核心肌群训练手法联合电刺激对产后腹直肌分离的疗效分析  

Efficacy of core muscle training massage technique combined with electrical stimulation on postpartum diastasis recti abdominis

作　　者：卢嘉茵 谢谨 黎婉仪 黄林海 蒋学风[3] 罗新[3] Lu Jiayin;Xie Jin;Li Wanyi;Huang Linhai;Jiang Xuefeng;Luo Xin(Health Management Center,The Tenth Affiliated Hospital,Southern Medical University(Dongguan People's Hospital),Dongguan Guangdong 523000;Department of Obstetrics and Gynecology,The Tenth Affiliated Hospital,Southern Medical University(Dongguan People's Hospital),Dongguan Key Laboratory of Major Diseases in Obstetrics and Gynecology,Dongguan Guangdong 523000;Department of Obstetrics and Gynecology,The First Affiliated Hospital of Jinan University,Guangzhou Guangdong 510630,P.R.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)健康管理中心,广东东莞523000 [2]南方医科大学第十附属医院(东莞市人民医院)妇产科,东莞市妇产科重大疾病重点实验室,广东东莞523000 [3]暨南大学附属第一医院妇产科,广东广州510630

出　　处：《中国计划生育和妇产科》2024年第7期80-84,89,共6页Chinese Journal of Family Planning & Gynecotokology

基　　金：国家重点研发计划(项目编号:2021YFC2009100);国家重点研发计划重点专项子课题(项目编号:2021YFC2009102);2022年东莞市社会发展科技项目(项目编号:20221800901632)。

摘　　要：目的探讨核心肌群训练手法联合神经肌肉电刺激治疗产后腹直肌分离的近期临床疗效及对腹直肌肌电情况的影响。方法选取2022年1~12月在东莞市人民医院自愿进行腹直肌分离康复治疗的产妇109例,分成两组。实验组59例(核心肌群训练手法+电刺激联合治疗),对照组50例(单纯电刺激)。比较两组患者治疗前后的腹围、腹直肌间距、腹直肌厚度、腹直肌静息肌电位、腹直肌收缩时最大肌电位、肌力维持时间。结果①治疗后两组各位点(脐上3 cm、脐部和脐下3 cm)的腹直肌间距减小,腹直肌厚度增加;与对照组比较,实验组治疗后的腹直肌间距(脐上3 cm、脐部、脐下3 cm)减小更显著,腹直肌厚度(左侧脐部、右侧脐部、右侧脐下3 cm)增加更显著(P<0.05)。②治疗后两组腹围减小(脐上5 cm、脐部和脐下5 cm),腹直肌静息肌电位减小,最大肌电位增大,肌力维持时间延长;但两组在治疗前、治疗后各指标分别比较,差异无统计学意义(P>0.05)。结论核心肌群训练手法联合电刺激对产后腹直肌分离的治疗效果更加明显,可有效减小产后腹直肌间距,增加腹直肌厚度。治疗后腹直肌静息肌电位减小,最大肌电位增大,肌力维持时间延长,临床上可推广。Objective To explore the short-term clinical therapeutic effect of core muscle training massage technique combined with electrical stimulation in the treatment of postpartum diastasis recti abdominis and its influence on the myoelectric potential of the rectus abdominis.Methods A total of 109 puerperae who voluntarily underwent diastasis recti abdominis rehabilitation in Dongguan People's Hospital from January 2022 to December 2022 were selected and divided into two groups.Experimental group 59 cases(core muscle training massage technique+electrical stimulation),control group 50 cases(simple electrical stimulation).The abdominal circumference,the inter-recti distance,the rectus abdominis thickness,the resting muscle potential of the rectus abdominis,the maximum muscle potential of the rectus abdominis during contraction,and the maintenance time of muscle strength were compared between the two groups of patients before and after treatment.Results①After treatment,the inter-recti distance were decreased and the rectus abdominis thickness were increased at each point(3 cm above the umbilicus,the umbilicus and 3 cm below the umbilicus);compared with the control group,the inter-recti distance(3 cm above the umbilicus,the umbilicus and 3 cm below the umbilicus)in the experimental group were decreased more significantly,and the rectus abdominis thickness(left umbilicus,right umbilicus,3 cm below the right umbilicus)in the experimental group were increased more significantly after treatment(P<0.05).②After treatment,the abdominal circumference were decreased(5 cm above the umbilicus,the umbilicus and 5 cm below the umbilicus),the resting muscle potential of the rectus abdominis were decreased,the maximum muscle potential of the rectus abdominis were increased,and the maintenance time of muscle strength was prolonged.But there was no statistically significant difference in various indicators between the two groups before and after treatment(P>0.05).Conclusion Core muscle training massage technique combined with electric

关 键 词：腹直肌分离 产后 肌电位 治疗 

分 类 号：R323.3[医药卫生—人体解剖和组织胚胎学]