中医经络按摩对糖尿病前期患者的作用效果

目的 探讨中医经络按摩对糖尿病前期患者代谢指标、人体成分及疾病转归的影响。方法 将36例糖尿病前期患者采用随机数字表法随机分为试验组和对照组各18例，两组均统一接受饮食、运动教育课，试验组实施经络按摩干预3个月，对照组统一授课进行生活方式健康教育，促使行为改变，比较两组3个月前后糖化血红蛋白、空腹血糖、餐后2 h血糖、血脂等代谢指标、人体成分及疾病转归情况。结果 干预3个月后，与对照组相比，试验组空腹血糖、餐后2 h血糖、糖化血红蛋白降低，差异有统计学意义（P<0.05，P<0.01），与干预前相比，试验组患者BMI、体脂、内脂降低，差异有统计学意义（P<0.05，P<0.01），对照组与试验前相比，低密度脂蛋白升高，差异有统计学意义（P<0.05）。对照组（18例）3个月后16例处于糖尿病前期、2例糖尿病患者，试验组（16例）3个月后9例处于糖尿病前期、7例处于正常状态、2例脱落，两组比较差异有统计学意义（P=0.001）。结论 中医经络按摩可改善糖尿病前期患者的血糖控制情况，降低其转变为糖尿病的风险，延缓糖尿病的发生、发展。

Effect of Traditional Chinese Medicine Meridian Massage on Prediabetes Patients

Objective To explore the effect of the traditional Chinese medicine meridian massage on metabolic makers, body composition and the outcome of disease in patients with prediabetes.Methods Thirty-six patients with prediabetes were randomly assigned into the experimental group and the control group by randomized number table method, 18 cases in each group. All patients received same diet and exercise classes. The patients in the experimental group had the meridian massage for 3 months while the ones in the control group got usual care without massage. The glycosylated hemoglobin, fasting plasma glucose, postprandial 2 hours blood glucose, blood lipid, the body composition, and the outcome of prediabetes were compared before and after treatment for 3 months.Results After 3 months of treatment, fasting blood glucose, postprandial 2 hours blood glucose, glycosylated hemoglobin in experimental group decreased, with statistical significance (P<0.05,P<0.01). After treatment, the body fat and visceral fat of the patients in experiment group decreased significantly (P<0.05, P<0.01), low density lipoprotein in the control group increased significantly (P<0.05). After 3 months of treatment, 16 patients in the control group (n=18) still stayed in prediabetes stage, 2 patients with type 2 diabetes; while 9 patients in the experiment group (n=16) still stayed in prediabetes stage, 7 patients reversed to normal, 2 patients dropped out.Conclusion Chinese medicine meridian massage may improve blood glucose control in patients with prediabetes, reduce the risk of diabetes, and delay the prevalence and development of diabetes.