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基于磁共振成像的肾区穴位针刺安全深度研究

[Study on safe depth of needling at acupoints of kidney regions based on MRI imaging].

作者信息

Chen Guang-Tao, Sun Wai-Zhu, Ha Eun-Hae

机构信息

School of Chinese Medicine, Chinese University of Hong Kong, Hong Kong SAR, China.

出版信息

Zhongguo Zhen Jiu. 2022 Sep 12;42(9):1006-10. doi: 10.13703/j.0255-2930.20210820-k0007.

Abstract

OBJECTIVE

To measure the dangerous depth and the effective safe depth of needling at acupoints of kidney regions based on MRI imaging, and to provide the imaging support for clinical practice.

METHODS

The abdominal enhanced T1 MRI imaging of horizontal plane of 61 healthy subjects was included, the anatomical structure of bilateral Weishu (BL 21), Sanjiaoshu (BL 22), Shenshu (BL 23), Weicang (BL 50), Huangmen (BL 51) and Zhishi (BL 52) was analyzed, and the dangerous depth and effective safe depth of perpendicular and oblique needling were measured between the left and right sides and subjects with different body sizes.

RESULTS

There were no significant differences between dangerous depth and effective safe depth of perpendicular and oblique needling at bilateral acupoints of kidney region (>0.05). The dangerous depth and effective safe depth of perpendicular and oblique needling at bilateral acupoints of kidney region in the moderate group were larger than the underweight group (<0.05), while those in the overweight group were larger than the moderate group and the underweight group (<0.05).

CONCLUSION

The safe depth of needling at acupoints of kidney region is related to body size, for moderate weight and overweight patients, the needling depth could be increased for better efficacy, while for underweight patients, the recommend direction and depth of needling should be restricted to avoid acupuncture accident.

摘要

目的

基于MRI成像测量肾区穴位针刺的危险深度和有效安全深度,为临床实践提供影像学支持。

方法

纳入61例健康受试者腹部增强T1加权MRI冠状位图像,分析双侧胃俞(BL 21)、三焦俞(BL 22)、肾俞(BL 23)、胃仓(BL 50)、肓门(BL 51)和志室(BL 52)的解剖结构,测量左右两侧及不同体型受试者直刺和斜刺的危险深度和有效安全深度。

结果

肾区双侧穴位直刺与斜刺的危险深度和有效安全深度差异无统计学意义(>0.05)。肾区双侧穴位直刺与斜刺的危险深度和有效安全深度在适中组大于低体重组(<0.05),超重组大于适中组和低体重组(<0.05)。

结论

肾区穴位针刺安全深度与体型有关,对于适中体重和超重患者,可适当增加针刺深度以提高疗效;对于低体重患者,应限制针刺方向和深度,避免针刺意外。

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