【摘要】 目的 观察神经肌肉电刺激(NMES)辅以Flexi-bar运动训练治疗产后腹直肌分离(DRA)的疗效。方法 选取产后DRA患者120例，随机分为观察组和对照组，每组60例。对照组患者接受NMES治疗，观察组患者接受NMES治疗联合Flexi-bar运动训练。连续治疗6周后，比较2组疗效差异。结果 治疗前，2组患者脐上及脐下4 cm、平脐处腹直肌间距相比差异均无统计学意义(P>0.05);治疗后，2组患者脐上及脐下4 cm、平脐腹直肌间距均较治疗前降低，且观察组治疗后脐上4 cm、平脐及脐下4 cm腹直肌间距均小于对照组患者，差异有统计学意义(P<0.05)。治疗前，2组患者上腹围、中腹围、下腹围、腹直肌最大自主等长收缩振幅均方根(RMS)、盆底Ⅰ类肌纤维肌力最大值、盆底Ⅱ类肌纤维肌力平均值、SF-36各维度评分差异均无统计学意义(P>0.05);治疗后，2组患者上腹围、中腹围、下腹围均较治疗前降低，且观察组低于对照组，2组患者腹直肌最大自主等长收缩振幅RMS、盆底Ⅰ类肌纤维肌力最大值、盆底Ⅱ类肌纤维肌力平均值、SF-36各维度评分均较治疗前升高，且观察组高于对照组，差异有统计学意义(P<0.05)。结论 NMES辅以Flexi-bar运动训练治疗产后DRA的效果显著，有助于增强患者腹部肌肉力量，提高患者生活质量。更多还原

【Abstract】 Objective To observe the therapeutic effect of neuromuscular electrical stimulation(NMES) combined with Flexi-bar exercise training on postpartum diastasis recti abdominis(DRA). Methods A total of 120 postpartum DRA patients were selected and randomly divided into observation group(60 cases) and control group(60 cases). Patients in the control group received NMES treatment, while those in the observation group received NMES treatment combined with Flexi-bar exercise therapy. The therapeutic effects between the two groups were compared after 6 weeks of continuously treatment. Results Before treatment, there was no significant difference in the distance between the rectus abdominis muscles at 4 cm above and below the umbilicus, or at the level of the umbilicus between two groups(P>0.05); after treatment, those distances were significantly reduced, and the distance between the rectus abdominis muscles at 4 cm above and below the umbilicus in the observation group were smaller than control group(P<0.05). There were no significant differences between the two groups in terms of upper abdominal circumference,middle abdominal circumference,lower abdominal circumference,rectus abdominis root mean square( RMS),maximum muscle strength of classⅠ muscle fibers of pelvic floor,average muscle strength of class Ⅱ muscle fibers of pelvic floor,and 36-item Shot-form Health Status Survey( SF-36) scores before treatment( P > 0. 05); after treatment,the upper abdominal circumference,middle abdominal circumference and lower abdominal circumference of the two groups were decreased than those before treatment,and were lower in the observation group compared to the control group( P < 0. 05). The rectus abdominis RMS,maximum muscle strength of class Ⅰ muscle fibers of pelvic floor,average muscle strength of classⅡ muscle fibers of pelvic floor,and SF-36 scores of the two groups were increased than those before treatment,and were higher in the observation group compared to the control group( P < 0. 05).Conclusion NMES combined with Flexi-bar exercise training on postpartum DRA has significant therapeutic effect,which is helpful to enhance the abdominal muscle strength and improve the quality of life of patients.更多还原