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href='/zhongyiyishi/shijianjineng/'>實(shí)踐技能</a> > <a href='/zhongyiyishi/jinengfudaopeixun/'>輔導(dǎo)精華</a></div> </div> <div id="hmrnmfj" class="layout clearfix msf new-wrap"> <div id="ktnnmtt" class="new_left fl"> <div id="oxnqiii" class="news_mian"> <div id="cwxmatt" class="tit"> <h1>2019年中醫(yī)執(zhí)業(yè)醫(yī)師實(shí)踐技能：針灸技術(shù)：進(jìn)針?lè)?/h1> <div id="tclhngs" class="mark clearfix"> <div id="rwmjetb" class="fl"> <span id="vpyruyn" class="time">2019-05-06 16:04</span> <a href="http://thedailypurge.net" title="醫(yī)學(xué)教育網(wǎng)" class="a1">醫(yī)學(xué)教育網(wǎng)</a> </div> <a href="javascript:void(0)" onclick="window.external.AddFavorite(location.href,document.title);" target="_self" class="collection ico fr"></a>  <div id="xndwvos" class="fen fr">|</div> <div id="tnhahll" class="font_size fr ico"><a href="javascript:void(0);" target="_self" class="big lan ico">大</a><a href="javascript:void(0);" target="_self" class="small ico">小</a></div> </div> </div> </div>  <div style="width: 800px;text-align: left;margin: 0 auto;margin-bottom: 20px;"> <div style="width:800px; height:90px;"> <a href="http://thedailypurge.net/yishizigekaoshi/baoming/li2412107427.shtml" target="_blank"> <img title="報(bào)名預(yù)約" src="http://thedailypurge.net/upload/resources/image/2024/12/12/826396.png" width="800" height="90" style="border:0px;"></a>  </div> </div>  <p></p>  <div id="rpjbiit" class="news_con"> <div id="cpyqxbq" class="jxbox clearfix"> <p>進(jìn)針?lè)ǖ木唧w操作要點(diǎn)是<a href="http://thedailypurge.net/shijianjineng/" target="_blank" title="中醫(yī)執(zhí)業(yè)醫(yī)師實(shí)踐技能考試" class="hotLink">中醫(yī)執(zhí)業(yè)醫(yī)師實(shí)踐技能考試</a>經(jīng)常涉及到的考點(diǎn)，醫(yī)學(xué)教育網(wǎng)編輯為大家整理總結(jié)了具體的考試資料，詳情如下： </p> <p>在進(jìn)行針刺操作時(shí)，一般應(yīng)雙手協(xié)同操作，緊密配合。臨床上一般用右手持針操作，主要是拇、食、中指夾持針柄，其狀如持筆，故右手稱為“刺手”。左手爪切按壓所刺部位或輔助針身，故稱左手為“押手”。 </p> <p>進(jìn)針?lè)椒ò▎问诌M(jìn)針?lè)ā㈦p手進(jìn)針?lè)ǖ确椒ā?</p> <p><strong>1.單手進(jìn)針?lè)?</strong></p> <p>操作要點(diǎn)： </p> <p>①消毒：腧穴皮膚、醫(yī)生雙手常規(guī)消毒。 </p> <p>②持針：拇、食指指腹持針，中指指腹抵住針身下段，使中指指端比針尖略長(zhǎng)出或齊平。 </p> <p>③指抵皮膚：對(duì)準(zhǔn)穴位，中指指端緊抵腧穴皮膚。 </p> <p>④刺入：拇、食指向下用力按壓刺入，中指隨之屈曲，快速將針刺入。刺入時(shí)應(yīng)保持針身直而不彎。 </p> <p><strong>2.雙手進(jìn)針?lè)?</strong></p> <p>（1）指切進(jìn)針?lè)ㄓ址Q爪切進(jìn)針?lè)?。操作要點(diǎn)： </p> <p>①消毒：腧穴皮膚、醫(yī)生雙手常規(guī)消毒。 </p> <p>②押手固定穴區(qū)皮膚：押手拇指或食指指甲切掐固定腧穴處皮膚。 </p> <p>③持針：刺手拇、食、中指三指指腹夾持針柄。④刺入：將針身緊貼押手指甲緣快速刺入。本法適宜于短針的進(jìn)針。 </p> <p>（2）提捏進(jìn)針?lè)ú僮饕c(diǎn)： </p> <p>①消毒：腧穴皮膚、醫(yī)生雙手常規(guī)消毒。 </p> <p>②押手提捏穴旁皮肉：押手拇、食指輕輕提捏腧穴近旁的皮肉，提捏的力度大小要適當(dāng)。③持針：刺手拇、食、中指三指指腹持針。④刺入：刺手持針快速刺入腧穴。刺入時(shí)常與平刺結(jié)合。本法適用于皮肉淺薄部位的腧穴進(jìn)針。 </p> <p>（3）舒張進(jìn)針?lè)ú僮饕c(diǎn)： </p> <p>①消毒：腧穴皮膚、醫(yī)生雙手常規(guī)消毒。 </p> <p>②押手繃緊皮膚：以押手拇、食指或食、中指把腧穴處皮膚向兩側(cè)輕輕撐開，使之繃緊，兩指間的距離要適當(dāng)。 </p> <p>③持針：刺手拇、食、中指三指指腹夾持針柄。 </p> <p>④刺入：刺手持針，于押手兩指間的腧穴處迅速刺入。本法適用于皮膚松弛部位的腧穴進(jìn)針。 </p> <p>（4）夾持進(jìn)針?lè)ㄓ址Q駢指進(jìn)針?lè)ā２僮饕c(diǎn)： </p> <p>①消毒：腧穴皮膚、醫(yī)生雙手常規(guī)消毒。 </p> <p>②持針：押手拇、食指持消毒干棉球裹住針身下段，以針尖端露出0.3～0.5cm為宜；刺手拇、食、中三指指腹夾持針柄，使針身垂直。 </p> <p>③刺入：將針尖固定在腧穴皮膚表面，刺手捻轉(zhuǎn)針柄，押手下壓，雙手配合，同時(shí)用力，迅速將針刺入腧穴皮下。本法適用于長(zhǎng)針的進(jìn)針。 </p> <p align="center">更多的考試內(nèi)容，點(diǎn)擊下圖購(gòu)買<strong><font color="#0066cc" size="3"><a href="http://thedailypurge.net/zhongyiyishi/fudaopeixun/hy1905067581.shtml" target="_blank">0元購(gòu)買精選體驗(yàn)課免費(fèi)學(xué)習(xí)>></a></font></strong></p> <p align="center"><font color="#0066cc"><img alt="全身望診" src="http://thedailypurge.net/upload/html/2019/05/my060193.PNG" /></font></p> <p><font style="BACKGROUND-COLOR: #00ccff" color="#000000">編輯推薦：</font></p> <p><a href="http://thedailypurge.net/zhongyiyishi/fudaopeixun/my1904304108.shtml" target="_blank"><font color="#0000ff" size="2">中醫(yī)執(zhí)業(yè)醫(yī)師筆試14大科目重點(diǎn)歸納+技能評(píng)分手冊(cè)</font></a></p> <p><a href="http://thedailypurge.net/zhongyiyishi/fudaopeixun/my1904284935.shtml" target="_blank"><font color="#0000ff" 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