Elgellaie Asmahan, Ashcroft Elfriede, Larkin Theresa A
School of Medicine, University of Wollongong.
School of Medicine, University of Wollongong; Illawarra Health and Medical Research Institute.
Br J Nurs. 2018 Mar 22;27(6):300-305. doi: 10.12968/bjon.2018.27.6.300.
Intramuscular injections given at the dorsogluteal and ventrogluteal sites are intended for the gluteus maximus and gluteus medius muscles, respectively. However, little research has confirmed the reliability of these sites for the presence and thickness of the target and other muscles, and subcutaneous fat. This study characterised and compared these at the V-method and G-method ventrogluteal sites and dorsogluteal site (n=60). Gluteus maximus, medius and minimus were identified at each site, plus tensor fascia latae at ventrogluteal sites. Gluteus maximus and subcutaneous fat were significantly thicker and gluteus minimus significantly thinner at the dorsogluteal site than both ventrogluteal sites. Gluteus medius was the thickest muscle at each injection site, and thicker at the G-method than the V-method ventrogluteal site. Therefore, the dorsogluteal site reliably targets gluteus maximus, and the G-method ventrogluteal site was more reliable than the V-method ventrogluteal site to target gluteus medius in terms of presence and thickness.
在臀背部和臀外侧部位进行的肌肉注射，分别针对的是臀大肌和臀中肌。然而，很少有研究证实这些部位在目标肌肉及其他肌肉和皮下脂肪的存在情况与厚度方面的可靠性。本研究对臀外侧部位的V法和G法以及臀背部部位（n = 60）进行了特征描述和比较。在每个部位识别出了臀大肌、臀中肌和臀小肌，在臀外侧部位还识别出了阔筋膜张肌。与两个臀外侧部位相比，臀背部部位的臀大肌和皮下脂肪明显更厚，臀小肌明显更薄。在每个注射部位，臀中肌是最厚的肌肉，且在G法臀外侧部位比V法臀外侧部位更厚。因此，就存在情况和厚度而言，臀背部部位能可靠地针对臀大肌，且G法臀外侧部位比V法臀外侧部位更可靠地针对臀中肌。
