CAJ | 학술논문

目的：评价肱骨骺端减压治疗重度肩痛疗效。方法将120例顽固性肩痛患者（采取常规保守疗法无效）随机分为2组：对照组（简称软组织治疗组）仅给予：肩周软组织治疗（肩部各功能肌群等软组织），根据病情不同需要采用痛点和神经阻滞、射频或银质针松解粘连或挛缩组织、物理疗法（肩关节松动术、肩部软组织手法和牵伸训练、各种理疗）等综合肩关节康复方法，实验组即骨骺减压组，病人给予肩周软组织治疗等综合康复方法，并行肱骨骨骺端减压，以VAS疼痛视觉模拟评分法及改良)评分及肩关节ROM改善程度来评定疗效。结果骨骺减压组经肩周软组织松解联合肱骨骺端减压治疗重度肩痛后，第一天夜间可见疼痛缓解，VAS评分下降显著，治疗后1、2、3周ROM功能改善，而对照组肩痛及肩关节ROM改善弱于实验组。结论肩周软组织松解联合肱骨骺端减压可以治疗重度肩痛，迅速缓解疼痛改善肩关节功能，病程缩短，可以解决难治性肩痛，疗效突出。
목적：평개굉골후단감압치료중도견통료효。방법장120례완고성견통환자（채취상규보수요법무효）수궤분위2조：대조조（간칭연조직치료조）부급여：견주연조직치료（견부각공능기군등연조직），근거병정불동수요채용통점화신경조체、사빈혹은질침송해점련혹련축조직、물리요법（견관절송동술、견부연조직수법화견신훈련、각충리료）등종합견관절강복방법，실험조즉골후감압조，병인급여견주연조직치료등종합강복방법，병행굉골골후단감압，이VAS동통시각모의평분법급개량)평분급견관절ROM개선정도래평정료효。결과골후감압조경견주연조직송해연합굉골후단감압치료중도견통후，제일천야간가견동통완해，VAS평분하강현저，치료후1、2、3주ROM공능개선，이대조조견통급견관절ROM개선약우실험조。결론견주연조직송해연합굉골후단감압가이치료중도견통，신속완해동통개선견관절공능，병정축단，가이해결난치성견통，료효돌출。
Purpose: To evaluate the decompression of brachial epiphyseal side in the efficacy treatment of refractory serious Shoulder Pain . Methodology: 120 patients with refractory serious Shoulder Pain (the conventional/conservative treatment has been taken but invalid) were randomly divided into two groups. Namely, control group(referred to as the soft tissue treatment group): shoulder soft tissue therapy (shoulder muscles and other soft tissue function),according to different needs of the disease pain points and nerve block, Radio Rrequency(RF) or silver needle lyses’ of adhesions or contracture organizations, physical therapy (joint mobilization, shoulder soft tissue techniques and drafting training, a variety of treatments) and group therapy shoulder soft tissue humeral epiphysis side decompression group (referred to as the epiphysis decompression group), to assess and improve the efficacy of VAS pain visual analog scale) score and shoulder ROM improvement. 2. experimental group (epiphysis decompression group) shoulder soft tissue release joint brachial epiphysis end of decompression treatment of serious Shoulder Pain after the first day of the visible night pain relief. VAS score decreased significantly, treatment 1, 4, 8 weeks after shoulder pain disappeared and ROM function improved, more effective. In conclusion, shoulder soft tissue release joint the brachial epiphyseal end of decompression can treat serious Shoulder Pain , quickly relieve pain and improve shoulder function, simple and effective.