针刺治疗腰背肌筋膜炎的临床进展综述

A Review of Clinical Advances in Acupuncture Treatment for Lumbar and Dorsal Myofascial Pain Syndrome

摘要: 腰背部筋膜炎为临床上常见的慢性软组织损伤性疾病，发病后患者会表现为腰背部功能障碍、僵硬及疼痛等表现。近些年来针刺疗法在该病治疗中较为常用，有关其治疗手法也在不断推陈出新，其中电针、干针、普通针刺、浮针、灸法、穴位埋线、针刀疗法及综合治疗等多种针刺方法被广泛应用于临床实践。不同的治疗方式可从不同途径起效，从而有效缓解疼痛，改善关节功能障碍，还利于降低复发率。本文综述了针刺治疗腰背肌筋膜炎的临床进展，总结了不同针刺方法的操作要点，旨在为治疗方案的进一步优化提供参考。

Abstract: Lumbar and dorsal myofascial pain syndrome is a common chronic soft tissue injury in clinical practice. Patients typically present with functional impairment, stiffness, and pain in the lumbar and back regions. In recent years, acupuncture therapy has been widely used in the treatment of this condition, and its techniques have continued to evolve. Various acupuncture-related modalities—including electroacupuncture, dry needling, manual acupuncture, floating needle therapy, moxibustion, acupoint catgut embedding, needle-knife therapy, and combined therapeutic approaches—have been extensively applied in clinical practice. These different treatment methods exert their effects through diverse mechanisms, effectively alleviating pain, improving functional disorders, and reducing recurrence rates. This review summarizes recent clinical advances in acupuncture treatment for lumbar and dorsal myofascial pain syndrome, outlines the key operational features of different acupuncture techniques, and aims to provide a reference for the further optimization of therapeutic strategies.