首页|基于一源三歧理论早期干预产后腹直肌分离症临床观察

基于一源三歧理论早期干预产后腹直肌分离症临床观察

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目的 探讨基于一源三歧理论早期干预产后腹直肌分离症的临床疗效.方法 选择50例于2021年1月-2021年12月入住大连市妇女儿童医疗中心(集团)产后康复中心且存在腹直肌分离症(检测大于2 cm)的产妇作为观察组,门诊收治的50例腹直肌分离症患者作为对照组.观察组从产后15 d开始,根据"一源三歧"理论,给予电针治疗;对照组从产后42 d开始,使用神经肌肉刺激治疗仪治疗.两组均持续2个疗程(10次).采用腹部触诊法、腹围测量、视觉模拟量表(VAS)分别评估腹直肌分离距离、产妇腹围恢复情况、腰背疼痛程度,评估临床疗效并进行统计分析.结果 两组治疗后腹直肌分离距离、腹围均有缩减,腰背疼痛情况均有改善,且观察组更显著(P<0.05).观察组总有效率为90%(45/50),高于对照组的76%(38/50)(P<0.05).结论 基于一源三歧理论取穴的电针治疗对腹直肌分离症的早期介入,可加快产后腹围、腹直肌恢复,并可减轻伴随的不适症状,降低宫内残留的风险,在产后康复方面具有积极作用.
Clinical Observation on the Early Intervention of Postpartum Rectus Abdominis Separation Based on the Theory of One Source and Three Meridians
Objective To investigate the clinical efficacy of one source and three meridians theory to early intervention of postpartum rectus abdominis separation.Methods Fifty parturients with rectus abdominis diastasis(detected greater than 2 cm)in Dalian Mu-nicipal Women and Children's Medical Center(Group)from January 2021 to December 2021 were selected as the observation group,and 50 patients with rectus abdominis diastasis treated in the outpatient department were selected as the control group.The observa-tion group was treated with electroacupuncture according to one source and three meridians theory from 15 days after delivery.The control group was treated with neuromuscular stimulation apparatus from 42 days postpartum.Both groups were treated for 2 consecu-tive courses(10 times).Abdominal palpation,abdominal circumference measurement and visual analog scale(VAS)were used to evaluate the separation distance of rectus abdominis muscle,the recovery of abdominal circumference and the degree of low back pain,and the clinical efficacy was evaluated and statistically analyzed.Results After treatment,the separation distance and abdomi-nal circumference of rectus abdominis were reduced in both groups,the low back pain was improved in both groups,and the observa-tion group was more significant(P<0.05).The total effective rate of the observation group was 90%(45/50),which was higher than that of the control group(76%,38/50)(P<0.05).Conclusion Electroacupuncture according to one source and three meridians theory for early intervention of rectus abdominis dissociation can accelerate the recovery of postpartum abdominal circumference and rectus ab-dominis,reduce the accompanying discomfort symptoms,reduce the risk of intrauterine residual,and play a positive role in postpar-tum rehabilitation.

disease of muscles along the channelrectus abdominis separationone source and three meridianspostpartum rehabilita-tionelectroacupunctureearly intervention

姜敬芝、王宝成、李煜俐

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大连市妇女儿童医疗中心(集团)中医科,辽宁大连 116000

经筋病 腹直肌分离症 一源三歧 产后康复 电针疗法 早期干预

2025

中国中医药现代远程教育
世中联(北京)远程教育科技发展中心

中国中医药现代远程教育

影响因子:0.531
ISSN:1672-2779
年,卷(期):2025.23(2)