CAJ | 학술논문

目的：通过MRI正中矢状面T1WI ，测量不同年龄段及不同体型患者哑门（GV15）和风府（GV16）针刺危险深度，并对其分布特点进行分析。方法选取2012年6～12月在海南医学院附属医院放射科检查的不同年龄段患者98例，根据罗氏指数再将各年龄组分为3型：瘦长型、适中型与肥胖型，所有图像取正中矢状位，根据临床操作习惯和实际可行性进行危险深度测量。结果在不同年龄组的瘦长型患者中，GV15和GV16的针刺深度均差异无统计学意义；在适中型患者中，18～＜45岁组与45～60岁组比较，GV15和GV16的针刺深度差异有统计学意义（P＝0．029，P＝0．018）；在肥胖型患者中，45～60岁组与其他组比较，GV15和GV16的针刺深度差异有统计学意义（P＜0．05）。结论 GV15和GV16的危险深度与年龄并无相关性，但是与罗氏指数存在正相关，即随着罗氏指数的增加，GV15和GV16的危险深度也随之增加。
목적：통과MRI정중시상면T1WI ，측량불동년령단급불동체형환자아문（GV15）화풍부（GV16）침자위험심도，병대기분포특점진행분석。방법선취2012년6～12월재해남의학원부속의원방사과검사적불동년령단환자98례，근거라씨지수재장각년령조분위3형：수장형、괄중형여비반형，소유도상취정중시상위，근거림상조작습관화실제가행성진행위험심도측량。결과재불동년령조적수장형환자중，GV15화GV16적침자심도균차이무통계학의의；재괄중형환자중，18～＜45세조여45～60세조비교，GV15화GV16적침자심도차이유통계학의의（P＝0．029，P＝0．018）；재비반형환자중，45～60세조여기타조비교，GV15화GV16적침자심도차이유통계학의의（P＜0．05）。결론 GV15화GV16적위험심도여년령병무상관성，단시여라씨지수존재정상관，즉수착라씨지수적증가，GV15화GV16적위험심도야수지증가。
Objective To determine the dangerous depths of acupuncture at Yamen(GV15) and Fengfu(GV16) in different age groups and different body types based on MRI measurements and to analyze their distribution chracteristic .Methods 98 patients of different age groups in the affiliated hospital of Hainan Medical College from June to December 2012 were selected and the each age group was divided into 3 types :asthenic type ,moderate type and endomorphy type according to the Rohrer index .All images took the median sagittal position .The dangerous depth was measured according to the clinical operation habit and actual feasibility .Re-sults The difference in the acupuncture depth of GV15 and GV16 among different asthenic type patients in different age groups had no statistical significance ;in the moderate type patients ,the difference in the acupuncture depth of GV15 and GV16 between the age group of 18- <45 years and 45-60 years had the statistical significance(P=0 .029 ,P=0 .018);in the endomorphy type pa-tients ,the difference in the acupuncture depth of GV15 and GV16 between the age group of 45-60 years and the other age groups had the statistical significance(P<0 .05) .Conclusion The dangerous depth of GV15 and GV16 had no correlation with age ,but is positively correlated with the Rohrer index ,i .e .,the dangerous depth of GV15 and GV16 is increased with the increase of Rohrer index .