T/SFYJK 001-2022 Postpartum rectus abdominis separation management expert consensus

Scope

Main technical content: The article introduces the basic knowledge of anatomy, physiology, and biomechanics, and clarifies the theoretical basis and mechanism of postpartum rectus abdominis separation. It systematically describes the common clinical etiological factors, influencing factors, and symptom manifestations; comprehensively introduces examination and detection methods and key points. Through systematic and in-depth clinical research, it innovatively proposes diagnostic criteria and classification standards. On the basis of traditional classification standards at home and abroad, it adds suspected cases and severe grading, establishing a clinically practical and unified classification standard, which is of great significance for guiding the formulation of rehabilitation treatment plans and prognosis judgment. It establishes an improved classification standard, intuitively indicating the distribution area and maximum separation distance of rectus abdominis separation, and providing important guidance for electrode placement and key areas of manual massage. It introduces the main non-surgical rehabilitation treatment methods and proposes the basic principles of manual massage. Based on relevant anatomy, physiology, biomechanics, pathogenesis, repair mechanisms, and traditional Chinese meridian theory, it proposes the relaxation and repair steps and key points of manual massage, and emphasizes the mechanism of manual massage treatment. It proposes corresponding standards for the evaluation and determination of efficacy in clinical practice, which has important reference value for ultrasound detection and efficacy judgment. It emphasizes the principles and precautions of diagnosis and treatment to guide clinical diagnosis and treatment. For the first time, it proposes the surgical indications for postpartum rectus abdominis separation, and recommends that non-surgical rehabilitation treatment should be used as a routine and preferred preoperative preparation. I

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