目的：评估改良式气压治疗对脑卒中后并发肩手综合征Ⅰ期患者上肢运动功能和肩关节活动度的影响。

方法：将60 例符合病例选择标准的脑卒中后并发肩手综合征Ⅰ期患者随机分入改良式气压治疗组（30 例）和传统气压治疗组（30 例）。比较治疗前以及治疗4 周后2 组的上肢简化Fulg-Meyer 运动功能积分以及肩关节活动度，比较治疗4 周后2 组的治疗有效率。

结果：2 组治疗4 周后的Fugl-Meyer 运动功能积分均较治疗前显著增加（P ＜ 0.05），且改良式气压治疗组的Fugl-Meyer 运动功能积分改善较传统气压治疗组更为显著（P ＜ 0.05）。2 组治疗4 周后的肩关节活动度均较治疗前显著改善（P ＜ 0.05），其中改良式气压治疗组的肩关节前屈、外展和内旋活动度改善较传统气压治疗组更为显著（P ＜ 0.05，P ＜ 0.01，P ＜ 0.05）。治疗4 周后，改良式气压治疗组的治疗有效率显著高于传统气压治疗组（分别为83.3% 和56.7%，P ＜ 0.01）。

结论：改良式气压治疗相较于传统气压治疗，可明显改善脑卒中后并发肩手综合征Ⅰ期患者的上肢运动功能和肩关节活动度，值得在临床上推广应用。

Objective: To evaluate the effect of modified air pressure therapy on upper extremity motor unction and the range of motor (ROM) of shoulder joint in patients with stageⅠ shoulderhands syndrome (SHS) after stroke.

Methods: Sixty patients with stageⅠ SHS after stroke were randomly divided into two groups: the modified air pressure therapy group (n = 30) and the traditional air pressure therapy group (n = 30). The Fulg-Meyer assessment score of upper extremity motor function and ROM of shoulder joint were compared between the two groups before treatment and 4 weeks after treatment, and the therapeutic efficacy was compared between the two groups after 4 weeks.

Results: After 4 weeks of treatment, Fugl-Meyer assessment scores of upper extremity motor function were significantly increased in both groups (P < 0.05), and the improvement in the modified air pressure therapy group was more significant than that in the air pressure therapy group (P < 0.05). After 4 weeks of treatment, the ROM of shoulder joint of the two groups were both improved significantly (P < 0.05), and the improvements in flexion, abduction and rotation mobility of the modified air pressure therapy group were more significant than those of the traditional air pressure therapy group (P < 0.05, P < 0.01, P <0.05). After 4 weeks of treatment, the response rate of modified air pressure therapy group was significantly higher than that of the traditional air pressure therapy group (83.3% vs 56.7%, P < 0.01).

Conclusion: Compared with the traditional air pressure therapy, the modified air pressure therapy can significantly improve the upper extremity motor function and ROM of shoulder joint in patients with stageⅠ SHS after stroke, which is worthy of clinical application.