芒针深刺中脘穴安全因素探讨

Study on Safe Factors of Deep Needling at Zhongwan Point with Elongated Needle

目的 :探讨芒针深刺中脘穴安全操作措施。方法 :对 2 5例芒针深刺中脘穴病例在进针后进行局部螺旋CT扫描 ,取得芒针行经部位的腹部横断面CT图像 ,用以识别芒针所穿及器官。结果 :2 5例次针刺扫描累计识别到穿及器官的例次分别是 :胃体 14、横结肠 12、小肠 11、胰头 9、左肾静脉 4、肝左叶 4、脾静脉 3、十二指肠 1。结论 :坚持进皮后小幅捻转、缓慢进针、不留针的原则 ,同时治疗期间嘱病人均匀浅呼吸 ,在近乎空腹状态下操作 。

Purpose To probe into measures of safe manipulation for deep needling at Zhongwan (CV 12) with elongated needle. Methods In 25 cases who received deep needling at Zhongwan point with elongated needle, local spiral CT scanning was made after needle insertion to attain a CT image of abdominal transverse section for the pathway of elongated needle, which was used to recognize the needled organs. Results In the 25 cases and times of acupuncture scanning, the cumulative cases and times of the needled organs recognized were 14 in the body of stomach, 12 in transverse colon, 11 in small intestine, 9 in the head of pancreas, 4 in left renal vein, 4 in left lobe of liver, 3 in spleenic vein and 1 in duodenum. Conclusion When twirling the needle at a small amplitude, slow insertion of the needle and no retention of the needle are followed and at the same time, the patient makes even and shallow breathing and at almost fasting state, deep needling at Zhongwan (CV 12) with an elongated needle is safe.