关键词: 脑性瘫痪, 痉挛型, 益肾通督针刺法, 认知功能, 神经因子

Abstract: ObjectiveTo explore the application effect of Yishen Tongdu acupuncture therapy in children with spastic cerebral palsy(CP), and its influence on motor function, cognitive level and serum neurofactor level.MethodsA total of 89 children with spastic cerebral palsy admitted to our department from August 2019 to September 2021 were selected as the research subjects and randomly divided into two groups. The control group(n=44) was given exercise therapy, and the observation group(n=45) was given exercise combined Yishen Tongdu acupuncture therapy. The motor function, cognitive function and neurofactor levels of the two groups were compared. ResultsAfter treatment, the gross motor function and fine motor function scores of the observation group were higher than those of the control group (P<0.05). Gesell Developmental Diagnostic Scale scores of fine motor and language,and personal-social scores of observation group were higher than those of the control group(P<0.05), and the scores of gross motor and adaptability tended to increase, and the differences were not statistically significant(P>0.05). The levels of nerve growth factor and brain-derived neurotrophic factor in the observation group were higher than those in the control group(P<0.05).ConclusionYishen Tongdu acupuncture combined with exercise therapy can effectively improve gross and fine motor function and promote neurocognitive development by strengthening kidney and spleen, Tongdu and dredging meridian, and regulating the expression levels of serum nerve growth factor and brain-derived neurotrophic factor.

Key words: Cerebral palsy, Spasm type, Yishen Tongdu acupuncture therapy, Cognitive function, Neurofactor