目的：观察揿针联合经筋推拿手法治疗学龄儿童低度近视的疗效。方法：选择低度近视学龄儿童120例，按随机数字表法分为对照组和观察组各60例。两组儿童均给予健康用眼宣教，在此基础上，对照组佩戴角膜塑形镜进行治疗，观察组进行揿针联合经筋推拿手法治疗。两组均治疗6周并随访3个月。比较两组治疗前后的裸眼视力、屈光度、调节灵敏度、眼轴长度，评价临床疗效。结果：观察组治疗3周、治疗6周的裸眼视力值较治疗前下降（P<0.05）；对照组治疗结束后3个月的裸眼视力值较治疗前上升（P<0.05）；观察组治疗3周、治疗6周、治疗结束后3个月的裸眼视力值均低于对照组（P<0.05）。观察组治疗6周的屈光度低于治疗前（P<0.05）；对照组治疗6周、治疗结束后3个月的屈光度均高于治疗前（P<0.05）；观察组治疗3周、治疗6周、治疗结束后3个月的屈光度均低于对照组（P<0.05）。观察组治疗3周、治疗6周、治疗结束后3个月的调节灵敏度均高于治疗前（P<0.05）；对照组治疗3周、治疗6周的调节灵敏度均高于治疗前（P<0.05）；观察组治疗3周、治疗6周、治疗结束后3个月的调节灵敏度均高于对照组（P<0.05）。两组各时点眼轴长度组间、组内比较，差异均无统计学意义（P>0.05）。治疗6周后，观察组、对照组总有效率分别为91.67%、76.67%，两组疗效比较，差异有统计学意义（P<0.05）。结论：揿针联合经筋推拿手法治疗学龄儿童低度近视疗效较好，可改善儿童裸眼视力、屈光度和调节灵敏度。

Objective:To observe the curative efficacy of thumbtack needle combined with meridian tendons manipulation in treating low myopia in school-age children. Methods:A total of 120 school-age children with low myopia were randomly divided into the control group and the observation group according to the random number table method,with 60 children in each group. Children in both groups were provided with eye health education. On this basis,children in the control group received treatment by wearing orthokeratology lenses corrective glasses,while children in the observation group received treatment through a combination of thumbtack needle and meridian tendons manipulation. All children were treated for 6 weeks and followed up for 3 months. The uncorrected visual acuity,diopter,adjustment sensitivity,and axial length were compared between the two groups before and after treatment,and the clinical curative efficacy was evaluated. Results:The uncorrected visual acuity values in the observation group decreased after 3 and 6 weeks of treatment compared to those before treatment(P<0.05). The uncorrected visual acuity value in the control group increased after 3 weeks of treatment compared to that before treatment(P<0.05). The uncorrected visual acuity values in the observation group were lower than those in the control group at 3 weeks,6 weeks,and 3 months after treatment(P<0.05). The diopter in the observation group decreased after 6 weeks of treatment compared to that before treatment(P < 0.05). The diopters in the control group increased after 6 weeks and 3 months of treatment compared to those before treatment(P<0.05). The diopters in the observation group were lower than those in the control group at 3 weeks,6 weeks,and 3 months after treatment(P<0.05). The adjustment sensitivities in the observation group increased after 3 weeks,6 weeks,and 3 months of treatment compared to those before treatment(P<0.05). The adjustment sensitivities in the control group increased after 3 and 6 weeks of treatment compared to those before treatment(P<0.05). The adjustment sensitivities in the observation group were higher than those in the control group at 3 weeks,6 weeks,and 3 months after treatment(P<0.05). There was no significant difference in axial length in terms of inter-group and intra-group dimensions at different time points(P>0.05). After 6 weeks of treatment,the observation group achieved a total effective rate of 91.67%,while the control group achieved a rate of 76.67%. The difference in curative efficacy between the two groups was statistically significant(P<0.05). Conclusion:The combination of thumbtack needle and meridian tendons manipulation demonstrates efficacy in the treatment of low myopia in school-age children,leading to improvements in uncorrected visual acuity,diopter,and adjustment sensitivity.