三种不同镇痛方法对冻结肩松解术后康复影响的临床观察

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(P0.05)。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。

Observation of different analgesic methods in postoperative rehabilitation of frozen shoulder

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.