Abstract
Objective
To evaluate the efficacy of Bufei Yishen Granule (补肺益肾颗粒, BFYSG) combined with Shufei Tie (舒肺贴) acupoint sticking therapy on quality of life of patients with stable chronic obstructive pulmonary disease (COPD).
Methods
A multi-center, double-blinded, double-dummy and randomized controlled method was adopted in this trial. A total of 244 patients were randomly assigned to a trial group and a control group according to the random number, each with 122 patients; treatment allocation occurred when the participants met the inclusion criteria and signed the informed consent form. In the trial group, patients were treated with BFYSG combined with “Shufei Tie” acupoint sticking therapy and sustained-release theophylline dummy, and in the control group patients were treated with oral sustained-release theophylline and BFYSG dummy combined with “Shufei Tie” acupoint sticking therapy dummy. The therapeutic course for two groups was 4 months and the follow-up was 6 months. The frequency and duration of acute exacerbation calculated by adding up each frequency and duration of acute exacerbation in treatment and follow-up time respectively, the quality of life measured by the World Health Organization Quality of Life (WHOQOL)-BREF scale and adult COPD quality of life (COPD-QOL) scale were observed.
Results
Among the 244 enrolled patients, 234 were screened for full analysis set (FAS); 221 were screened for per-protocol analysis set (PPS). After 4-month treatment and 6-month follow-up there were differences between the trial group and the control group in frequency of acute exacerbation (FAS: P=0.013; PPS: P=0.046); duration of acute exacerbation (FAS: P=0.005; PPS: P=0.006); scores of physiological, psychological and environment aspects of the WHOQOL-BREF questionnaire (FAS: P=0.002, P=0.006, P=0.000; PPS: P=0.00, P=0.001, P=0.000); scores of daily living ability, social activity, depression symptoms aspects of the COPD-QOL questionnaire (FAS: P=0.000, P=0.000, P=0.006; PPS: P=0.002, P=0.001, P=0.001).
Conclusion
BFYSG combined with acupoint sticking therapy could improve the quality of life of patients with stable COPD.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
He QY, Zhou X, Xie CM, Liang ZA, Chen P, Wu CG. The influence on the quality of life and economic burden of patients with COPD in some cities in China. Chin J Tubercul Respir Dis (Chin) 2009;32:253–257.
Chen YH, Yao WZ, Cai BQ, Wang H, Deng XM, Gao HL, et al. Economic analysis in admitted patients with acute exacerbation of chronic obstructive pulmonary disease. Chin Med J 2008;121:587–591.
Li SY, Zhou QW, Wang MH, Wang HF, Wu JZ. Effect of bufeiyishen granule on pulmonary ventilation function and immunological function of patients with chronic obstructive pulmonary disease in remisson phase: a randomized grouping and placebo controlled study. Chin J Clin Rehabilit (Chin) 2006;10:145–147.
Li SY, Li JS, Yu XQ, Zhou QW, Wang XY. The observation of Shufei Tie acupoint sticking therapy for treatment of patients with chronic obstructive pulmonary disease. Shanxi J Tradit Chin Med (Chin) 2009;30:391–392.
GOLD. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Revised 2006; http://goldcopd.com/index.2007-01-22.
COPD Study Group of Chinese Society of Respiratory Disease. Treatment guidelines of chronic obstructive pulmonary disease (Revised 2007). Chin J Tubercul Respir Dis (Chin) 2007;30:8–17.
Li JS, Wang ZW, Li SY, Yu XQ, Wang MH, Cao EX, et al. Syndrome diagnostic criteria of Traditional Chinese medicine of chronic obstructive pulmonary disease (draft). The internal medicine branch of China Association for Traditional Chinese Medicine. The proceedings of the fourteenth national traditional Chinese medicine conference of pulmonary disease: 428–431.
Zhou YM, Wang XP, Zeng XY, Qiu R, Xie JF, Liu SM, et al. Positive benefits of theophylline in a randomized, doubleblind, parallel-group, placebo-controlled study of low-dose, slow-release theophylline in the treatment of COPD for 1 year. Respirology 2006;11:603–610.
WHO. The World Health Organization quality of life (WHOQOLBREF). The WHOQOL Group. Programme on mental health. World Health Organization, 2004.
Cai YY, Li ZZ, Fang ZJ. The evaluation of the quality of life of chronic obstructive pulmonary disease. Chin J General Practit (Chin) 2004;3:225–227.
Yang DS, Li LJ, Zhang YL, Hao W, Xiao BY, Li ZG, et al. Study on quality of life of general population. Chin Mental Health J (Chin) 1995;9:136.
Li JS, Wang MH, Li SY. Appraisal investigating progression of chronic obstructive pulmonary dyspnea. J Chin Med (Chin) 2007; 22(129):79–80.
Wang X, Wen FQ. Appraisal investigating progression of quality of life of chronic obstructive pulmonary disease. Med J West Chin (Chin) 2008;20:635–637.
Tian JH, Wang L, Shi ZM, Liu LS. On survival quality and assessment of TCM therapeutic effects. Acta Univ Tradit Med Sin Pharmacol Shanghai (Chin) 2002;16(4):33.
Tang CY, Lin L, Xu YJ. Effect of method of reinforcing earth to generate metal on nutritional state and pulmonary function of patients during COPD stability period. J Nanjing Univ Tradit Chin Med (Chin) 2005;21:1619–1620.
Liu XH, Fang LP, Wei LP, Cong P, Feng L, Shen WB, et al. The influence of modified Zhoufei Tang on life quality in the stationary phase of chronic obstructive pulmonary disease. New J Tradit Chin Med (Chin) 2005;37:30–31.
Li JS, Li SY, Yu XQ, Xie Y, Wang MH, Li ZG, et al. Bu-Fei Yi-Shen granule combined with acupoint sticking therapy in patients with stable chronic obstructive pulmonary disease: a randomized, double-blind, double-dummy, active-controlled, 4-center study. J Ethnopharmacol 2012;141:584–591.
Author information
Authors and Affiliations
Corresponding author
Additional information
Supported by the Specific Research in Traditional Chinese Medicine Industry of State Administration of Traditional Chinese Medicine (No. 200707018)
Rights and permissions
About this article
Cite this article
Xie, Y., Li, Js., Yu, Xq. et al. Effectiveness of Bufei Yishen Granule (补肺益肾颗粒) combined with acupoint sticking therapy on quality of life in patients with stable chronic obstructive pulmonary disease. Chin. J. Integr. Med. 19, 260–268 (2013). https://doi.org/10.1007/s11655-013-1438-2
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11655-013-1438-2