“振阳穴”临床操作规范与局部解剖结构研究

发布时间：2018-05-14 21:56

本文选题：振阳穴 + 针刺　；参考：《长春中医药大学》2007年硕士论文

【摘要】： 本课题对针刺“振阳穴”进针的最佳深度和最佳角度进行了规范研究，为针刺“振阳穴”提供了临床操作规范，并对“振阳穴”的局部解剖结构进行了观察，为针刺治疗阳痿的临床作用机制提供了形态学依据。目的：确定“振阳穴”临床操作的针刺最佳深度和角度，阐明“振阳穴”治疗阳痿的临床作用机制。方法：临床针刺“振阳穴”获得特殊针感时，对进针的深度和针体与人体冠状面、矢状面所成夹角进行测量，初步确定其临床操作规范；在“振阳穴”局部进行层次解剖，分别观察皮肤、肌肉以及臀大肌下组织结构，拍摄高清晰度图片资料，确定“振阳穴”进针过程中可能刺激到的神经、肌肉、血管，，测量并统计皮肤至骶结节韧带、皮肤至阴部神经的距离，测量针体与人体冠状面、矢状面的角度，通过这些神经、肌肉、血管的走行和分布，确定产生特殊针感的解剖学基础，对“振阳穴”治疗阳痿的作用机理，做初步的探讨；结果：“振阳穴”临床操作时进针的最佳深度为(74.7±3.7)mm，进针时应平行于人体横切面，针体与人体冠状面夹角为(65.2±0.3)°，与人体矢状面夹角为(79.8±0.9)°，针刺“振阳穴”进针至获得特殊针感的局部解剖结构层次依次为皮肤、浅筋膜、臀大肌、骶结节韧带、阴部神经，皮肤至骶结节韧带的距离为(72.2±0.2)mm、至阴部神经的距离为(80.2±0.1)mm，进针时针体与人体标本冠状面夹角为(65.1±1.0)°，与矢状面夹角为(79.0±0.5)°。结论：针刺“振阳穴”时应注意按照一定的深度和角度进针，以保证获得特殊针感，提高临床疗效。针刺“振阳穴”产生特殊针感可能是由于直接刺激到了阴部神经，或由于针刺时引起局部肌肉组织收缩牵拉刺激阴部神经所产生的，治疗阳痿的作用机制可能是通过调节大脑皮质和脊髓节段反射来影响阴茎勃起功能的。
[Abstract]:In this paper, the best depth and the best angle of acupuncture "Zhenyang point" were studied, which provided the clinical operation standard for acupuncture "Zhenyang point", and observed the local anatomical structure of "Zhenyang point". It provides morphological basis for the clinical mechanism of acupuncture in treating impotence. Objective: to determine the best depth and angle of acupuncture at Zhenyang point, and to clarify the clinical mechanism of Zhenyang point in the treatment of impotence. Methods: when clinical acupuncture "Zhenyang point" got a special needling feeling, the depth of the needle, the angle between the needle body and the coronal plane and the sagittal plane of human body were measured, and the clinical operation criterion was preliminarily determined, and the local level anatomy of "Zhenyang acupoint" was carried out. The tissue structure of skin, muscle and subgluteus maximus were observed, and the high-definition image data were taken to determine the nerve, muscle and blood vessels that might be stimulated during the injection of "Zhenyang point", and to measure and calculate the skin to sacral tuberculous ligament. The distance from the skin to the pudendal nerve, the measurement of the angle between the needle body and the coronal and sagittal plane of the human body, the movement and distribution of these nerves, muscles and blood vessels, and the determination of the anatomical basis for producing a special sense of needling, The mechanism of "Zhenyang acupoint" in treating impotence was discussed preliminarily. Results: the optimum depth of acupuncture in clinical operation was 74.7 卤3.7 mm, which should be parallel to the transverse section of human body. The angle between the acupuncture body and the coronal plane was 65.2 卤0.3 掳, and the angle with the sagittal plane was 79.8 卤0.9 掳. The order of the local anatomical structure between acupuncture "Zhenyang point" and the special needling sensation was skin, superficial fascia, gluteus maximus, sacral tuberculous ligament and pudendal nerve. The distance between skin and sacral tuberculous ligament was 72.2 卤0.2mm. the distance from pudendal nerve was 80.2 卤0.1mm. the angle between the body of needle and the coronal plane of human specimen was 65.1 卤1.0 掳, and the angle with sagittal plane was 79.0 卤0.5 掳. Conclusion: when acupuncture "Zhenyang point", we should pay attention to the needling according to certain depth and angle, so as to obtain special needling feeling and improve clinical curative effect. The special sense of acupuncture at "Zhenyang Point" may be caused by the direct stimulation of the pudendal nerve, or by the contraction of the local muscle tissue and the stimulation of the pudendal nerve by the acupuncture. The mechanism of treatment of impotence may be by regulating cerebral cortex and spinal cord segment reflex to affect penile erectile function.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R245;R322

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