本文旨在确定偏瘫性肩痛(HSP)是否是中风严重程度的标志,或是与不良预后无关的预报症状。 76例第1次中风急诊入院病人,男37例,女39例。年龄41～99岁,平均73岁。病人入院即开始评定,由同一研究者连续12周检测病人。用Van Lan-genberghe’s分级评定盂肱排列,拍肩关节竖直、无支撑肩前后位X光片。每周用竖式目测类比量表评定肩痛程度,用Kozin’s标准诊断反射交感性营养不良(RSD),每2周用Motricity指数评定上肢肌力,每4周用Frenchay上肢试验(FAT)评定上肢 The purpose of this article is to determine whether hemiplegic shoulder pain (HSP) is a hallmark of the severity of a stroke or a prognostic symptom that is unrelated to poor prognosis. 76 cases of the first emergency admission stroke patients, 37 males and 39 females. Age 41 ~ 99 years old, average 73 years old. The patient begins to assess the admission, by the same researcher for 12 consecutive weeks of testing patients. The glenohumeral array was rated by Van Lan-genberghe’s grading, the shoulder joint was vertical, and the anterior and posterior radiographs without supportive shoulder were taken. Shoulder pain was assessed weekly using a vertical visual analog scale, Kozin’s criteria were used to diagnose reflected sympathetic dystrophy (RSD), Motricity index was used to assess upper limb muscle strength every 2 weeks, and upper limbs were assessed every 4 weeks with the Frenchay Upper Extremity Test (FAT)