Sheu C Y, Lin J G
Department of Radiology, Mackay Memorial Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1992 Nov;50(5):388-99.
Knowledges of acupuncture has played a major role in the treatment of human diseases, and has been mentioned in ancient Chinese medical literature for thousands of years. The loci which are most commonly used as treatment sites are points on the Ren Channel, kidney Channel, Stomach Channel, Pericardium Channel, Lung Channel, Spleen Channel and Gallbladder Channel for those loci on the human chest, insertion depth beyond safety level, can create serious consequences other such as pneumothorax, internal organ bleeding or other damage. This study was designed to determine the real safety depth for each locus by using a current scientific approach. The study was carried out at Tri-Service General Hospital and Mackay General Hospital. The sample patient population was 120. According to their body weight and height, patients were divided into six groups with various body sizes, i.e. normal, over and under-weight adults, and by sex differences. After computer tomographic scanning chest, the relative acupuncture loci should be measured according to anatomical position, then the distance between surface of the chest and thoracic pleura can be defined as its safety depth. For each locus of the groups, the mean and its interval of confident can be found. The analysis of variance (ANOVA), t-test, and multiple regression were also calculated by computer. The results show that there are significant differences in body chest loci within the same sex but, for different body sizes, statistically significant differences for each locus appear, so the safety depth for each chest locus has actually been proved. Not only does his data provide useful information for clinical practices, but also the standard safety depth for each loci on the chest could this be established.
针灸知识在人类疾病治疗中发挥了重要作用,并且在中国古代医学文献中已有数千年的记载。人体胸部最常用作治疗部位的穴位位于任脉、肾经、胃经、心包经、肺经、脾经和胆经上,若针刺深度超过安全限度,可能会造成严重后果,如气胸、内脏出血或其他损伤。本研究旨在采用当前科学方法确定每个穴位的实际安全深度。该研究在三军总医院和马偕总医院进行。样本患者群体为120人。根据体重和身高,患者被分为六组,即正常体重、超重和体重过轻的成年人,并考虑了性别差异。在对胸部进行计算机断层扫描后,应根据解剖位置测量相关针灸穴位,然后将胸部表面与胸膜之间的距离定义为其安全深度。对于每组的每个穴位,可以找到其平均值及其置信区间。还通过计算机计算了方差分析(ANOVA)、t检验和多元回归。结果表明,同一性别内人体胸部穴位存在显著差异,但对于不同体型,每个穴位在统计学上也存在显著差异,因此每个胸部穴位的安全深度实际上得到了证实。这些数据不仅为临床实践提供了有用信息,还可以确定胸部每个穴位的标准安全深度。