2023,27(4):1-14.实用临床医药杂志Journal of Clinical Medicine in Practice·1·指南与共识产后腹直肌分离诊疗专家共识范健，虞志艳，李晓辉，程芳3，胡慧文，徐静，张志娟，葛环，顾娟芬(1.东南大学附属中大医院无锡分院，江苏无锡，214105；2.江苏省徐州市妇幼保健院，江苏徐州，221009：3.江苏省淮安市妇幼保健院，江苏淮安，223002；4.江苏省常州市妇幼保健院，江苏常州，213000：5.江苏省镇江市妇幼保健院，江苏镇江，212001：6.江苏省盐城市妇幼保健院，江苏盐城，224002：7.江苏省妇幼保健院，江苏南京，210036)摘要：产后腹直肌分离(DRA)是分娩后的常见疾病。受临床研究不够深入、宣教工作不够规范等因素影响，多数患者和医护人员对产后DRA的认识不足，其相关功能障碍和伴随症状易被忽略或与其他疾病混酒。本专科共识认为产后DRA的发病率和危害性仍被严重低估。本编写组通过对产后DRA相关基础理论和病理生理机制的深入研究，全面总结临床规范化诊疗经验，阐明相关解剖学基础、生物力学特征及影响因素：创建产后DRA的诊断标准，分型和分类标准：创立手法按摩治疗路径的技术流程、服务规范，质量标准，安全质控和疗效标准：建立规范化临床综合康复治疗方案和科学合星的疗效评判标准：多项规范和标准填补了国内空白，对指导和规范产后DRA的诊疗其有重要的意义。关键词：产后腹直肌分离：诊断标准：分型分类：治疗方案：疗效中图分类号：R337:R781.05文献标志码：A文章编号：1672-2353(2023)04-001-14D01:10.7619/jemp.20230017Expert consensus on diagnosis and treatmentof postpartum diastasis recti abdominisFAN Jian',YU Zhiyan',LI Xiaohui2,CHENG Fang',HU Huiwen',XU Jing,ZHANG Zhijuan°，GE Huan',GU Juanfen(1.Wuxi Branch of Zhongda Hospital Affiliated to Southeast University,Wuxi,Jiangsu,214105;2.Xuzhou City Maternal and Child Health Care Hospital in Jiangsu Prowince,Xuhou,Jiangsu,221009;3.Huai'an City Maternal and Child Health Care Hosital in Jiangsu Province,Huai'an,Jiangsu,22302;4.Changzhou City Maternal and Child Health Care Hospital in Jiangsu Province,Changhou,Jiangsu,2130;5.Zhenjiang City Maternal and Child Health Care Hospital in Jiangsu Prorince,Zherjinng,Jiangsu,21001;6.Yancheng City Maternal and Child Health Hospital in Jiangsu Prorince,Yancheng,Jiangsu,224002;7.Jiangsu Prorincial Maternal and Child Health Hospital in Jiangsu Protince,Nanjing,Jiangsu,210036)Abstract:Postpartum diastasis recti abdominis (DRA)is a common disease after delivery.Influ-enced by factors such as inadequate clinical researches and non-standard propaganda and education,most patients and medical staff have insufficient understanding of postpartum DRA,and its related dys-function and accompanying symptoms are easily ignored or confused with other diseases.The expertconsensus believes that the incidence rate and hamfulness of postpartum DRA are still seriously under-estimated.Through in-depth study on the basic theory and pathophysiological mechanism of postpartumDRA,this compiling group comprehensively summarized the clinical standardized diagnosis and treat-ment experience,clarified the relevant anatomical basis,biomechanical characteristics and influencingfactors,and created diagnostic criteria,typing and classification criteria for postpartum DRA.Besides,收稿日期：2023-01-04基金项目：2021年江苏省妇幼健康研究重点项目(F202103)通信作者：范健，E-mal:fanjia@njmu.du.m组织单位：江苏省妇幼健康研究会撰写人：范健，虞志艳
