关键词: 脑性瘫痪, 睡眠障碍, 重复经颅磁刺激, 头针；儿童

Abstract: ObjectiveTo investigate the effect of repetitive transcranial magnetic stimulation combined with scalp acupuncture on children with cerebral palsy(CP)complicated with sleep disorders.MethodsFrom October 2020 to October 2022,90 children with cerebral palsy complicated with sleep disorders were treated in the Children′s Rehabilitation Center of Chengdu Hospital of Integrated Traditional Chinese and Children′s Rehabilitation Hospital,and Chengdu Gulian Rehabilitation Clinic Co.,Ltd.,who were randomly divided into control group,acupuncture group,and combined treatment group,with 30 cases in each group.In the control group the children′s parents received sleep health education to strengthen sleep behavior management.In the acupuncture group the children received scalp acupuncture three times a week for 12 weeks on the basis of the treatment for control group.The combined treatment group received repetitive transcranial magnetic stimulation on the basis of the treatment for control group and the acupuncture group,and the sleep pattern was adopted,three times a week for 5 weeks,with an interval of 1 week,and then another 5 weeks.After 6 and 12 weeks of treatment,the changes in sleep efficiency,sleep latency,and arousal times of each group were observed.ResultsThe sleep efficiency of the three groups increased with the treatment time,and after 6 weeks of treatment,the sleep efficiency of the combined treatment group was higher than that of the control group,and at 12 weeks after treatment,the sleep efficiency of the acupuncture group and the combined treatment group was significantly higher than that of the control group(P<0.05).The sleep latency of the three groups decreased with the treatment time,and the sleep latency of the combined treatment group was lower than that of the acupuncture group and the control group after 6 and 12 weeks of treatment,and the difference was statistically significant(P<0.05).The number of arousal decreased with the treatment time in the three groups,and the number of arousal in the combined treatment group and acupuncture group was lower than that in the control group at 12 weeks after treatment,and the difference was statistically significant(P<0.05).ConclusionRepetitive transcranial magnetic stimulation combined with scalp acupuncture can improve the sleep quality of children with sleep disorders and cerebral palsy,shorten the time of falling asleep,reduce the number of awakening at night,and improve sleep efficiency.

Key words: Cerebral palsy；Sleep disorders；Repetitive transcranial magnetic stimulation； Scalp acupuncture, Children