In the structural reinforcement of a high-rise residential building in Changzhou city, Jiangsu province, China, the technology of prestressed steel bar strengthening shear wall, which was initiated in China, was applied. Combined with the engineering quality inspection report, the project characteristics and the requirements of the construction party, various methods, such as increasing cross-section reinforcement method and staged replacement concrete reinforcement method, were comprehensively used to treat and reinforce the structures with different quality problems and different parts. In general, the stress and strain of the newly added part always lags behind the stress and strain of the original structure. This will cause the stress of the original structure is too high and the deformation is large, while the stress of the new part is still at a low level, which cannot fully play its role and its due reinforcement effect. Prestressed steel bar reinforced shear wall technology, through the prestressed steel bar on the prestressed steel bar, which is a good solution to this problem, avoid the phenomenon of stress lag, and ultimately not only shorten the construction period of reinforcement, but also ensure the quality of reinforcement and user use area, successfully passed the reinforcement special acceptance. The monitoring data also proved that the reinforcement measures adopted are safe, reliable and economical. This paper can provide reference for the effective development of similar reinforcement projects.