电刺激联合腹式呼吸对产后腹直肌分离疗效的研究

注册号:

Registration number:

ChiCTR2600119555 

最近更新日期:

Date of Last Refreshed on:

2026-02-28 15:11:08 

注册时间:

Date of Registration:

2026-02-28 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

电刺激联合腹式呼吸对产后腹直肌分离疗效的研究

Public title:

Clinical Research on the Effects of Electrical Stimulation Combined with Abdominal Breathing Exercises on Postpartum Rectus Diastasis

注册题目简写:

English Acronym:

研究课题的正式科学名称:

电刺激联合腹式呼吸对产后腹直肌分离疗效的研究

Scientific title:

Clinical Research on the Effects of Electrical Stimulation Combined with Abdominal Breathing Exercises on Postpartum Rectus Diastasis

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

郑璐 

研究负责人:

郑璐 

Applicant:

Zhenglu 

Study leader:

Zhenglu 

申请注册联系人电话:

Applicant telephone:

+86 10 8999 2102

研究负责人电话:

Study leader's
telephone:

+86 10 8999 2102

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zhenglu06@126.com

研究负责人电子邮件:

Study leader's E-mail:

zhenglu06@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京市平谷区新平北路59号

研究负责人通讯地址:

北京市平谷区新平北路59号

Applicant address:

No. 59, Xinping North Road, Pinggu District, Beijing

Study leader's address:

No. 59 Xinping North Road, Pinggu District, Beijing , China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

北京市平谷区医院

Applicant's institution:

Beijing Pinggu District Hospital

研究负责人所在单位:

北京市平谷区医院

Affiliation of the Leader:

Beijing Friendship Hospital Pinggu Campus,Capital Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2026-科004-02

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

北京市平谷区医院医学伦理委员会

Name of the ethic committee:

Beijing pinggu Hospital Medical Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2026-02-13 00:00:00

伦理委员会联系人:

赵翠伶

Contact Name of the ethic committee:

Zhao CuiLing

伦理委员会联系地址:

北京市平谷区新平北路59号

Contact Address of the ethic committee:

No. 59 Xinping North Road, Pinggu District, Beijing , China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 89978829

伦理委员会联系人邮箱:

Contact email of the ethic committee:

13693052773@163.com

研究实施负责(组长)单位:

北京市平谷区医院

Primary sponsor:

Beijing Friendship Hospital Pinggu Campus,Capital Medical University

研究实施负责(组长)单位地址:

北京市平谷区新平北路59号

Primary sponsor's address:

No. 59 Xinping North Road, Pinggu District, Beijing , China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京市平谷区医院

具体地址:

北京市平谷区新平北路59号

Institution
hospital:

Beijing Friendship Hospital Pinggu Campus,Capital Medical University

Address:

No. 59 Xinping North Road, Pinggu District, Beijing , China

经费或物资来源:

电刺激联合腹式呼吸对产后腹直肌分离疗效的研究

Source(s) of funding:

Beijing Pinggu District Hospital

研究疾病:

腹直肌分离  

Target disease:

diastasis recti abdominis

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1.比较电刺激联合腹式呼吸与单一腹式呼吸对产后腹直肌分离的干预效果,明确联合疗法的优势。 2.分析联合干预对腹直肌间距、腹肌肌力及腰背疼痛的改善作用,探讨其临床应用价值。  

Objectives of Study:

1. To compare the therapeutic effects of electrical stimulation combined with abdominal breathing exercises versus abdominal breathing exercises alone on postpartum rectus diastasis, and to evaluate the advantages of the combined intervention. 2. To analyze the improvements in inter-recti distance, abdominal muscle strength, and low back pain following the combined intervention, and to assess its clinical significance.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.先天性腹壁发育不良或腹壁皮肤有皮肤疾病;
2.刺激禁忌症或伴有呼吸系统疾病;
3.合并产后出血、产后切口感染等严重并发症;
4.伴有肛门痉挛、直肠脱垂等盆底综合类疾病;
5.既往有盆腔、腹腔、胸腔外伤及手术史(剖宫产除外);
6.合并恶性肿瘤或严重骨质疏松症等疾病者;
7.入组前6个月内服用对肌肉有影响的药物;
8.长期便秘或严重咳嗽等高腹压患者;
9.近期参加电刺激项目组患者。

Exclusion criteria:

1.Congenital dysplasia of the abdominal wall or dermatological conditions affecting the abdominal wall skin;
2.Contraindications to stimulation include or are associated with respiratory system diseases;
3.The co-occurrence of severe complications, including postpartum hemorrhage and postpartum surgical site infection, presents significant clinical challenges;
4.Associated with pelvic floor disorders, including anorectal conditions such as anal spasm and rectal prolapse;
5.A history of trauma or surgical intervention in the pelvic, abdominal, or thoracic cavities (excluding cesarean section) is present.
6.Individuals with concurrent malignant tumors or severe osteoporosis, as well as other serious comorbid conditions;
7.Use of medications affecting muscular function within six months prior to enrollment;
8.Patients with chronic constipation, persistent coughing, or other conditions leading to elevated intra-abdominal pressure;
9.Recent patients enrolled in the electrical stimulation research project group;

研究实施时间:

Study execute time:

From 2026-03-01 00:00:00 To 2029-02-28 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-03-01 00:00:00 To 2027-02-28 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

49

Group:

experimental group

Sample size:

干预措施:

电刺激+腹式呼吸

干预措施代码:

Intervention:

Electrical Stimulation Combined with Abdominal Breathing

Intervention code:

组别:

对照组

样本量:

49

Group:

control group

Sample size:

干预措施:

腹式呼吸

干预措施代码:

Intervention:

Abdominal Breathing

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京市平谷区医院 

单位级别:

三级医院 

Institution
hospital:

Beijing Friendship Hospital Pinggu Campus,Capital Medical University

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

评估腰背疼痛程度

指标类型:

次要指标

Outcome:

Evaluate the severity of low back pain

Type:

Secondary indicator

测量时间点:

治疗3周

测量方法:

运用视觉模拟评估量表(VAS)评分

Measure time point of outcome:

3 weeks post-treatment

Measure method:

The Analogue Scale (VAS) score was employed to assess the condition.

指标中文名:

评估腰背疼痛程度

指标类型:

次要指标

Outcome:

Evaluate the severity of low back pain

Type:

Secondary indicator

测量时间点:

治疗前

测量方法:

运用视觉模拟评估量表(VAS)评分

Measure time point of outcome:

Prior to treatment

Measure method:

The Analogue Scale (VAS) score was employed to assess the condition.

指标中文名:

腹直肌距离

指标类型:

主要指标

Outcome:

Inter-rectus distance

Type:

Primary indicator

测量时间点:

治疗6周

测量方法:

检查者用食指与中指沿着腹白线处进行左右两侧腹直肌边缘初诊,分别于脐中、脐上4.5cm 和脐下4.5cm 三个位置进行触诊并详细记录,且治疗前后均由同一位医生测量

Measure time point of outcome:

6 weeks post-treatment

Measure method:

The examiner performs palpation along the linea alba using the index and middle fingers, identifying the medial borders of the bilateral rectus abdominis muscles. Assessment is conducted at three standardized locations: at the umbilicus, 4.5 cm above the umbilicus, and 4.5 cm below the umbilicus, with detailed documentation recorded for each site. All measurements are performed by the same physician before and after treatment to ensure consistency.

指标中文名:

腹肌肌力

指标类型:

次要指标

Outcome:

Abdominal muscle strength

Type:

Secondary indicator

测量时间点:

治疗3周

测量方法:

采用国际通用 6 级分级法及肌电仪测定腹直肌肌电值

Measure time point of outcome:

3 weeks post-treatment

Measure method:

The international standard six-level classification system and electromyography were employed to measure the electromyographic activity of the rectus abdominis muscle

指标中文名:

腹肌肌力

指标类型:

次要指标

Outcome:

Abdominal muscle strength

Type:

Secondary indicator

测量时间点:

治疗6周

测量方法:

采用国际通用 6 级分级法及肌电仪测定腹直肌肌电值

Measure time point of outcome:

6 weeks post-treatment

Measure method:

The international standard six-level classification system and electromyography were employed to measure the electromyographic activity of the rectus abdominis muscle

指标中文名:

腹直肌距离

指标类型:

次要指标

Outcome:

Inter-rectus distance

Type:

Secondary indicator

测量时间点:

治疗3周

测量方法:

检查者用食指与中指沿着腹白线处进行左右两侧腹直肌边缘初诊,分别于脐中、脐上4.5cm 和脐下4.5cm 三个位置进行触诊并详细记录,且治疗前后均由同一位医生测量

Measure time point of outcome:

3 weeks post-treatment

Measure method:

The examiner performs palpation along the linea alba using the index and middle fingers, identifying the medial borders of the bilateral rectus abdominis muscles. Assessment is conducted at three standardized locations: at the umbilicus, 4.5 cm above the umbilicus, and 4.5 cm below the umbilicus, with detailed documentation recorded for each site. All measurements are performed by the same physician before and after treatment to ensure consistency.

指标中文名:

腹肌肌力

指标类型:

次要指标

Outcome:

Abdominal muscle strength

Type:

Secondary indicator

测量时间点:

治疗前

测量方法:

采用国际通用 6 级分级法及肌电仪测定腹直肌肌电值

Measure time point of outcome:

Prior to treatment

Measure method:

The international standard six-level classification system and electromyography were employed to measure the electromyographic activity of the rectus abdominis muscle

指标中文名:

腹直肌距离

指标类型:

次要指标

Outcome:

Inter-rectus distance

Type:

Secondary indicator

测量时间点:

治疗前

测量方法:

检查者用食指与中指沿着腹白线处进行左右两侧腹直肌边缘初诊,分别于脐中、脐上4.5cm 和脐下4.5cm 三个位置进行触诊并详细记录,且治疗前后均由同一位医生测量

Measure time point of outcome:

Prior to treatment

Measure method:

The examiner performs palpation along the linea alba using the index and middle fingers, identifying the medial borders of the bilateral rectus abdominis muscles. Assessment is conducted at three standardized locations: at the umbilicus, 4.5 cm above the umbilicus, and 4.5 cm below the umbilicus, with detailed documentation recorded for each site. All measurements are performed by the same physician before and after treatment to ensure consistency.

指标中文名:

评估腰背疼痛程度

指标类型:

次要指标

Outcome:

Evaluate the severity of low back pain

Type:

Secondary indicator

测量时间点:

治疗6周

测量方法:

运用视觉模拟评估量表(VAS)评分

Measure time point of outcome:

6 weeks post-treatment

Measure method:

The Analogue Scale (VAS) score was employed to assess the condition.

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 20 years
最大 Max age 45 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

由项目负责人郑璐,采用 1:1 完全随机原则,分为 2 组(编号从 1 到 98,SPSS 软件生成随机 数字,设置随机种子 20251116,产生随机数,对应随机数字 1-49 进入 A 组对照组,50-98 进入 B 组试验组),按就诊先后顺序获得分组信息。

Randomization Procedure (please state who generates the random number sequence and by what method):

The project leader, Zheng Lu, allocated the participants into two groups based on a 1:1 complete randomization protocol. The subjects were sequentially numbered from 1 to 98, and random numbers were generated using SPSS software with a fixed random seed of 20251116. Participants corresponding to random numbers 1–49 were assigned to Group A (the control group), while those corresponding to numbers 50–98 were assigned to Group B (the experimental group). Group allocation was revealed in the order of participants’ enrollment visits.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

开放标签,对评估者隐藏分组

Blinding:

Open-label study with blinded-evaluators

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

none

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表(Case Record Form,CRF)

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form,CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-02-28 15:11:02