Abstract: Objective　To investigate the effect of magnetic stimulation therapy on the stimulation of the nerve root of the thoracolumbar spinal cord and enhancing the stability of the core muscle group in the rehabilitation of children with cerebral palsy.Methods　Fifty-nine children with cerebral palsy admitted from January 2016 to January 2017 in Xuzhou Children's Hospital were divided into treatment group（n=30） and control group（n=29） by random number table.The control group was treated with traditional rehabilitation method，the treatment group was treated with neural regulation therapy of magnetic stimulation combined with traditional way.After 2 months of treatment，the treatment parameters were adjusted in 18 cases of the treatment group.Before and after treatment，the Gross Motor Function Measure（GMFM），International Classification of Functions，Disability and Health for Children and Youth（ICF-CY） sitting posture holding capacity（d4153） score were used to evaluate the motor function of two groups.Results　There was interaction between time of treatment and GMFM A score（Finteraction=3.999，Pinteraction<0.05）.Time had significant main effect on the scores of GMFM A area，B area and ICF-CY（d4153）（Ftime=29.304，Ftime=6.328，Ftime=9.257，Ptime<0.05）.Treatment had significant main effect on the scores of GMFM A area，B area and ICF-CY（d4153）（Ftreatment=5.158，Ftreatment=17.639，Ftreatment=10.670，Ptreatment<0.05）.The scores of GMFM A area and B area in the treatment group were lower than those in the control group，and the scores of ICF-CY（d4153） in the treatment group were higher than those in the control group 1，2 months after treatment（P<0.05）.After 3 months of treatment，the scores of GMFM A area and B area of 18 infants treated in the treatment group adjusted for treatment parameters were all higher than those of 2 months after treatment（tpair=10.168，tpair=6.230，P<0.001），the ICF-CY（d4153） score was not significantly different from 2 months after treatment（tpair=1.458，P=0.163）.Conclusion　Neural regulation therapy of magnetic stimulation plays a role in the rehabilitation of children with cerebral palsy，which can enhance the stability of the core muscle group and improve the motor function in children，and especially the effects of the first two months is obvious.

摘要： 目的　探讨磁刺激神经调控治疗刺激胸腰段脊髓神经根增强核心肌群稳定性在脑性瘫痪患儿康复中的作用。方法　选取2016年1月—2017年1月徐州市儿童医院收治的脑性瘫痪患儿59例，采用随机数字表法将其分为治疗组（30例）和对照组（29例）。对照组采用传统康复治疗，治疗组采用传统康复治疗联合磁刺激神经调控治疗，治疗2个月后调整治疗组18例患儿治疗参数。于治疗前后采用粗大运动功能测试量表（GMFM）、《国际功能、残疾和健康分类（儿童与青少年版）》（ICF-CY）坐姿保持能力（d4153）评分评定两组患儿运动功能。结果　处理方法与时间对GMFM卧位和翻身（A区）评分存在交互作用（F交互=3.999，P交互=0.020）；时间对GMFM A区、坐位（B区）和ICF-CY（d4153）评分的影响，主效应均显著（F时间=29.304、6.328、9.257，P时间<0.05）；处理方法对GMFM A区、B区和ICF-CY（d4153）评分的影响，主效应均显著（F组间=5.158、17.639、10.670，P组间<0.05）。其中，治疗1、2个月后治疗组GMFM A区、B区评分均低于对照组，ICF-CY（d4153）评分均高于对照组（P<0.05）。治疗组调整治疗参数的18例患儿治疗3个月后GMFM A区、B区评分均高于治疗2个月后（t配对=10.168、6.230，P<0.001）；治疗3个月后ICF-CY（d4153）评分与治疗2个月后比较，差异无统计学意义（t配对=1.458，P=0.163）。结论　磁刺激神经调控治疗在脑性瘫痪患儿康复治疗中起到一定作用，可以增强其核心肌群稳定性，提升患儿粗大运动功能，且前2个月效果明显。

关键词: 脑性瘫痪, 经颅磁刺激, 核心肌群, 康复