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| 电针与神经肌肉电刺激分别治疗腹直肌分离的疗效对比研究 |
| Comparative Study of the Therapeutic Effects of Electroacupuncture and Neuromuscular Electrical Stimulation for the Treatment of Rectus Abdominis DiastasisQisheng Cui, Ping Liu, Cuiyiin Chen, Xin Xie, Huifang He, Weijie Chen, Cuihuan Pan |
| 投稿时间：2024-01-28 录用日期：2024-04-15 |
| DOI： |
| 中文关键词: 电针 神经肌肉电刺激 腹直肌分离 疗效观察 |
| 英文关键词: Electroacupuncture Neuromuscular Electrical Stimulation Rectus Abdominis Diastasis Efficacy Observation |
| 基金项目:广州市中医药和中西医结合科技项目(20232A011028) |
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| 中文摘要: |
| 目的：通过对比分析电针、神经肌肉电刺激分别治疗腹直肌分离的临床疗效,评价电针或神经肌肉电刺激治疗腹直肌分离的优效性。方法：选取2023年1月至2023年3月广州市番禺区何贤纪念医院的腹直肌分离患者60例,采用信封法将其按1:1比例分为电针组(试验组)和神经肌肉电刺激组(对照组)。试验组、对照组分别接受电针、神经肌肉电刺激治疗,每周3次,每次30min,共治疗10次。治疗前、后及治疗后一个月分别通过下腰痛评定表(JOA score)、盆底功能障碍问卷(PFDI-20)、腹直肌间距(IRD)、总体疗效评价(包括下腰痛改善率、盆底功能改善率、腹直肌分离疗效指数)等观察疗效。结果：治疗后、治疗后一个月,两组的IRD均较治疗前改善(P＞0.05), 试验组的JOA score、PFDI-20较治疗前显著改善(P＞0.05),而对照组的JOA score、PFDI-20较治疗前无显著改善。治疗后、治疗后一个月,试验组的JOA score明显高于对照组(P＞0.05)。试验组在下腰痛改善率和盆底功能改善率方面显著优于对照组,而腹直肌分离疗效指数的比较,两组无明显差异。结论：电针与神经肌肉电刺激治疗腹直肌分离的疗效相当,但电针对腹直肌分离的相关症状有明显改善作用。 |
| 英文摘要: |
| Objective: This study aimed to comparatively analyze the clinical efficacy of electroacupuncture and neuromuscular electrical stimulation in the treatment of rectus abdominis diastasis, and to evaluate the superior effectiveness of electroacupuncture or neuromuscular electrical stimulation for rectus abdominis diastasis treatment. Methods: A total of 60 patients with rectus abdominis diastasis from January 2023 to March 2023 at Hexian Memorial Hospital in Panyu District, Guangzhou, were enrolled. They were divided into an electroacupuncture group (experimental group) and a neuromuscular electrical stimulation group (control group) using sealed envelopes in a 1:1 ratio. The experimental and control groups received electroacupuncture and neuromuscular electrical stimulation treatments, respectively, 3 times per week for 30 minutes each session, for a total of 10 sessions. Pre-treatment, post-treatment, and one-month post-treatment assessments were conducted using parameters including Japanese Orthopaedic Association (JOA) score, Pelvic Floor Distress Inventory-20 (PFDI-20), Inter Recti Distance (IRD), and overall treatment efficacy evaluation (including improvement rates of lower back pain, pelvic floor function, and rectus abdominis diastasis effectiveness index). Results: After treatment and one month post-treatment, both groups exhibited improvement in IRD compared to pre-treatment (P＞0.05). The experimental group showed significant improvements in JOA score and PFDI-20 compared to pre-treatment (P＞0.05), while the control group showed no significant improvements in JOA score and PFDI-20. After treatment and one month post-treatment, the experimental group"s JOA score was significantly higher than that of the control group (P＞0.05). The experimental group demonstrated significant superiority over the control group in terms of lower back pain improvement rate and pelvic floor function improvement rate. However, there was no significant difference between the two groups in terms of the rectus abdominis diastasis effectiveness index. Conclusion: Both electroacupuncture and neuromuscular electrical stimulation exhibit comparable efficacy in treating rectus abdominis diastasis, with electroacupuncture demonstrating significant improvement in related symptoms of rectus abdominis diastasis. |
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