升阳举陷针刺法联合萨尔曼进阶练习治疗腹直肌分离患者的临床效果  

Clinical observation on the treatment separation of rectus abdominis by ShengYang lifting trap acupuncture combined with salman advanced exercise

作　　者：张健 刘婷婷 林椠 王明星 邢秀玲 ZHANG Jian;LIU Ting-ting;LIN Qian(Department of Traditional Chinese Medicine,Tangshan Maternal and Child Health Hospital,Tangshan,Hebei,063000,China)

机构地区：[1]唐山市妇幼保健院中医科,河北唐山063000

出　　处：《中国中西医结合外科杂志》2024年第1期76-80,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：2023年度河北省中医药类科学研究课题计划项目(2023209)唐山市妇幼保健院中医科(河北唐山063000)。

摘　　要：目的:探讨升阳举陷针刺法联合萨尔曼进阶练习治疗腹直肌分离患者的临床疗效。方法:选择2022年3月-9月于河北省唐山市妇幼保健院就诊的腹直肌分离患者112例,根据随机数字表法分为观察组与对照组各56例,对照组患者给予萨尔曼进阶练习,观察组在对照组基础上给予升阳举陷针刺法,观察两组治疗前后临床疗效,腹围、脐上腹直肌分离距离、脐下腹直肌分离距离,盆腔器官脱垂情况,盆底Ⅰ、Ⅱ类肌纤维肌电压值,腰背疼痛视觉模拟评分(VAS)及简明健康状况调查量表(SF-36)评分。结果:治疗后观察组总有效率(94.64%)显著高于对照组(82.14%),差异有统计学意义(P <0.05)。治疗后两组腹围、脐上腹直肌分离距离、脐下腹直肌分离距离、VAS评分、盆腔器官脱垂比例均较治疗前降低,且观察组低于对照组,差异有统计学意义(P <0.05)。治疗后两组盆底Ⅰ类肌纤维肌电压值、盆底Ⅱ类肌纤维肌电压值、SF-36评分均较治疗前升高,且观察组高于对照组,差异有统计学意义(P <0.05)。结论:升阳举陷针刺法联合萨尔曼进阶练习治疗腹直肌分离的临床疗效显著。Objective To investigate the clinical effect of ShengYang lifting trap acupuncture combined with Salman advanced exercise in the treatment separation of rectus abdominis.Methods A total of 112 patients with postpartum rectus abdominis separation in Hebei tangshan maternal and child health,hospital were selected and divided into the observation group and the control group,56 patients in each group according to the random number table method.Patients in the control group were given advanced Salman exercise,and patients in the observation group were given ShengYang lifting trap acupuncture on the basic of the control group.The clinical efficacy of the two groups before and after treatment,including abdominal circumference,separation distance of the upper umbilical rectus abdominis and separation distance of the lower umbilical rectus abdominis were observed.Pelvic organ prolapse,fibromuscular voltage of pelvic floor muscle category Ⅰ and Ⅱ,Visual Analogue Score(VAS)and SF-36 score of lower back pain.Results After treatment,rate of the total effective was 94.64%higher than that of control group 82.14%,the difference was statistically significant(P<0.05).The abdominal circumference,superior umbilical rectus abdominis separation distance,inferior umbilical rectus abdominis separation distanc,VAS score and pelvic organ prolapse of 2 groups were lower than before treatment,and observation group was lower than control group,the difference was statistically significant(P<0.05).The fibromuscle voltage value of classⅠpelvic floor muscle,the fibromuscle voltage value of class Ⅱ pelvic floor muscle and SF-36 score of 2 groups were increased compared with before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion ShengYang lifting trap acupuncture combined with Salman advanced exercise is effective in the treatment of separation of rectus abdominis.

关 键 词：升阳举陷法 针刺治疗 萨尔曼进阶练习 腹直肌分离 腹直肌分离距离 盆底肌纤维电压 生活质量评分 

分 类 号：R64[医药卫生—外科学] R271.4[医药卫生—临床医学]