互动式头针结合振动疗法对脑瘫患儿粗大运动功能、平衡能力及脑血流动力学的影响

目的　观察互动式头针结合振动疗法对脑瘫患儿粗大运动功能、平衡能力及脑血流动力学的影响。方法　选择2020年1月至2022年2月于济宁市妇幼保健计划生育服务中心治疗的70例痉挛型双瘫患儿，以随机数字表法分为2组。研究组35例，男性患儿18例、女性患儿17例，年龄（3.43±1.02）岁；对照组35例，男性患儿19例、女性患儿16例，年龄（3.51±1.06）岁。35例对照组患儿给予振动疗法，35例研究组患儿在对照组基础上给予互动式头针治疗，治疗前后检测两组患儿神经元特异性烯醇化酶（NSE）、泛素羧基末端水解酶L1（UCH-L1）、脑源性神经营养因子（BDNF）、脑动脉收缩期峰流速度（Vs）、平均血流速度（Vm）、血管阻力指数（RI），给予患儿粗大运动功能评定量表（GMFM）、Berg平衡量表（BBS）评价。采用t检验、χ²检验。结果　研究组治疗后NSE、UCH-L1水平低于对照组［（13.15±4.12）μg/L比（19.41±5.87）μg/L，（12.36±3.11）μg/L比（19.51±4.15）μg/L］，BDNF水平高于对照组［（5.92±1.56）μg/L比（4.57±1.29）μg/L］（均P<0.05）。研究组患儿治疗后Vm、Vs高于对照组［（140.18±4.24）cm/s比（133.14±3.17）cm/s，（126.97±7.29）cm/s比（114.71±6.21）cm/s］，RI低于对照组［（0.61±0.11）比（0.74±0.15）］（均P<0.05）。研究组治疗后GMFM量表A区、B区、C区、D区、E区评分高于对照组（均P<0.05）。研究组患儿治疗后BBS评分高于对照组（P<0.05）。结论　互动式头针结合振动疗法治疗脑瘫患儿，可减轻神经损伤，改善患儿脑血流循环，提升患儿粗大运动功能及平衡能力。

Effect of interactive scalp acupuncture combined with vibration therapyon gross motor function,balance ability,and cerebral hemodynamics in childrenwith cerebral palsy

Objective　To observe the effect of interactive scalp acupuncture combined withvibration therapy on gross motor function, balance ability, and cerebralhemodynamics in children with cerebral palsy. Methods　A total of 70 children with spastic diplegia treated in Jining Maternaland Child Health and Family Planning Service Center from January 2020 toFebruary 2022 were divided into two groups with the random number table method.There were 35 children in the study group, including 18 males and 17 females,with an age of (3.43±1.02) years old; there were 35 children in the controlgroup, including 19 males and 16 females, with an age of (3.51±1.06) years old.The 35 children in the control group were given vibration therapy, and the 35children in the study group were given interactive scalp acupuncture on thebasis of the control group. Neuron-specific enolase (NSE), ubiquitincarboxyl-terminal hydrolase-L1 (UCH-L1), brain-derived neurotrophic factor(BDNF), cerebral artery systolic peak flow velocity (Vs), mean blood flowvelocity (Vm), and vascular resistance index (RI) were detected before andafter treatment in the two groups. The Gross Motor Function Measure Scale(GMFM) and Berg Balance Scale (BBS) were evaluated for the two groups. t test and χ² test were used. Results　After treatment, thelevels of NSE and UCH-L1 in the study group were lower than those in thecontrol group [(13.15±4.12) μg/L vs. (19.41±5.87) μg/L, (12.36±3.11) μg/L vs.(19.51±4.15) μg/L], and the level of BDNF was higher than that in the controlgroup [(5.92±1.56) μg/L vs. (4.57±1.29) μg/L] (all P<0.05). After treatment, the Vm and Vs in the study group werehigher than those in the control group [(140.18±4.24) cm/s vs. (133.14±3.17)cm/s, (126.97±7.29) cm/s vs. (114.71±6.21) cm/s], and the RI was lower thanthat in the control group [(0.61±0.11) vs. (0.74±0.15)] (all P<0.05). After treatment, the scoresof A, B, C, D, and E areas of GMFM in the study group were higher than those inthe control group (all P<0.05).The BBS score of the study group was higher than that of the control groupafter treatment (P<0.05). Conclusion　Interactive scalpacupuncture combined with vibration therapy in the treatment of children withcerebral palsy can reduce the nerve damage, improve their cerebral bloodcirculation, and improve their gross motor function and balance ability.