脾俞穴论文：脾俞穴核磁共振针刺深度针刺角度针刺安全性

脾俞穴论文：脾俞穴核磁共振针刺深度针刺角度针刺安全性

【中文摘要】应用MRI对脾俞穴的层次结构、针刺深度和角度进行系统研究,测量脾俞穴与内部各重要组织的最短距离、危险角度,

量化针灸操作标准,为临床提供安全针刺的参考数值方法：依照身体质量指数(BMI)计算公式：BMI=体重/身高2(Kg/m2)(17.8-22.9)的标准,选取来自黑龙江中医药大学的青年志愿者20名为研究对象(男性10人,女性10人),年龄22-30岁,平均25.20±1.54岁。对每一位受试者进行人体测量(身高、体重、BMI指数),根据中华人民共和国国家标准《腧穴名称与定位》(GB/T12346-2006)的经穴标准选取脾俞穴并用维生素E丸进行体表标记。应用GEsigna0.5T超导永磁型MRI对脾俞穴进行层面扫描：过双侧脾俞穴与脾俞中点做水平断层面即横轴位(水平位)。在T1加权像的水平位上测量直刺危险深度、向内外斜刺时的危险角度、45°斜刺危险角度,以危险深度×75%为安全深度,危险角度±100为安全角度。实验结果用SPSS18.0统计软件分析,以x±s表示。结果：1.水平轴位,男女针刺脾俞穴有显著差异(p0.05)。

2.直刺安全深度：男性右侧,27.44±4.413mm；女性右侧,21.26±

3.3mmm；男性左侧,26.50±3.373mm；女性左侧,20.34±3.73mmm。3.向内斜刺的安全深度：男性右侧,3

4.15±3.84mm；女性右

侧,21.56+3.31 mm；男性左侧,33.63±3.77mm；女性左侧：22.13±2.17mmm。4.向外斜刺的安全深度：男性右侧：20.50±3.46mm,女性

右侧28.30±3.41mm；男性左侧：26.44±3.60mm；女性左侧：28.47±3.55mm。5.向外斜刺时的安全角度：男性右侧,40.5±6.74°；女性右侧,30.2±4.64°；男性左侧,39.6±4.48°；女性左侧,29.2±6.29°。6.向内斜刺时的安全角度：男性右侧,71.8±6.12°；女性右侧,76.7+5.6°；男性左侧,72.2+6.56°；女性左侧,77.2±6.07°。结论：1.双侧脾俞穴在针刺的直刺危险深度、斜刺危险深度、危险角度方面无明显差异,向上向下斜刺危险深度、危险角度方面无明显差异,提示针刺脾俞穴时双侧无差异。2.男女脾俞穴在直刺危险深度、斜刺危险深度、斜刺危险角度方面均有显著差别,但在45°斜刺时无显著差异。提示除45°斜刺脾俞穴时,均需考虑性别差异。3.脾俞穴的针刺危险深度和危险角度与身高、体重及BMI指数均无明显相关性。

【英文摘要】:In order to explore the physical anatomical structures under the skin in where Pishu is located,to make sure the safe depth of Pishu. And also find out the right needle diraction and angle of Pishu and the relationship between BMI index and the safe operation of Pishu.The other purpose of this experment is to supplement the standard of acupunture.What is more, to guide the clinical work.Method:According to body mass index (BMI) formula:BMI = weight / height 2 (Kg/m2) (17.8-22.9) criteria, select from the Heilongjiang University of Traditional Chinese Medicine called the study of 20 young

volunteers (male 10,10 women), aged 22-30 years, on average 25.20±1.54 years. Subjects for each and every body measurements (height, weight, BMI index): According to The People’s Republic of China national standard “acupoints name and location” (GB/T12346-2006) of the Meridian standard take on the Pishu of vitamin E with the same people. Application of superconducting magnet-based MRI GEsigna0.5T on points to level scan of the Pishu:the Pishu hole through both sides of the Pishu and the middle point of the level of the fault plane is axial (horizontal position) in three-dimensional positioning T1 weighted images in the horizontal position, respectively, measured on oblique sagittal piercing dangerous depth, angle and diagonal stabbing dangerous skin surface was diagonal stabbing dangerous when the depth to dangerous depth x 75% for the Safety depth; dangerous angle-10°angle for safety. The results of statistical software with SPSS18.0 to analogy.Results: 1.There is obvious differences in the points of Pishu in sexual ascept.Both sides of Pishu is almost the same in thehorizontal position.2.The safe vertical depth:the right side of men,27.44±4.413mm;the right side of women,21.26±3.3mm,the left side of men:26.50±3.373mm;the left side of women,20.34±3.73mm.3.The safe depth of the needle is oriented