基于超声影像学的针刺手法特征解析方法研究

Analytic method of the characteristics of acupuncture manipulation based on ultrasound imaging

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维普
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中文摘要：目的:基于针刺过程中穴区周围超声影像的分析与建模,构建一种针对针刺常用补泻手法特征的解析方法.方法:选取2022年6月至2023年6月在北京市中关村医院体检的7名健康受试者,在6个月的研究中由10名副高职称以上的针灸医师分别对7名健康受试者的上臂孔最穴实施捻转补、捻转泻、提插补、提插泻等4种常见针刺手法,采用超声成像设备采集取穴点下方的肌肉与筋膜组织的影像,构建图像模型;采用虚拟针点的定义,研究针体刺入皮肤后引起的皮下组织摄动的规律.以不同标准针刺手法,分析受试者的孔最穴皮下肌肉束虚拟针点的变化规律.结果:超声影像试验数据显示,捻转类手法虚拟针点轨迹的波峰、波谷数值的平均绝对值差为0.066±0.045,且幅度均值小于提插类手法像素点均值(0.428±0.276),捻转类手法匀称,两种类型针刺手法存在差异.以计算机图形学特征量化提插补泻手法的做功效应,表征针刺手法中提插补法的"重插轻提"和提插泻法的"重提轻插",从而区分提插补、提插泻.结论:运用超声影像学和计算机图形学能够解析针灸常用补泻手法的规律性.

外文摘要：Objective:To construct an analytic method aimed at the characteristics of the commonly method of supplementing and pouring of acupuncture based on the analysis and modeling of ultrasound images around acupoint region in the process of acupuncture.Methods:A total of 7 healthy subjects who underwent physical examination in Beijing Zhongguancun Hospital from June,2022 to June,2023 were selected,and their Kongzui acupoints were acupunctured by 10 acupuncturists with associate senior title as 4 kinds of acupuncture manipulations included reinforcing by twisting and rotating(RFTR),reducing by twisting and rotating(RDTR),reinforcing by lifting and thrusting(RFLT),and reducing by lifting and thrusting(RDLT).The B-ultrasound diagnostic device was used to collect the images of muscle and fascial tissue below the acupoint,so as to construct the model of images.The definition of virtual acupuncture point was adopted to study the regulation of perturbation of subcutaneous tissue that was caused after the skin was acupunctured by needle.The change regulation of the virtual acupuncture point of muscle bundle below skin at Zuikong acupoint of subjects was analyzed.Results:The difference value of average absolution value between peak and trough of the trajectory of virtual acupuncture point of twisting and rotating was 0.066±0.045,and the average value of amplitude of this method was less than that(0.428±0.276)of lifting and thrusting method,and the twisting and rotating method was uniform and symmetrical,and there was difference between two kinds of acupuncture methods.The characteristics of computer graphics was used to qualify the work effect of lifting and thrusting,and reinforcing and reducing,which showed the heavy insertion and light lifting of RFLT,and showed heavy lifting and light insertion of RDLT,thus distinguished the two methods[(RFLT)and(RDLT)].Conclusions:The ultrasound imaging and computer graphics can be used to analyze the regularity of the common"reinforcing and reducing"method of acupuncture and moxibustion.

外文关键词：

Ultrasound imagingVirtual acupuncture pointAcupuncture manipulationAnalysis for manipulation characteristicsComputer graphics

作者：

陈捷、赵君、魏雨荷、白杨、何继宇、陈子燚、孙立明、王磊、李景利、张亚男、沈燕、宿翀

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作者单位：

北京市中关村医院中医综合科北京 100190

北京化工大学信息科学与技术学院北京 100029

北京市第一中西医结合医院老年病科北京 100018

中国中医科学院针灸研究所北京 100700

北京鹤年堂中医医院针灸科北京 100053

天津中医药大学第一附属医院针灸研究所天津 300381

国家中医针灸临床医学研究中心国家中医药管理局脑病针刺疗法重点研究室天津市针灸学重点实验室天津 300381

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关键词：

超声影像虚拟针点针刺手法手法特征解析计算机图形学

基金：

国家自然科学基金国家自然科学基金北京市中医药科技发展基金北京市海淀区卫生健康发展科研培育计划北京市中关村医院科研培育专项国家中医针灸临床医学研究中心开放课题天津中医药大学第一附属医院"拓新工程"基金科研课题

项目编号：

8237430582074285BJZYYB-2023-02HP2023-50-201002Y202206NCRCOP2023006院ZD202102

出版年：

2024

DOI：

10.3969/j.issn.1672-8270.2024.10.003

中国医学装备

中国医学装备协会

中国医学装备

CSTPCD

影响因子：0.882

ISSN：1672-8270

年,卷(期)：2024.21(10)

参考文献量10