针刺手三里穴位动态肌骨超声显像

发布时间：2018-07-03 20:27

本文选题：肌骨超声 + 手三里穴　；参考：《重庆医科大学》2016年硕士论文

【摘要】：目的动态观察手三里穴位在针刺条件下的超声影像学解剖特征,并初步探讨针灸疗效机制的解剖学依据。方法选取健康志愿者15名,采用高频超声动态观察针灸针刺入双侧手臂手三里穴位的过程,并记录针刺双侧手三里穴后的针尖的解剖学位置,以及针刺过程中与得气感相关联的解剖学结构。结果针刺15名受试者双侧手三里穴共30个穴位点均得气,针尖位置:桡侧腕伸肌13个,桡侧腕伸肌与旋后肌间筋膜9个,旋后肌浅层2个,旋后肌内筋膜4个,旋后肌深层1个,桡骨表面1个。28个(28/30,93.33%)针尖位于筋膜旁及筋膜集中处获得较强得气感、2个(2/30,6.67%)针尖位于较浅层即可获得较强得气感(P0.05);对针灸针行提插、捻转等施针操作时,可观察到周围的结缔组织缠绕针体,并可带动邻近的组织;高频超声可以清楚显示针尖点附近筋膜内的细小神经。结论高频超声可以实时、动态、清楚地显示针灸针尖附近筋膜及筋膜内的细小神经分布,表明针灸机制可能与筋膜结缔组织及筋膜内神经相关,为进一步阐明针灸机制的原理提供了解剖学依据。超声可同时提供组织形态学和生物力学信息,并可对针灸位置进行定量测定,有望为阐明穴位的本质以及针灸的标准化提供新的方法。
[Abstract]:Objective to observe the anatomic characteristics of ultrasonic imaging at the point of hand Sanli under acupuncture, and to explore the anatomical basis of the mechanism of acupuncture and moxibustion. Methods Fifteen healthy volunteers were selected to observe the process of acupuncture at Sanli acupoint of bilateral arms by using high frequency ultrasound, and to record the anatomic position of the tip of the needle after acupuncture at San-li point of bilateral hand. And the anatomic structure associated with the feeling of qi in the process of acupuncture. Results Acupuncture was performed at 30 acupoints of bilateral hand Sanli points in 15 subjects. The position of acupuncture tip was 13 extensor Carpi radialis muscle, 9 fascia between extensor Carpi radialis and reflex muscle, 2 superficial layer of supination muscle and 4 endofascial fascia of pronator muscle. The deep layer of circumflex muscle is 1, the surface of radius is 1. 28 (28 / 30 ~ 93.33%) tips are located near the fascia and the fascia concentration, and 2 (2 / 30 ~ 6.67%) tips are located in the superficial layer to get a stronger feeling of qi (P0.05). When the acupuncture needle is lifted and inserted, the needle is twirled. The surrounding connective tissue can be seen winding the needle body and the adjacent tissue can be driven, and the fine nerve in the fascia near the needle tip can be clearly displayed by high frequency ultrasound. Conclusion High-frequency ultrasound can display the distribution of fine nerves in the fascia and fascia near the needle tip in real time and dynamically, indicating that the mechanism of acupuncture and moxibustion may be related to the connective tissue of fascia and the nerve in fascia. It provides anatomic basis for further elucidation of the mechanism of acupuncture and moxibustion. Ultrasound can provide both histomorphology and biomechanical information and quantitatively determine the position of acupuncture and may provide a new method for elucidating the essence of acupoints and standardization of acupuncture and moxibustion.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246

【相似文献】