摘要
目的 在活体上对尺神经阻滞前后手掌部穴位的穴感强度进行对比,以探索手掌部穴位与肌门、骨门及神经之间的关系。方法 本研究分为尺神经不完全阻滞(实验1)和尺神经完全阻滞(实验2)2组。麻醉方式为肘部尺神经沟注射2%利多卡因与1%罗哌卡因。选取手掌部二间、三间、合谷、劳宫、中渚、少府、鱼际、后溪穴8个穴位,分别在麻醉前及麻醉起效后针刺,用马萨诸塞州总医院针感评价量表评价穴感强度,并对麻醉前后针刺穴感强度进行统计学分析。实验1与实验2的麻醉效果通过尺神经支配区运动、感觉功能来评价。结果 尺神经不完全阻滞,麻醉后三间、合谷、中渚、少府、劳宫、后溪穴针刺穴感减退,差异具有统计学意义(P<0.05),二间、鱼际穴穴感与麻醉前无明显差别,差异无统计学意义(P>0.05)。尺神经完全阻滞,麻醉后合谷、中渚、后溪、少府穴穴感消失,三间、劳宫穴穴感减退,二间、鱼际穴穴感与麻醉前无明显差别,差异无统计学意义(P>0.05)。结论 穴感的产生、传导与神经密切相关,符合肌门、骨门为穴位的实体解剖结构这一观点。
Objective To explore the relationship between acupoints in the palm and hilus of muscle,hilus of bone,and nerves by comparing the intensity of acupoint sensations in the palm before and after ulnar nerve block in vivo.Methods This study was divided into two groups:incomplete ulnar nerve block(Experiment 1)and complete ulnar nerve block(Experiment 2).Anesthesia was achieved by injecting 2%lidocaine and 1%ropivacaine into the ulnar nerve groove at the elbow.Eight acupoints in the palm,namely Erjian(LI 2),Sanjian(LI 3),Hegu(LI 4),Laogong(PC 8),Zhongzhu(SJ 3),Shaofu(HT 8),Yuji(LU 10),and Houxi(SI 3),were selected.Acupuncture was performed before and after the onset of anesthesia,and the acupoint sensations was evaluated using the Chinese version of Massachusetts General Hospital Acupuncture Sensation Scale(C-MASS).Statistical analysis was conducted on the acupoint sensations before and after anesthesia.The anesthetic effects of Experiment 1 and Experiment 2 were evaluated based on the motor and sensory functions of the ulnar nerve distribution area.Results In Experiment 1,with incomplete ulnar nerve block,the acupoint sensations at Sanjian,Hegu,Zhongzhu,Shaofu,Laogong,and Houxi decreased after anesthesia(P<0.05),with statistically significant difference,while there was no significant difference in the acupoint sensations at Erjian and Yuji compared to before anesthesia(P>0.05),with statistically significant difference.In Experiment 2,with complete ulnar nerve block,the acupoint sensations at Hegu,Zhongzhu,Houxi,and Shaofu disappeared after anesthesia,the acupoint sensations at Sanjian and Laogong decreased,and there was no significant difference in the acupoint sensations at Erjian and Yuji compared to before anesthesia(P>0.05).Conclusion The generation and conduction of acupoint sensations are closely related to nerves,which is consistent with the view that hilus of muscle and hilus of bone are the physical anatomical structures of acupoints.
作者
方培钢
王增涛
郭啸南
束钊昱
王林江
王春霖
王涛
蔡斌
康姊玉
仇申强
李传刚
FANG Peigang;WANG Zengtao;GUO Xiaonan;SHU Zhaoyu;WANG Linjiang;WANG Chunlin;WANG Tao;CAI Bin;KANG Ziyu;QIU Shenqiang;LI Chuangang(Shandong Provincial Hospital,Shandong First Medical University,Jinan 250355;School of Acupuncture and Moxibustion and Tuina,Fujian University of Traditional Chinese Medicine;The Second Affiliated Hospital of Anhui University of Chinese Medicine;New York College of Traditional Chinese Medicine;Institute of Chinese Medical Literature and Culture,Shandong University of Traditional Chinese Medicine)
出处
《现代中医临床》
2025年第6期34-38,共5页
Modern Chinese Clinical Medicine
关键词
尺神经
穴位
麻醉
穴感
针刺
肌门骨门
ulnar nerve
acupoint
anesthesia
acupoint sensations
acupuncture
hilus of muscle and hilus of bone
