Objective To investigate the clinical effect of acupuncture combined with repetitive transcranial magnetic stimulation in the treatment of children with spastic cerebral palsy with spleen-kidney deficiency

as well as its effect in improving cerebral hemodynamics.Methods A total of 220 children with spastic cerebral palsy were divided into observation group and control group using a random number table

with 110 children in each group. The children in the control group were given rehabilitation training and repetitive transcranial magnetic stimulation

and those in the observation group were given acupuncture in addition to the treatment in the control group. Acupuncture was performed at Zusanli(ST36)

Xuanzhong(GB39)

Sanyinjiao(SP6)

Pishu(BL20)

Shenshu(BL23)

Qihai(CV6)

Quchi(LI11)

Neiguan(PC6)

Hegu(LI4)and Tianshu(ST25)once every other day

three times a week for 3 consecutive months.The two groups were compared in terms of Gross Motor Function Measure(GMFM)

Fine Motor Function Measure(FMFM)

comprehensive function score for children with cerebral palsy

clinical outcome

and related cerebral hemodynamic parameters(mean blood flow velocity[Vm]

systolic peak velocity[Vs]

and resistance index[RI]of the cerebral artery).Results After treatment

both groups had significant increases in the scores of GMFM

FMFM and comprehensive function(cognitive function

speech function

motor ability

self-care

and social adaptability

P<0. 01)

and the observation group had significantly better improvements in the scores of GMFM(domains A

B and C)

FMFM(domains B

C

D and E)

and comprehensive function than those of the control group(P<0. 01). The therapeutic effect of the observation group(93/110

84. 55%)was superior to that of the control group(80/110

72. 73%

P<0. 05). The observation group had significantly higher Vs and Vm and a significantly lower RI than the control group(P<0. 01).Conclusion In the treatment of children with spasmodic cerebral palsy with spleen-kidney deficiency

acupuncture combined with repeated transcranial magnetic stimulation can significantly improve their motor function

comprehensive function

and clinical outcome

which may be associated with the regulation of cerebral hemodynamics.