Acupuncture sensation during ultrasound guided acupuncture needling.
Acupuncture sensation during ultrasound guided acupuncture needling.
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DOI：
10.1136/aim.2010.003616
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发表时间：
2011-12
期刊：
影响因子：
--
通讯作者：
Langevin H
中科院分区：
文献类型：
--
作者：
Park JJ;Akazawa M;Ahn J;Beckman-Harned S;Lin FC;Lee K;Fine J;Davis RT;Langevin H
虽然针刺感觉（也被称为得气）是传统针灸疗法的基石，但大多数研究都接受了传统的方法，即仅通过患者的主观报告来定义针刺感觉，而不是任何可量化的生理基础。初步研究在超声（US）成像引导下针刺至特定、可量化组织水平（TL）时所经历的关键感觉频率。五名参与者在四个TL的两个穴位和两个对照点接受针刺。使用US扫描确定何时达到每个TL。每位志愿者完成了32套改良的南安普顿针感测试仪。研究的第一部分测试了在每个TL处经历的感觉，第二部分比较了单独振荡与振荡+旋转的效果。在所有志愿者中，浅TL中刺痛、尖锐感觉的频率显著高于深TL（p=0.007）;深TL中描述为深、钝、重、扩散和电击的感觉的频率显著高于浅TL（p=0.002）。除TL 4（p=0.006）外，在三个TL（p>0.05）中的每一个TL内，感觉体验在真实的和控制点之间没有显著差异。引入针旋转显着增加深，钝，沉重的感觉，但不是刺痛和尖锐的感觉;在每个级别内，在振荡+旋转和振荡期间经历的感觉频谱针刺和控制点之间没有显着差异。初步研究表明，针刺感觉与组织深度和针旋转之间有很强的联系。此外，新方法已被证明是可行的。有必要进行进一步的客观测量研究。
Although acupuncture sensation (also known as de qi) is a cornerstone of traditional acupuncture therapy, most research has accepted the traditional method of defining acupuncture sensation only through subjective patient reports rather than on any quantifiable physiological basis. To preliminarily investigate the frequency of key sensations experienced while needling to specific, quantifiable tissue levels (TLs) guided by ultrasound (US) imaging. Five participants received needling at two acupuncture points and two control points at four TLs. US scans were used to determine when each TL was reached. Each volunteer completed 32 sets of modified Southampton Needle Sensation Questionnaires. Part one of the study tested sensations experienced at each TL and part two compared the effect of oscillation alone versus oscillation + rotation. In all volunteers, the frequency of pricking, sharp sensations was significantly greater in shallower TLs than deeper (p=0.007); the frequency of sensations described as deep, dull and heavy, as spreading, and as electric shocks was significantly greater in deeper TLs than shallower (p=0.002). Sensations experienced did not significantly differ between real and control points within each of three TLs (p>0.05) except TL 4 (p=0.006). The introduction of needle rotation significantly increased deep, dull, heavy sensations, but not pricking and sharp sensations; within each level, the spectrum of sensation experienced during both oscillation + rotation and oscillation alone did not significantly differ between acupuncture and control points. The preliminary study indicates a strong connection between acupuncture sensation and both tissue depth and needle rotation. Furthermore, the new methodology has been proven feasible. A further study with an objective measurement is warranted.
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影响因子：
--
作者：
Cherkin, Daniel C.;Sherman, Karen J.;Avins, Andrew L.;Erro, Janet H.;Ichikawa, Laura;Barlow, William E.;Delaney, Kristin;Hawkes, Rene;Hamilton, Luisa;Pressman, Alice;Khalsa, Partap S.;Deyo, Richard A.
通讯作者：
Deyo, Richard A.
影响因子：
168.9
作者：
Streitberger, K;Kleinhenz, J
通讯作者：
Kleinhenz, J
功能磁共振成像研究中针刺刺激过程中群体同质性的评估
影响因子：
4.4
作者：
Sun, Jinbo;Qin, Wei;Tian, Jie
通讯作者：
Tian, Jie
影响因子：
--
作者：
Hui, Kathleen K S;Nixon, Erika E;Kennedy, David N
通讯作者：
Kennedy, David N
影响因子：
3.3
作者：
Langevin, HM;Churchill, DL;Krag, MH
通讯作者：
Krag, MH