【摘要】 目的 观察头针配合康复治疗对痉挛型脑瘫患儿表面肌电指标表面肌电均方根振幅(RMS)及肢体平衡能力的影响。方法 郑州大学第三附属医院2022年7月-2024年6月收治的痉挛型脑瘫患儿71例分为康复患儿组(36例)和头针患儿组(35例)，分组方法为随机数字表法，研究期间共脱落3例(脱落率为4.23%)，康复患儿组脱落2例，头针患儿组脱落1例，最终每组34例。康复患儿组给予常规康复治疗，头针患儿组于康复患儿组基础上，给予头针治疗，3周为1个疗程，每疗程间休息1～2周，康复患儿组、头针患儿组均连续治疗3个疗程。比较康复患儿组、头针患儿组治疗前、治疗3个疗程后儿童平衡量表(PBS)、RMS、Gesell发育量表、Peabody粗大运动发育量表(PDMS-GM)、Peabody精细运动发育量表(PDMS-FM)、改良Ashworth痉挛评定表(MAS)评分。结果 较治疗前，治疗3个疗程后康复患儿组、头针患儿组患儿PBS总分均升高，其中头针患儿组高于康复患儿组(P<0.05)，差异具有统计学意义；治疗3个疗程后，康复患儿组、头针患儿组内收肌、腘绳肌、腓肠肌RMS均较治疗前降低，但头针患儿组腘绳肌、腓肠肌改善程度优于康复患儿组；在MAS评分方面，康复患儿组、头针患儿组腓肠肌MAS评分均较治疗前降低，康复患儿组、头针患儿组差异无统计学意义；PDMS-GM、PDMS-FM、Gesell发育量表中适应性、大运动、精细运动、语言评分均升高，头针患儿组PDMS-GM、Gesell发育量表中适应性、大运动、语言评分更高(P<0.05)，差异具有统计学意义。结论 头针配合康复治疗能够促进痉挛型脑瘫患儿适应性、粗大运动、语言的发育，有升高患儿运动功能，改善患儿肢体平衡能力。更多还原

【Abstract】 Objective To observe the effects of scalp acupuncture combined with a rehabilitation therapy on the root mean square amplitude (RMS) of surface electromyography and limb balance ability in children with spastic cerebral palsy.Methods A total of 71 children with spastic cerebral palsy admitted to the Third A?liated Hospital of Zhengzhou University from July 2022 to June 2024 were divided into a rehabilitation children group (36 cases) and a scalp acupuncture children group (35 cases) with the random number table method.During the study period,three cases were dropped out (4.23%),with two cases in the rehabilitation children group and one case in the scalp acupuncture children group,and finally with 34 cases in each group.The rehabilitation children group was given a routine rehabilitation treatment,while the scalp acupuncture children group was given a scalp acupuncture treatment on the basis of the rehabilitation children group,with 3 weeks as a course of treatment,and a break for 1-2 weeks between each course.The two groups were treated for 3 courses continuously.The scores of Pediatric Balance Scale (PBS),RMS of surface electromyography,Gesell Development Scale,Peabody Gross Motor Development Scale (PDMS-GM),Peabody Fine Motor Development Scale (PDMS-FM) and muscle tension Modified Ashworth Spasm Rating Scale (MAS) were compared before and after three courses of treatment between the two groups.Results Compared with before treatment,the total scores of PBS were increased in both groups after three courses of treatment,and the scalp acupuncture children group was significantly higher than the rehabilitation children group (P<0.05).After three courses of treatment,the RMSs of adductor,hamstring and gastrocnemius were decreased in the two groups,and the improvement of hamstring and gastrocnemius was better in the scalp acupuncture children group than that in the rehabilitation children group.In terms of MAS scores,the scores of gastrocnemius were lower in both groups than before treatment,yet there was no statistically significant difference between the two groups.In PDMS-GM,PDMS-FM and Gesell Development Scale,the scores of adaptability,gross movement,fine movement and language were all increased,and the scores of adaptability,gross movement and language were significantly higher in the PDMS-GM and Gesell Development Scale in the scalp acupuncture children group (P<0.05).Conclusion Scalp acupuncture combined with a rehabilitation therapy can promote the adaptability,gross movement and language development in children with spastic cerebral palsy,improve their motor function and limb balance.更多还原