本文選題：振陽穴 + 針刺��； 參考：《長春中醫(yī)藥大學(xué)》2007年碩士論文

【摘要】： 本課題對針刺“振陽穴”進(jìn)針的最佳深度和最佳角度進(jìn)行了規(guī)范研究，為針刺“振陽穴”提供了臨床操作規(guī)范，并對“振陽穴”的局部解剖結(jié)構(gòu)進(jìn)行了觀察，為針刺治療陽痿的臨床作用機(jī)制提供了形態(tài)學(xué)依據(jù)。 目的：確定“振陽穴”臨床操作的針刺最佳深度和角度，闡明“振陽穴”治療陽痿的臨床作用機(jī)制。方法：臨床針刺“振陽穴”獲得特殊針感時(shí)，對進(jìn)針的深度和針體與人體冠狀面、矢狀面所成夾角進(jìn)行測量，初步確定其臨床操作規(guī)范；在“振陽穴”局部進(jìn)行層次解剖，分別觀察皮膚、肌肉以及臀大肌下組織結(jié)構(gòu)，拍攝高清晰度圖片資料，確定“振陽穴”進(jìn)針過程中可能刺激到的神經(jīng)、肌肉、血管，，測量并統(tǒng)計(jì)皮膚至骶結(jié)節(jié)韌帶、皮膚至陰部神經(jīng)的距離，測量針體與人體冠狀面、矢狀面的角度，通過這些神經(jīng)、肌肉、血管的走行和分布，確定產(chǎn)生特殊針感的解剖學(xué)基礎(chǔ)，對“振陽穴”治療陽痿的作用機(jī)理，做初步的探討；結(jié)果：“振陽穴”臨床操作時(shí)進(jìn)針的最佳深度為(74.7±3.7)mm，進(jìn)針時(shí)應(yīng)平行于人體橫切面，針體與人體冠狀面夾角為(65.2±0.3)°，與人體矢狀面夾角為(79.8±0.9)°，針刺“振陽穴”進(jìn)針至獲得特殊針感的局部解剖結(jié)構(gòu)層次依次為皮膚、淺筋膜、臀大肌、骶結(jié)節(jié)韌帶、陰部神經(jīng)，皮膚至骶結(jié)節(jié)韌帶的距離為(72.2±0.2)mm、至陰部神經(jīng)的距離為(80.2±0.1)mm，進(jìn)針時(shí)針體與人體標(biāo)本冠狀面夾角為(65.1±1.0)°，與矢狀面夾角為(79.0±0.5)°。 結(jié)論：針刺“振陽穴”時(shí)應(yīng)注意按照一定的深度和角度進(jìn)針，以保證獲得特殊針感，提高臨床療效。針刺“振陽穴”產(chǎn)生特殊針感可能是由于直接刺激到了陰部神經(jīng)，或由于針刺時(shí)引起局部肌肉組織收縮牽拉刺激陰部神經(jīng)所產(chǎn)生的，治療陽痿的作用機(jī)制可能是通過調(diào)節(jié)大腦皮質(zhì)和脊髓節(jié)段反射來影響陰莖勃起功能的。
[Abstract]:In this paper, the best depth and the best angle of acupuncture "Zhenyang point" were studied, which provided the clinical operation standard for acupuncture "Zhenyang point", and observed the local anatomical structure of "Zhenyang point". It provides morphological basis for the clinical mechanism of acupuncture in treating impotence. Objective: to determine the best depth and angle of acupuncture at Zhenyang point, and to clarify the clinical mechanism of Zhenyang point in the treatment of impotence. Methods: when clinical acupuncture "Zhenyang point" got a special needling feeling, the depth of the needle, the angle between the needle body and the coronal plane and the sagittal plane of human body were measured, and the clinical operation criterion was preliminarily determined, and the local level anatomy of "Zhenyang acupoint" was carried out. The tissue structure of skin, muscle and subgluteus maximus were observed, and the high-definition image data were taken to determine the nerve, muscle and blood vessels that might be stimulated during the injection of "Zhenyang point", and to measure and calculate the skin to sacral tuberculous ligament. The distance from the skin to the pudendal nerve, the measurement of the angle between the needle body and the coronal and sagittal plane of the human body, the movement and distribution of these nerves, muscles and blood vessels, and the determination of the anatomical basis for producing a special sense of needling, The mechanism of "Zhenyang acupoint" in treating impotence was discussed preliminarily. Results: the optimum depth of acupuncture in clinical operation was 74.7 鹵3.7 mm, which should be parallel to the transverse section of human body. The angle between the acupuncture body and the coronal plane was 65.2 鹵0.3 擄, and the angle with the sagittal plane was 79.8 鹵0.9 擄. The order of the local anatomical structure between acupuncture "Zhenyang point" and the special needling sensation was skin, superficial fascia, gluteus maximus, sacral tuberculous ligament and pudendal nerve. The distance between skin and sacral tuberculous ligament was 72.2 鹵0.2mm. the distance from pudendal nerve was 80.2 鹵0.1mm. the angle between the body of needle and the coronal plane of human specimen was 65.1 鹵1.0 擄, and the angle with sagittal plane was 79.0 鹵0.5 擄. Conclusion: when acupuncture "Zhenyang point", we should pay attention to the needling according to certain depth and angle, so as to obtain special needling feeling and improve clinical curative effect. The special sense of acupuncture at "Zhenyang Point" may be caused by the direct stimulation of the pudendal nerve, or by the contraction of the local muscle tissue and the stimulation of the pudendal nerve by the acupuncture. The mechanism of treatment of impotence may be by regulating cerebral cortex and spinal cord segment reflex to affect penile erectile function.
【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2007
【分類號(hào)】：R245;R322

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