高频超声用于评估Flexi-bar运动训练联合脉管电刺激治疗后产后腹直肌分离变化的临床价值

Clinical value of high-frequency ultrasound evaluating the Flexi-bar exercise training combined with vascular electrical stimulation after postpartum rectus abdominis diastasis

摘要:

目的 探讨高频超声用于评估Flexi-bar运动训练联合脉管电刺激治疗后产后腹直肌分离变化的临床价值。方法 回顾性分析常州市妇幼保健院2022年5月—2024年4月收治的87例产后腹直肌分离患者的病历资料。根据治疗方法不同将患者分成观察组（45例）与对照组（42例），观察组采用Flexi-bar运动训练联合脉管电刺激治疗，对照组采用脉管电刺激治疗。采用高频超声评估患者腹直肌间距离，对比两组的腹围、腹直肌间距离、腹直肌均方根、肌纤维力及生活质量。结果 观察组治疗前后下腹围、中腹围和上腹围的差值均大于对照组（P <0.05）。观察组治疗前后屈曲状态下脐下3 cm、脐上3 cm和脐中腹直肌间距离的差值均大于对照组（P <0.05）。观察组治疗前后静息状态下脐下3 cm、脐上3 cm和脐中腹直肌间距离的差值均大于对照组（P <0.05）。观察组治疗前后腹直肌最大自主等长收缩振幅均方根、盆底Ⅱ类肌纤维肌力平均值、盆底Ⅰ类肌纤维肌力最大值的差值均大于对照组（P <0.05）。观察组治疗前后生活质量评分的差值大于对照组（P <0.05）。结论 Flexi-bar运动训练联合脉管电刺激可改善产后腹直肌分离患者生活质量与盆底肌纤维肌力，缩小患者腹围，促进产后腹直肌分离的恢复，且高频超声可有效评估患者恢复情况与腹直肌分离情况。

Abstract:

Objective To evaluate the value of high-frequency ultrasound before and after Flexi-bar exercise training combined with vascular electrical stimulation in postpartum patients with rectus abdominis diastasis.Methods The medical records of 87 patients with postpartum rectus abdominis separation admitted to Changzhou Maternal and Child Health Hospital from May 2022 to April 2024 were retrospectively analyzed, and they were divided into observation group (45 cases, Flexi-bar exercise training combined with vascular electrical stimulation) and control group (42 cases, vascular electrical stimulation) by treatment method.The distance between rectus abdominis muscles was evaluated by high-frequency ultrasound. Abdominal circumference, distance between rectus abdominis muscles, root mean square root of rectus abdominis muscle, muscle fiber strength and quality of life of two groups were compared.Results The differences in lower abdominal circumference, middle abdominal circumference and upper abdominal circumference before and after treatment in the observation group were all greater than those in the control group (P < 0.05). The differences in the distances between the rectus abdominis muscles 3 cm below, 3 cm above and in the middle of the umbilicus in the flexion state before and after treatment in the observation group were all greater than those in the control group (P < 0.05). The differences in the distances between the rectus abdominis muscles 3 cm below the umbilicus, 3 cm above the umbilicus and in the middle of the umbilicus in the observation group at rest before and after treatment were all greater than those in the control group (P < 0.05). The differences in the root mean square of the maximum autonomous iso-length contraction amplitude of the rectus abdominis muscle, the average value of type Ⅱ pelvic floor muscle fiber strength, and the maximum value of type Ⅰ pelvic floor muscle fiber strength before and after treatment in the observation group were all greater than those in the control group (P < 0.05). The difference in quality of life scores before and after treatment in the observation group was greater than that in the control group (P < 0.05).Conclusion Flexi-bar exercise training combined with vascular electrical stimulation can improve the quality of life and pelvic floor muscle fiber strength of postpartum patients with rectus abdominalis dissociation, reduce the abdominal circumference of patients, and promote the recovery of postpartum rectus abdominalis dissociation, and high-frequency ultrasound can effectively evaluate the recovery of patients with rectus abdominalis dissociation.