中国现代医学杂志2025，Vol.35Issue(21)：9-15,7.DOI:10.3969/j.issn.1005-8982.2025.21.002
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
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.关键词
腹直肌分离/高频超声/Flexi-bar运动训练/脉管电刺激/产妇Key words
diastasis of rectus abdominis/high-frequency ultrasound/flexi-bar exercise training/vascular electrical stimulation/puerpera分类
临床医学引用本文复制引用
姚婵娟,胡慧文,柏雪..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[J].中国现代医学杂志,2025,35(21):9-15,7.基金项目
江苏省自然科学基金(No:BK20241860) （No:BK20241860）
