Acupuncture Point Stimulation Treatments Combined With Conventional Treatment in Chronic Obstructive Pulmonary Disease: A Systematic Review and Network Meta-Analysis

Frontiers in Medicine

article

Cheng-Lin Tsai¹  Chou-Chin Lan²  Chih-Wei Wu²  Yun-Chun Wu⁴  Chan-Yen Kuo⁵  I-Shiang Tzeng⁵  Pei-Shan Hsu¹  Chang-Ti Lee¹  Po-Chun Hsieh¹ 

[1] Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation;Division of Pulmonary Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation;School of Medicine, Tzu-Chi University;College of Public Health, Institute of Epidemiology and Preventive Medicine, National Taiwan University;Department of Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation

关键词: acupressure massage;    acupuncture;    chronic obstructive pulmonary disease;    moxibustion;    health-related quality of life;    FEV1% predicted;    network meta-analysis;   

DOI  :  10.3389/fmed.2021.586900

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: Chronic obstructive pulmonary disease (COPD), which is a disease characterized by dyspnea, cough, and respiratory symptoms, leading to impaired health-related quality of life (HRQL) and exercise capacity, is highly prevalent worldwide. Some studies demonstrated that acupuncture point stimulation treatments (APSTs) are effective and safe in treating patients with COPD. The aim of this systematic review and network meta-analysis is to analyze the effects on HRQL and FEV1% predicted of diverse APSTs in treating patients with COPD. Materials and Methods: We searched seven electronic databases. Randomized controlled trials (RCTs) with stable COPD patients comparing APSTs and conventional treatment (Tx) were included. The primary outcome was HRQL measured by COPD Assessment Test or St. George's Respiratory Questionnaire. The secondary outcome was FEV1% predicted. We performed random effect network meta-analysis using a consistency model. Results: This network meta-analysis analyzed 21 RCTs with 1,577 stable COPD participants. In comparison with Tx, acupressure massage (AM) + Tx [−5.11; 95% confidence interval (CI), −6.65 to −3.57] was the most effective intervention in improving HRQL, followed by moxibustion (Mx) + Tx (−2.86; 95% CI, −3.86 to −1.86). Moreover, in comparison with Tx, Mx + Tx (7.79; 95% CI, 2.16 to 13.42) was the most effective intervention in improving FEV1% predicted, followed by acupuncture (A) + Tx (5.79; 95% CI, 2.90 to 8.68). Conclusions: Combined interventions (APSTs + Tx) are more effective than single intervention in improving both HRQL and FEV1% predicted. AM, Mx, and A can be considered effective non-pharmacological complementary interventions in treating patients with COPD under Tx.

【 授权许可】

CC BY