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目的:探讨配乐颈肩康复操对甲状腺癌行侧颈部淋巴结清扫术后患者颈肩功能康复的影响。方法:随机选取2016年9月至2017年8月预约收入四川省肿瘤医院头颈外科中心需实施甲状腺癌颈淋巴结清扫术的70例甲状腺癌患者，使用简单随机抽样的方法将患者随机分成观察组（35例）和对照组（35例）。对照组采取甲状腺癌术后常规的护理康复指导，观察组则基于甲状腺癌术后常规的护理康复指导增加音乐运动疗法，共分为3个阶段的渐进式颈肩康复操。观察患者的上肢握力情况、Constant-murley肩功能评价量表得分及颈周径变化。结果:两组颈周径术后1 d[43.00（5.00）vs 46.00（5.00），n P<0.0010]、3 d[43.00（7.00）vs 46.00（4.00），n P<0.0010]、5 d[（40.17±3.66）vs 44.00（4.00），n P<0.0001]、7 d[（37.97±3.48）vs（41.67±3.29），n P<0.0001]差异均有统计学意义；两组肌力术后3 d[24.30（8.00）vs 22.00（6.00），n P=0.01]、5 d[28.60（7.00）vs 24.70（4.00），n P<0.0001]、7 d[29.80（10.00）vs 28.00（4.00），n P<0.0001]差异均有统计学意义；两组肩功能总分在术后1 d[（70.49±10.67）vs（63.97±7.97），n P=0.005]、7 d[（75.02±10.39）vs 68.00（10.00），n P=0.002]、1个月[82.00（10.00）vs （71.69±9.16），n P<0.0001]、2个月[86.00（10.00）vs 78.00（12.00），n P<0.0001]、3个月[89.00（6.00）vs 79.00（12.00），n P<0.0001]、6个月[（90.00（7.00）vs 80.00（10.00），n P<0.0001]差异均有统计学意义。n 结论:对甲状腺癌侧颈淋巴结清扫术的患者进行渐进式配乐颈肩功能康复操的音乐运动疗法，可提高患者锻炼的积极性与主动性，早期而持久的颈肩功能康复干预，可促进颈肩部功能康复。“,”Objective:To investigate the effect of music neck shoulder rehabilitation exercise on neck and shoulder rehabilitation of patients with thyroid cancer after lateral neck lymph node dissection.Methods:From Sep.2016 to Aug.2017, 70 patients who were admitted to Head and Neck Surgery Center, Sichuan Cancer Hospital for thyroid cancer neck lymph node dissection were randomly selected. They were randomly divided into experimental group (35 cases) and control group (35 cases) by using simple random sampling. The control group were given routine nursing rehabilitation guidance after thyroid cancer surgery, while the experimental group were added with music and exercise therapy based on the routine nursing rehabilitation guidance after thyroid cancer surgery, which was divided into three stages of progressive neck shoulder rehabilitation exercise. The upper limb grip strength, constant Murley shoulder function evaluation scale score and neck circumference were observed.Results:There were significant differences in postoperative neck circumference between the two groups at 1 d[43.00 (5.00) vs 46.00 (5.00) , n P<0.0010],3 d[43.00 (7.00) vs 46.00 (4.00) ,n P<0.0010],5 d[ (40.17±3.66) vs 44.00 (4.00) ,n P<0.0001]and 7 d[ (37.97±3.48) vs (41.67±3.29) ,n P<0.0001]after operation. There were significant differences in muscle strength between the two groups at 3 d[24.30 (8.00) vs 22.00 (6.00) ,n P=0.01],5 d[28.60 (7.00) vs 24.70 (4.00) , n P<0.0001]and 7 d[29.80 (10.00) vs 28.00 (4.00) ,n P<0.0001]after operation. There were statistically significant differences in the total score of shoulder function between the two groups at 1 d[ (70.49±10.67) vs (63.97±7.97) ,n P=0.005], 7d[ (75.02±10.39) vs 68.00 (10.00) , n P=0.002], 1 month[82.00 (10.00) vs 71.69±9.16, n P<0.0001], 2 months[86.00 (10.00) vs 78.00 (12.00) ,n P<0.0001], 3 months[89.00 (6.00) vs 79.00 (12.00)n P<0.0001] and 6 months[90.00 (7.00) vs 80.00 (10.00) ,n P<0.0001]after operation.n Conclusions:The music exercise therapy of progressive music neck shoulder functional rehabilitation exercise can improve the enthusiasm and initiative of patients with thyroid cancer undergoing lateral neck lymph node dissection. Early and lasting rehabilitation intervention of neck and shoulder function can promote the rehabilitation of neck and shoulder function.