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中华妇幼临床医学杂志(电子版)

中华妇幼临床医学杂志(电子版) ›› 2017, Vol. 13 ›› Issue (02) : 218 -221. doi: 10.3877/cma.j.issn.1673-5250.2017.02.018

所属专题： 文献；

论著

电刺激治疗产后腹直肌分离的效果观察
王影1, 张洁1, 冯艳霞1,†(), 马乐2   
  1. 1. 066000　河北，秦皇岛市妇幼保健院妇科
    2. 100006　首都医科大学附属北京妇产医院男科
  • 收稿日期:2016-11-03 修回日期:2017-02-17 出版日期:2017-04-01
  • 通信作者: 冯艳霞

Curative effects on electrical stimulation treatment for postpartum diastasis recti abdominis

Ying Wang1, Jie Zhang1, Yanxia Feng1,†(), Le Ma2   

  1. 1. Department of Gynecology, Maternity & Child Care Center of Qinhuangdao, Qinhuangdao 066000, Hebei Province, China
    2. Department of Andrology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China
  • Received:2016-11-03 Revised:2017-02-17 Published:2017-04-01
  • Corresponding author: Yanxia Feng
  • About author:
    Corresponding author: Feng Yanxia, Email:
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引用本文：

王影, 张洁, 冯艳霞, 马乐. 电刺激治疗产后腹直肌分离的效果观察[J/OL]. 中华妇幼临床医学杂志(电子版), 2017, 13(02): 218-221.

Ying Wang, Jie Zhang, Yanxia Feng, Le Ma. Curative effects on electrical stimulation treatment for postpartum diastasis recti abdominis[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2017, 13(02): 218-221.

目的

探讨电刺激治疗产后腹直肌分离的临床效果。

方法

选择2013年1月至2015年1月，于秦皇岛市妇幼保健院产后门诊复查的23例腹直肌分离距离大于2.0 cm的产后42 d妇女为研究对象。采用PHENIX USB 8神经肌肉电刺激治疗仪对23例患者进行电刺激治疗，20 min/次，2次/周，共计治疗6次。采用腹部触诊法，检查患者治疗前、后腹直肌分离距离，并进行统计学分析。

结果

①本研究23例患者经电刺激治疗后，腰部、背部疼痛症状均得到缓解。电刺激治疗过程中及治疗后，患者均无不适，均未发生相应并发症。②本研究23例患者经电刺激治疗后，22例患者腹直肌分离距离<2.0 cm，1例腹直肌分离距离为3.0 cm，但该患者治疗后腹直肌分离距离较治疗前缩小2.5 cm。这23例患者治疗后腹直肌分离距离为(1.6±0.5)cm，较治疗前的(3.9±0.7)cm显著缩小，二者比较，差异有统计学意义(t＝12.80，P<0.001)。

结论

电刺激治疗产后腹直肌分离效果良好、安全，无不良反应。

关键词: 电刺激, 产伤, 腹直肌分离, 治疗结果, 产妇
Objective

To study the clinical effect of electrical stimulation treatment of postpartum diastasis recti abdominis.

Methods

A total of 23 cases of 42 d postpartum women from January 2013 to January 2015 in Maternity & Child Care Center of Qinhuangdao, whose separations of diastasis recti abdominis were greater than 2.0 cm were selected as research subjects. All the 23 cases patients were given 6 times of electrical stimulation treatment by PHENIX USB 8 neuromuscular electrical stimulation therapy device, each treatment time need 20 min and 2 times a week. The separation of diastasis recti abdominis were measured by abdominal palpation method before and after treatment. And the separation of diastasis recti abdominis before and after treatment were analyzed statistically.

Results

①After the electrical stimulation treatment, lumbar and back pain of all the 23 cases of patients were released. During the course of treatment and after treatment, none of them felt uncomfortable, and no corresponding complications occurred among them. ②After the electrical stimulation treatment, the separations of diastasis recti abdominis of 22 cases of patients were less than 2.0 cm, and the separation of 1 case was more than 3.0 cm whose separation was 2.5 cm shorter than before treatment. After treatment, the separation of diastasis recti abdominis was (3.9±0.7) cm, which was significantly shorter than (1.6±0.5) cm before treatment, and the difference was statistically significant (t=12.80, P<0.001).

Conclusions

Electrical stimulation is effective, safe and has no side effects in the treatment of diastasis recti abdominis.

Key words: Electrical stimulation, Birth injuries, Diastasis recti abdominis, Treatment outcome, Parturient
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