本文選題：肌骨超聲 + 針刺�。� 參考：《針刺研究》2017年05期

【摘要】：目的:采用高頻肌骨超聲技術(shù)實(shí)時(shí)動(dòng)態(tài)觀察針刺人體足三里穴"得氣"的過(guò)程,對(duì)針刺"得氣"時(shí)針體所觸及的經(jīng)穴局部組織結(jié)構(gòu)特征及周?chē)M織進(jìn)行相關(guān)性研究,為臨床和教學(xué)提供針刺"得氣"現(xiàn)象的客觀證據(jù)。方法:選取健康志愿者60名(男、女各30名),針刺雙側(cè)足三里穴至"得氣"狀態(tài),在肌骨超聲技術(shù)實(shí)時(shí)、動(dòng)態(tài)觀察下,記錄最強(qiáng)"得氣"感時(shí)針尖與皮膚表面、脛骨的距離,在各解剖層次位置分布特點(diǎn)以及受性別、左右側(cè)的影響。結(jié)果:針刺60名受試者雙側(cè)足三里穴共120個(gè)穴位點(diǎn),肌骨超聲圖像顯示"得氣"最強(qiáng)時(shí)針尖與皮膚表面的垂直距離為(25.32±5.82)mm,與脛骨的距離為(5.45±0.55)mm;針尖所處局部組織結(jié)構(gòu)層次主要分布為:脛骨前肌肌層靠近深筋膜處46個(gè),脛骨前肌與趾長(zhǎng)伸肌相交處筋膜上62個(gè),共108個(gè)穴點(diǎn)(108/120,90%);針尖位于脛骨前肌與趾長(zhǎng)伸肌相交處筋膜上或脛骨前肌肌層靠近筋膜處獲得最強(qiáng)"得氣"感,其中52個(gè)為男性,56個(gè)為女性,53個(gè)屬左側(cè)經(jīng)穴,55個(gè)屬右側(cè)經(jīng)穴。結(jié)論:當(dāng)針尖位于肌筋膜旁及筋膜集中處"得氣"感最強(qiáng),提示針刺足三里穴"得氣"的主要組織結(jié)構(gòu)是肌筋膜,這種相關(guān)性與性別、部位(左右側(cè))的差異不明顯。
[Abstract]:Objective: to observe the process of acupuncture at Zusanli (Zusanli) by using high frequency musculoskeletal ultrasound, and to study the correlation between the local tissue structure and the surrounding tissues of the acupoints touched by the acupuncture of "deqi". To provide objective evidence for clinical and teaching of acupuncture "qi" phenomenon. Methods: 60 healthy volunteers (30 male and 30 female) were selected to acupuncture bilateral Zusanli (Zusanli) to "deqi" state. The distance between the tip of the needle and the skin surface, tibia and tibia was recorded under the real-time and dynamic observation of the technique of musculoskeletal ultrasound. The distribution of the position at each anatomical level and the influence of sex, left and right. Results: there were 120 acupoints at bilateral Zusanli points in 60 subjects. The vertical distance between the tip and the skin surface was 25.32 鹵5.82 mm and 5.45 鹵0.55 mm respectively, and the local tissue structure level of the tip was mainly distributed as follows: the anterior tibial muscle layer was near the deep fascia, and the vertical distance between the tip and the skin surface was 25.32 鹵5.82 mm and 5.45 鹵0.55 mm, respectively, and the distribution of the local tissue structure of the tip was as follows: the anterior tibial muscle layer was near the deep fascia. The anterior tibial muscle intersected with the extensor digitorum longus in 62 fascia, with 108 points at 108 / 12090 points. The needle tip was located on the fascia where the tibial anterior muscle intersected with the extensor digitorum longus or the tibial anterior muscle layer was close to the fascia to obtain the strongest sense of "qi". Among them, 52 were males, 56 were females, 53 were left meridian points and 55 were right meridian points. Conclusion: when the needle tip is located near the fascia and the fascia concentration, the feeling of "deqi" is the strongest, which indicates that the main tissue structure of acupuncture at Zusanli point is myofascial, which has no significant difference with sex and position (left and right).
【作者單位】： 重慶市中醫(yī)院超聲科;重慶市中醫(yī)院針灸研究所;重慶醫(yī)科大學(xué)超聲研究影像學(xué)研究所;
【基金】：重慶市中醫(yī)院院內(nèi)培育課題(No.2014-2-42)
【分類(lèi)號(hào)】：R246
，

本文編號(hào)：1996319