耳穴压豆联合电刺激、手法推拿治疗腹型肥胖型产后腹直肌分离的效果分析  

Effect Analysis of Auricular Point Compression Combined with Electrical Stimulation and Manipulative Massage in Treatment of Abdominal Obesity Postpartum Diastasis of Rectus Abdominis Muscles

作　　者：肖佩[1] 黄芳[1] 段凡 熊丽芳 Xiao Pei;Huang Fang;Duan Fan;Xiong Lifang(Changsha Maternal and Child Health Hospital Affiliated to Hunan Normal University,Changsha 410007,Hunan Province,China)

机构地区：[1]湖南师范大学附属长沙市妇幼保健院,湖南长沙410007

出　　处：《中国社区医师》2024年第10期71-73,共3页Chinese Community Doctors

摘　　要：目的:探讨耳穴压豆联合电刺激、手法推拿治疗腹型肥胖型产后腹直肌分离的效果。方法:选取2022年7月1日—2022年12月31日长沙市妇幼保健院盆底与产后康复中心门诊收治的82例腹型肥胖型产后腹直肌分离患者作为研究对象,采用随机数字表法分为观察组和对照组,各41例。对照组采用电刺激和手法推拿治疗,观察组在对照组基础上采用耳穴压豆治疗。比较两组临床疗效、腹直肌分离距离、腹围、体质量指数、疼痛情况及不良反应发生情况。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.034)。治疗前,两组腹直肌分离距离、腹围、体质量指数比较,差异无统计学意义(P>0.05);治疗后,两组腹直肌分离距离、腹围及体质量指数均小于治疗前,且观察组小于对照组,差异有统计学意义(P<0.05)。治疗前,两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后,两组VAS评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:耳穴压豆联合电刺激、手法推拿治疗腹型肥胖型产后腹直肌分离的效果较好,可缩小腹直肌分离距离、腹围,降低体质量指数,减轻疼痛,且安全性较高。Objective:To explore the effect of auricular point compression combined with electrical stimulation and manipulative massage in the treatment of abdominal obesity postpartum diastasis of the rectus abdominis muscles.Methods:A total of 82 patients with abdominal obesity postpartum diastasis of the rectus abdominis muscles admitted to Pelvic Floor and Postpartum Rehabilitation Center,Changsha Hospital of Maternal and Child Health Care from July 1,2022 to December 31,2022 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 41 cases in each group.The control group was treated with electrical stimulation and manipulative massage,and the observation group was treated with auricular point compression on the basis of the control group.The clinical efficacy,diastasis distance of the rectus abdominis muscles,abdominal circumference,body mass index,pain and adverse reactions of the two groups were compared.Results:The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.034).Before treatment,there was no significant difference in diastasis distance of the rectus abdominis muscles,abdominal circumference and body mass index between the two groups(P>0.05).After treatment,the diastasis distance of the rectus abdominis muscles,abdominal circumference and body mass index in the two groups were lower than those before treatment,and these indexes in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the scores of visual analogue scale(VAS)between the two groups(P>0.05).After treatment,the VAS scores in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no significant dif

关 键 词：腹型肥胖型产后腹直肌分离 耳穴压豆 电刺激 

分 类 号：R271.43[医药卫生—中医妇科学]