【目的】 观察电针联合穴位埋线治疗小儿脑性瘫痪的临床疗效。【方法】 选取 2020年 1月至 2025年 6月梅州市人民医院 儿科住院部及儿童康复门诊收治的60例明确诊断为小儿脑瘫的患儿为研究对象。按随机数字表将患儿随机分为观察组和对 照组，每组各30例。对照组给予电针联合物理康复治疗，观察组在对照组治疗的基础上，给予穴位埋线治疗。1周为1个疗 程，共治疗6个疗程。治疗6周后，评价2组临床疗效。观察2组患者治疗前后0～6岁小儿神经心理发育检查表评分的变化 情况，以及改良阿什沃思量表（MAS）评分的情况。比较2组患者治疗前后脑瘫粗大运动功能测试量表88项（GMFM-88）评分 的变化情况。【结果】（1）研究过程中，观察组失访 5 例，对照组失访 2 例。最终观察组 25 例、对照组 28 例纳入疗效统计。 （2）治疗后，2组患儿的 0～6岁小儿神经心理发育检查表评分明显改善（P＜0.05），且观察组在改善 0～6岁小儿神经心理发 育检查表评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗后，2 组患儿的 GMFM-88 评分明显改善（P＜ 0.05），且观察组在改善 GMFM-88评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（4）治疗后，2组患儿的 MAS评 分明显改善（P＜0.05），且观察组在改善MAS评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（5）观察组总有效率为 92.00%（23/25），对照组为 75.00%（21/28）。观察组疗效优于对照组，差异有统计学意义（P＜0.05）。【结论】 电针联合穴位埋 线治疗小儿脑性瘫痪，能明显提高患儿的功能发育，改善患儿的肌张力情况，促进其智力发育和日常生活能力提升，疗效 显著。

Objective To observe the clinical efficacy of electroacupuncture combined with acupoint catgut embedding in the treatment of infantile cerebral palsy （ICP）. Methods Sixty children definitively diagnosed with cerebral palsy and admitted to the Pediatric Inpatient Department and Children’s Rehabilitation Clinic of Meizhou People’s Hospital from January 2020 to June 2025 were selected as the study subjects. According to a random number table，the children were randomly divided into an observation group and a control group，with 30 cases in each group. The control group received electroacupuncture combined with physical rehabilitation therapy，while the observation group received additional acupoint catgut embedding therapy based on the treatment provided to the control group. The treatment cycle was one week per course，with a total of 6 treatment courses. After 6 weeks of treatment，the clinical efficacy of the two groups was evaluated. Changes in the Neuropsychological Development Examination Scale for Children Aged 0-6 Years scores and the Modified Ashworth Scale （MAS） scores were observed in both groups before and after treatment. Changes in the Gross Motor Function Measure-88（GMFM-88） scores were compared between the two groups before and after treatment. Results （1） During the study，5 cases were lost to follow-up in the observation group， and 2 cases in the control group. Ultimately， 25 cases in the observation group and 28 cases in the control group were included in the efficacy statistics.（2） After treatment， the Neuropsychological Development Examination Scale scores for children aged 0-6 years was significantly improved in both groups （P＜0.05），and the observation group showed significantly greater improvement than the control group，with a statistically significant difference （P＜0.05）.（3） After treatment，the GMFM-88 scores was significantly improved in both groups （P＜0.05）， and the observation group showed significantly greater improvement than the control group，with a statistically significant difference （P＜0.05）.（4） After treatment，the MAS scores was significantly improved in both groups （P＜0.05），and the observation group showed significantly greater improvement than the control group， with a statistically significant difference （P＜0.05）.（5） The total effective rate was 92.00% （23/25） in the observation group and 75.00% （21/28） in the control group. The efficacy of the observation group was superior to that of the control group，with a statistically significant difference （P＜ 0.05）. Conclusion Electroacupuncture combined with acupoint catgut embedding in the treatment of ICP can significantly improve functional development，ameliorate muscle tone，promote intellectual development and daily living abilities，demonstrating notable therapeutic efficacy.

R246.9

广东省中医药局科研资助项目（编号：20222234）