风府、哑门穴位针刺安全深度的磁共振成像和尸体对照研究  

The Comparative Study between MRI and Corpse on the Safe Needling Depth through Fengfuand Yamen Acupoints

作　　者：唐柱生[1] 褚鑫[1] 丛树园[1] 毛晓雯[2] 武煜明[1] 

机构地区：[1]云南中医学院,云南昆明650500 [2]云南省中医医院,云南昆明650021

出　　处：《云南中医学院学报》2013年第5期28-29,35,共3页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：云南省教育厅科学研究基金项目(NO:2011Y403)

摘　　要：目的通过对风府、哑门穴位采用MRI和尸体断层解剖测量出针刺危险深度,计算出安全深度,为临床医生针灸操作提供安全参考指标。方法 1.选取健康成年男性志愿者,筛选出研究对象30人;2.用同身寸法取穴定位和标记,穴位进针点用医用胶布贴上鱼肝油;3.在MRI断面上测量体表鱼肝油影像至危险点解剖结构的直线距离;4.筛选10例适中体型男性尸体,体表穴位定位,低温冷冻后用高速带锯切割,在断面上用游标卡尺测量穴位体表至危险点解剖结构的直线距离;5.用T检验进行统计学分析。结果直刺风府、哑门穴的危险深度和安全深度MRI组与尸体组比较,P<0.05,差异有统计学意义。结论适中体型男性直刺以下穴位的平均安全深度的最大值为:风府36mm,哑门36mm。Objective To find the dangerous depth of Fengfu and Yamen acupuncture points using MRI and dead bodies sectional anatomy The acupuncture safety depth Calculated can provide clinicians with the acupuncture security reference standard. Methods 1. Select healthy adult male volunteers, to screen 30 subjects; 2. Acapoints positioning and marking of body dimensions, the needle point should be affixed with medical tape of cod liver oil; 3. To get straight-line distance from the image of the surface of cod liver oil to the danger point on MRI section; 4. Sift 10 cases of moderate size male body. Mark the body surface points with marker maker, cut with high-speed band saw after being frozen, and then to measure the straight line distance from surface of acupuncture points to the danger point anatomical structure on the cross section with a vernier caliper; 5. Analyze statistically the data by using T test. Results Piercing the dangerous depths and the safe depths of Fengfu and Yamen acupoints to compare MRI group with the body group, and the results show： P〈0.05, with a difference. Conclusion The average maximum safe depth value recommended for medium size male as following： Fengfu 36mm, Yamen 36mm.

关 键 词：风府穴 哑门穴 穴位 深度 MRI 尸体 

分 类 号：R224[医药卫生—中医基础理论]