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1. 贵州医科大学附属医院伽玛刀治疗中心
2. 贵州医科大学附属医院针灸科
3. 贵州医科大学附属医院影像科
Published:2019
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NIE Hong-fang, HOU Xun-rui, LIANG Xin, et al. Time-effect reaction observation of micro-invasion embedded poly glycolide-co-lactide suture in Sanyinjiao (SP6) in healthy subjects by using magnetic resonance[J]. Acupuncture research, 2019, 44(2): 148-152.
NIE Hong-fang, HOU Xun-rui, LIANG Xin, et al. Time-effect reaction observation of micro-invasion embedded poly glycolide-co-lactide suture in Sanyinjiao (SP6) in healthy subjects by using magnetic resonance[J]. Acupuncture research, 2019, 44(2): 148-152. DOI: 10.13702/j.1000-0607.180393.
目的:探讨聚乙交酯-丙交酯(PGLA)线体对正常人体经穴刺激效应存在的客观性及时效性
为临床使用PGLA线体行微创埋线及其合理间隔周期提供理论依据。方法:应用医学影像学磁共振成像(MRI)技术采集8例正常人体左侧三阴交穴局部埋线前、后多个时间点T2加权成像(T2WI)压脂及T2图(T2-Mapping)8回波系列图像
所得T2-Mapping 8回波序列图像利用相关软件生成T2-Mapping图后测量埋线局部T2值
分析PGLA线体微创埋线前、后三阴交穴局部T2WI压脂像信号强度及T2值随时间变化的特点。结果:1)埋线前T2WI压脂像上未见异常信号
埋线后各时间点T2WI压脂像上均见到局部高信号
其中埋线后8h、埋线后第3天、埋线后第7天局部信号强度之间无明显差异
埋线后第10天局部信号强度较前减弱
埋线后第14天局部信号强度较前明显减弱。2)与埋线前比较
埋线后各时间点T2值均显著升高(P<0.01);埋线后1周内各时间点T2值之间比较:埋线后8h、埋线后第3天、埋线后第7天之间差异无统计学意义(P>0.05);埋线1周后各时间点T2值之间比较:埋线后第10天与埋线后第7天相比T2值有所下降但差异无统计学意义(P>0.05)
埋线后第14天(2周)与埋线后第7天(1周)相比T2值明显下降(P<0.01)。结论:PGLA线体对正常人体经穴局部的刺激效应客观存在且具有一定时效性
其有效刺激时间在14d左右
临床使用同规格型号的PGLA线体施行微创埋线时合理的埋植间隔周期应在14d左右。
Objective To observe the time-effect of stimulation of the embedded poly glycolide-co-lactide(PGLA)suture in Sanyinjiao(SP6)area in normal human body
so as to provide an experimental evidence for clinical application of micro-invasion suture-embedding at an appropriate interval.Methods A total of 8 healthy volunteer students(3 boys and 5 girls
ranging in age from 24 to 27 years)were recruited in the present study.A piece of sterilized PGLA suture was implanted into the left SP6 using minimally invasive surgery after strict local skin disinfection.The fat-suppression T2 weighted magnetic resonance images(MRI
displaying local lesion after eliminating interference of fat tissue signals)
and T2 mapping 8-echo train images were acquired before and 8 h
3
7
10 and 14 days after PGLA suture embedment by using a MR imaging system.After transformation of the T2-mapping 8-echo train images into T2-mapping images by using a relevant software
the T2 values(meaning the relaxation time of the local muscle)of the left SP6 were measured
followed by analysis of the signal intensity of T2 weighted fat-suppression images and T2 values at different time-points.Results Before the suture embedding
no abnormal signals were found in the signal intensity of T2 weighted fat-suppression images.After PGLA suture embedment
the local signal intensity of T2 WI fatsuppression images was relatively increased at the 8 th h
and on day 3
7
10 and 14 relevant to pre-embedment
but gradually atte-nuated on day 10 and 14.The T2 values were significantly increased at the 5 time-points of post-embedment(all P<0.01)
but without significant differences among the 8 thh
the 3 rd and 7 thd(P>0.05)
and being markedly lowered on day 14 relevant to day 7(P<0.01)in spite of being still markedly higher than that of pre-embedding(P<0.01).Conclusion The signal intensity of T2 weighted fat-suppression images and T2 values acquired from PGLA-suture-embedded SP6 acupoint area in healthy subjects may keep at least for 2 weeks
suggesting that the stimulating reaction of suture-embedment persists more than 14 days.Hence
when a micro-invasion embedding with PGLA suture performed
the interval of two weeks would be appropriate.
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