针刺治疗产后腹直肌分离患者的疗效及对腹围、腹直肌分离间距的影响  

Acupuncture for postpartum diastasis recti abdominis and its effects on abdominal circumference, separation distance of rectus abdominis

作　　者：张彩侠 杨晓二 赵杨 谢丹丹 王丽娜 ZHANG Caixia;YANG Xiaoer;ZHAO Yang;XIE Dandan;WANG Lina(Department of Pelvic Floor Rehabilitation and Postpartum Health Care,Huai'an Maternal and Child Health Hospital Affiliated to Yangzhou University,Huai'an 223200,Jiangsu Province,China)

机构地区：[1]扬州大学附属淮安市妇幼保健院盆底康复与产后保健科,江苏淮安223200

出　　处：《中国针灸》2024年第2期139-143,共5页Chinese Acupuncture & Moxibustion

基　　金：江苏省中医药科技发展计划项目:MS2021069。

摘　　要：目的:在腹直肌分离锻练基础上,观察针刺对产后腹直肌分离患者的疗效及腹围、腹直肌分离间距、生活质量的影响。方法:将87例产后腹直肌分离康复患者随机分为观察组(44例)和对照组(43例)。对照组采取常规腹直肌分离康复锻练,包括腹式呼吸训练与仰卧抬腿训练,均每日3次,锻练2周。在对照组基础上,观察组采用针刺治疗,穴取中脘、气海,双侧肾俞、带脉、大横、足三里等,留针30 min,每日治疗1次,持续治疗2周。比较两组患者治疗前后腹直肌分离间距、腰背痛视觉模拟量表(VAS)评分、腹围及健康状况调查问卷量表(SF-36)评分,并评定两组临床疗效。结果:治疗后,两组患者腹直肌分离间距、腰背痛VAS评分、腹围均低于治疗前(P<0.05),SF-36量表生理功能、生理职能、疼痛、精神健康、情感职能、社会功能、活力、总体健康各维度评分及总评分均高于治疗前(P<0.05);观察组腹直肌分离间距、腰背痛VAS评分、腹围低于对照组(P<0.05),SF-36量表各维度评分及总评分高于对照组(P<0.05)。观察组有效率为95.5%(42/44),高于对照组的79.1%(34/43,P<0.05)。结论:针刺联合腹直肌分离锻练可有效缓解产后腹直肌分离患者腰背部疼痛,促进腹直肌功能恢复,提高生活质量,疗效优于单纯腹直肌分离锻练。Objective To observe the therapeutic efficacy of acupuncture and its effects on abdominal circumference,separation distance of rectus abdominis and quality of life in patients with postpartum diastasis recti abdominis on the basis of diastasis recti abdominis exercise. Methods A total of 87 postpartum women with diastasis recti abdominis were randomly divided into an observation group(44 cases) and a control group(43 cases). The control group was treated with conventional diastasis recti abdominis rehabilitation exercise, including abdominal breathing training and supine leg lifting training,3 times a day for 2 weeks. On the basis of the treatment in the control group,the observation group was treated with acupuncture at Zhongwan(CV 12),Qihai(CV 6)and bilateral Shenshu(BL 23),Daimai(GB 26),Daheng(SP 15), Zusanli(ST 36), etc.,30 min each time,once a day for 2 weeks. Before and after treatment,the separation distance of rectus abdominis, low back pain visual analogue scale(VAS) score, abdominal circumference and 36-item short form health survey questionnaire(SF-36) score in the two groups were compared,and the clinical effect was evaluated.Results After treatment,the separation distance of rectus abdominis, low back pain VAS scores, abdominal circumference of the two groups were lower than those before treatment(P<0.05), and the physiological function,physiological role,pain,mental health,emotional role,social function,energy,general health scores and total scores of SF-36 were higher than those before treatment(P<0.05);the separation distance of rectus abdominis, low back pain VAS score, abdominal circumference of the observation group were lower than those in the control group(P<0.05),the sub-item scores and total score of SF-36 of the observation group were higher than those in the control group(P<0.05).The effective rate of the observation group was 95.5%(42/44),which was higher than 79.1%(34/43) in the control group(P<0.05). Conclusion Acupuncture combined with diastasis recti abdominis exercise can effectivel

关 键 词：腹直肌分离 针灸 腹直肌分离锻练 腹围 腹直肌分离间距 随机对照试验 

分 类 号：R246.3[医药卫生—针灸推拿学]