| Objective: Explore the effect of different interventions on the treatment of postpartum diastasis of rectus abdominis.Count the incidence of postpartum diastasis of the rectus abdominis in our hospital and analyze the influencing factors.Methods:1.Selected from 2019-11-01 to 2020-10-31,120 parturients who met the inclusion criteria were randomly divided into 4 groups with 30 persons in each group.Group A is the observation group,with exercise guidance,group B: electrical stimulation of the rectus abdominis on the basis of group A;group C: manual massage of the rectus abdominis on the basis of group A;group D: on the basis of group A Simultaneous electrical stimulation of the rectus abdominis and pelvic floor muscles.Compare the therapeutic effect of different intervention methods on diastasis of rectus abdominis and the effect difference of different delivery methods and parity.2.Calculate the relevant data of women undergoing postpartum rectus abdominis screening in our hospital from2019-11-01 to 2020-10-31,calculate the incidence of diastasis of rectus abdominis and analyze the influencing factors of its occurrence.Results:1.Comparison of the effects of different interventions on postpartum diastasis of rectus abdominis: The values of inter-rectus distance reduction in the four groups of women after treatment were 4.24±2.70 mm,6.55±2.70 mm,8.82±3.61 mm,10.49±3.41 mm,respectively.The curative effect of group A was compared with group B,C,and D,and there were statistics.Differences.The curative effect of group B was compared with group C and D,and there were statistical differences.There was no statistical difference in curative effect of group C and D.2.Comparison of the efficacy of diastasis of rectus abdominis in different delivery methodsd and parities: The inter-rectus distance reduction values of normal delivery and cesarean delivery women after treatment were 8.65±3.82 mm and 5.36±3.05 mm,respectively,and there was a statistical difference between the two.The reduction of inter-rectus distance after treatment for women who gave birth 1 and 2 births was8.65±4.09 mm and 6.36±3.34 mm,respectively,and there was a statistical difference between the two.3.A total of 483 parturients were counted,of which 332 had diastasis of rectus abdominis,with an incidence rate of 68.74%.The incidence of diastasis of rectus abdominis in normal delivery and cesarean delivery was 60.10% and 80.70%,respectively.4.Univariate analysis of postpartum diastasis of rectus abdominis: the age,BMI, abdominal circumference,and birth weight of the newborn in the DRA group were greater than those of the non-DRA group,with statistical differences;the postpartum time of the DRA group was equal to that of the non-DRA group,no statistics The incidence of diastasis of rectus abdominis is 42.85%,67.80%,74.59% of gestational age<37 weeks,37-40 weeks gestational week,and gestational age≥40 weeks.The difference is statistically significant;the incidence of diastasis of rectus abdominis of normal delivery and cesarean section They were 60.14% and 79.68%,respectively,the difference was statistically significant;the incidence of diastasis of rectus abdominis for 1,2,and≥ 3 times were58.45%,76.19%,and 78.26%,respectively,and the difference was statistically significant.Multivariate analysis of postpartum diastasis of rectus abdominis: The gestational age≥40 weeks had an increased risk of postpartum diastasis of rectus abdominis than the gestational age<37 weeks(OR= 3.607,95% CI: 1.278-10.185);cesarean section has an increased risk of diastasis of rectus abdominis after delivery than normal delivery(OR=2.861,95% CI: 1.812-4.518);the risk of diastasis of rectus abdominis after delivery 2times is higher than that after 1 delivery(OR=2.300,95% CI: 1.486-3.559);newborn birth weight is a risk factor for postpartum diastasis of rectus abdominis(OR=2.120,95% CI:1.230-3.652);postpartum time is a protective factor for postpartum diastasis of rectus abdominis(OR=0.969,95% CI: 0.947-0.991).Conclusion:1.The effects of groups B,C,and D are significantly better than those of group A;the effects of groups C and D are better than those of group B;there is no significant difference between group C and group D,which is more economical,convenient and individualized for clinical formulation The treatment plan provided the basis.2.The effect of diastasis of rectus abdominis treatment for normal parturient women is better than that of cesarean section;the effect of diastasis of rectus abdominis treatment for parturients who give birth once is better than that of second times.Women who have undergone cesarean section and multiple births should strengthen the rehabilitation of rectus abdominis3.The incidence of postpartum diastasis of rectus abdominis in our hospital is 68.74%,and the incidence ofdiastasis of rectus abdominis in cesarean section is higher than that of normal delivery.There is no obvious correlation between the occurrence of postpartum diastasis of rectus abdominis and maternal age,BMI,and abdominal circumference;excessive birth weight,frequent births,cesarean section and excessive gestational age are risk factors for postpartum diastasis of rectus abdominis.Postpartum review time is a protective factor for postpartum diastasis of rectus abdominis. |
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