首页|基于"气机升降"针刺结合盆底肌电刺激治疗腹直肌分离的临床研究

基于"气机升降"针刺结合盆底肌电刺激治疗腹直肌分离的临床研究

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目的:本研究基于气机升降理论,以针刺结合盆底肌电刺激治疗产后腹直肌分离(DRA),探究针刺结合盆底肌电刺激治疗对DRA的临床疗效.方法:选取本院2021年12月—2022年12月就诊的201名产妇为研究对象.随机分为两组,治疗组98例、对照组103例.两组均采用盆底肌电刺激治疗,治疗组结合针刺治疗,共10次.观察两组产妇治疗前后脐环水平、脐上2 cm及脐下2 cm水平的腹直肌间距(IRD)、腰围、腹围和中医症候积分变化.采用SPSS25.0软件进行数据的统计分析.结果:治疗组各水平的IRD、腰围、腹围及乏力和腰痛的中医症候积分均优于对照组,差异具有统计学意义(P<0.01).结论:针刺结合盆底肌电刺激治疗可有效改善产妇产后腹直肌分离状况,促进产妇腰围、腹围的恢复,同时改善其乏力、腰痛等症状.
Clinical Study of Acupuncture Combined with Pelvic Floor Electrical Stimulation in Treatment of DRA Based on Ascending and Descending of Qi Movement
Objective:To explore the clinical efficacy of acupuncture combined with pelvic floor electrical stimulation in treatment of diastasis recti abdominis(DRA)based on ascending and descending of Qi movement theory.Methods:201 postpartum women who met the criteria were randomly divided into the treatment group(n=98)and the control group(n=103).Both groups were treated with pelvic floor electrical stimulation,on which basis,the treatment group was also treated with acupuncture.The postpartum women were treated 3 times a week for 10 times in total.The inter-recti distance(IRD)of the naval level,2 cm above and 2 cm below the navel,waist circumference,abdominal circumference,and TCM symptom scores were recorded in the two groups.The data was analyzed with SPSS25.0 software.Results:The indexes of IRD,waist circumference,abdominal circumference,TCM scores of fatigue and lower back pain were all better in the treatment group than those in the control group after the treatment(P<0.01).Conclusion:Acupuncture combined with pelvic floor electrical stimulation can effectively improve the pospartum DRA,promote the recoveries of waist circumference,abdominal circumference,simultaneously improve the symptoms of fatigue and lower back pain.

Diastasis recti abdominisInter-recti distanceAcupuncturePelvic floor electrical stimulation

何波琳、王佳楣、石玥、刘芳、张瓅元、李亚慧、乔婷、芦静

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北京市海淀区妇幼保健院,北京 100080

腹直肌分离 腹直肌间距 针刺 盆底肌电刺激

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(11)