【目的】基于“治痿独取阳明”理论探讨针刺联合低强度抗阻运动对老年肌少症患者肌肉功能的影响。【方法】选取 2023 年6 月至2023 年12 月河北省第八人民医院老年科病房及门诊收治的60 例明确诊断为肌少症的老年患者为研究对象。按 随机数字表将患者随机分为观察组和对照组，每组各30 例。对照组给予抗阻运动训练，观察组在对照组治疗的基础上，给 予针刺治疗。共治疗2 个月。治疗2 个月后，评价2 组临床疗效。观察2 组患者治疗前后握力、6 m 步速、5 次起坐时间的变 化情况，以及四肢骨骼肌质量指数（ASMI）的情况。比较2 组患者治疗前后Berg 平衡量表（BBS）评分和改良Barthel 指数（MBI） 评分的变化情况。【结果】（1）治疗后，2 组患者的握力、6 m 步速、5 次起坐时间均明显改善（P＜0.05），且观察组在改善握 力、6 m 步速、5 次起坐时间方面明显优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2 组患者的ASMI 指数明显改善 （P＜0.05），且观察组在改善ASMI 指数方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗后，2 组患者的MBI 评 分、BBS 评分明显改善（P＜0.05），且观察组在改善MBI 评分、BBS 评分方面明显优于对照组，差异有统计学意义（P＜ 0.05）。（4）观察组总有效率为90.00%（27/30），对照组为70.00%（21/30）。观察组疗效优于对照组，差异有统计学意义（P＜ 0.05）。【结论】基于“治痿独取阳明”理论，采用针刺联合低强度抗阻运动治疗老年肌少症，可显著提高患者的躯体功能， 改善患者的平衡功能，提升肌肉功能状态，疗效显著。

Objective To explore the effect of acupuncture combined with low-intensity resistance exercise on muscle function in elderly patients with sarcopenia based on the theory“Treating Atrophy Solely via the Yangming Meridians”. Methods A total of 60 elderly patients definitively diagnosed with sarcopenia and treated in the inpatient wards and outpatient clinics of the Eighth People’s Hospital of Hebei Province from June 2023 to December 2023 were enrolled as study subjects. Patients were randomly divided into an observation group and a control group using a random number table，with 30 cases in each group. The control group received resistance exercise training，while the observation group received acupuncture treatment in addition to the treatment given to the control group. Both groups were treated for two months. After two months of treatment，the clinical efficacy was evaluated in both groups. Changes in grip strength，6-meter gait speed，and Five-Times Sit-to-Stand Test time， as well as the Appendicular Skeletal Muscle Mass Index（ASMI），were observed before and after treatment in both groups. Changes in the Berg Balance Scale（BBS）score and the Modified Barthel Index（MBI）score were compared between the two groups before and after treatment. Results（1）After treatment，grip strength，6-meter gait speed， and Five-Times Sit-to-Stand Test time were significantly improved in both groups（P＜0.05），and the improvements in grip strength，6-meter gait speed，and Five-Times Sit-to-Stand Test time were significantly greater in the observation group than in the control group，with statistically significant differences（P＜0.05）.（2）After treatment，the ASMI was significantly improved in both groups（P＜0.05），and the improvement in ASMI was significantly greater in the observation group than in the control group，with a statistically significant difference （P＜0.05）.（3）After treatment，MBI scores and BBS scores were significantly improved in both groups（P＜ 0.05），and the improvements in MBI scores and BBS scores were significantly greater in the observation group than in the control group，with statistically significant differences（P＜0.05）.（4）The total effective rate was 90.00% （27/30）in the observation group and 70.00%（21/30）in the control group. The efficacy in the observation group was superior to that in the control group，and the difference was statistically significant（P＜0.05）. Conclusion Based on the theory“Treating Atrophy Solely via the Yangming Meridians”，the application of acupuncture combined with low-intensity resistance exercise in treating elderly sarcopenia can significantly enhance patients’ physical function，improve their balance function，and elevate their muscle functional status，demonstrating significant therapeutic efficacy.

R246.9

国家自然科学基金资助项目（编号：82060865）；河北省中医管理局科研基金资助项目（编号：2022413）