盆底神经肌肉电刺激和悬吊训练治疗产后腹直肌分离的效果

doi:10.3969/j.issn.1006-9771.2020.11.019

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (11): 1353-1357.doi: 10.3969/j.issn.1006-9771.2020.11.019

盆底神经肌肉电刺激和悬吊训练治疗产后腹直肌分离的效果

邹燕齐¹(),张光正²,安礼³,陈新明²,陈俊琦⁴,程吟⁵,徐晓菲⁶

1.东莞职业技术学院卫生健康学院,广东东莞市 523186
2.东莞市虎门医院康复科,广东东莞市 441900
3.山东第一医科大学附属济南市中心医院针灸推拿科,山东济南市 250013
4.南方医科大学附属第三医院康复科,广东广州市 510515
5.广东医科大学第二临床学院,广东东莞市 523000
6.兴隆庄煤矿医院,山东济宁市 272102

收稿日期:2020-05-16 修回日期:2020-10-09 出版日期:2020-11-25 发布日期:2020-11-24
通讯作者: 邹燕齐 E-mail:137163631@qq.com
作者简介:邹燕齐(1978-),女,汉族,山东威海市人,硕士,高级讲师、主治医师,主要研究方向：康复治疗教学及临床、针灸教学及临床。
基金资助:
东莞市科学技术局项目课题(201950715003313)

Effects of Pelvic Floor Neuromuscular Electrical Stimulation and Sling Exercise Training on Diastasis Recti Abdominis after Parturition

ZOU Yan-qi¹(),ZHANG Guang-zheng²,AN Li³,CHEN Xin-ming²,CHEN Jun-qi⁴,CHENG Yin⁵,XU Xiao-fei⁶

1. Health School, Dongguan Polytechnic, Dongguan, Guangdong 523186, China
2. Department of Rehabilitation, Dongguan Humen Hospital, Dongguan, Guangdong 441900, China
3. Department of Acupuncture and Massage, Jinan Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong 250013, China
4. Department of Rehabilitation, the Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong 510515, China
5. Guangdong Medical University the Second Clinical College, Dongguan, Guangdong 523000, China
6. Xinglongzhuang Coal Mine Hospital, Jining, Shandong 272102, China

Received:2020-05-16 Revised:2020-10-09 Published:2020-11-25 Online:2020-11-24
Contact: ZOU Yan-qi E-mail:137163631@qq.com
Supported by:
Dongguan Science and Technology Bureau Project(201950715003313)

摘要/Abstract

摘要：

目的观察盆底神经肌肉电刺激(NMES)结合悬吊训练(SET)对产后腹直肌分离的临床疗效。方法 2019年9月至12月,产后腹直肌分离> 2 cm、盆底肌肌力Ⅲ级以上患者90例,随机分为三组,分别接受单纯盆底NMES (A组)、NMES结合SET (B组)和单纯SET (C组)治疗,共4周。治疗前、治疗2周、治疗4周、治疗结束后4周,测量腹直肌分离距离。结果治疗后,各组腹直肌分离距离均明显缩小(F > 8.327, P < 0.01);治疗后各时间点,B组腹直肌分离距离最小( F > 8.327, P < 0.01);多重比较,A组与C组无显著性差异( P > 0.05)。结论盆底NMES和SET均可有效改善产后腹直肌分离,两种方法结合疗效更佳。

关键词: 产后康复, 腹直肌分离, 盆底神经肌肉电刺激, 悬吊训练

Abstract:

Objective To observe the effect of pelvic floor neuromuscular electrical stimulation (NMES) and sling exercise training (SET) on diastasis recti abdominis after parturition.Methods From September to December, 2019, 90 patients with rectus abdominis separation > 2 cm and pelvic floor muscle strength above grade III were randomly divided into three groups, accepting simple pelvic floor NMES (group A), pelvic floor NMES and SET (group B), and simple SET (group C), respectively, for four weeks. The separation distance of rectus abdominis was measured before treatment, two weeks and four weeks after treatment, and four weeks follow-up. Results The separation distance of rectus abdominis decreased in each group after treatment (F > 8.327, P < 0.01); and it was the least in group B ( F > 8.327, P < 0.01), while the multiple comparison results showed that there was no significant difference between group A and group C ( P > 0.05). Conclusion Both pelvic floor NMES and SET can similarly relieve the diastasis recti abdominis after parturition, and it is more effective in combination.

Key words: postpartum rehabilitation, diastasis recti abdominis, pelvic floor neuromuscular electrical stimulation, sling exercise training

中图分类号:

R714.46

邹燕齐,张光正,安礼,陈新明,陈俊琦,程吟,徐晓菲. 盆底神经肌肉电刺激和悬吊训练治疗产后腹直肌分离的效果[J]. 《中国康复理论与实践》, 2020, 26(11): 1353-1357.

ZOU Yan-qi,ZHANG Guang-zheng,AN Li,CHEN Xin-ming,CHEN Jun-qi,CHENG Yin,XU Xiao-fei. Effects of Pelvic Floor Neuromuscular Electrical Stimulation and Sling Exercise Training on Diastasis Recti Abdominis after Parturition[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(11): 1353-1357.

图/表 2

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组别	n	年龄(岁)	胎次(n)
组别	n	年龄(岁)	1胎	2胎	3胎	4胎
A组	30	32.20±4.817	6	22	2	0
B组	30	31.53±4.216	4	21	4	1
C组	30	32.60±3.988	9	18	2	1
F/χ²值		0.459	4.998
P值		0.633	0.544

组别	n	T₀	T₁	T₂	T₃	F值	P值
A组	30	3.750±0.763	2.550±0.674^a	2.000±0.509^a	1.967±0.490^a	10.803	0.003
B组	30	3.400±0.675	2.083±0.588	1.750±0.366	1.683±0.334	15.234	0.001
C组	30	3.633±0.681	2.583±0.671^a	2.117±0.429^a	2.117±0.429^a	8.327	0.008
F值		1.904	5.625	5.479	8.128
P值		0.155	0.005	0.006	0.001

盆底神经肌肉电刺激和悬吊训练治疗产后腹直肌分离的效果

Effects of Pelvic Floor Neuromuscular Electrical Stimulation and Sling Exercise Training on Diastasis Recti Abdominis after Parturition

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