CAJ | 학술논문

目的：通过MRI正中矢状面测量三个年龄段及三种体型患者曲骨穴（CV2）针刺危险深度，并分析各自分布特点。方法选取2012年6月—2013年10月在海南医学院附属医院放射科检查的不同年龄段患者35例，根据罗氏指数再将各年龄组分为瘦长型、适中型与肥胖型，取正中矢状位图像测量危险深度。结果在不同年龄组的针刺深度比较中，其针刺深度无统计学意义（P>0.05）：18~<45岁组与45~60岁组相比较，P=0.112，18~<45岁组与>60岁组相比较，P=0.077，45~60岁组与>60岁组相比较，P=0.496。在不同体型组的针刺深度比较中，其针刺深度差异无统计学意义（P>0.05）：瘦长型与适中型相比较，P=0.79，瘦长型与肥胖型相比较，P=0.55，适中型与肥胖型相比较，P=0.509。但在所有患者中，曲骨穴的针刺深度变化，与年龄变化及罗氏指数的变化均有密切关系。随着年龄的增长或罗氏指数的升高，曲骨穴的针刺深度会随之增加，而曲骨穴与年龄和罗氏指数的回归方程为Y=0.2×年龄+23.80×罗氏指数-7.173。结论曲骨穴（CV2）的危险深度与罗氏指数存在正相关，曲骨穴（CV2）的危险深度随着罗氏指数的增加而增加。
목적：통과MRI정중시상면측량삼개년령단급삼충체형환자곡골혈（CV2）침자위험심도，병분석각자분포특점。방법선취2012년6월—2013년10월재해남의학원부속의원방사과검사적불동년령단환자35례，근거라씨지수재장각년령조분위수장형、괄중형여비반형，취정중시상위도상측량위험심도。결과재불동년령조적침자심도비교중，기침자심도무통계학의의（P>0.05）：18~<45세조여45~60세조상비교，P=0.112，18~<45세조여>60세조상비교，P=0.077，45~60세조여>60세조상비교，P=0.496。재불동체형조적침자심도비교중，기침자심도차이무통계학의의（P>0.05）：수장형여괄중형상비교，P=0.79，수장형여비반형상비교，P=0.55，괄중형여비반형상비교，P=0.509。단재소유환자중，곡골혈적침자심도변화，여년령변화급라씨지수적변화균유밀절관계。수착년령적증장혹라씨지수적승고，곡골혈적침자심도회수지증가，이곡골혈여년령화라씨지수적회귀방정위Y=0.2×년령+23.80×라씨지수-7.173。결론곡골혈（CV2）적위험심도여라씨지수존재정상관，곡골혈（CV2）적위험심도수착라씨지수적증가이증가。
Objective To determine the dangerous depths of acupuncture at Qugu (CV2) in different age groups and body types based on MRI measurements and to analyze their distribution characteristics. Methods 35 patients of different age groups in the affiliated hospital of Hainan Medical College from June 2012 to October 2013 were selected. They were 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 ac-cording to the clinical operation habit and actual feasibility. Results The difference in the acupuncture depth of Qugu (CV2) among differ-ent types hadn't the statistical significance (P>0.05). Conclusion The dangerous depth of Qugu (CV2) was positively correlated with the Rohrer index (Y=0.2×age+23.80×Rohrer index-7.173), the dangerous depth of Qugu (CV2) increased with the growth of Rohrer index.