Clinical Study On The Effect Of Abdominal Massage On Lipid Metabolism Of Prediabetic Population Based On The Theory Of "One Qi Circulation"

Objective: The purpose of this study was to explore the effect of life intervention combined with abdominal massage on abnormal lipid metabolism in prediabetic population,and to provide clinical evidence for its effectiveness and safety.And the formation of the zang fu massage prescription to facilitate the promotion.Methods: In this study,36 pre-diabetic patients with dyslipidemia were screened according to inclusion and exclusion criteria in a self-controlled study before and after.Lifestyle intervention and abdominal massage were performed 3 times a week,30 min each time,for 8 weeks.Body weight,BMI,waist circumference,waist-hip ratio,blood lipids and TCM syndrome scores of the subjects were recorded before intervention and 8 weeks after intervention.Results: A total of 36 subjects were included in this study,of which 2 were detached and34 were effective.(1)Comparison of patients’ body weight,BMI,waist circumference and waist-to-hip ratio: Results: Body weight P =0.000 < 0.05,BMI P =0.008 < 0.05,waist circumference P=0.000 < 0.05,waist-to-hip ratio P =0.017 < 0.05,all had significant differences,indicating that lifestyle intervention combined with abdominal massage could significantly improve body weight,BMI,waist circumference and waist-to-hip ratio.(2)Results: Total cholesterol: P =0.000 < 0.05;Low density lipoprotein: P =0.000 < 0.05;Triglyceride: P =0.000 < 0.05;There are significant differences among the three.High-density lipoprotein P =0.772 > 0.05,there was no significant difference.The results showed that lifestyle intervention combined with abdominal massage could significantly reduce the contents of total cholesterol,low density lipoprotein and triglyceride.But it has no obvious effect on increasing HDL.(3)Analysis of the effective rate of blood lipid: the total effective rate of total cholesterol was 76.47% after intervention;The total effective rate of LOW density lipoprotein was70.59%.The total effective rate of high-density lipoprotein was 29.41%.The total effective rate of triglyceride was 73.52%.The results showed that lifestyle intervention combined with abdominal massage had better effect on total cholesterol,low density lipoprotein and triglyceride,but poor effect on high density lipoprotein.(4)Chinese medicine symptom integral comparison: curative rate,4 cases of obvious effect,22 cases of effective,8 cases of ineffective,the total effective rate 76.40%.Z = 5.10,p= 0.000 <0.05,the results showed a significant difference,indicating that lifestyle intervention combined with abdominal massage is effective in improving the TCM symptoms of patients.(5)Safety observation: During the whole observation period,no skin damage,subcutaneous ecchymosis,dyspnea and other adverse reactions occurred.Conclusion:(1)On the basis of exercise and diet control combined with abdominal massage,it has definite clinical effect on the intervention of dyslipidemia in prediabetes.It can improve the blood lipid of patients,especially the improvement of total cholesterol,triglyceride and low density lipoprotein,but not the improvement of high density lipoprotein.There were also significant improvements in body weight,BMI,waist circumference and waist-to-hip ratio.(2)On the basis of exercise plus diet control combined with abdominal massage has obvious effect on improving TCM syndrome score.(3)Through this study,it has been proved that the combination of exercise and diet control combined with abdominal massage has no adverse reactions in the intervention of abnormal lipid metabolism in pre-diabetes,which is safe and worthy of further promotion in clinical practice...