Comparison of the effect between neuromuscular and vascular electrical stimulation in the treatment of postpartum diastasis recti abdominis
10.3760/cma.j.cn115455-20231118-00479
- VernacularTitle:神经肌肉和脉管电刺激治疗产后腹直肌分离的效果比较
- Author:
Mengyao WU
1
;
Zhongmin WANG
Author Information
1. 大连市妇女儿童医疗中心（集团）妇六科，大连 116037
- Keywords:
Electric stimulation;
Postpartum diastasis recti abdominis;
Neuromuscular;
Vessel
- From:
Chinese Journal of Postgraduates of Medicine
2024;47(9):813-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of neuromuscular and vascular electrical stimulation in the treatment of postpartum diastasis recti abdominis.Methods:Adopting a prospective research approach, 100 patients with postpartum diastasis recti abdominis in Dalian Women and Children′s Medical Group from January 2020 to June 2023 were selected. The patients were divided into control group and observation group according to the random digits table method, with 50 cases in each group. The patients in control group were treated with neuromuscular electrical stimulation, and the patients in observation group were treated with vascular electrical stimulation. In curled abdominal position, the separation distance of recti abdominis 3 cm above the umbilicus, parallel umbilicus and 2 cm below the umbilicus before and after treatment, and the recovery rate (separation distance of recti abdominis after treatment ≤ 2 cm) were compared between the two groups.Results:In curled abdominal position, there were no statistical difference in separation distance of recti abdominis 3 cm above the umbilicus and 2 cm below the umbilicus before treatment between the two groups ( P>0.05); the separation distance of recti abdominis parallel umbilicus before treatment in observation group was significantly larger than that in control group: (35.26 ± 6.13) mm vs. (30.06 ± 6.18) mm, and there was statistical difference ( P<0.01). After treatment, the separation distance of recti abdominis 3 cm above the umbilicus, parallel umbilicus and 2 cm below the umbilicus in both two group was significantly reduced, the improvement in the observation group was significantly better than that in the control group: (24.33 ± 4.78) mm vs. (26.79 ± 5.77) mm, (16.38 ± 4.52) mm vs. (20.48 ± 4.50) mm and (15.34 ± 5.16) mm vs. (18.03 ± 7.27) mm, there were statistical differences ( P<0.01 or <0.05). The recovery rate in observation group was significantly higher than that in control group: 92.0% (46/50) vs. 74.0% (37/50), and there was statistical difference ( χ2 = 5.74, P<0.05). Conclusions:Both neuromuscular and vascular electrical stimulation can promote the healing of postpartum diastasis recti abdominis, and the therapeutic effect of vascular electrical stimulation is better than that of neuromuscular electrical stimulation.
