摘要
目的探究产后腹直肌分离患者在不同时机采用腹式呼吸结合手法按摩和电刺激的疗效.方法选取2020年2月—2021年2月在该院治疗的腹直肌分离患者60例为研究对象,将其随机分为两组,每组30例.对照组患者在产后42 d后,先进行盆底康复治疗,待盆底肌力达到3级以上时接受产后腹直肌分离治疗(腹式呼吸+手法按摩+电刺激);观察组患者在产后42 d后,同时接受盆底康复治疗及产后腹直肌分离治疗(腹式呼吸+手法按摩+电刺激).比较两组患者的腹直肌分离恢复情况、腹围恢复指标、腰背疼痛程度及生活质量.结果治疗后,两组患者的脐上围、脐围、脐下围均低于治疗前,差异有统计学意义(P<0.05);但观察组各项指标与对照组比较,差异无统计学意义(P>0.05).观察组患者的腹直肌分离≤2 cm者占比为93.33%,高于对照组的90.00%,但二者比较,差异无统计学意义(P>0.05).治疗10次后,两组患者的疼痛评分低于治疗前,生活质量评分高于治疗前,差异有统计学意义(P<0.05);但观察组的疼痛评分及生活质量评分与对照组比较,差异无统计学意义(P>0.05).结论产后腹直肌分离患者采用腹式呼吸结合手法按摩和电刺激,可改善腹直肌分离,减轻患者腰背疼痛,提高其生活质量.将盆底康复治疗与产后腹直肌分离治疗同时进行的效果仍较理想,可缩短治疗时间,利于患者康复,可在临床推广使用.
Objective To investigate the effect of abdominal breathing combined with manual massage and electrical stimulation on patients with rectus muscle separation after delivery.Methods A total of 60 patients with rectus abdominis muscle separation treated in this hospital from February 2020 to February 2021 were selected as the research objects and were randomly divided into two groups,with 30 patients in each group.The control group received pelvic floor rehabilitation treatment 42 days after postpartum,and received postpartum rectus abdominis muscle separation treatment(abdominal breathing+manual massage+electrical stimulation)when the pelvic floor muscle strength reached grade 3 or above;while the observation group received pelvic floor rehabilitation and postpartum abdominis muscle separation treatment(abdominal breathing+manual massage+electrical stimulation)at 42 days after postpartum.The recovery of rectus abdominis muscle separation,abdominal circumference recovery index,lumbar and back pain degree and quality of life were compared between the two groups.Results After treatment,the umbilical circumference,umbilical circumference and umbilical circumference of the two groups were lower than before,the differences between the groups were statistically significant(P<0.05);however,there were no significant differences between the observation group and the control group(P>0.05).The proportion of rectus abdominis muscle separation≤2 cm in the observation group was 93.33%,which was higher than 90.00%in the control group,but the difference was not statistically significant(P>0.05).After 10 times of treatment,the pain scores of the two groups were lower than before treatment,and the quality of life scores of the two groups were higher than before treatment,the differences between the groups were statistically significant(P<0.05);however,there were no significant differences in pain scores and quality of life scores between the observation group and the control group(P>0.05).Conclusion Abdominal breathing combined with manual massage and electrical stimulation can improve the separation of rectus abdominis muscle,relieve patients'back pain and improve their quality of life.The effect of pelvic floor rehabilitation treatment and postpartum abdominis muscle separation treatment at the same time is still ideal,can shorten the treatment time,conducive to the rehabilitation of patients,can be popularized in clinical use.
作者
高立亚
辛德梅
孙秀荣
邓春霞
GAO Liya;XIN Demei;SUN Xiurong;DENG Chunxia(Department of Obstetrics and Gynecology,Beijing Weeping Willows Hospital,Beijing 100022,China)
出处
《反射疗法与康复医学》
2021年第16期123-125,133,共4页
Reflexology And Rehabilitation Medicine
关键词
腹式呼吸
手法按摩
电刺激
产后腹直肌分离
康复治疗
Abdominal breathing
Manipulation massage
Electrical stimulation
Postpartum rectus abdominis muscle separation
Rehabilitation treatment
