Research on the Angle and Effective Depth of Deep Acupuncture at Baliao Points by Three-dimensional Reconstruction of Computed Tomography

JIN Xun; DING Shu-qing; SHI Fei-yue; WANG Ling-Ling; WU Zheng-can; REN Jun

doi:10.13702/j.1000-0607.2017.06.014

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Research on the Angle and Effective Depth of Deep Acupuncture at Baliao Points by Three-dimensional Reconstruction of Computed Tomography

更新时间：2023-08-11

- Research on the Angle and Effective Depth of Deep Acupuncture at Baliao Points by Three-dimensional Reconstruction of Computed Tomography
- Acupuncture Research Vol. 42, Issue 6, Pages: 537-541(2017)
- 作者机构：
  
  1. 南京中医药大学
  2. 南京中医药大学第三附属医院
  3. 南京医科大学附属南京医院
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.2017.06.014
  CLC：
- Published：2017
- 稿件说明：
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JIN Xun, DING Shu-qing, SHI Fei-yue, et al. Research on the Angle and Effective Depth of Deep Acupuncture at Baliao Points by Three-dimensional Reconstruction of Computed Tomography[J]. Acupuncture research, 2017, 42(6): 537-541.
DOI：

JIN Xun, DING Shu-qing, SHI Fei-yue, et al. Research on the Angle and Effective Depth of Deep Acupuncture at Baliao Points by Three-dimensional Reconstruction of Computed Tomography[J]. Acupuncture research, 2017, 42(6): 537-541. DOI： 10.13702/j.1000-0607.2017.06.014.

摘要

目的:探讨可供临床和教学参考的深刺八髎穴进针参数。方法:对南京医科大学附属南京医院2016年1月至6月的100例俯卧位盆腔CT片进行回顾性分析

以5mm层厚连续横断面扫描

建立3D图像。将针身沿骶前后孔中心轴线进针时的角度定义为最适进针角度

观察针身与皮肤表面、人体后正中线的夹角。将骶骨背面软组织厚度加骶孔深距的1/2定义为效应进针深度

观察最适进针角度下的八髎穴深刺参数。结果:深刺八髎穴应采用斜刺法

针尖朝向内下方。针身与皮肤表面的最适进针角度为上髎(61.04±12.15)°

次髎(57.57±10.01)°

中髎(58.25±8.69)°

下髎(54.39±10.94)°。针身与人体后正中线的最适进针角度为上髎(24.54±6.21)°

次髎(18.58±7.76)°

中髎(17.36±7.90)°

下髎(30.73±9.45)°。最适进针角度下的八髎穴深刺效应深度呈上、次、中、下递减趋势

分别为上髎(58.16±12.43)mm

次髎(44.57±11.55)mm

中髎(33.96±10.74)mm

下髎(31.13±10.94)mm。效应深度与体质量指数呈正相关。结论:进针参数的研究应双重考量临床疗效及安全性

而CT三维重建能准确、合理、科学地进行穴位解剖测量。

Abstract

Objective To explore the needle insertion parameters of deep acupuncture at Baliao points for clinic and teaching.Methods A retrospective analysis of 100 cases of prone pelvic CT from January to June 2016 in Nanjing Hospital was carried out.The 3 Dimages were scanned with continuous 5 mm slice thickness.The optimum needle angle is defined as the angle of the needle along the central axis of sacral anterior and posterior hole

and the angle between the needle body and the skin surface and the center line of the body was observed.The effect needle depth is defined as the thickness of the sacral back soft tissue plus 1/2 sacral depth

to observe the best needle angle of deep acupuncture parameters of Baliao points.Results For deep acupuncture at Baliao

the oblique thorn method should be used with the needle-point toward the inner bottom.The best insertion angle between needle body and skin surface is:Shangliao(BL 31)(61.04±12.15)°

Ciliao(BL 32)(57.57±10.01)°

Zhongliao(BL 33)(58.25±8.69)°

Xialiao(BL 34)(54.39±10.94)°.The optimum angle of insertion between the needle body and the posterior midline of the human body is:BL 31(24.54±6.21)°

BL 32(18.58±7.76)°

BL 33(17.36±7.90)°

BL 34(30.73±9.45)°.The effective insertion depth show a decreasing trend:BL 31(58.16±12.43)mm

BL 32(44.57±11.55)mm

BL 33(33.96±10.74)mm

BL 34(31.13±10.94)mm.The effective depth is positively correlated with BMI

and has no correlation with gender and weight.Conclusion The study of the parameters of needle insertion should be taken into account both clinical efficacy and safety

and CT three-dimensional reconstruction can accurately

rationally and scientifically perform acupoint anatomical measurements.

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