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題名 | 電腦斷層掃描照相術探測腹部各經穴安全深度=Detection of Safety Depth on Human Abdomen by Computer Tomographic Scanning |
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作者 | 林昭庚; | 書刊名 | 中醫藥年報 |
卷期 | 17:1 1999.05[民88.05] |
頁次 | 頁613-639 |
分類號 | 413.91 |
關鍵詞 | 電腦斷層掃描; 腹部; 安全深度; Computer tomographic scanning; Abdomen; Safety depth; |
語文 | 中文(Chinese) |
中文摘要 | 針灸自古以來是中國醫學之一環,且詳細記載於我國醫學典籍中,人體腹部的任 脈、是太陰脾經、足陽明胃經、足少陰腎經等各經的穴位,在針灸治療上是為常用的穴位, 如果下針深度不當,則十分容易造成意外如: 出血、氣腹、腹膜炎、內臟損傷等傷害,故本 研究收集三軍總醫院和馬偕醫院, 成年的男、女病患,女性 97 人, 男性 31 人,共 128 人次,年齡層為 17-82 歲,平均年齡 49.3 ± 13.9( 平均值±標準偏差 ) 歲。 將男女性 別依不同的身高、體重再分為過重、適中、過度輕型進行研究,取各病患腹部電腦斷層掃描 照片,依針灸學上腹部各穴住之於照片解剖學上的相關位置加以定位,量取此一定住之腹部 體表至腹膜層的距離作為安全深度指標。我們的研究結果顯示身體質量指標與腹部穴位深度 有顯著的相關; 體型過重組無論在肌肉層或脂肪層皆有較深的安全深度。本實驗更進一步建 立腹部各經穴安全深度之預估模式,以供臨床醫師針灸時參考使用。 |
英文摘要 | Knowledge of acupuncture play a major role on human disease which have mentioned in ancient Chinese Medical Literature for thousands of years. The loci which are most commonly used as treatment technique are points on the Ren Meridian, points on the Spleen Meridian, points on the Stomach Meridian, points on the Kidney Meridian etc. For those loci on human abdomen, if the insertion depth beyond its safety level, then the serious consequences could be appeared, like peritonitis, internal organ bleeding or damage, or other accidental events. This study was carried out at Tri-Service General Hospital and Mackay General Hospital. Ninety seven women and thirty one men was studies. The sample population of patient was totally 128. Age range: 17-82 years; mean: 49.3 ± 13.9 (mean ± SD)years. According to their body weight and height, they were divided into three groups with various body sizes, i.e. normal, over and under-weighted. After computer tomographic scanning results from patients' body abdomen, the relative acupuncture loci should be measured through their anatomical position, then the distance between surface of body abdomen and peritoneum can be defined as its safety depth. For each locus of the groups, the mean and its confident interval can be found. The analysis of variance (ANOVA), and multiple regression were also calculated by the helps of computer. The results show that there have significant correlation on body abdomen loci within body mass index. Overweight group had a greater mean thickness of muscle and fatty tissue than the normal- or underweight group at acupoints. Not only this data provide more useful information for clinical practices, but also our standard safety depth for each loci on abdomen can then be established. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。