目的:探讨深刺天枢的个体化操作规范及其安全性。方法:对39例患者进行针刺天枢穴,以突破腹膜1~2mm为个体化深刺标准深度。利用计算机断层扫描技术和影像测量的手段,回归分析腹围(AC,cm)对腹膜位置深度的影响。结果:个体化深刺天枢的理想针刺深度(depth)公式为:depth=-0.562+0.045·AC。结论:以突破腹膜1~2mm为针刺天枢穴深度是安全、可行的,对腹部其他穴位深刺临床操作及安全性评价具有借鉴和指导意义。
Objective To discuss the individualized operation standard and its safety on the deep acupuncture at Tianshu (天枢 ST 25). Methods Acupuncture was applied to Tianshu (天枢 ST 25)) in 39 patients. The individualized standard depth of insertion at the acupoint was determined as the penetrating the peritoneum with needle by 1 to 2 mm. The regression analysis was adopted to analyze the impacts of abdominal circumference (AC, cm) on the peritoneal position via CT cross-section scanning and image survey. Results The formula of rational needling depth at Tianshu (天枢 ST 25) with individualized deep acupuncture was: depth=-0.562+0.045. AC. Conclusion The depth of insertion at Tianshu (天枢 ST 25), determined as penetrating the peritoneum with needle by 1 to 2 mm is safe and feasible, which may be applicable and have the guidance significance for the assessment of clinical operation and safety on the deep acupuncture at the other acupoints on the abdominal region.