Chen Yun, Sun Xiao-Yan, Qian Cheng, Zhang Xiao-Xing, Zhou Yin-Jian, Zhang Hong-Yun, Xie Zhen-Wei
Department of Gynecology, Women's Hospital School of Medicine Zhejiang University, Hangzhou 310006, Zhejiang Province, China.
Department of Obstetrics and Gynecology, Huzhou Maternity and Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China.
World J Psychiatry. 2024 May 19;14(5):678-685. doi: 10.5498/wjp.v14.i5.678.
Rectus abdominis separation (DRA) affects pelvic stability and body image. No studies have explored the effects of manual massage on early postpartum DRA and postpartum depression.
To analyze the curative effect of massage on early postpartum DRA and its impact on postpartum depression and thus its ability promote the overall psychosomatic rehabilitation of postpartum women.
Data were retrospectively collected on 70 primiparous women with postpartum DRA who underwent rehabilitation at the Postpartum Rehabilitation Center of Huzhou Maternal and Child Health Hospital from October 2022 to September 2023. The patients were divided into the Group S (35 cases, biomimetic electrical stimulation treatment) and Group L (35 cases, biomimetic electrical stimulation combined with manual massage treatment). Baseline data, the edinburgh postpartum depression scale (EPDS) score, and the visual analog scale (VAS) scores for rectus abdominis distance, waist circumference, and lower back pain before and after treatment were compared.
No significant differences were found in the baseline data, rectus abdominis distance, waist circumference, and VAS and EPDS scores between the two groups before treatment ( > 0.05). After treatment, the distance between rectus abdominis and waist circumference in Group L were significantly smaller than those in Group S ( < 0.05). Furthermore, lower back pain (VAS score) and the EPDS score in Group L were significantly lower than those in Group S ( < 0.05).
Manual massage can significantly reduce early postpartum DRA, waist circumference, and back pain and improve the patient's mental state and postpartum depression.
腹直肌分离（DRA）会影响骨盆稳定性和身体形象。尚无研究探讨手法按摩对产后早期腹直肌分离及产后抑郁的影响。
分析按摩对产后早期腹直肌分离的疗效及其对产后抑郁的影响，从而评估其促进产后妇女身心整体康复的能力。
回顾性收集2022年10月至2023年9月在湖州市妇幼保健院产后康复中心接受康复治疗的70例初产妇产后腹直肌分离患者的数据。将患者分为S组（35例，生物电刺激治疗）和L组（35例，生物电刺激联合手法按摩治疗）。比较两组治疗前后的基线数据、爱丁堡产后抑郁量表（EPDS）评分、腹直肌间距视觉模拟量表（VAS）评分、腰围及下背痛评分。
两组治疗前的基线数据、腹直肌间距、腰围、VAS评分及EPDS评分比较，差异均无统计学意义（>0.05）。治疗后，L组的腹直肌间距和腰围明显小于S组（<0.05）。此外，L组的下背痛（VAS评分）和EPDS评分明显低于S组（<0.05）。
手法按摩可显著减少产后早期腹直肌分离、腰围及背痛，改善患者精神状态及产后抑郁。
