围(脐上5cm、脐部、脐下5cm)、腹直肌静息肌电位小于治疗前,腹直肌最大肌电位大于治疗前,但治疗后两组比较差异无统计学意义(P>0.05);治疗后两组腹直肌间距(脐上3cm、脐部、脐下3cm)小于治疗前,且联合组小于单纯组(P<0.05);两组治疗后腹直肌肌力维持时间长于治疗前,但两组比较差异无统计学意义(P>0.05)。结论针对产后腹直肌分离患者,采用筋膜手法按摩配合内核心肌群训练联合脉管平滑肌电刺激,既可缩小患者腹直肌间距和腹围,减小静息肌电位,还可以增加最大肌电位,延长肌力维持时间,可推广应用。Objective To exploring the clinical efficacy of fascia massage combined with internal core muscle group training combined with vascular smooth muscle electrical stimulation for postpartum separation of rectus abdominis.Methods A total of 110 postpartum women with rectus abdominis separation(≥2 cm)confirmed by follow-up examination within 42 days to 1 year were selected as the study subjects,and were divided into two groups based on different treatment measures.52 cases in the simple group were treated with simple electrical stimulation,while 58 cases in the combined group were treated with fascia massage,internal core muscle group training,and simple electrical stimulation.The abdominal circumference,resting muscle potential of the rectus abdominis,maximum muscle potential of the rectus abdominis,distance between the rectus abdominis,and maintenance time of the rectus abdominis muscle strength before and after treatment were compared between the two groups.Results After treatment,the abdominal circumference(5 cm above the umbilicus,5 cm below the umbilicus,and 5 cm below the umbilicus)and resting muscle potential of the rectus abdominis in the two groups were lower than before treatment,and the maximum muscle potential of the rectus abdominis was higher than before treatment.However,there was no statistically significant difference between the two groups after treatment(P>0.05);After treatment,the distance between the rectus abdominis muscles in the two groups(3 cm above the umbilicus,3 cm below the umbilicus,and 3 cm below the umbilicus)was smaller than before treatment,and the combined group was smaller than the simple group(P<0.05);After treatment,the maintenance time of rectus abdominis muscle strength in the two groups was longer than before treatment,but there was no statistically significant difference between the two groups(P>0.05).Conclusion For postpartum patients with rectus abdominis separation,using fascia massage combined with internal core muscle group training combined with vascular smooth muscl

关 键 词：筋膜手法按摩 核心肌群 平滑肌 腹直肌分离 静息肌电位 最大肌电位 肌力维持时间 

分 类 号：R714.6[医药卫生—妇产科学]