CAJ | 학술논문

目的：观察三种不同镇痛方法对冻结肩手法松解术后功能康复锻炼的影响。方法：将拟行手法松解治疗冻结肩的90例患者随机分为A、B、C三组。A组为肩关节腔内阻滞组，术后连续三天每天行单次肩关节腔内阻滞后进行功能康复锻炼。B组为臂丛阻滞麻醉组，术后连续三天每天行单次臂丛阻滞麻醉后进行功能康复锻炼。C组为对照组，术后不行任何阻滞下进行常规肩关节功能康复锻炼。观察松觧术当天、术后连续3天、术后1周的视觉模拟法评分、依从性、疗效评定及1月后的随访结果。结果：三组患者的疼痛、依从性、疗效评定比较，A组明显优于 B 组、C组（P<0.05）。结论：肩关节腔内阻滞在手法松解治疗冻结肩后的康复锻炼中具有安全、痛苦小、易于患者接受、疗效确切的特点，该法值得推广。
목적：관찰삼충불동진통방법대동결견수법송해술후공능강복단련적영향。방법：장의행수법송해치료동결견적90례환자수궤분위A、B、C삼조。A조위견관절강내조체조，술후련속삼천매천행단차견관절강내조체후진행공능강복단련。B조위비총조체마취조，술후련속삼천매천행단차비총조체마취후진행공능강복단련。C조위대조조，술후불행임하조체하진행상규견관절공능강복단련。관찰송해술당천、술후련속3천、술후1주적시각모의법평분、의종성、료효평정급1월후적수방결과。결과：삼조환자적동통、의종성、료효평정비교，A조명현우우 B 조、C조（P<0.05）。결론：견관절강내조체재수법송해치료동결견후적강복단련중구유안전、통고소、역우환자접수、료효학절적특점，해법치득추엄。
Objective:To compare the influences of different analgesic methods on the functional rehabilitation of frozen shoul-der after release surgery. Methods:A total of 90 patients of frozen shoulder were randomly assigned to one of three equal groups re-ceiving either shoulder joint block anesthesia (Group A), brachial plexus block anesthesia (Group B) or no anesthesia (Group C) com-bined with functional rehabilitation exercise for 3 days after release surgery. Visual analogue scale, compliance, and curative effect were assessed at the day 0, 1, 2, 3 and 7 after release surgery. Results of one-month follow-up were acquired by the phone call. Re-sults: Group A got much better results than the other two groups in terms of pain relief, compliance, and curative effect(P < 0.05). Conclusion:Shoulder joint block anesthesia can achieve more significant pain relief, patient compliance and curative effect in the post-operative rehabilitation and is worth of spreading.