Objective:To study the effect of modified constraint induced movement combined with antagonistic acupuncture therapy on upper limb spastic hemiplegia after cerebral infarction .Methods:100 patients with cer-ebral infarction were divided randomly into two groups ,a control group (50 cases) with baclofen therapy and a treatment group ( 50 cases ) with modified constraint induced movement combined with antagonistic acupunc-ture therapy .The modified Ashworth Score and Fugl Meyer Assessment were used to evaluate the efficacy be-fore and after treatment .Results:In the treatment group the scores of Ashworth Score and FMA of upper limbs increased more significantly than those in the control group (P﹤0.01,P﹤0.05).Conclusion:Modified con-straint induced movement combined with antagonistic acupuncture therapy is better than baclofen therapy .%目的：：研究拮抗针法结合改良强制性运动疗法对脑梗死患者上肢痉挛状态的影响。方法：将符合纳入标准100例脑梗死上肢痉挛状态患者随机分为拮抗针法结合改良强制性运动疗组(治疗组)和巴氯芬组(对照组),各50例。采用改良Ashworth分级评定法和Fugl Meyer 运动功能(FMA)评分法评价临床疗效。结果：治疗组治疗后Ashworth及FMA评分优于对照组(P﹤0.01,P﹤0.05)。结论：拮抗针法结合改良强制性运动疗法能显著改善脑梗死后的上肢痉挛状态,综合临床疗效优于巴氯芬。
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