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一项使用超声评估穴位中脘可允许进针范围的观察性研究。

An Observational Study Using Ultrasound to Assess Allowable Needle Insertion Range of Acupoint CV12.

作者信息

Chu Hongmin, Kim Jaehyo, Park Seongjun, Kim Jaehyun, Lee Jung-Han, Ha Won-Bae, Jung Hyun-Jong, Yang Seung-Bum, Kim Cheol-Hyun, Park Jun Yong, Kang Kyung-Ho, Lee Sangkwan, Lee Sanghun

机构信息

Department of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University, Iksan 54538, Korea.

Department of Internal Medicine, Wonkwang University Gwangju Medical Center, 1140-23 Hoe-jae ro, Namgu, Gwangju 61729, Korea.

出版信息

Healthcare (Basel). 2022 Sep 6;10(9):1707. doi: 10.3390/healthcare10091707.

Abstract

BACKGROUND

Abdominal organ injuries are a rarely reported complication when deep acupuncture needling is applied to the abdomen. In order to ascertain the allowable needle insertion range (ANIR) of the abdomen region, we selected acupoint CV12, which is commonly used for treating gastric disease, and ANIR was measured with an ultrasound device.

METHOD

Eighty-five healthy volunteers were recruited, of which 83 cases of ultrasound images were obtained. To investigate the prediction factor of ANIR, we also measured several anthropometric factors.

RESULTS

The average ANIR was 25.3 ± 10.2; generally, the ANIRs of females were thicker than those of males; and the liver was observed in 62.7% subjects' ultrasound images. The non-observed group showed thicker ANIR and higher BMI than the liver-observed group.

CONCLUSION

There are reliable variables that make it possible to predict the ANIR. It is advised to refer to anthropometric factors in needling acupoint CV12 to avoid complications with the acupuncture treatment. However, individual differences are not negligible when applying deep needling. Thus, if the risk is not judged before or during the procedure, practitioners could consider the patient's ANIR on CV12 when applying acupuncture by examining the individual anatomical structures using ultrasound and considering internal organ positions to prevent adverse events due to acupuncture.

摘要

背景

腹部脏器损伤是腹部进行深刺针灸时一种鲜有报道的并发症。为确定腹部区域的安全进针范围(ANIR),我们选取了常用于治疗胃部疾病的穴位中脘(CV12),并用超声设备测量安全进针范围。

方法

招募了85名健康志愿者,获得了其中83例的超声图像。为研究安全进针范围的预测因素,我们还测量了一些人体测量学因素。

结果

安全进针范围的平均值为25.3±10.2;一般来说,女性的安全进针范围比男性厚;在62.7%受试者的超声图像中观察到了肝脏。未观察到肝脏的组比观察到肝脏的组安全进针范围更厚且体重指数更高。

结论

存在可靠的变量使得预测安全进针范围成为可能。建议在针刺中脘穴时参考人体测量学因素以避免针灸治疗出现并发症。然而,进行深刺时个体差异不可忽视。因此,如果在操作前或操作过程中未判断风险,从业者在进行针灸时可通过超声检查个体解剖结构并考虑内部器官位置来确定患者中脘穴的安全进针范围,以预防针灸引起的不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2b/9498562/f22fd653348b/healthcare-10-01707-g001.jpg

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