【目的】 观察“合谷刺”结合“关刺”治疗慢性腰肌劳损的临床疗效。【方法】 将64例慢性腰肌劳损患者随机分为观察 组和对照组，每组各32例，对照组给予常规针刺治疗，观察组在对照组治疗的基础上，给予“合谷刺”结合“关刺”治疗。 1周为1个疗程，共治疗2个疗程。治疗2周后，评价2组临床疗效，观察2组患者治疗前后疼痛视觉模拟量表（VAS）评分的 变化情况，以及简化Oswestry功能障碍指标问卷量表（简化ODI）评分的情况。比较2组患者治疗前后脊柱活动度的变化情况。 【结果】（1）观察组总有效率为 93.75%（30/32），对照组为 78.13%（25/32），观察组疗效优于对照组，差异有统计学意义（P＜ 0.05）。（2）治疗后，2组患者的简化 ODI评分、脊柱活动度评分均明显改善（P＜0.05），且观察组在改善简化 ODI评分、脊柱 活动度评分方面明显优于对照组，差异均有统计学意义（P＜0.05）。（3）治疗 2 周后，2 组患者的 VAS 评分均明显改善（P＜ 0.05），且观察组在改善VAS评分方面明显优于对照组，差异有统计学意义（P＜0.05）。治疗1个月后随访，观察组VAS评分 与治疗2周后VAS评分比较，差异无统计学意义（P＞0.05）。【结论】“合谷刺”结合“关刺”治疗慢性腰肌劳损，能明显改善 患者的疼痛症状，增强患者的腰部功能，并提高患者的脊柱活动度，疗效显著。

Objective To observe the clinical efficacy of“hegu needling”combined with“joint needling”in the treatment of chronic lumbar muscle strain. Methods A total of 64 patients with chronic lumbar muscle strain were randomly divided into observation group and control group，32 cases in each group. The control group was treated with routine acupuncture， and the observation group was treated with“hegu needling”combined with“joint needling”on the basis of the control group. One week for a course of treatment，a total of two courses of treatment. After two weeks of treatment，the clinical efficacy of the two groups was evaluated，and the changes of Visual Analogue Scale（VAS）of pain score and simplified Oswestry Dysfunction Index questionnaire（simplified ODI） score were observed before and after treatment. The changes of spinal mobility were compared before and after treatment between the two groups. Results（1）The total effective rate was 93.75%（30/32）in the observation group and 78.13%（25/32）in the control group. The curative effect of the observation group was superior to that of the control group，and the difference was statistically significant（P＜0.05）.（2）After treatment，the simplified ODI score and spinal activity score of the two groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving the simplified ODI score and spinal activity score，the differences were statistically significant（P＜0.05）.（3）After two weeks of treatment，the VAS scores of the two groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving the VAS score， the difference was statistically significant（P＜0.05）. After one month of treatment，there was no significant difference in VAS score of the observation group when compared with that after two weeks of treatment（P＞0.05）. Conclusion“Hegu needling”combined with“joint needling”in the treatment of chronic lumbar muscle strain can significantly improve the patients’pain symptoms， enhance the patient’s waist function，and improve the patients’spinal mobility.

R246.9

国家自然科学基金资助项目（编号：82374573）