Study on the angle of needling Yamen (GV 15) in atlanto-axial dislocation patients  

寰枢椎脱位患者哑门穴针刺角度的研究

作　　者：Zhou Jun Zhao Fan-ying Li Wen-hao Xiong Zhen-cheng Yi Ping Yang Feng Tang Xiang-sheng Tan Ming-sheng Yang Yan-ping 周峻;赵凡莹;李文浩;熊振成;移平;杨峰;唐向盛;谭明生;杨燕萍(翻译)(Beijing University of Chinese Medicine, Beijing 100029, China;Center of Upper Cervical Vertebra, China-Japan Friendship Hospital, Beijing 100029, China;不详)

机构地区：[1]Beijing University of Chinese Medicine, Beijing 100029, China [2]Center of Upper Cervical Vertebra, China-Japan Friendship Hospital, Beijing 100029, China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2019年第3期141-146,共6页针灸推拿医学（英文版）

基　　金：国家自然科学基金,No. 81873141;北京市科技计划首都临床特色应用研究项目,No.Z16110000516009.

摘　　要：Objective: To compare the risk angle and safety angle of n eedli ng Ya me n (GV 15) betwee n the atla nto-axial dislocati on (AAD) patients and healthy subjects. Methods: A total of 177 AAD patients diagnosed and treated at the Center of Upper Cervical Vertebra of Beijing Chin a-Japa n Frie ndship Hospital betwee n January 2010 and January 2018 were in eluded in the AAD group. Ano ther 207 healthy subjects were included in the normal group. There were totally 191 males and 193 females. The MRI sean was performed for the cervical vertebrae to measure the risk angle and safety angle of acup un cture at Ya me n (GV 15) on the sagittal image. Results: In the AAD group, the risk angle was (13.14±3.99)° and the relative safety angle was (10.31±3.23)° for the perpendicular needling, while the oblique needling risk angle was (9.09±3.09)° for the male;the risk angle was (12.12±2.74)° and the relative safety angle was (10.56±2.09)° for the perpendicular needling, while the oblique needling risk angle was (9.70±2.95)° for the female. In the normal group, the risk angle was (7.89±1.59)° and the relative safety angle was (10.21±3.55)° for the perpendicular needling, while the oblique needling risk angle was (16.07±1.77)° for the male;the risk angle was (6.93±1.45)° and the relative safety angle was (10.70±2.94)° for the perpendicular needling, while the oblique needling risk angle was (14.89±2.18)° for the female. The perpendicular needling risk angles for the males and females in the AAD group were larger than those in the normal group, and the differences were statistically significant (both P<0.01);for the inner-group comparison, there was no sigrHficant difference in the perpendicular needling risk angle between the male and the female in the AAD group (P>0.05);however, the perpendicular needling risk angle for the male was larger than the female, and the differenee was statistically significant in the normal group (P<0.01). There were no sign讦icant differences in the relative safety angle for bo目的:比较寰枢椎脱位(AAD)患者与正常人哑门针刺的危险角度和安全角度.方法:选取2010年1月至2018年1月在北京中日友好医院上颈椎中心诊断并治疗的177例AAD患者为AAD组,另选取207例正常人为正常组,其中男性191例,女性193例.对其行颈椎MRI平扫,在矢状位像上测量哑门穴针刺的危险角度和安全角度.结果:在AAD组中,男性直刺危险角度(13.14±3.99)°,相对安全角度(10.31±3.23)°,斜刺危险角度(9.09±3.09)°;女性直刺危险角度(12.12±2.74)°,相对安全角度(10.56±2.09)°,斜刺危险角度(9.70±2.95)°.正常组中,男性直刺危险角度(7.89±1.59)°,相对安全角度(10.21±3.55)°,斜刺危险角度(16.07±1.77)°;女性直刺危险角度(6.93±1.45)°,相对安全角度(10.70±2.94)°,斜刺危险角度(14.89±2.18)°.AAD组男性和女性的直刺危险角度均大于正常组,且差异有统计学意义(均P<0.01);两组组内比较,AAD组中男性直刺危险角度与女性无统计学差异(P>0.05),但正常组中男性大于女性,且差异有统计学意义(P<0.01).AAD组男性和女性的相对安全角度与正常组均无统计学差异(均P>0.05);两组相对安全角度的组内比较,男性与女性均无统计学差异(均P>0.05).AAD组男性和女性的斜刺危险角度均小于正常组,且差异均有统计学意义(均P<0.01);AAD组中,男性的斜刺危险角度与女性无统计学差异(P>0.05);正常组中,男性的斜刺危险角度大于女性,且差异有统计学意义(P<0.01).结论:AAD状态下,哑门穴针刺危险角度和安全角度发生了明显的改变,针刺时直刺以水平方向略偏下为宜,斜刺应越过枕骨大孔向枕骨方向针刺最为安全.

关 键 词：Acupuncture Therapy Point  Yamen (GV 15) Atlanto-axial Joint Joint Dislocations Research on Acupoints Needling Direction Safety 

分 类 号：R245.2[医药卫生—针灸推拿学]