应用CT测量项痹病患者新设穴针刺安全深度研究

目的:采用CT成像精确解剖定位测量新设穴针刺安全深度,为临床安全针刺操作提供科学的参考数据。方法:将75例项痹病患者按罗氏指数标准分为瘦长组9例、适中组32例和肥胖组34例,应用CT扫描技术测量新设穴的针刺深度,根据公式:安全深度≤危险平均深度×75%得出新设穴针刺安全深度。结果:瘦长组、适中组和肥胖组新设穴针刺危险深度分别为左侧(42.1±8.2) mm、(47.2±9.1) mm、(50.0±6.4) mm;右侧(43.3±6.5) mm、(47.3±7.0) mm、(51.3±6.5) mm;3组安全针刺深度分别为左侧(32.1±5.9) mm、(35.5±6.9) mm、(37.5±4.8) mm;右侧(33.4±4.8) mm、(35.4±5.4) mm、(38.4±4.9) mm。3组不同体型项痹病受试者测得的针刺危险深度、安全深度比较具有统计学意义(P﹤0.05,0.01)。结论:不同体型项痹病患者新设穴针刺的危险深度和安全深度不同,提示针刺新设穴的安全深度分别为瘦人≤30 mm、适中人≤35 mm、胖人≤40 mm。

Research on measuring safe needling depth of newly established acupoints of patients with nuchal arthralgia disease by CT

Objective: To measure the safe needling depth of newly established acupoints by precise anatomical positioning of CT imaging,so as to provide the scientific reference data for clinical safe operation of needling.Methods: According to the standard of Roche indexes, 75 cases of patients with nuchal arthralgia disease were divided into thin person group(n=9),moderate person group(n=32)and fat group person(n=34).The dangerous needling depth of newly established acupoints was measured by CT scanning technique. According to the formula: safe depth ≤ dangerous average depth×75%,the safe needling depth of newly established acupoint was obtained. Results:The dangerous needling depths of newly established acupoints in thin person group, moderate person group and fat person group were on the left side respectively(42.1 ±8.2)mm,(47.2 ±9.1)mm and(50.0±6.4)mm;on the right side respectively(43.3±6.5)mm,(47.3±7.0)mm,(51.3±6.5)mm. The safe needling depths of 3 groups were on the left side respectively(32.1±5.9)mm,(35.5±6.9)mm,(37.5±4.8)mm;on the right side respectively(33.4±4.8)mm,(35.4±5.4)mm,(38.4±4.9)mm. Compared the dangerous needling depths and safe needling depths which were measured from subjects with different body type and nuchal arthralgia disease in 3 groups,there was statistical significance(P﹤0.05,0.01). Conclusion: The dangerous depth and safe depth of needling at newly established acupoints of patients with different body type and nuchal arthralgia disease are different. It is suggested that the safe depth of needling at newly established acupoint should be 30 mm for thin person, 35 mm for moderate person and 40 mm for fat person respectively.