中医点穴联合呼吸训练治疗产后腹直肌分离的临床效果

Clinical Effect of Traditional Chinese Medicine Acupressure Combined with Respiratory Training on Postpartum Diastasis Rectus Abdominis

摘要: 目的：观察中医点穴联合呼吸训练治疗产后腹直肌分离(DRA)的临床效果。方法：选取2022年1月~2026年12月钦州市第一人民医院产科就诊的40例产后腹直肌分离患者，采用随机数字表法分为观察组与对照组，每组20例。对照组采用腹式呼吸训练治疗，观察组在对照组基础上增加中医点穴治疗，分别于治疗前及治疗后2周对两组患者进行中医证候积分评定和疗效比较。结果：观察组治疗后中医证候积分(气虚证)改善优于对照组，差异有统计学意义(P < 0.05)。观察组治疗后2周脐中处腹直肌分离痊愈率及总有效率均高于对照组，差异有统计学意义(P < 0.05)。结论：中医点穴联合呼吸训练能够更为有效地改善产后腹直肌分离程度，缓解伴随症状，具有临床推广价值。

Abstract: Objective: To observe the clinical effect of Traditional Chinese Medicine (TCM) acupressure combined with respiratory training on postpartum diastasis rectus abdominis (DRA). Methods: A total of 40 patients with postpartum DRA treated at the Department of Obstetrics, Qinzhou First People’s Hospital from January 2022 to December 2026 were selected and randomly divided into an observation group and a control group using a random number table method, with 20 cases in each group. The control group received abdominal breathing training, while the observation group received TCM acupressure in addition to the breathing training. TCM syndrome scores and therapeutic efficacy were evaluated and compared between the two groups before treatment and at 2 weeks after treatment. Results: The improvement in TCM syndrome scores (Qi deficiency pattern) in the observation group was significantly better than that in the control group after treatment, with a statistically significant difference (P < 0.05). The recovery rate and total effective rate of diastasis rectus abdominis at the umbilicus at 2 weeks after treatment in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: TCM acupressure combined with respiratory training can more effectively improve the degree of postpartum diastasis rectus abdominis and alleviate associated symptoms, demonstrating value for clinical promotion.