| Objective: Under the guidance of "tendon injury" theory of traditional Chinese medicine,to observe the clinical effect of acupuncture and knot pushing and treatment of postpartum rectus abdominis separation with low back pain of qi stagnation and blood stasis type,and to explore the effectiveness and feasibility of its recovery of postpartum rectus abdominis,so as to provide a safe and effective intervention method for the treatment of postpartum rectus abdominis separation with low back pain.Methods:Sixty-six patients with postpartum rectus abdominis separation and low back pain from the Pelvic Floor Rehabilitation Department of the Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine were selected as the research object,and SPSS20.0 software was used to randomize them into observation group and control group.During treatment,the treatment group 3 cases fell off,4 cases fell off the control group,that is,a total of 59 cases were finally included in the study conditions,30 cases in the treatment group,29 cases in the control group,the treatment group was treated with electric acupuncture combined with massage,and the control group was treated with pure massage,.Before and after treatment,the two groups used hand-measured B-ultrasound measurement and hand-measured rectus abdominis separation distance;then visual analogue scale(visualanaloguescale,VAS)was used to assess low back pain;and then Oswestry dysfunction index(Oswestry disability index,ODI)perform dysfunction scores,and finally collect these data,use SPSS20.0 software for statistical analysis,and compare the differences between the two therapies.Results:1.Baseline data: there was no significant difference in age,parity,mode of delivery and number of fetuses between the two groups(P > 0.05).2.Comparison of the separation distance(IRD)of rectus abdominis: before and after treatment,the IRD of 3 cm above the umbilicus,at the level of umbilicus and 3 cm below the umbilicus was measured.There was no significant difference in the IRD between the treatment group and the control group before treatment(P > 0.05).After treatment,the IRD of the three parts in the two groups was decreased compared with that before treatment(P <0.05),and the IRD of the treatment group was significantly reduced than that of the control group(P < 0.05)The difference between the two groups was statistically significant.3.Comparison of VAS score of low back pain: there was no significant difference in VAS score between the treatment group and the control group before and after treatment(P >0.05).The VAS scores of the treatment group before and after treatment were 6.25 ± 0.82 and2.37 ± 0.76,respectively.The VAS scores of the control group before and after treatment were6.33 ± 0.74 and 2.86 ± 0.66,respectively.The difference was statistically significant(P < 0.05)(P<0.05)。4.Comparison of ODI index of low back pain: there was no significant difference in ODI index between the treatment group and the control group before and after treatment(P >0.05).ODI scores of the treatment group before and after treatment were 27.5 ± 3.2 and 9.5 ±2.4,respectively,and those of the control group were 27.3 ± 3.4 and 12.3 ± 3.2 respectively,the difference was statistically significant(P < 0.05).The ODI score of the treatment group was significantly lower than that of the control group(P < 0.05).Conclusion:1.Acupuncture and tuijie have definite curative effect on postpartum rectus abdominis separation of qi deficiency and blood stasis type,which can significantly reduce the separation distance of rectus abdominis.2.After electroacupuncture combined with massage treatment of postpartum rectus abdominis separation,its accompanying low back pain symptoms have been significantly improved,and the quality of life of puerpera has been improved. |
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